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一系列针对发育性协调障碍儿童的服务提供模式是有效的:一项随机对照试验。

A Range of Service Delivery Modes for Children With Developmental Coordination Disorder Are Effective: A Randomized Controlled Trial.

作者信息

Ward Emily J, Hillier Susan, Raynor Annette, Petkov John

机构信息

School of Health Sciences (Drs Ward, Hillier, and Petkov), iCAHE, University of South Australia, Adelaide, Australia; and School of Exercise and Health Sciences (Dr Raynor), Edith Cowan University, Joondalup, Australia.

出版信息

Pediatr Phys Ther. 2017 Jul;29(3):230-236. doi: 10.1097/PEP.0000000000000423.

Abstract

PURPOSE

To investigate whether the environment and personnel providing intervention to children with developmental coordination disorder make a difference in motor outcomes and perceived competency.

METHODS

Ninety-three children (66 males), aged 5 years 1 month to 8 years 11 months, with developmental coordination disorder were randomized to receive a 13-week group-based task-oriented intervention, either at school by a school assistant or physical therapist, or in a health clinic by a physical therapist. The Movement Assessment Battery for Children (MABC) assessed motor skills pre- and postintervention. Self-perception and cost-effectiveness were also assessed.

RESULTS

Participants demonstrated a significant improvement in motor skills following intervention for all modes of delivery up to 6 months postintervention, MABC mean difference 7.20 (95% confidence interval, 5.89-8.81), effect size = 0.98.

CONCLUSION

Group intervention programs for developmental coordination disorder can be run by either a health professional or a school assistant (supported by physical therapist) in either the school or clinic environment and provide successful outcomes.

摘要

目的

探讨为发育性协调障碍儿童提供干预的环境和人员是否会对运动结果和自我感知能力产生影响。

方法

93名年龄在5岁1个月至8岁11个月的发育性协调障碍儿童(66名男性)被随机分组,接受为期13周的基于小组的任务导向干预,干预由学校助理或物理治疗师在学校进行,或由物理治疗师在健康诊所进行。使用儿童运动评估量表(MABC)在干预前后评估运动技能。还评估了自我认知和成本效益。

结果

在干预后长达6个月的所有干预方式中,参与者的运动技能均有显著改善,MABC平均差异为7.20(95%置信区间,5.89 - 8.81),效应量 = 0.98。

结论

发育性协调障碍的小组干预项目可以由健康专业人员或学校助理(在物理治疗师的支持下)在学校或诊所环境中开展,并能取得成功的效果。

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