Kane Kyra J, Staples Kerri L
a Children's Program, Regina Qu'Appelle Health Region , Regina , Saskatchewan , Canada.
b Faculty of Kinesiology and Health Studies , University of Regina , Regina , Saskatchewan , Canada.
Phys Occup Ther Pediatr. 2016;36(1):28-45. doi: 10.3109/01942638.2014.978934. Epub 2014 Nov 14.
Children with coordination difficulties are at risk of low levels of physical activity (PA) participation. This intervention examined the effects of a multidisciplinary program that emphasized parent participation on motor skill performance and PA.
Ten boys (5-7 years) completed a group program consisting of conditioning exercises and activities designed to address child-selected goals. Motor proficiency and PA participation were assessed before and after the program using the Test of Gross Motor Development (TGMD-2) and triaxial accelerometers, respectively. Rating scales captured child and parent perceptions of performance for each child's goals.
TGMD-2 subtest raw scores, age equivalent and percentile scores improved, along with parent ratings of their child's performance. Six children reported skill improvements. On average, moderate to vigorous PA improved by 10 min per day although these gains were not significant. Time spent in sedentary activities was unchanged. None of the children met the Canadian PA and sedentary behaviour guidelines.
The results support effectiveness of a group program to improve gross motor performance and levels of PA in children with coordination difficulties. Gains in both of these domains also have the potential to impact quality of life and reduce health risks associated with inactivity.
存在协调困难的儿童有身体活动（PA）参与水平较低的风险。本干预措施考察了一项强调家长参与的多学科项目对运动技能表现和身体活动的影响。
10名男孩（5至7岁）完成了一个小组项目，该项目包括旨在实现儿童自主选择目标的体能训练和活动。在项目前后分别使用粗大运动发育测试（TGMD - 2）和三轴加速度计对运动能力和身体活动参与情况进行评估。评定量表记录了儿童和家长对每个孩子目标达成情况的看法。
TGMD - 2子测试原始分数、年龄当量分数和百分位数分数均有所提高，同时家长对孩子表现的评分也有所提高。6名儿童报告技能有所提升。平均而言，中度至剧烈身体活动每天增加了10分钟，不过这些增加并不显著。久坐活动时间没有变化。没有一个孩子达到加拿大身体活动和久坐行为指南的要求。
结果支持了小组项目对改善存在协调困难儿童的粗大运动表现和身体活动水平的有效性。这两个领域的改善也有可能影响生活质量，并降低与缺乏运动相关的健康风险。
