Rosenblum Sara, Waissman Pola, Diamond Gary W
The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, University of Haifa, Israel.
Clalit Medical Services HMO, Dan Region and University Clinics, Ariel University, Israel.
Hum Mov Sci. 2017 Jun;53:5-15. doi: 10.1016/j.humov.2016.11.003. Epub 2016 Nov 18.
Motor coordination deficits that characterize children with Developmental Coordination Disorder (DCD) affect their quality of participation. The aim of the current study was to identify play characteristics of young children with DCD, compared to those of children with typical development in three dimensions: activity and participation, environmental factors and children's impairments.
Sixty-four children, aged four to six years, participated. Thirty were diagnosed as having DCD; the remaining 34 children were age, gender and socioeconomic level matched controls with typical development. The children were evaluated by the M-ABC. In addition, their parents completed a demographic questionnaire, the Children's Activity Scale for Parents (CHAS-P), the Children's Leisure Assessment Scale for preschoolers (CLASS-Pre), and My Child's Play Questionnaire (MCP).
Children with DCD performed significantly poorer in each of the four play activity and participation domains: variety, frequency, sociability, and preference (CLASS-Pre). Furthermore, their environmental characteristics were significantly different (MCP). They displayed significantly inferior performance (impairments) in interpersonal interaction and executive functioning during play, in comparison to controls (MCP). Moreover, the children's motor and executive control as reflected in their daily function as well as their activities of daily living (ADL) performance level, contributed to the prediction of their global play participation.
The results indicate that the use of both the CLASS-Pre and the MCP questionnaires enables the identification of unique play characteristics of pre-school children with DCD via parents' reports. A better insight into these characteristics may contribute to theoretical knowledge and clinical practice to improve the children's daily participation.
运动协调缺陷是发育性协调障碍(DCD)儿童的特征,会影响他们的参与质量。本研究的目的是,与发育正常的儿童相比,从活动与参与、环境因素和儿童损伤这三个维度,确定患有DCD的幼儿的游戏特征。
64名4至6岁的儿童参与了研究。其中30名被诊断为患有DCD;其余34名儿童在年龄、性别和社会经济水平上与发育正常的儿童匹配,作为对照组。通过运动评估量表(M-ABC)对儿童进行评估。此外,他们的父母完成了一份人口统计学问卷、儿童活动家长量表(CHAS-P)、学龄前儿童休闲评估量表(CLASS-Pre)和我的孩子游戏问卷(MCP)。
患有DCD的儿童在游戏活动和参与的四个领域(多样性、频率、社交性和偏好,CLASS-Pre)中的表现均显著较差。此外,他们的环境特征也有显著差异(MCP)。与对照组相比,他们在游戏过程中的人际互动和执行功能方面表现出明显较差的能力(损伤,MCP)。此外,儿童日常功能所反映的运动和执行控制以及他们的日常生活活动(ADL)表现水平,有助于预测他们在整体游戏中的参与情况。
结果表明,使用CLASS-Pre和MCP问卷能够通过家长报告识别患有DCD的学龄前儿童独特的游戏特征。对这些特征的更好理解可能有助于理论知识和临床实践,以提高儿童的日常参与度。