Department of physical therapy, universidade Federal de São Carlos, São Carlos, São Paulo, Brazil; Department of human sciences, universidade do Estado da Bahia, Jacobina, Bahia, Brazil.
Behavioural Science Institute, Radboud university, Nijmegen, The Netherlands.
Ann Phys Rehabil Med. 2021 Mar;64(2):101390. doi: 10.1016/j.rehab.2020.03.013. Epub 2020 May 29.
Wii-based interventions have shown significant benefits in motor learning for children with developmental coordination disorder (DCD); however, studies comparing the effects of Wii interventions versus matched non-Wii interventions, such as task-specific training (TST), are scarce.
We compared motor learning in children with DCD who participated in 12 sessions of Wii-based training and those participating in 12 closely matched non-Wii TST sessions as well as when the highest improvements in performance occurred.
In total, 32 children with DCD (16 per group) were randomly allocated to receive the Wii intervention or TST during 12 sessions. Motor learning was assessed in 3 consecutive phases during the intervention and was determined by the mean of the games scores obtained in the: (1) first 4 sessions, (2) intermediate 4 sessions, and (3) last 4 sessions. Six different tasks (table tennis, frisbee, archery, bowling, tightrope walking/balance beam, and marble balance/balance disc) were performed in every session. Each session lasted 42min (time on task).
Wii training and TST elicited improvements in motor learning, as assessed by increased scores with the frisbee and marble balance/balance disc tasks. However, Wii training elicited better performance in the archery and bowling tasks, whereas only TST elicited improvements in the balance beam and table tennis tasks.
Wii training is not always superior to non-Wii training, and improvements are based on the type of task trained. Thus, each type of intervention benefits a certain skill.
基于 Wii 的干预措施已显示出对发育性协调障碍(DCD)儿童运动学习的显著益处;然而,比较 Wii 干预与匹配的非 Wii 干预(如特定任务训练(TST))效果的研究很少。
我们比较了参加 12 次基于 Wii 的训练和参加 12 次紧密匹配的非 Wii TST 的 DCD 儿童的运动学习,以及在表现最高改善时的情况。
共有 32 名 DCD 儿童(每组 16 名)被随机分配接受 Wii 干预或 TST,共进行 12 次。在干预的 3 个连续阶段评估运动学习,通过以下方式确定:(1)前 4 次会议中获得的游戏分数的平均值;(2)中间 4 次会议中获得的游戏分数的平均值;(3)最后 4 次会议中获得的游戏分数的平均值。在每次会议中都进行了 6 项不同的任务(乒乓球、飞盘、射箭、保龄球、走钢丝/平衡木和弹珠平衡/平衡盘)。每次会议持续 42 分钟(任务时间)。
Wii 训练和 TST 都能提高运动学习,表现在飞盘和弹珠平衡/平衡盘任务的分数增加。然而,Wii 训练在射箭和保龄球任务中表现更好,而只有 TST 在平衡木和乒乓球任务中提高了成绩。
Wii 训练并不总是优于非 Wii 训练,而且改善取决于所训练的任务类型。因此,每种类型的干预都对某种技能有益。