目的 观察镜像神经元康复训练系统(MNST)对学龄前发育性协调障碍(DCD)儿童手灵巧性及精细运动功能的影响,为DCD儿童的康复治疗提供参考依据。方法 选取2021年6月—2023年4月就诊于南通大学附属妇幼保健院的DCD儿童56例,按随机数字表法分为治疗组和对照组,失访5例,最终治疗组26例,对照组25例。两组儿童均给予常规康复治疗,治疗组在对照组基础上联合采用MNST训练。治疗前及治疗12周后,比较两组儿童的儿童运动协调能力评估量表第二版(MABC-2)手灵巧度因子量表、Peabody精细运动发育量表(PDMS-FM)和儿童功能独立性评定量表(WeeFIM)得分。结果 治疗前,两组儿童的MABC-2手灵巧度量表评分、PDMS-FM发育商评分和WeeFIM评分组间比较,差异均无统计学意义(P＞0.05)。治疗后,两组儿童MABC-2手灵巧度量表评分、PDMS-FM发育商评分和WeeFIM评分均较组内治疗前显著改善(治疗组:t=35.620、42.084、40.072,对照组:t=14.000、12.017、14.054,P＜0.001),且治疗组各项评分均优于对照组(t=2.611、3.120、2.331,P＜0.05)。结论 镜像神经元康复训练系统联合常规康复训练能够更明显地改善DCD儿童的手灵巧性和精细运动功能,并提高其日常生活活动能力。
Abstract
Objective To observe the effects of mirror neuron system theory(MNST) on hand dexterity and fine motor function in preschool children with developmental coordination disorder(DCD), so as to provide reference for the rehabilitation of children with DCD. Methods A total of 51 children with DCD treated at Nantong Maternal and Child Health Care Hospital from June 2021 to April 2023 were enrolled in this study, and were randomly assigned to treatment group (n=26) and control group (n=25) except for 5 cases who missed in the follow-up. Both groups received conventional rehabilitation training, while the treatment group received MNST additionally. The hand dexterity and fine motor function of both groups were assessed using the hand dexterity subscale of the Movement Assessment Battery for Children-Second Edition (MABC-2), Peabody Developmental Motor Scale-Fine Motor (PDMS-FM), and Function Independence Measure for Children (WeeFIM) before and after 12 weeks of treatment. Results Before treatment, there were no significant differences in hand dexterity subscale of MABC-2, PDMS-FM, and WeeFIM scores between the two groups (P＞0.05). After treatment, both groups showed improvements in hand dexterity subscale of MABC-2, PDMS-FM, and WeeFIM scores (treatment group:t=35.620, 42.084, 40.072; control group:t=14.000, 12.017, 14.054, P＜0.001), with the treatment group showing significantly greater improvements compared to the control group (t=2.611, 3.120, 2.331, P＜0.05). Conclusion MNST combined with conventional rehabilitation training can enhance hand dexterity and fine motor function in children with DCD, thereby improving children′s activities of daily living.
关键词
镜像神经元 /
发育性协调障碍 /
精细运动 /
运动想象 /
动作观察
Key words
mirror neurons /
developmental coordination disorder /
fine motor function /
motor imagery /
action observation
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基金
南通市科技局科技计划项目(MSZ2022032);南通市卫生健康委员会面上项目(MS2022075);南通大学临床医学专项(2022LQ008)
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