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疑似发育性协调障碍儿童动态平衡控制的短期运动学习

Short-term motor learning of dynamic balance control in children with probable Developmental Coordination Disorder.

作者信息

Jelsma Dorothee, Ferguson Gillian D, Smits-Engelsman Bouwien C M, Geuze Reint H

机构信息

Developmental and Clinical Neuropsychology, University of Groningen, Grote Kruisstraat 2-1, 9712 TS Groningen, The Netherlands.

Department of Health and Rehabilitation Sciences, University of Cape Town, South Africa.

出版信息

Res Dev Disabil. 2015 Mar;38:213-22. doi: 10.1016/j.ridd.2014.12.027. Epub 2015 Jan 6.

Abstract

PURPOSE

To explore the differences in learning a dynamic balance task between children with and without probable Developmental Coordination Disorder (p-DCD) from different cultural backgrounds.

PARTICIPANTS

Twenty-eight Dutch children with DCD (p-DCD-NL), a similar group of 17 South African children (p-DCD-SA) and 21 Dutch typically developing children (TD-NL) participated in the study.

METHODS

All children performed the Wii Fit protocol. The slope of the learning curve was used to estimate motor learning for each group. The protocol was repeated after six weeks. Level of motor skill was assessed with the Movement ABC-2.

RESULTS

No significant difference in motor learning rate was found between p-DCD-NL and p-DCD-SA, but the learning rate of children with p-DCD was slower than the learning rate of TD children. Speed-accuracy trade off, as a way to improve performance by slowing down in the beginning was only seen in the TD children, indicating that TD children and p-DCD children used different strategies. Retention of the level of learned control of the game after six weeks was found in all three groups after six weeks. The learning slope was associated with the level of balance skill for all children. This study provides evidence that children with p-DCD have limitations in motor learning on a complex balance task. In addition, the data do not support the contention that learning in DCD differs depending on cultural background.

摘要

目的

探讨来自不同文化背景的、患有和未患有可能的发育协调障碍(p-DCD)的儿童在学习动态平衡任务方面的差异。

参与者

28名荷兰患有DCD的儿童(p-DCD-NL)、17名南非患有DCD的儿童(p-DCD-SA)以及21名发育正常的荷兰儿童(TD-NL)参与了该研究。

方法

所有儿童均执行Wii Fit方案。学习曲线的斜率用于估计每组儿童的运动学习情况。六周后重复该方案。使用运动ABC-2评估运动技能水平。

结果

p-DCD-NL组和p-DCD-SA组在运动学习率上未发现显著差异,但患有p-DCD的儿童的学习率比发育正常儿童的学习率慢。速度-准确性权衡,即一种通过在开始时放慢速度来提高表现的方式,仅在发育正常儿童中观察到,这表明发育正常儿童和患有p-DCD的儿童使用了不同的策略。六周后,所有三组儿童在六周后都保持了所学游戏控制水平。学习斜率与所有儿童的平衡技能水平相关。这项研究提供了证据,表明患有p-DCD的儿童在复杂平衡任务的运动学习方面存在局限性。此外,数据不支持关于DCD患者的学习因文化背景而异的观点。

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