Standing Balance in Children with Developmental Coordination Disorder: A Meta-analysis

發展性協調障礙兒童之站立平衡：整合性分析

梁齡尹(Ling-Yin Liang) ； 成戎珠(Rong-Ju Cherng) ； 陳振宇(Jenn-Yeu Chen)

《物理治療》 31卷1期 (2006/02) Pp. 1-7

摘要

本研究藉由整合性分析的方法探討發展性協調障礙兒童之站立平衡能力與視覺在其中所扮演的角色。方法：以發展性協調障礙、笨拙兒童、發展性失用症、輕度腦傷與肢體笨拙為關鍵詞進行大量的文獻收集。符合選取條件的文獻必需是(1)比較發展性協調障礙兒童與一般兒童站立平衡之差異，且(2)包含平衡表現之量化參數，同時(3)提供的資料可計算效果量的研究。本研究以r值代表發展性協調障礙兒童與一般兒童站立平衡之差異的效果量，以及有視覺與無視覺時兩組兒童站立平衡之差異的效果量。結果：只有九篇符合本研究的選取條件而進行分析。在整體平衡表現的效果量r值為0.29；靜態平衡與動態平衡的r值分別是0.32，0.38；至於視覺的有無在兩組間所造成平衡表現的效果量r值，分別是有視覺時的0.30與無視覺時的0.35，以致於視覺的有無在兩組間所造成差異的效果量只有0.05。結論：發展性協調障礙兒童的站立平衡比一般兒童要差，達到中度的效果量；至於視覺對發展性協調障礙兒童的站立平衡影響與一般兒童一樣，建議可探討其他感覺訊息或感覺整合能力在發展性協調障礙兒童與一般兒童站立平衡間差異之角色。

關鍵字

發展協調障礙 ； 站立平衡 ； 動作測驗 ； 笨拙 ； 視覺

並列摘要

Background and Purpose: The purposes of the study were to examine the standing balance and the role of visual information for maintaining standing balance in children with developmental coordination disorder (DCD) based on a method of meta-analysis. Methods: An extensive literature search with the key words of DCD, clumsy children, development dyspraxia, minimal brain dysfunction, and physical awkward was undergone on a number of electronic databases including Medline, PsycInfo, PubMed, and ProQuest Digital Dissertations (PQDD). To be included in this meta-analysis, a study needed to: (1) be a comparison study with a group of participants with DCD and a control group; (2) include quantitative measures of balance performance; (3) provide sufficient information to be able to calculate effect size. A correlation coefficient r-indicator was used to represent the effect size of the difference in standing balance between children with and without DCD. Results: Literature search resulted in nine studies. The effect size r of static balance and dynamic balance was 0.32 and 0.38, respectively. The effect size r of balance performance with visual input and without visual input were 0.30 and 0.35, resulting in the effect size of visual input, r=0.05. Conclusion: The results indicate that the balance performance of children with DCD was poorer than that of children without DCD and the effect size was moderate. The effect of visual input on standing balance is not different in children with DCD from children without DCD. Future studies are suggested to investigate the role of other sensory inputs or the function of sensory organization for maintaining standing balance in children with DCD.

並列關鍵字

Developmental coordination disorder ； Standing balance ； Movement ABC ； Clumsiness ； Visual information