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八段锦对发育性协调障碍儿童运动功能的影响:一项随机对照试验的研究方案

Effects of Baduanjin on motor function in children with developmental coordination disorders: study protocol for a randomised controlled trial.

作者信息

Gao Jiaxin, Ke Xiaohua, Huang Dunbing, Wu Yangxin, Xu Xiaqing, Ren Hongfei, Zhang Anren, Song Wei

机构信息

School of Health and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Department of Rehabilitation Medicine, Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, China.

出版信息

BMJ Open. 2024 Dec 2;14(12):e084061. doi: 10.1136/bmjopen-2024-084061.

Abstract

INTRODUCTION

Children diagnosed with developmental coordination disorder (DCD) exhibit a range of challenges in both gross and fine motor skills, characterised by sluggish and awkward movements. Additionally, they experience deficits in balance and coordination. Without appropriate intervention, these difficulties may endure into adolescence and adulthood, impacting various facets of their daily lives, including learning, social interactions and recreational activities.

METHODS AND ANALYSIS

Employing a randomised controlled trial design, 60 children diagnosed with DCD will be randomly assigned to two groups. The experimental group will receive Baduanjin training in addition to health education, while the control group will undergo health education alone. Following an 8-week intervention period, assessments using motor assessment battery for children-second edition, ProKin 254 Balance Test System will be conducted to evaluate the impact of Baduanjin on the motor coordination and balance in children with DCD. Furthermore, functional near-infrared spectroscopy will be employed to capture haemodynamic data from the children's brain movement-related cortex during functional activities. These data will be analysed to assess the level of cortical activation, strength of functional connectivity and their correlation with changes in motor function, with the goal of investigating the cerebral blood oxygenation mechanisms underlying the effectiveness of the Baduanjin intervention.

ETHICS AND DISSEMINATION

This study has been submitted for approval and has received ethical clearance from the Medical Ethics Committee of Shanghai Fourth People's Hospital (2023080-001). The results of the study will be published in a peer-reviewed scientific journal.

TRIAL REGISTRATION NUMBER

ChiCTR2300078980.

摘要

引言

被诊断为发育性协调障碍(DCD)的儿童在大肌肉和精细运动技能方面面临一系列挑战,其特点是动作迟缓且笨拙。此外,他们在平衡和协调方面也存在缺陷。若未得到适当干预,这些困难可能会持续到青少年期及成年期,影响他们日常生活的各个方面,包括学习、社交互动和娱乐活动。

方法与分析

采用随机对照试验设计,将60名被诊断为DCD的儿童随机分为两组。实验组除接受健康教育外,还将接受八段锦训练,而对照组仅接受健康教育。在为期8周的干预期后,将使用儿童运动评估量表第二版、ProKin 254平衡测试系统进行评估,以评估八段锦对DCD儿童运动协调和平衡的影响。此外,将采用功能近红外光谱技术在功能活动期间采集儿童大脑运动相关皮层的血流动力学数据。这些数据将被分析,以评估皮层激活水平、功能连接强度及其与运动功能变化的相关性,目的是研究八段锦干预有效性背后的脑血氧机制。

伦理与传播

本研究已提交审批,并获得上海第四人民医院医学伦理委员会的伦理批准(2023080 - 001)。研究结果将发表在同行评审的科学期刊上。

试验注册号

ChiCTR2300078980。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/744e/11624779/c0c19e5c5ff8/bmjopen-14-12-g001.jpg

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