Impact of the integration of medical and physical activity pattern on motor development and fundamental motor skills in children with intellectual developmental disorder
Guan Zihui , Qiu Jilian , Zhong Hui, et al.
1. Department of Rehabilitation Medicine, Guangdong Sanjiu Brain Hospital, Guangdong, Guangzhou 510510, China; 2. Department of Rehabilitation Medicine, Zhujiang Hospital of Southern Medical University, Guangdong, Guangzhou 510510, China)
Abstract: 【Abstract】 Objective To explore the therapeutic effect of the integrated medicine and exercise pattern on improving motor development and fundamental motor skills in children with intellectual developmental disorder (IDD). Methods A total of 90 children with IDD were enrolled in this prospective study hospitalized in Guangdong Sanjiu Brain Hospital from July 2022 to July 2023 were divided into theobservation group (n=45) and the control group (n=45) by random number table method. Both groupsreceived conventional therapy including cognitive training, occupational therapy, and sensory integrationtraining. The observation group additionally received physical fitness training on the basis of conventionaltherapy. All treatments were administered once daily, with each session lasting 40 minutes, resting 2 days per week, consecutive treatment for 8 weeks. Assessments were conducted before treatment and after 8 weeks of treatment using the gross motor domain of the Gesell Developmental Scale, the Test of Gross Motor Development-Second Edition (TGMD-2), and the Berg Balance Scale scores. Statistical analysis were performed using t-test, χ 2 -test. Results After 8 weeks of consecutive treatment, the gross motor development age in the observation group was significantly higher than that in the control group [(33.10±7.72) months vs (27.57±7.03) months, t=-2.987, P=0.003]. After 8 week of consecutive treatment, the locomotor skill score, object control skill score, and total score assessment were significantly higher than those before treatment in the observation group [(27.62±4.10) points vs (25.07±4.03) points, (23.36±5.44) points vs (21.24±3.81) points, (50.98±8.92) points vs (46.31±6.92) points, the t values were -5.951, -3.103, -4.978, respectively, all P<0.05]. There were no statistically significant differences in the above scores among the children in the control group before and after treatment (all P>0.05). After 8 week of consecutive treatment, the locomotor skill score, object control skill score, and total score of the observation group were higher than those of the control group [(27.62±4.10) points vs (25.51±2.58) points, (23.36±5.44) points vs (21.56±2.33) points, (50.98±8.92) points vs (47.07±3.65) points, the t values were 2.922, 2.039, 2.723, respectively, all P<0.05]. After 8 week of consecutive treatment, the dynamic balance score, static balance score, and total score were higher than those before treatment in the observation group [(26.80±2.07) points vs (25.24±4.52) points, (17.22±1.95) points vs (15.67±4.17) points, (44.02±3.43) points vs (40.91±8.43) points, the t values were -2.729, -2.842, and -3.025, respectively, all P<0.05]. There were no statistically significant differences in the above scores among the children in the control group before and after treatment
(all P>0.05). After 8 weeks of consecutive treatment, the dynamic balance score, static balance score, andtotal score of the observation group were higher than those of the control group [(26.80±2.07) points vs(25.20±4.89) points, (17.22±1.95) points vs (15.87±2.43) points, (44.02±3.43) points vs (41.07±5.76)points, the t values were 2.020, 2.919, 2.957, respectively, all P<0.05]. Conclusion The integratedmedicine and exercise pattern can effectively improve fundamental motor skills, enhance balance function,and promote motor development in children with IDD, and is worthy of clinical promotion.
Impact of the integration of medical and physical activity pattern on motor development and fundamental motor skills in children with intellectual developmental disorder
. Journal of Developmental Medicine(Electronic Version), 2026, 14(1): 45-50.
2026, Vol. 14 
