Gill Simone V, Yang Zoe, Hung Ya-Ching
Boston University, Department of Occupational Therapy, United States; Boston University, Department of Medicine, United States.
Boston University, Department of Occupational Therapy, United States.
Gait Posture. 2017 Mar;53:121-126. doi: 10.1016/j.gaitpost.2017.01.021. Epub 2017 Jan 24.
We examined the effects of singular versus dual task constraints involving upper and lower extremities in typically developing children in young (4-6 years old), middle (7-9 years old), and old (10-13 years old) age groups. The purposes of this study were: 1) to investigate the effects of singular upper and lower extremity and dual upper and lower extremity conditions on motor variability and 2) to examine if variability in children's motor actions would differ according to age (i.e., young, middle, or old). Twenty-four children (M age=8.7; SD=3.7) completed three tasks: finger rotation (upper extremity singular task constraint), obstacle crossing (lower extremity singular task constraint), and box carrying while walking (upper and lower extremity dual task constraint). Compared to the old age group, the young age group displayed more variable rotation strategies during clockwise (χ(8, N=24)=12.4, p=0.046) and counterclockwise finger rotation (χ(8, N=24)=12.8, p=0.047). During box carrying, children in the young age group had the most motor variability in their stride length, velocity, the vertical positioning of the box, and minimum and maximum joint excursion (all ps<0.05). Crossing leg frontal plane hip angles were more variable on low versus high obstacles (all ps<0.05). Our results suggest that four- to six-year-old children may still be developing the ability to produce consistent motor actions, especially under dual-task constraints. Examining children in the context of completing tasks with a variety of constraints may be useful in assessing the development of children's motor variability.
我们研究了单任务与双任务限制对不同年龄段(幼儿组4 - 6岁、中年组7 - 9岁、老年组10 - 13岁)发育正常儿童上下肢运动的影响。本研究的目的是:1)探究上肢和下肢单任务条件以及上肢和下肢双任务条件对运动变异性的影响;2)检验儿童运动动作的变异性是否会因年龄(即幼儿、中年或老年)而有所不同。24名儿童(平均年龄 = 8.7岁;标准差 = 3.7)完成了三项任务:手指旋转(上肢单任务限制)、跨越障碍物(下肢单任务限制)以及行走时搬运箱子(上肢和下肢双任务限制)。与老年组相比,幼儿组在顺时针(χ(8, N = 24)=12.4, p = 0.046)和逆时针手指旋转过程中表现出更多可变的旋转策略(χ(8, N = 24)=12.8, p = 0.047)。在搬运箱子过程中,幼儿组儿童在步长、速度、箱子的垂直位置以及最小和最大关节活动度方面具有最大的运动变异性(所有p值均<0.05)。在跨越腿部时,低障碍物与高障碍物相比,额状面髋关节角度的变异性更大(所有p值均<0.05)。我们的研究结果表明,4至6岁的儿童可能仍在发展产生一致运动动作的能力,尤其是在双任务限制条件下。在各种限制条件下完成任务的背景下研究儿童,可能有助于评估儿童运动变异性的发展情况。