Adams Imke L J, Smits-Engelsman Bouwien, Lust Jessica M, Wilson Peter H, Steenbergen Bert
Behavioural Science Institute, Radboud UniversityNijmegen, Netherlands.
Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Cape TownCape Town, South Africa.
Front Psychol. 2017 Jul 26;8:1271. doi: 10.3389/fpsyg.2017.01271. eCollection 2017.
Children with Developmental Coordination Disorder (DCD) experience movement difficulties that may be linked to processes involved in motor imagery (MI). This paper discusses recent advances in theory that underpin the use of MI training for children with DCD. This knowledge is translated in a new MI training protocol which is compared with the cognitive orientation to daily occupational performance (CO-OP). Children meeting DSM-5 criteria for DCD were assigned to MI ( = 4) or CO-OP ( = 4) interventions and completed nine treatment sessions, including homework exercises. Results were positive, with two children in the MI group and three in the CO-OP group improving their m-ABC-2 score by ≥ 2 standard scores, interpreted as a clinically meaningful change. Moreover, all children and parents noticed improvements in motor skills after training. This is the first study to demonstrate the feasibility of a theoretically principled treatment protocol for MI training in children with DCD, and extends earlier work. The complete trial is registered at the Dutch trial register, www.trialregister.nl (NTR5471). http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5471.
患有发育性协调障碍（DCD）的儿童存在运动困难，这可能与运动想象（MI）所涉及的过程有关。本文讨论了支撑对DCD儿童使用MI训练的理论的最新进展。这些知识被转化为一种新的MI训练方案，并与日常职业表现的认知取向（CO-OP）进行比较。符合DCD的DSM-5标准的儿童被分配到MI组（n = 4）或CO-OP组（n = 4）进行干预，并完成九个治疗疗程，包括家庭作业练习。结果是积极的，MI组有两名儿童，CO-OP组有三名儿童的运动评估量表第二版（m-ABC-2）得分提高了≥2个标准差，这被解释为具有临床意义的变化。此外，所有儿童和家长都注意到训练后运动技能有所改善。这是第一项证明为DCD儿童进行MI训练的理论性原则治疗方案可行性的研究，并扩展了早期的工作。完整试验已在荷兰试验注册库（www.trialregister.nl，NTR5471）注册。http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5471 。
