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Freire K, Pope R, Size I, Andrews K, Fitz-Gerald E, Bowman T. Social exercise interventions for children who have complex developmental needs: A systematic review. J Child Health Care 2023:13674935231190984. [PMID: 37471588 DOI: 10.1177/13674935231190984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
Abstract
Exercise interventions are identified as effective treatments for children not meeting developmental milestones. This systematic review synthesizes research regarding exercise interventions that involved social participatory elements, for children with complex developmental needs. Academic Search Complete, CINAHL, Emcare, Proquest Theses and Dissertations, MEDLINE, and Google Scholar were searched systematically for relevant studies. Peer-reviewed studies meeting the review aim and published between 2000 and 2021 in English, were included. Methodological quality of 49 eligible studies (47 controlled trials, two mixed methods, total of 2355 participants) was appraised using the Mixed Methods Appraisal Tool. Narrative synthesis identified two groups of studies: Group 1 incorporated intentional social participatory elements; Group 2 likely involved incidental social participation. Most studies were of moderate to low methodological quality. Few measured impacts of interventions upon total physical activity levels. Short-term improvements in physical outcomes - particularly motor skills - were most frequently reported and were the main benefit of social exercise interventions for children with complex developmental needs, for which evidence exists. Further rigorous, longitudinal research is needed to assess social, psychological, and executive function outcomes of social exercise interventions in this population. Such interventions should incorporate booster sessions to provide children with greater opportunity to meet developmental milestones.
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Affiliation(s)
- Kate Freire
- Three Rivers Department of Rural Health, Charles Sturt University, Albury, NSW, Australia
| | - Rod Pope
- School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Albury, NSW, Australia
| | - Isabella Size
- Child and Family Services, Royal Far West, Manly, NSW, Australia
| | - Kristen Andrews
- School of Allied Health, Exercise and Sports Sciences, Charles Sturt University, Albury, NSW, Australia
| | - Emma Fitz-Gerald
- Child and Family Services, Royal Far West, Manly, NSW, Australia
| | - Tricia Bowman
- Division of Library Services, Charles Sturt University, Albury, NSW, Australia
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Zaragas H, Fragkomichelaki O, Geitona M, Sofologi M, Papantoniou G, Sarris D, Pliogou V, Charmpatsis C, Papadimitropoulou P. The Effects of Physical Activity in Children and Adolescents with Developmental Coordination Disorder. Neurol Int 2023; 15:804-820. [PMID: 37489357 PMCID: PMC10366860 DOI: 10.3390/neurolint15030051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/24/2023] [Accepted: 06/27/2023] [Indexed: 07/26/2023] Open
Abstract
The purpose of this literature review was to detect and study the effectiveness of therapeutic intervention programs, such as physical activities and sports, on children and adolescents with Developmental Motor Coordination Disorder (DCD) to improve their motor skills. The sample for this study consisted of 48 (100%) papers, specifically, 40 (83.5%) articles, 3 (6.2%) doctoral theses, 2 (4.1%) master's theses and 3 (6.2%) papers from conference proceedings from the year 2014 to 2022. To search the sample, the following terms were used: DCD or dyspraxia, physical activity programs, intervention, physical intervention, physical education, etc. The results for the existence of statistically significant results and internal validity of intervention programs using physical activities and sports in children and adolescents with DCD showed that a large number of intervention programs improved the children's motor skills as well as their daily functionality. In contrast, other interventions failed to improve dynamic and static balance. The negative result could be due either to the short duration of the interventions or to the improper suboptimal design-organization of the methodology of these programs-such as the heterogeneous intervention samples and the use of inappropriate and reliable assessment tools.
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Affiliation(s)
- Harilaos Zaragas
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Olga Fragkomichelaki
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Marina Geitona
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Maria Sofologi
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Georgia Papantoniou
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Dimitrios Sarris
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Vassiliki Pliogou
- Department of Early Childhood Education, School of Education, Florina Campus, University of Western Macedonia, 53100 Florina, Greece
| | - Christos Charmpatsis
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Panagoula Papadimitropoulou
- Department of Educational Sciences and Early Childhood Education, School of Humanities and Social Sciences, Rio Campus, University of Patras, 26504 Rio, Greece
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Zwicker JG, Lee EJ. Early intervention for children with/at risk of developmental coordination disorder: a scoping review. Dev Med Child Neurol 2021; 63:659-667. [PMID: 33426644 DOI: 10.1111/dmcn.14804] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/01/2020] [Indexed: 11/30/2022]
Abstract
AIM To summarize current evidence for early identification and motor-based intervention for children aged 5 years and younger of age with/at risk of developmental coordination disorder (DCD). METHOD Using scoping review methodology, we independently screened over 11 000 articles and selected those that met inclusion criteria. RESULTS Of the 103 included articles, 78 articles were related to early identification and are summarized in a companion article. Twenty-two articles focused on early intervention, with an additional three articles covering both early identification and intervention. Most intervention studies were at a low level of evidence, but provide encouraging evidence that early intervention is beneficial for young children with/at risk of DCD. Direct intervention can be provided to whole classes, small groups, or individuals according to a tiers of service delivery model. Educating and building the capacity of parents and early childhood educators are also key elements of early intervention. INTERPRETATION Evidence for early intervention for children with/at risk of DCD is emerging with promising results. Further studies are needed to determine best practice for early intervention and whether intervening early can prevent the negative developmental trajectory and secondary psychosocial consequences associated with DCD.
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Affiliation(s)
- Jill G Zwicker
- Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.,Department of Pediatrics, Division of Developmental Pediatrics, University of British Columbia, Vancouver, BC, Canada.,Brain, Behaviour, and Development, BC Children's Hospital Research Institute, Vancouver, BC, Canada.,Sunny Hill Health Centre at BC Children's Hospital, Vancouver, BC, Canada.,CanChild Centre for Childhood Disability Research, Hamilton, ON, Canada
| | - Emily J Lee
- Rehabilitation Science Online Programs, University of British Columbia, Vancouver, BC, Canada.,Nurture Society for Learning and Development, Vancouver, BC, Canada
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Associations between Feelings of Loneliness and Attitudes towards Physical Education in Contemporary Adolescents According to Sex, and Physical Activity Engagement. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17155525. [PMID: 32751756 PMCID: PMC7432944 DOI: 10.3390/ijerph17155525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 07/16/2020] [Accepted: 07/19/2020] [Indexed: 11/17/2022]
Abstract
Background: Currently, adolescents grow up consuming a large amount of multimedia content and lead a sedentary lifestyle. As a result, emerging trends show greater feelings of loneliness. The present research seeks to describe adolescents’ attitudes towards Physical Education (PE), indices of loneliness and physical activity (PA) engagement. Further, it analyses associations between attitudes towards PE as a function of PA engagement and considers sex, loneliness and school year repetition as factors. Method: A sample of 2388 adolescents (43.3% males and 56.6% females) was recruited. Participants were aged 11–17 years (M = 13.8 years; SD = 1.2) and came from Spain. The following instruments were used: The Attitudes towards Physical Education questionnaire (AQPE) in order to analyze attitudes towards PE, and the University of California at Los Angeles (UCLA) loneliness scale to estimate loneliness. Results: With regard to sex and attitudes towards PE, significant differences were detected in relation to the difficulty of PE, with higher values being achieved in males (M = 2.4) than females (M = 2.3). A medium correlation emerged between the dimension of loneliness and the usefulness of PE (r = 0.323 **). Conclusions: It is confirmed that adolescents who experience greater levels of emotional or relational loneliness have less positive attitudes towards PE.
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Motor Skill Interventions in Children With Developmental Coordination Disorder: A Systematic Review and Meta-Analysis. Arch Phys Med Rehabil 2018; 99:2076-2099. [DOI: 10.1016/j.apmr.2017.12.009] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2017] [Revised: 10/21/2017] [Accepted: 12/08/2017] [Indexed: 11/18/2022]
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Liu F, Morris M, Hicklen L, Izadi H, Dawes H. The impact of high and low-intensity exercise in adolescents with movement impairment. PLoS One 2018; 13:e0195944. [PMID: 29698495 PMCID: PMC5919484 DOI: 10.1371/journal.pone.0195944] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Accepted: 04/03/2018] [Indexed: 11/18/2022] Open
Abstract
Five to six percent of young people have movement impairment (MI) associated with reduced exercise tolerance and physical activity levels which persist into adulthood. To better understand the exercise experience in MI, we determined the physiological and perceptual responses during and following a bout of exercise performed at different intensities typically experienced during sport in youth with MI. Thirty-eight adolescents (11-18 years) categorised on the Bruininks-Oseretsky Test of Motor Proficiency-2 Short-Form performed a peak oxygen uptake bike test ([Formula: see text]) test at visit 1 (V1). At visits 2 (V2) and 3 (V3), participants were randomly assigned to both low-intensity (LI) 30min exercise at 50% peak power output (PPO50%) and high-intensity (HI) 30s cycling at PPO100%, interspersed with 30s rest, for 30min protocol (matched for total work). Heart rate (HR) and rating of perceived exertion (RPE) for legs, breathing and overall was measured before, during and at 1, 3 and 7-min post-exercise (P1, P3, P7). There was a significant difference in [Formula: see text] between groups (MI:31.5±9.2 vs. NMI:40.0±9.5ml⋅kg-1⋅min-1, p<0.05). PPO was significantly lower in MI group (MI:157±61 vs. NMI:216±57 W)(p<0.05). HRavg during HI-cycling was reduced in MI (140±18 vs. 157±14bpm, p<0.05), but not LI (133±18 vs. 143±17bpm, p>0.05). Both groups experienced similar RPE for breathing and overall (MI:7.0±3.0 vs. NMI:6.0±2.0, p>0.05) at both intensities, but reported higher legs RPE towards the end (p<0.01). Significant differences were found in HRrecovery at P1 post-HI (MI:128±25.9 vs. NMI:154±20.2, p<0.05) but not for legs RPE. Perceived fatigue appears to limit exercise in youth with MI in both high and low-intensity exercise types. Our findings suggest interventions reducing perceived fatigue during exercise may improve exercise tolerance and positively impact on engagement in physical activities.
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Affiliation(s)
- Francesca Liu
- Department of Sport and Health Sciences, Oxford Brookes University, Oxford, Oxfordshire, United Kingdom
- * E-mail:
| | - Martyn Morris
- Department of Sport and Health Sciences, Oxford Brookes University, Oxford, Oxfordshire, United Kingdom
- Department of Biomolecular and Sport Sciences, Coventry University, Coventry, West Midlands, United Kingdom
| | - Lisa Hicklen
- Department of Kinesiology, University of Texas at Arlington, Arlington, Texas, United States of America
| | - Hooshang Izadi
- Department of Mechanical Engineering and Mathematical Sciences, Oxford Brookes University, Oxford, Oxfordshire, United Kingdom
| | - Helen Dawes
- Department of Sport and Health Sciences, Oxford Brookes University, Oxford, Oxfordshire, United Kingdom
- Oxford Institute of Nursing & Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, Oxfordshire, United Kingdom
- Department of Clinical Neurology, University of Oxford, Oxford, United Kingdom
- Cardiff University, Cardiff, Wales
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Li YC, Joshi D, King-Dowling S, Hay J, Faught BE, Cairney J. The longitudinal relationship between generalized self-efficacy and physical activity in school-aged children. Eur J Sport Sci 2018; 18:569-578. [PMID: 29400618 DOI: 10.1080/17461391.2018.1430852] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Our understanding of the longitudinal relationship between generalized self-efficacy (GSE) and physical activity in children and youth is limited. The purpose of this study was to investigate the effect of GSE towards physical activity on sedentary behaviours and physical activity in school-aged children over time. A total of 2278 nine-year-old children (1120 girls and 1158 boys) were recruited at baseline and followed for seven waves of data collection from 2005 to 2008. All children completed questionnaires at each wave assessing their GSE (adequacy, predilection, and enjoyment), sedentary behaviours, free play, and organized activity. Mixed-effects models were used to estimate changes in physical activity and GSE within individuals over time, controlling for gender and motor ability. The results showed that participation in free play significantly increased over time, whereas organized activity significantly decreased over the same period. Children with high perceived adequacy and predilection had higher free play and organized activity participation relative to other children over time. However, the effect of perceived adequacy diminished over time, while the gaps between groups with different levels of predilection widened over time. While sedentary behaviours were lower over time in children with high predilection, these behaviours were consistently higher in children with high enjoyment. The differences in sedentary behaviours between groups increased over time for both predilection and enjoyment. This study highlights the importance of different components of GSE on physical activity participation. In addition, interventions targeting the enhancement of predilection may facilitate physical activity and reduce sedentary behaviours.
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Affiliation(s)
- Yao-Chuen Li
- a Department of Kinesiology , McMaster University , Hamilton , Canada.,b INfant and Child Health (INCH) Lab, Department of Family Medicine , McMaster University , Hamilton , Canada
| | - Divya Joshi
- c Faculty of Applied Health Sciences , Brock University , St. Catharines , Canada
| | - Sara King-Dowling
- a Department of Kinesiology , McMaster University , Hamilton , Canada.,b INfant and Child Health (INCH) Lab, Department of Family Medicine , McMaster University , Hamilton , Canada
| | - John Hay
- c Faculty of Applied Health Sciences , Brock University , St. Catharines , Canada
| | - Brent E Faught
- c Faculty of Applied Health Sciences , Brock University , St. Catharines , Canada
| | - John Cairney
- b INfant and Child Health (INCH) Lab, Department of Family Medicine , McMaster University , Hamilton , Canada.,d Faculty of Kinesiology and Physical Education , University of Toronto , Toronto , Canada
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