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Occupation-based and occupation-focused evaluation and intervention with children : a validation study of the assessment of motor and process skills (AMPS)Gantschnig, Brigitte Elisabeth January 2014 (has links)
Introduction Occupational therapists are concerned with enabling people to perform the daily life tasks they need, want, or are expected to perform for fullest possible integration into community living and participation in society. Children with mild disabilities have problems performing personal and instrumental activities of daily living (ADL) tasks at home or school, and that can limit their full integration and participation in their homes and school lives. There is a need, therefore, to identify their specific problems with ADL task performance so as to be able to develop effective interventions. Not only, there is a need for evidence related to effectiveness of occupational therapy interventions for children with mild disabilities, but also a need for valid occupational-therapy-specific evaluation tools for use with children. Purpose The purpose of this thesis was to contribute evidence to support the valid use of the Assessment of Motor and Process Skills (AMPS) with children, including children living in Middle Europe. More specifically, I aimed to evaluate validity evidence from different sources related to the use of the AMPS in occupation-based and occupation-focused evaluation and intervention. Method This thesis consisted of four studies, implemented in two phases. Phase one focused on evaluation of a) validity evidence of the AMPS scales in relation to internal structure and stability of item difficulty calibration values for a Middle European sample compared to samples from other world regions (Study I); b) the stability of the mean AMPS measures between typically-developing children from Middle Europe and from other world regions (Study II); and c) the sensitivity of the AMPS measures to discriminate between typically-developing children and children with and at risk for mild disabilities (Study III). Participants for phase one were from both Middle Europe and from other world regions and they were selected from the AMPS database, Ft. Collins, Colorado, USA. Data were analyzed using many-facet Rasch analyses, ANOVAs, regression analyses, related post-hoc tests, and effect size calculations. Phase two of the research project focused on evaluating validity evidence for the use of the AMPS as a standardized, occupation-based, and occupation-focused evaluation tool in the context of a feasibility study with children with mild disabilities implemented in a Swiss setting (Study IV). Data were analyzed based on feasibility objectives and the principles of deductive content analysis. The evaluation of validity evidence of the AMPS in relation to consequences of testing and test fairness was a focus of all studies (Studies I to IV). Results In Study I, data for 1346 participants from Middle Europe and 144,143 participants from other world regions were analyzed. The participants were between the ages of 3 and 103 years, and they were well or had a variety of diagnoses. The results revealed that overall the item difficulty calibration values of the AMPS remained stable and that only one out of 36 ADL items of the AMPS demonstrated DIF, but this DIF did not lead to DTF (i.e., all measures fell within 95% confidence bands). In Study II, data for 11,189 typically-developing children from Middle Europe and other world regions who were between the ages of 2 and 15 were analyzed. The results of ANOVAs revealed significant effects for mean ADL motor and for ADL process ability measures by region and a significant age by region interaction effect for mean ADL process ability. Out of 168 estimated contrasts between Middle Europe and the other world regions for mean ADL motor and ADL process ability, only seven were statistically significant (4.17%), and only two were more than ±1 SE from the international means. In Study III, regression analyses of data for 10,998 children, 4 to 15 years, who were typically-developing or with mild disabilities, revealed significant age by group interaction effects. Post hoc t tests revealed significant group differences in ADL ability at all ages beyond the age of 4. ADL process ability effect sizes were moderate to large at all ages and ADL motor ability effect sizes were mostly moderate to large age 6 and above. In Study IV, the use of the AMPS within the context of a feasibility study based on data of 17 Swiss children with mild disabilities was evaluated. The analyses revealed several strengths and problems that were related to the time, equipment, and materials for administering the AMPS, the adherence to standardized administration procedures, the scope of the AMPS as a test of ADL performance, and the reliable rating by the blinded rater. Conclusion This thesis provided evidence to support the validity of the AMPS measures and scales when used to evaluate quality of ADL task performance of persons from Middle Europe. Additionally, this thesis provided evidence that the international age-normative means of the AMPS are likely applicable to children from Middle Europe. Moreover, the findings supported the sensitivity of the AMPS measures to discriminate between typically-developing children and children with and at risk for mild disabilities. When it comes to implementation of the AMPS in the context of a feasibility study, the findings indicated both strengths and problems in using the AMPS as an outcome measure that need to be considered when planning further studies.
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Motor Control in Adolescent ADHDMcIlveen-Brown, Emma 01 January 2011 (has links)
This thesis presents two manuscripts on motor control in ADHD. The first is a literature review that identifies fine motor control and postural stability as areas of robust abnormality in ADHD. Further, the review suggests that motor performance in adolescence has been understudied, and reveals a paucity of data on sex differences.
The second study is an empirical assessment of postural control and fine motor skills in an adolescent ADHD sample, which investigated potential sex differences. This latter study revealed that males with ADHD were especially impaired on fine motor tasks, whereas females with the disorder were particularly impaired on tasks of postural stability. Deficits were most prominent under conditions where visual information was removed, across genders. It is unclear whether motor performance deficits are central features of ADHD or instead artifacts of overlap with Developmental Coordination Disorder and other psychiatric comorbidities.
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Motor Control in Adolescent ADHDMcIlveen-Brown, Emma 01 January 2011 (has links)
This thesis presents two manuscripts on motor control in ADHD. The first is a literature review that identifies fine motor control and postural stability as areas of robust abnormality in ADHD. Further, the review suggests that motor performance in adolescence has been understudied, and reveals a paucity of data on sex differences.
The second study is an empirical assessment of postural control and fine motor skills in an adolescent ADHD sample, which investigated potential sex differences. This latter study revealed that males with ADHD were especially impaired on fine motor tasks, whereas females with the disorder were particularly impaired on tasks of postural stability. Deficits were most prominent under conditions where visual information was removed, across genders. It is unclear whether motor performance deficits are central features of ADHD or instead artifacts of overlap with Developmental Coordination Disorder and other psychiatric comorbidities.
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Transtorno do desenvolvimento da coordenação em crianças de 7 anos de idade matriculadas em escolas públicas do município de Araraquara-SP / Developmental Coordination Disorder in 7-year-old children enrolled in public schools in the city of AraraquaraJóia, Andressa Fernanda 24 February 2014 (has links)
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Previous issue date: 2014-02-24 / Financiadora de Estudos e Projetos / The Developmental Coordination Disorder - DCD occurs when there is delayed development of motor skills or difficulty in motor coordination, not justified by general medical conditions or intellectual disability, leading to low performance in academic, school and daily life activities. Depending on the methodology used to select and classify the participants, studies have reported prevalences which vary from 1.4 to 15% among school age children, however high prevalences have been the result of studies which doesn't consider all diagnostic criteria, applying just a motor test to identify children with DCD. The goal of this study was to identify DCD in 7-year-old children, enrolled in public schools in the city of Araraquara-SP, by means of two assessment tools - motor test and a questionnaire for the parents; identify signs of Attention-Deficit/Hyperactivity Disorder (ADHD) by means of indirect evaluation; identify the prevalence of motor difficulties between genders and find the DCDQ-Brasil cutoff point by means of Receiver Operating Characteristic (ROC curve). It is a study with a quantitative, descriptive/exploratory approach. The sample was composed by 101 7-year-old schoolchildren, born between July, 2005 and January, 2006, enrolled in the city's public schools. Parents and guardians provided data on economic status, the child's performance in daily life, school and leisure activities and informed signs of ADHD, answering the following questionnaires (respectively): Critério de Classificação Econômica Brasil CPCEB; Developmental Coordination Disorder Questionnaire DCDQ Brasil; Swanson, Nolan and Pelham IV Scale - SNAP IV. The children were evaluated through Movement Assessment Battery for Children 2 MABC II. Descriptive analyses and statistical tests have been performed to verify the significance of the results. The economical statuses of the participants varied from B1 to D, representing no statistical significance. The combination of two assessment tools for DCD identification led to a 0.99% prevalence of children with severe DCD and a 2.97% prevalence of children with moderate DCD. The DCDQ-Brasil cutoff point found through the ROC curve was 49, increasing the prevalence of severe DCD to 2.97% and 4.95% for moderate DCD. Various levels of motor impairment have been identified, pointed out by the various scores of the children who presented DCD, and even though the prevalence was higher on boys, this result also did not present statistical significance. A direct correlation between signs of ADHD and moderate DCD was found, reinforcing the hypothesis of the existence of comorbidities, as well as the heterogeneity of motor difficulties demonstrated by children with DCD. This study represents one of the necessary steps in the caring for children with DCD - the identification, for further intervention referral, if necessary. It strengthens the importance of continuing investing in DCD studies in Brazil, as well as in the standardization of the DCDQ-Brasil cutoff point and the MABC-II validation for Brazilian children. / O Transtorno do Desenvolvimento da Coordenação TDC ocorre quando há atraso no desenvolvimento de habilidades motoras ou dificuldades para coordenar os movimentos, não justificado por condições médicas gerais ou retardo mental, resultando em baixo desempenho em atividades acadêmicas, escolares e de vida diária. Dependendo da metodologia utilizada para seleção e classificação dos participantes, estudos têm reportado prevalências que variam de 1,4 a 15% em crianças de idade escolar, entretanto, prevalências altas têm sido resultado de estudos que não consideram todos os critérios diagnósticos estabelecidos pelo Manual Diagnóstico em Transtornos Mentais (DSM-IV ou 5), aplicando apenas um teste motor para identificação de crianças com TDC. Este estudo teve como objetivo identificar o TDC em crianças de 7 anos de idade, matriculadas na rede pública de ensino do Município de Araraquara-SP, por meio de dois instrumentos de avaliação teste motor e questionário para pais; identificar sinais do Transtorno do Déficit de Atenção e Hiperatividade (TDAH) por meio de avaliação indireta; identificar a prevalência de dificuldades motoras entre gêneros e encontrar o ponto de corte do DCDQ-Brasil por meio da Receiver Operating Characteristic (curva ROC). Trata-se de um estudo de abordagem quantitativa e descritivo-exploratória. A amostra foi composta por 101 escolares de sete anos de idade, nascidos no período de Julho/2005 à Janeiro/2006, matriculados na rede pública de ensino da cidade. Pais e responsáveis forneceram dados sobre classe econômica, desempenho da criança em atividades de vida diária, escolar e de lazer e informaram sinais de TDAH, respondendo respectivamente aos questionários: Critério Padrão de Classificação Econômica Brasil CPCEB; Questionário de Transtorno do Desenvolvimento da Coordenação DCDQ Brasil; Swanson, Nolan and Pelham IV Scale SNAP IV. As crianças foram avaliadas pelo Movement Assessment Battery for Children 2 MABC II. Foram realizadas análises descritivas e testes estatísticos para verificar a significância dos resultados. A classe econômica dos participantes variou de B1 a D, não apresentando significância estatística. Como resultado da união entre teste motor e questionário para pais, a prevalência encontrada de TDC severo foi 0,99% e 2,97% de crianças com TDC moderado. O ponto de corte do DCDQ-Brasil encontrado pela curva ROC foi 49 e ao ser relacionado com os resultados do teste motor, acarretou em aumentando da prevalência de TDC severo para 2,97% e 4,95% para TDC moderado. Foram identificados diferentes níveis de comprometimento motor, apontados pelas diferentes pontuações das crianças que apresentaram TDC e, apesar de a prevalência ter sido maior em meninos, este resultado também não apresentou significância estatística. Foi encontrada relação direta entre sinais de TDAH e TDC moderado, fortalecendo a hipótese da existência de comorbidades, bem como a heterogeneidade de dificuldades motoras apresentadas por crianças com TDC. Este estudo representa uma das etapas necessárias ao cuidado da criança com TDC a identificação, para posterior encaminhamento à intervenção, caso necessário e fortalece a importância de continuar investindo no estudo do TDC no Brasil, bem como na normatização do ponto de corte do DCDQ-Brasil e validação do MABC-II para crianças brasileiras.
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Perfil motor de escolares com Transtorno de Déficit de Atenção com HiperatividadeOliveira, Cristina Camargo de 07 February 2014 (has links)
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Previous issue date: 2014-02-07 / Financiadora de Estudos e Projetos / This study aimed to identify the motor profile of students with interdisciplinary diagnosis of Attention Deficit Disorder with Hyperactivity (ADHD), and compare with students with good academic performance, and to verify the incidence of Developmental Coordination Disorder in this study population. A total of 46 students participated in the study, males and females, with ages ranging from 7 to 10 years and 11 months, attending from 1st to 5th year of elementary education at public schools in cities of São Paulo state. The students were divided into two groups: Group I (GI) included 23 students with Attention Deficit Disorder with Hyperactivity; Group II (GII) included 23 students with good academic performance, paired according to gender and age group with GI group. Groups experienced motor assessment (Movement Assessment Battery for Children - Second Edition (Movement ABC - 2). MABC Test consisted of eight items grouped into three sections (manual dexterity, target and precision, and balance), parents / guardians responded to DCDQ questionnaire - Brazil, which contains 25 questions about the motor behavior of the child, and the Economic Classification questionnaire. The results were statistically analyzed in order to characterize and compare the motor profile of the students, intra and intergroup. The results showed that some of the students in GI presented indicative of Developmental Coordination Disorder, whereas in GII, none of the students presented indicative of Developmental Coordination Disorder. However, it is possible to stand out an incidence of Developmental Coordination Disorder in the population with Attention Deficit Disorder with Hyperactivity in about 43%. These findings will hopefully contribute to the knowledge about students with ADHD, helping to guide actions to assist this population by teachers, health professionals, and family. / Este estudo teve por objetivos identificar o perfil motor de escolares com diagnóstico interdisciplinar de Transtorno do Déficit de Atenção com Hiperatividade (TDAH), comparar com os escolares com bom desempenho acadêmico e verificar a incidência de Transtorno do Desenvolvimento da Coordenação na população deste estudo. Participaram 46 escolares, de ambos os gêneros, na faixa etária de 7 a 10 anos e 11 meses de idade, que frequentam do 1º ao 5º ano do ensino fundamental de escolas públicas municipais de cidades do interior de São Paulo. Os escolares foram distribuídos em dois grupos: Grupo I (GI) - composto por 23 escolares, com diagnósticos multidisciplinares de Transtorno do Déficit de Atenção com Hiperatividade, em uso regular de medicação; Grupo II (GII): composto por 23 escolares com bom desempenho acadêmico, apresentando notas iguais ou superiores a 8,0 no boletim escolar e observações pertinentes realizadas pelas professoras em relação a cada escolar. Os escolares foram pareados segundo gênero e faixa etária. Os grupos passaram por avaliação motora (Movement Assessment Battery for Children - Second Edition (Movement ABC-2). O Teste MABC é composto por oito itens, agrupados em três seções (destreza manual, alvo e precisão e equilíbrio), os pais/responsáveis responderam ao Questionário DCDQ-Brasil, composto por 25 questões sobre o comportamento motor da criança, e ao Questionário de Classificação Econômica, para fins de pareamentos dos grupos. Os resultados foram analisados estatisticamente visando à caracterização e comparação intra e intergrupos do perfil motor dos escolares. Os resultados mostraram que no GI, que é o grupo composto por escolares com Transtorno do Déficit de Atenção com Hiperatividade, estão presentes alguns escolares com indicativo de Transtorno do Desenvolvimento da Coordenação, sendo a Habilidade do Equilíbrio a mais acometida; No GII, que são escolares com bom desempenho acadêmico, não foram encontrados escolares com indicativo de Transtorno do Desenvolvimento da Coordenação. Portanto é possível destacar uma incidência de Transtorno do Desenvolvimento da Coordenação na população com Transtorno do Déficit de Atenção com Hiperatividade, em aproximadamente 43%. Espera-se que esses resultados contribuam com o conhecimento dos escolares com TDAH, colaborando para a orientação de ações voltadas ao atendimento e diagnóstico precoce desta população pelos professores e profissionais da saúde, objetivando uma melhora na qualidade de vida dessas crianças e familiares envolvidos.
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Reedukace motorických obtíží u dětí mladšího školního věku / Re-education of children with motor difficulties of primary school ageTichý, Pavel January 2016 (has links)
BIBLIOGRAPHIC IDENTIFICATION Name and surname of the author: Mgr. Pavel Tichý Name of the dissertation: Re-education of children with motor difficulties of primary school age Workplace: FTVS UK, Department of Sport Games Supervisor of the work: Doc. PhDr. Vladimír Süss, Ph.D. Year of presentation: 2016 ABSTRACT Objective: The aim was to find out the possibility of the re-education of motor difficulties in children of primary school age and create a re-education intervention program, the aim of which is to reduce these difficulties. Subsequently, to verify whether the intervention program had an effect on the motor difficulties of the children. Method: The research was designed as a prospective intervention study where there were two combined orientations ofeducational research: quantative and qualitative. To solve the problem a research design was used, called Crossover Design (Wilmore et al., 2008, Thomas et al., 2005), which was conceived as an experiment with an intervention re-education program aimed at improving the motor difficulties of children. The quantative part of the research was focused on the assessment of motor skills and to detect motor problems in children of primary school age. MABC-2 (Henderson et al., 2007) battery of motor tests were used for this purpose. The qualitative part of the...
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Testování dyspraxie u mladých běžců na lyžích a u dětí a adolescentů rozvíjejících všestrannost / Testing of dyspraxia in young cross-country skiers and in children and adolescents developing versatilityNovotná, Eliška January 2018 (has links)
In the theoretical part, the diploma thesis summarizes the findings of developmental dyspraxia or rather developmental coordination disorder and deals with the issue of physical activities in this disorder. One section of the theoretical part are the characteristics of the activities, that probands from the practical part of this thesis regularly do, and their possible use in intervention. The practical part deals with an evaluation of motor skills in young cross-country skiers and in children from movement versatility section of Sokol union. We used the Movement Assessment Battery for Children 2 for evaluation. The next aim is to determine whether the level of motor skills correlates with the level of attention, that we tested using Test od attention d2. The last aim is to determine whether the level of motor skills is different for boys and girls engaged in the same sport. No difference in level of motor skills between cross-country skiers and children from Sokol union was found. However, statistically significant difference between performance in the single components of the test MABC-2 was revealed, this difference was found in the component of balance. The correlation between the level of motor skills and attention was not proved. Neither the difference between the level of motor skills of...
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Efeito da prática no controle de torque isométrico em crianças com transtorno de desenvolvimento de coordenaçãoDiz, Maria Angélica da Rocha [UNESP] 30 June 2008 (has links) (PDF)
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diz_mar_me_rcla.pdf: 260196 bytes, checksum: 25afce4afc679e6814f683ef7d1aaffa (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Durante o período de escolarização, algumas crianças podem apresentar dificuldades na coordenação motora, principalmente em habilidades manuais, e podem ser identificadas como tendo Transtorno do Desenvolvimento da Coordenação (TDC). Existem evidências na literatura que déficits nos mecanismos de controle e precisão para produção de força/torque dos dedos estejam associados às dificuldades motoras nessas crianças. Assim, como a produção de força/torque é essencial para inúmeras atividades da vida diária, o presente estudo teve como objetivo principal investigar o efeito da prática no desempenho de crianças com TDC e com desenvolvimento típico (DT). Participaram do estudo, 24 crianças com idade entre 9 e 10 anos. A tarefa praticada foi a de preensão digital em torque com feedback visual. As crianças foram incentivadas a manter, durante 15 segundos, de forma contínua e constante, 25% do torque voluntário máximo. A prática foi feita durante cinco dias consecutivos, com realização de 15 tentativas por dia. Após a prática com feedback visual, as crianças foram incentivadas a realizar cinco tentativas na condição sem feedback visual. Nestas tentativas, o feedback visual era removido após 5 segundos do início da tentativa. Os resultados demonstraram que nos cinco dias de prática as crianças com DT foram consistentemente mais precisas em manter o controle de torque do que as crianças com TDC. As crianças de ambos os grupos melhoraram o desempenho no decorrer das sessões de prática evidenciado pela redução do coeficiente de variação e da dispersão média do erro... / During the first years in school, children can show motor coordination difficulties mainly in manual skills and they can be identified as shown Developmental Coordination Disorder (DCD). There is evidence from the literature that deficits in the mechanisms of accuracy and control in the finger production of strength/torque are associated with the motor difficulties of these children. The production of strength/torque is essential for a large number of daily activities so that the effect of practice of grip torque among DCD children and those shown typical development (DT) was the main objective of the present study. Participants were 24 children aged between 9 and 10 years. Children were asked to keep control of torque in a continuous and constant way with visual feedback (25% of maximum voluntary torque) during a period of 15 seconds. Practice was given during five consecutive days with 15 trials per day. After the practice with visual feedback, children were asked to perform five trials without visual feedback. In these trials, feedback was removed five seconds after the start of the trial. The results showed during the five days of practice that children with DT were consistently more accurate in keeping torque control than those with DCD. Children from both groups improved the level of performance as practice took place shown reduction of the coefficient of variation and of error (RMS). In relation to the trials without visual feedback, DCD children were not able to perform at the same level as they did when visual feedback was available...(Complete abstract, click electronic access below)
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Emergência e estabilidade de padrões de coordenação intermembros em crianças com dificuldades motorasFerracioli, Marcela de Castro [UNESP] 17 April 2009 (has links) (PDF)
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ferracioli_mc_me_rcla.pdf: 395950 bytes, checksum: 238b3a5cfad916ec4fe2d5b841ccbae2 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A coordenação intermembros é exigida em inúmeras atividades motoras. Nestas atividades, os indivíduos precisam coordenar muitos componentes do corpo, mantendo relações entre eles e destes com o ambiente. Em um sistema dinâmico complexo, as relações entre as partes do sistema limitam ou influenciam o comportamento de outras partes, levando à emergência de padrões de coordenação. Crianças com Transtorno do Desenvolvimento da Coordenação (TDC) têm sido caracterizadas por apresentarem dificuldade em coordenar ritmicamente as partes do corpo em padrões específicos de coordenação intermembros. O presente estudo investigou a emergência e a estabilidade de padrões motores de crianças com TDC em uma tarefa rítmica de coordenação intermembros, analisando suas capacidades de sincronizar os deslocamentos dos membros superiores e inferiores em diferentes superfícies de apoio. Doze crianças com Desenvolvimento Típico (DT) e 12 crianças com TDC realizaram a tarefa de saltar e bater palma, durante 15 segundos, em duas superfícies: rígida (chão) e elástica (mini-trampolim). Foi solicitado à criança saltar e bater palma em quatro condições de coordenação: (i) de livre escolha do participante – Livre; (ii) batendo palma toda vez que os pés tocavam a superfície de apoio – Palma em Baixo; (iii) batendo palma toda vez que o corpo alcançava a máxima altura do salto – Palma em Cima; e (iv) batendo palma toda vez que os pés tocavam a superfície de apoio e toda vez que o corpo alcançava a máxima altura do salto – Duas Palmas. Quando a tarefa foi executada na condição Livre, os resultados mostraram que o padrão emergente das crianças com TDC foi diferente e mais variável na superfície mini-trampolim comparado com o das crianças com DT e com o delas mesmas na superfície chão. Além disso, na condição Palma em Baixo e Palma em Cima, as crianças... / Interlimb coordination is required in many motor activities. To perform these activities, people have to coordinate all body segments at the same time, keeping a relationship between segments and with the environment. In a complex dynamic system, the relationships between its parts limit or influence the behavior of other parts, so coordination patterns emerge. Children with Developmental Coordination Disorder (DCD) have been characterized by showing difficulty in rhythmically coordinate body segments, in specific interlimb coordination patterns. The purpose of this study was to investigate the emergency and stability of coordination patterns in children with DCD when they perform a rhythmic interlimb coordination task, analyzing their abilities to synchronize the movements of upper and lower limbs in two different surfaces. Twelve children with Typical Development (TD) and 12 children with DCD performed a jumping and clapping task during 15 seconds in two surfaces: rigid (on the floor) and elastic (on the mini-tramp). Children were required to clap while jumping (i) in their chosen pattern - Free; (ii) when the feet touched on the surface - Clapping-surface; (iii) when the body reached the maximum jumping height - Clapping-jumping; and (iv) when the feet touched the surface and when the body reached the maximum jumping height - Clapping-both. For the Free condition, the results showed that the DCD children emergent pattern was different and more variable on the mini-tramp than on the floor as compared with TD children coordination pattern. Furthermore, children with DCD were more variable in Clapping-surface and Clapping-jumping conditions compared with TD children. Clapping-jumping condition, characterized by relative phase of 180°, was more difficult for both DCD and TD children to perform than Clapping-surface condition, characterized by relative phase... (Complete abstract click electronic access below)
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Aptidão física relacionada à saúde e hábitos de vida de escolares com e sem Transtorno do Desenvolvimento da Coordenação (TDC) / Health-related physical fitness and lifestyle habits of school children with and without Developmental Coordination Disorder (DCD)Contreira, Andressa Ribeiro 29 February 2012 (has links)
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Previous issue date: 2012-02-29 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aimed to investigate the health-related physical fitness and lifestyle habits of school children with and without Developmental Coordination Disorder (DCD). Participated in the study 108 school children (36 boys and 72 girls), with mean age of 11,31 years, of a public school from Florianópolis/SC. The instruments used were the motor battery Movement Assessment Battery for Children Second Edition - MABC-2, tests of health-related physical fitness from PROESP-BR and the inventory of Lifestyle in Childhood and Adolescence LCA. The results were analyzed through descriptive and inferential statistics, adopting a significance level of p<0,05. It was observed in motor assessment 73 (67,6%) students with Typical Motor Development , 24 (22,2%) with Risk of DCD and 11 (10,2%) with Probable DCD . About health criteria for BMI and flexibility, 83,3% and 75,7% students were classified in healthy zone, respectively, with a significant trend of boys in the risk zone for the flexibility test (p=0,043). For the abdominal strength/resistance tended to boys in the risk zone (p=0,004), but in the assessment of cardiorespiratory function no students reached the health criteria. It was found significant association for males in the activities play video game (p=0,001), play ball (p=0,001) and skateboarding (p=0,015), for female was found significant association in the activity go to the movies/shopping (p=0,021). The physical fitness performance of students with and without DCD showed significant differences between boys from groups TMD and probable DCD in the cardiorespiratory function test (p=0,013), with the worst performance being presented by the second one, which was also verified between girls in tests of flexibility (p=0,022) and cardiorespiratory function (p=0,003) for the same groups. In relation to the school children's lifestyle with and without DCD, it was found a significant association of the activity play videogame for the probable DCD group (p=0,002), in other activities the school children s habits were similar. For future research, it is suggested assessments of factors that, with what was shown in this study, help to better understand the difficulties of motor coordination and, based on this, building proposals of activities that contemplate the reduction of losses in the lives of children and adolescents who have motor difficulties. Among these factors stand out the levels of physical activity, sexual maturation, observation of physical activity as well as activities of daily living. This information can act as support for health actions in school. / Este estudo objetivou investigar a aptidão física relacionada à saúde e hábitos de vida de escolares com e sem Transtorno do Desenvolvimento da Coordenação (TDC). Participaram 108 escolares (36 meninos e 72 meninas), com média de idade 11,31 anos, matriculados em uma escola estadual de Florianópolis/SC. Os instrumentos utilizados foram a bateria motora Movement Assessment Battery for Children Second Edition - MABC-2, os testes de aptidão física relacionada à saúde do PROESP-BR e o inventário de Estilo de Vida na Infância e Adolescência EVIA. Os dados foram analisados por meio da estatística descritiva e inferencial, adotando um nível de significância de p<0,05. Na avaliação motora observou-se 73 (67,6%) escolares com Desenvolvimento Motor Típico , 24 (22,2%) com Risco de TDC e 11 (10,2%) com Provável TDC . Quanto aos critérios de saúde para IMC e flexibilidade, 83,3% e 75,7% dos escolares foram classificados na zona saudável, respectivamente, com tendência significativa de meninos na zona de risco no teste de flexibilidade (p=0,043). Para força/resistência abdominal houve tendência de meninos na zona de risco (p=0,004), já na avaliação da função cardiorrespiratória nenhum escolar alcançou os critérios de saúde. Ocorreu associação significativa a favor do sexo masculino nas atividades jogar videogame (p=0,001), jogar bola (p=0,001) e andar de skate (p=0,015) e a favor do feminino na atividade ir ao cinema/shopping (p=0,021). O desempenho na aptidão física dos escolares com e sem TDC evidenciou diferenças significativas entre os meninos dos grupos DMT e provável TDC no teste de função cardiorrespiratória (p=0,013), com pior desempenho sendo apresentado pelo segundo grupo, o que também foi verificado entre as meninas nos testes de flexibilidade (p=0,022) e função cardiorrespiratória (p=0,003) para os mesmos grupos. Em relação aos hábitos de vida dos escolares com e sem TDC, constatou-se uma associação significativa da atividade jogar videogame para o grupo provável TDC (p=0,002), nas demais atividades os hábitos dos escolares foram similares. Sugere-se para pesquisas futuras as avaliações de fatores que, juntamente com os apresentados neste estudo, ajudem a compreender melhor as dificuldades da coordenação motora e com base nisso construir propostas de atividades que contemplem a diminuição dos prejuízos na vida das crianças e adolescentes que apresentam dificuldades motoras. Dentre estes fatores destacam-se os níveis de atividade física, maturação sexual, observação da prática de atividade física, bem como das atividades de vida diária. Estas informações podem atuar como subsídios para ações voltadas à saúde na escola.
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