参加以儿童为中心的1对1运动治疗计划可以改善神经发育障碍儿童的多种结果:一项探索性前性队列研究
Mojgan Gitimoghaddam1,2, William H McKellin3, Lise Olsen4
1Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Frontiers in pediatrics
|December 1, 2025
概括
个性化体育活动计划对改善神经发育和/或智力障碍 (NDID) 的儿童的运动技能和社区参与有前途. 需要进一步的研究来证实这些对社会技能和生活质量的好处.
科学领域:
- 儿科 儿科 儿科
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 患有神经发育和/或智力障碍 (NDID) 的儿童在参与学校和社区活动方面面临重大障碍.
- 适应性,以社区为基础的体育活动计划为促进整合和社会化提供了潜在的解决方案.
- 赋能步骤运动疗法 (ESMTTM) 计划为NDID儿童提供一对一的个性化体育活动.
研究的目的:
- 评估ESMTTM计划对NDID儿童和青少年运动技能,适应能力,社区参与和生活质量的影响.
- 在12个月的时间内分析这些领域的纵向变化.
- 调查基线特征对计划成果的影响.
主要方法:
- 对42名患有NDID的儿童和青少年进行前性队列研究.
- 12个月的随访,每3个月进行一次评估.
- 使用BOT-2-SF用于运动技能,ABAS-II用于适应技能,PEM-CY用于参与,KIDSCREEN-27用于生活质量.
- 线性混合效应 (LME) 模型用于数据分析.
主要成果:
- 在标准化运动技能 (BOT-2-SF) 中观察到一个小但一致的积极趋势 (0.17分/月),自闭症儿童的收益略高.
- 在家庭和社区参与 (PEM-CY) 中也注意到了积极的趋势.
- 在社会适应技能 (ABAS-II) 中发现了最小的改善,在休适应技能和生活质量 (KIDSCREEN-27) 中发现了轻微的下降.
- 基础条件类型改变了运动和社会适应能力的结果.
结论:
- 像ESMTTM这样的个性化,一对一的体育活动计划可能会导致NDID儿童的有意义的改善.
- 根据个人需求定制的个性化脚手架对于治疗性体力活动至关重要.
- 建议进行更大规模的研究来验证这些发现,并支持个性化,有吸引力的治疗方法.
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