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针对发育性协调障碍青少年精细运动控制的触觉感知训练项目:一项初步研究。

Haptic Perception Training Programs on Fine Motor Control in Adolescents with Developmental Coordination Disorder: A Preliminary Study.

作者信息

Wuang Yee-Pay, Huang Chien-Ling, Wu Ching-Shan

机构信息

Department of Occupational Therapy, Kaohsiung Medical University, Kaohsiung 807, Taiwan.

Department of Rehabilitation Medicine, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.

出版信息

J Clin Med. 2022 Aug 15;11(16):4755. doi: 10.3390/jcm11164755.

Abstract

Somatosensory and haptic perception deficit was commonly found in developmental coordination disorder (DCD) and was closely related to fine motor functions, and the intervention strategies should thus emphasize improving the underlying haptic functions. This study was intended to investigate the effects of haptic perception training programs on fine motor functions in adolescents with DCD. A total of 82 DCD participants were assigned to either the haptic perception training program (HTP; = 42, 16 females, mean age = 13.32 ± 2.85 years) or standard occupational therapy (SOT; = 40, 16 females, mean age = 13.41 ± 3.8 years) group. Both groups were given 12-week training, twice a week, 30 min per session. Outcome measures were: Jebsen-Taylor Hand Function Test (JTFHT), Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2), Test of Visual-Perceptual Skills- Fourth Edition (TVPS-4), and Vineland Adaptive Behavior Scale -Chinese Version (VABS-C). After the intervention, the HTP group outscored the SOT group on most fine motor control (JTFHT and BOT-2) tasks and all TVPS-4 and VABS-C items. The HTP group had greater pre-post changes on fine motor integration, fine motor precision, manual dexterity, and writing. TVPS-4 reached significant intervention gains on visual spatial relations, visual memory, and visual sequential memory. The haptic perception training programs demonstrated benefits in enhancing fine motor control in adolescents with DCD. It could be used as an easy and effective alternative to hospital or school-based therapy during the pandemic.

摘要

本体感觉和触觉感知缺陷在发育性协调障碍(DCD)中很常见,并且与精细运动功能密切相关,因此干预策略应着重改善潜在的触觉功能。本研究旨在调查触觉感知训练计划对患有DCD的青少年精细运动功能的影响。共有82名DCD参与者被分配到触觉感知训练计划组(HTP;n = 42,16名女性,平均年龄 = 13.32 ± 2.85岁)或标准职业治疗组(SOT;n = 40,16名女性,平均年龄 = 13.41 ± 3.8岁)。两组均接受为期12周的训练,每周两次,每次30分钟。结果测量指标包括:杰布森 - 泰勒手功能测试(JTFHT)、布吕宁克斯 - 奥塞雷茨基运动能力测试第二版(BOT - 2)、视觉感知技能测试第四版(TVPS - 4)以及文兰适应性行为量表中文版(VABS - C)。干预后,HTP组在大多数精细运动控制(JTFHT和BOT - 2)任务以及所有TVPS - 4和VABS - C项目上的得分均高于SOT组。HTP组在精细运动整合、精细运动精度、手动灵巧性和书写方面的前后变化更大。TVPS - 4在视觉空间关系、视觉记忆和视觉序列记忆方面达到了显著的干预效果。触觉感知训练计划在增强患有DCD的青少年的精细运动控制方面显示出益处。在疫情期间,它可以作为医院或学校治疗的一种简便有效的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c678/9409961/7a04aa043e9f/jcm-11-04755-g001a.jpg

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