家庭和社区参与,社会认知技能和SMA型I儿童的动力移动学习之间的关系:一个随机的,等候名单的受控试验
Cristina Isabel Díaz-López1, Rocío Palomo-Carrión2, Maria Coello-Villalón2
1Physical Therapy Department, Asociación de Padres de Niños Con Dificultades En el Desarrollo. APANDID, Toledo, Spain.
Assistive technology : the official journal of RESNA
|February 17, 2026
概括
在脊髓肌肉缩I型 (SMA I) 早期的动力运动增强了家庭参与. 移动学习,而不是认知,与改善参与有很强的相关性,支持其临床相关性.
科学领域:
- 儿科康复儿童康复中心
- 神经肌肉疾病 神经肌肉疾病
- 辅助技术 辅助技术 辅助技术
背景情况:
- 脊椎肌肉缩I型 (SMA I) 是一种严重的神经肌肉疾病,影响运动功能.
- 早期动力移动可以促进运动障碍儿童的自主性.
- 在SMA I中,动力移动的具体好处尚未得到充分证实.
研究的目的:
- 调查早期动力移动训练对SMA I. 婴儿和幼儿参与和相关结果的影响.
- 评估动力移动对社会认知技能和家庭成果的影响.
- 确定SMA I.儿童的移动学习和参与之间的关系.
主要方法:
- 一个随机的,等候名单的受控试验,涉及16名患有SMA I的儿童.
- 实验组接受了12周的动力移动训练,使用修改后的乘坐汽车.
- 用YC-PEM测量参与度,用ALP测量移动学习,用标准化分数测量认知能力.
主要成果:
- 实验组在家庭参与方面显示出小而渐进的改善 (效果大小小至中等).
- 没有观察到社区参与的显著变化.
- 在随访时,移动学习与家庭参与有中等至强烈的关联.
结论:
- 早期动力移动训练对于SMA I儿童来说是可行的和临床相关的.
- 将动力移动纳入早期干预计划可以加强对自然环境的参与.
- 移动学习,而不是认知得分,是与改善参与结果相关的关键因素.
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