نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکتری رفتار حرکتی، دانشگاه فردوسی مشهد

2 استاد رفتار حرکتی، دانشگاه فردوسی مشهد

3 دانشیار رفتار حرکتی، دانشگاه فردوسی مشهد

4 استاد فیزیولوژی ورزشی، دانشگاه فردوسی مشهد

چکیده

هدف پژوهش حاضر، مشاهدة تأثیر هشت هفته مداخلة تمرینی قابل‌اجرا بر رشد مهارت‌های جابه‌جایی و دستکاری،در ساعات درس تربیت‌بدنی مدارسو براساس رویکرد تکلیف‌مدار بود. این پژوهش روی30 کودک دختر و پسر هفت تا نُه سالةدچار اختلال هماهنگی رشدی شهر تهران انجام شد. مطالعة حاضر به‌شکل نیمه‌تجربی با طرح پیش‌آزمون- پس‌آزمون و با دو گروه مداخلةتکلیف‌محور (15 نفر) و فعالیت معمول (15 نفر) در جریان کلاس تربیت‌بدنیاجرا شد. ابزارهای جمع‌آوری اطلاعات، پرسش‌نامة تشخیصی اختلال هماهنگی رشدی و آزمون مهارت‌های حرکتی درشت- دو بودند. اطلاعات ازطریق آزمون‌ تحلیل واریانس بین‌گروهی با اندازه‌گیری‌های تکراری تجزیه‌‌وتحلیل شد. نتایج نشان داد کهتمرین در کلاس تربیت‌بدنی به روش تکلیف‌مدار به‌صورت معناداری نسبت به تمرین به روش معمول، باعث افزایش عملکرد در خرده‌مقیاس‌های دستکاری (P<0.05) به‌جز مهارت ضربه به توپ با دست (F=2.226, P=0.147) و خرده‌مقیاس‌های جابه‌جایی (P<0.01) به‌جز مهارت لی‌لی‌کردن (F=2.869, P=0.101) می‌شود. همچنین، نتایج نشان داد که برای کودکان دچار اختلال هماهنگی رشدی، مداخلة تمرینی به روش تمرین اختصاصی مهارت و براساس رویکرد بوم‌شناختی تکلیف‌مدار، بر تمرین به‌شکل عمومی با تأکید بر توانایی­های عمومی ارجحیت دارد؛ بنابراین، توصیه می‌شود در برنامه‌ریزی تمرینی این کودکان، معلمان تربیت‌بدنی به طراحی تکلیف‌مدار توجه کنند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparing the Effect of Task-Oriented Approach Intervention with Ordinary Activity on Gross Motor Development of Children with Developmental Coordination Disorder

نویسندگان [English]

  • Hassan Kordi 1
  • Mehdi Sohrabi 2
  • Alireza Saberi Kakhki 3
  • Seyed Reza Attarzadeh Hoseini 4

1 Ph.D. in Motor Behavior, Ferdowsi University of Mashhad

2 Professor of Motor Behavior, Ferdowsi University of Mashhad

3 Associate Professor of Motor Behavior, Ferdowsi University of Mashhad

4 Professor of Exercise Physiology, Ferdowsi University of Mashhad

چکیده [English]

This study carried out for observing the effect of 8-week exercise program runs during the school PE class based on task-oriented approach to develop the skills of locomotors and manipulation of 30 girls and boys between 7 to 9 years old with DCD in city of Tehran. This semi-experimental study was conducted through pretest-posttest design and two groups of school-based intervention (n=15) and ordinary training (n=15) during PE class. Data were collected with developmental coordination disorder diagnostic questionnaire (DCDQ’7) and test of gross motor development-2 (Ulrich, 2000). the Data were analyzed by independent and paired t-test, along with repeated measures analysis of variance. The results showed that an ordinary training in PE class would lead to significant improvement only in manipulative skills (P<0.05). but the performance score of task-oriented training group improved significantly both locomotors (except hop) and manipulation skills (P<0.01). The results of this study showed that intervention by specialized training and skills-based approach according to ecological perspectives will take precedence to the general training and emphasis on the overall ability. Therefore, it is recommended that task-based design should be considered by coaches and PE teachers for training schedule of DCD children.

کلیدواژه‌ها [English]

  • School-Based Intervention
  • Developmental Coordination Disorder
  • Task-Oriented Approach
  • Gross Motor Development
  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Section II: Diagnostic criteria and codes. Arlington, VA; 2013.
  2. Zwicker JG, Missiuna C, Harris SR, Boyd LA. Brain activation associated with motor skill practice in children with developmental coordination disorder: an fMRI study. Int J Dev Neurosci. 2011;29(2):145-52.
  3. Sugden D. Current approaches to intervention in children with developmental coordination disorder. Dev Med Child Neurol. 2007;49(6):467-71.
  4. Chen HF, Tickle-Deghnan L, Cermak CA. The treatment effectiveness of top-down approaches for children with developmental coordination disorder: A meta-analysis. J Occup TherAss.2003;21:16-28.
  5. Mandich A, Polatajko HJ. A cognitive perspective on intervention for children with developmental coordination disorder: The CO-OP experience. In: Sugden D, ChambersM, editors. Children with developmental coordination disorder. London, UK: Whurr; 2005. p. 228-42.Gharebaghi S, Rassafiani M, Khazaeli K. A descriptive review of the cognitive orientation to daily occupational performance (CO-OP) approach and its impact on mobility problems in children with developmental coordination disorder.J Rehabil Sci. 2014; 9(2):247-338. (In Persian).
  6. Kavianpour F, Malekpour M, A'bedi A. Efficacy of executive functions training (response inhibition) on the rate of impulsivity in preschool children with developmental coordination disorder: A single-subject research.J Res Behav Sci. 2013;14(1):108-20. (In Persian).
  7. Wright HC, Sugden DA. A school based intervention programme for children with developmental coordination disorder.Phys Educ Sport Pedagogy. 1998;3(1):35-50.
  8. Henderson SE, Sugden DA. Movement assessment battery for children: Manual. San Antonio, TX: Psychological Corporation;1992.
  9. Männistö JP, Cantell M, Huovinen T, Kooistra L, Larkin D. A school-based movement programme for children with motor learning difficulty. Eur Phy Educ Rev. 2006;12(3):273-87.
  10. Revie G, Larkin D. Task specific intervention with children reduces movement problem.Adapt Phys Activ Q 1993;10(1):29–41.
  11. Chambers ME, Sugden DA. Intervention for young children displaying coordination disorders. J Early Child Res. 2014; doi: 10.1177/1476718X14548780.
  12. Henderson SE, Sugden DA. Ecological intervention for children with movement difficulties. London: Harcourt; 2007.
  13. Norbakhsh P, Rezvani Asl R. The effect of 10 weeks of school games on some perceptual-motor abilities of third grade female students in Mahshahr. Olympic Q. 2005;29(1):55-66. (In Persian).
  14. Emarati FS, Namazizadeh M, Mokhtari P, Mohammadian F. Effects of selected elementary school games on the perceptual-motor ability and social growth of 8-to-9 year-old female students.J Rehabil Sci. 2012;7(5):577-661. (In Persian).
  15. Amouzadeh F, ShetabBoushehri N, Mehdi pur A. The effect of the school games on the locomotor skills of male students suffering from attention deficit hyperactivity disorder (ADHD). Yafteh.2013;15(1):83-91. (In Persian).
  16. Smits-Engelsman BC, Blank R, van der Kaay AC, Mosterd-van der Meijs R, Vlugt-van den Brand E, Polatajko HJ, et al. Efficacy of interventions to improve motor performance in children with developmental coordination disorder: A combined systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(3):229-37.
  17. Sugden D, Kirby A, Dunford C. Movement difficulties in children: Developmental coordination disorder. Int J Disabil Dev Educ. 2008; 2(55):93-96.
  18. Farhat F, Hsairi I, Baiti H, Cairney J, Mchirgui R, Masmoudi K, et al. Assessment of physical fitness and exercise tolerance in children with developmental coordination disorder. Res Dev Disabil. 2015;45-46:210-9.
  19. Jokar Tang Karami S, Sheikh M, JamshidiA. The affection of a period of selected exercising program on improving manipulative skills in children with developmental coordination disorder (CDC). Motor Behavior. 2015;6(18):15-30. (In Persian).
  20. Zwicker JG, Missiuna C, Harris SR, Boyd LA. Brain activation of children with developmental coordination disorder is different than peers. Pediatrics. 2010; 126(3): 678.
  21. Salehi H, Afsorde Bakhshayesh R. Movahedi A, Ghasemi V. Psychometric properties of a Persian version of the developmental coordination disorder questionnaire in boys aged 6-11 year-old. Psycho Excep In. 2012;1(4):135-60. (In Persian).
  22. Zaree-Zade M, Farokhi A, Kazemnejad A. Validity and reliability of Test Gross Motor Development in Tehranian children aged 3-11. Olympic.2010;52(4):85-98. (In Persian).
  23. Simons J, Daly D, Theodorou F, Caron C, Simons J, Andoniadou E. Validity and reliability of the TGM-2 in 7-10 year-old Flemish children with intellectual disaility. Adapt Phys Activ Q. 2008; 25(1):71-82.
  24. Larkin, D. and Parker, H.E. Task-specific intervention for children with DCD: A systems view’. In: SA. Cermak and D. Larkin, Editors. Developmental Coordination Disorder.Albany, NY: Delmar;2002. p.234–47.
  25. Mathiowetz.V. Bass Haugen J.Evaluation of motor behavior: Traditional and contemporary views. In: C. Trombly, Editor. Occupational therapy for physical dysfunction. 4th ed. Lippincott Williams &Wilkin; Boston. MA; 1997. P. 14-8.
  26. Magill R. Motor learning and control: Concepts and applications. McGraw-Hill; 2006.
  27. Ferguson GD, Jelsma D, Jelsma J, Smits-Engelsman BC. The efficacy of two task-orientated interventions for children with developmental coordination disorder: Neuromotor task training and nintendo Wii Fit training. Res Dev Disabil. 2013;34(9):2449-61.
  28. Schmidt RA, Wrisberg CA. Motor learning and performance: A situation-based learning approach. 4th ed. Champaign. IL, US: Human Kinetics; 2008.P.62-85.
  29. Haywood KM, Getchel N. Life Span Motor Development. 5th edition. Champaign Illinois: Human Kinetics; 2009.
  30. Polatajko HJ. The effect of a sensory integration program on academic achievement, motor performance, and self-esteem in children identified as learning disabled: results of a clinical trial. OTJR. 1991;11(3): 155-76.
  31. Sellers JS. Clumsiness: Review of causes, treatments, and outlook. Phys Occup Ther Pediatr. 1995;15(4):39-55.
  32. Alloway TP, Warn C. Task-specific training, learning, and memory for children with developmental coordination disorder: a pilot study. Percept Mot Skills. 2008;107(2):473-80.
  33. Hubbard IJ1, Parsons MWNeilson CCarey LM. Task-specific training: Evidence for and translation to clinical practice. Occup Ther Int. 2009;16(3-4):175-89.
  34. Rossi F, Gianola S, Corvetti L. Regulation of intrinsic neuronal properties for axon growth and regeneration. Progress in Neurobiology. 2007;81:1–28.
  35. Bayona NA, Bitensky J, Salter K, Teasell R. The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil. 2005;12:58–65.
  36. Schoemaker MM, Niemeijer AS, Reynders K, Smits-Engelsman BCM. Effectiveness of neuromotor task training for children with developmental coordination disorder: a pilot study. Neural Plast. 2003;10(1-2):155-63.
  37. Pless M, Carlsson M. Effects of motor skill intervention on developmental coordination disorder: A meta-analysis. Adapt Phys Activ Q. 2000;17(4):381-401.