Effects of playground activities on development of motor ... · type, location and organization of...

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Effects of playground activities on development of motor skills in 5 years old children P. Tortella¹, G.Fumagalli1, 1- Department of Diagnostics and Public Health University of Verona HEPA EUROPE IN BELFAST NORTHERN IRELAND September 2016 www.0246.it www.infanziaemovimento.it [email protected] Reference Cardon G., et al., (2008).The contribution of preschool playground factors in explaining children's physical activity during recess. Int J Behav Nutr Phys. Act., 5, 11. Dowda M., et al., (2009). Policies and characteristics of the preschool environment and physical activity of young children, Pediatrics. 123: e2616. Fjørtoft I., et al., (2011). Measuring physical fitness in children who are 5 to 12 years old with a test battery that is functional and easy to administer. Phys Ther., 91, 108795. Gubbels JS., et al., (2012). Play equipment, physical activity opportunities, and children’s activity levels at childcare. J Environ Public Health, 326520. Henderson SE., et al., (2007).The Movement Assessment Battery for Children-2: Movement ABC-2. Pearson Canada Assessment Inc. Leversen JS., et al. (2012). From children to adults: motor performance across the lifespan. PloS one, 7:e38830. Sugiyama T., et al., (2012). Attributes of childcare centers and outdoor play areas associated with preschoolers’ physical activity and sedentary behavior. Environ Behav., 44, 33449. Tortella P., et al., (2016). Motor Skill Development in Italian Pre-School Children Induced by Structured Activities in a Specific Playground. PLoS ONE,11(7), e0160244. Introduction Sedentary behavior contributes to obesity and to diffusion of noncommunicable diseases, such as cardiovascular diseases, cancer, diabetes, chronic respiratory diseases. In Italy approximately 30% of children (both male and female) are obese or overweight. The condition is especially severe in southern Italy, with minimal national changes in the period 2008-14. Several initiatives have been conducted in Italy to increase levels of motor activities in elementary school children, the rationale being that intervention on young children have large and persistent effects on life styles. However amount, intensity and level of physical activities performed by children mostly depend on: 1- levels of motor competence (gross and fine motor skills) acquired during infancy (preschool); 2- presence of opportunities for practicing movement-based play. Further conditions impacting on physical activity levels of preschooler are: i) type, location and organization of spaces (indoor and outdoor); ii) types of activities (free play less efficient than structured activities) Overweight and obesity in 6-9 years old children in some European countries. (Threshold by International Obesity Task Force IOTF). WHO/Europe - Childhood Obese. ty Surveillance Initiative, 2010 Italy Prevalence of overweight and obesity in italian regions. Italy, 2008/09-2014. Okkio alla salute http://www.iss.it/binary/publ/cont/ONLINE_Okkio. pdf 2014 2008 2009 2011 2012 The children The study involved 110 children (5 y old) from local kindergarden. Seventyone children came to the playground for 1 hour once a week for 10 consecutive weeks; the remaining 39 did not come to the playground. Activities stared in March 2012 and were concluded in May 2012. During each hour at the park, the children had two types of experiences: 1- for 30 min they played activities organized by the researchers in such a way that each child spent 10 min in the manuality area, 10 min in the mobility area and 10 min in the balance area; 2- for 30 min they were free to play where and how they wanted (free play). Levels of gross and fine motor skills were assessed on all 110 children before (March) and at the end (May) of the “training season by selected items of Movement Assessment Battery for Children, Test of Motor Competence, Test of Physical Fitness Results The children of the «experimental group» performed significantly better at the end of the training period in four gross-motor tasks (one-leg balance-left foot, balance on beam, balance of platform, and putting a medicine ball). No changes were detected in the three fine-motor skill tasks . Conclusion 1- The group who practiced gross motor activities in the specific playground improved significantly in four out of six gross motor tasks compared to the control group. 2- No changes were induced on fine motor skills by the activities at the park indicating that practice of gross motor skills was not associated to transfer of skill in the fine motor skill domain 3- Practice of gross motor skills at Primo Sport 0246, the playground specifically designed to promote development of gross motor skills in preschoolers, had larger effects on motor skills than the activities played in the kindergarden Aims 1- Experiment a playground specifically designed to promote development in 3-6 y old children of basic motor skills in the area of mobility, manuality and balance. 2- Evaluate the effects and specificity of a program of organized physical activities performed at the specific playground on the development of motor skills in five years old children. The playground Primo Sport 0246 is a playground specifically designed to stimulate development of basic motor skills in 0-6 y old children. It is located at La Ghirada, a multifunctional private area dedicated to sports of different types (including rugby, basket and volley) at different levels (from professionals to amateurs). Types of instruments and their distribution in the playground define spaces where children can practice selected basic motor skills (manuality, balance and mobility). Test Pre- training Post- training Difference Pre vs Post p Pre vs Post p Exp vs Con Post- training Medicine Ball (cm) Exp 192±44 229±50 37±66 <0.0001 <0.001 Con 191±45 192±48 1±37 NS One leg balance- Right (sec) Exp 13.64±9.88 18.37±14.83 4.73±15.50 <0.05 NS Con 13.34±9.32 16.19±13.94 2.85±14.44 NS One leg balance- Left (sec) Exp 12.46±6.42 20.48±5.81 8.16±7.21 <0.0001 <0.04 Con 14.47±2.80 17.15±3.39 3.16±5.59 NS Balance Beam (sec) Exp 15.81±5.30 9.29±3.16 -6.53±5.58 <0.0001 <0.001 Con 15.11±6.45 12.84±5.96 -2.27±4.40 NS Balance on Platforms (sec) Exp 35.12±23.57 10.47±2.75 -24.65±22.59 <0.001 <0.0001 Con 27.22±14.00 24.19±13.30 -3.03±12.67 <0.05 Heel-to-Toe Walking (sec) Exp 34.74±13.66 33.14±11.38 -1.60±15.31 NS <0.001 Con 34.04±15.23 43.70±11.52 9.66±14.79 0.001 Bonferroni’s test. All data are expressed as mean±standard deviation Examples of results of fine motor skills tests Discussion These results highlight the sensitivity of preschoolers to the effects of exposure to organized physical activities during school time. Specific training affects the development of some motor skill competences and not others. Our data are in line with Edelman’s Theory premises. Indeed, the largest improvements induced by the training occurred with tests performed on equipments that were present in the park.

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Page 1: Effects of playground activities on development of motor ... · type, location and organization of spaces (indoor and outdoor); ii) types of activities (free play less efficient than

Effects of playground activities on development of motor skills

in 5 years old children P. Tortella¹, G.Fumagalli1,

1- Department of Diagnostics and Public Health – University of Verona

HEPA EUROPE IN BELFAST NORTHERN IRELAND September 2016

www.0246.it www.infanziaemovimento.it [email protected]

Reference Cardon G., et al., (2008).The contribution of preschool

playground factors in explaining children's physical activity

during recess. Int J Behav Nutr Phys. Act., 5, 11.

Dowda M., et al., (2009). Policies and characteristics of the

preschool environment and physical activity of young children,

Pediatrics. 123: e261–6.

Fjørtoft I., et al., (2011). Measuring physical fitness in children

who are 5 to 12 years old with a test battery that is functional

and easy to administer. Phys Ther., 91, 1087–95.

Gubbels JS., et al., (2012). Play equipment, physical activity

opportunities, and children’s activity levels at childcare. J

Environ Public Health, 326520.

Henderson SE., et al., (2007).The Movement Assessment

Battery for Children-2: Movement ABC-2. Pearson Canada

Assessment Inc.

Leversen JS., et al. (2012). From children to adults: motor

performance across the lifespan. PloS one, 7:e38830.

Sugiyama T., et al., (2012). Attributes of childcare centers and

outdoor play areas associated with preschoolers’ physical

activity and sedentary behavior. Environ Behav., 44, 334–49.

Tortella P., et al., (2016). Motor Skill Development in Italian

Pre-School Children Induced by Structured Activities in a

Specific Playground. PLoS ONE,11(7), e0160244.

Introduction Sedentary behavior contributes to

obesity and to diffusion of

noncommunicable diseases, such as

cardiovascular diseases, cancer,

diabetes, chronic respiratory diseases. In Italy approximately 30% of children

(both male and female) are obese or

overweight.

The condition is especially severe in

southern Italy, with minimal national

changes in the period 2008-14.

Several initiatives have been conducted

in Italy to increase levels of motor

activities in elementary school children,

the rationale being that intervention on

young children have large and persistent

effects on life styles. However amount,

intensity and level of physical

activities performed by children mostly

depend on: 1- levels of motor

competence (gross and fine motor skills)

acquired during infancy (preschool); 2-

presence of opportunities for practicing

movement-based play.

Further conditions impacting on physical

activity levels of preschooler are: i)

type, location and organization of

spaces (indoor and outdoor); ii) types of

activities (free play less efficient than structured activities)

Overweight and obesity in 6-9 years old children

in some European countries. (Threshold by

International Obesity Task Force – IOTF).

WHO/Europe - Childhood Obese.

ty Surveillance Initiative, 2010

Italy

Prevalence of overweight and obesity in italian

regions. Italy, 2008/09-2014. Okkio alla salute

http://www.iss.it/binary/publ/cont/ONLINE_Okkio.

pdf

2014

2008

2009 2011

2012

The children The study involved 110 children (5 y old) from local

kindergarden. Seventyone children came to the

playground for 1 hour once a week for 10 consecutive

weeks; the remaining 39 did not come to the

playground. Activities stared in March 2012 and were

concluded in May 2012.

During each hour at the park, the children had two

types of experiences: 1- for 30 min they played

activities organized by the researchers in such a way

that each child spent 10 min in the manuality area, 10

min in the mobility area and 10 min in the balance area;

2- for 30 min they were free to play where and how

they wanted (free play).

Levels of gross and fine motor skills were assessed on

all 110 children before (March) and at the end (May) of

the “training season by selected items of Movement

Assessment Battery for Children, Test of Motor

Competence, Test of Physical Fitness

Results The children of the «experimental group» performed

significantly better at the end of the training period in

four gross-motor tasks (one-leg balance-left foot,

balance on beam, balance of platform, and putting a

medicine ball). No changes were detected in the three

fine-motor skill tasks .

Conclusion

1- The group who practiced gross motor activities in the

specific playground improved significantly in four out of

six gross motor tasks compared to the control group.

2- No changes were induced on fine motor skills by the

activities at the park indicating that practice of gross

motor skills was not associated to transfer of skill in the

fine motor skill domain

3- Practice of gross motor skills at Primo Sport 0246, the

playground specifically designed to promote development

of gross motor skills in preschoolers, had larger effects on

motor skills than the activities played in the kindergarden

Aims 1- Experiment a playground specifically designed to

promote development in 3-6 y old children of basic

motor skills in the area of mobility, manuality and

balance.

2- Evaluate the effects and specificity of a program

of organized physical activities performed at the

specific playground on the development of motor

skills in five years old children.

The playground Primo Sport 0246 is a playground specifically

designed to stimulate development of basic motor

skills in 0-6 y old children. It is located at La

Ghirada, a multifunctional private area dedicated to

sports of different types (including rugby, basket and

volley) at different levels (from professionals to

amateurs). Types of instruments and their

distribution in the playground define spaces where

children can practice selected basic motor skills

(manuality, balance and mobility).

Test Pre-

training

Post-

training

Difference

Pre vs Post

p

Pre vs

Post

p

Exp vs

Con

Post-

training

Medicine

Ball (cm)

Exp 192±44 229±50 37±66 <0.0001 <0.001

Con 191±45 192±48 1±37 NS

One leg

balance-

Right (sec)

Exp 13.64±9.88 18.37±14.83 4.73±15.50 <0.05

NS Con 13.34±9.32 16.19±13.94 2.85±14.44 NS

One leg

balance-

Left (sec)

Exp 12.46±6.42 20.48±5.81 8.16±7.21 <0.0001

<0.04 Con 14.47±2.80 17.15±3.39 3.16±5.59 NS

Balance

Beam (sec)

Exp 15.81±5.30 9.29±3.16 -6.53±5.58 <0.0001 <0.001

Con 15.11±6.45 12.84±5.96 -2.27±4.40 NS

Balance on

Platforms

(sec)

Exp 35.12±23.57 10.47±2.75 -24.65±22.59 <0.001 <0.0001

Con 27.22±14.00 24.19±13.30 -3.03±12.67 <0.05

Heel-to-Toe

Walking

(sec)

Exp 34.74±13.66 33.14±11.38 -1.60±15.31 NS

<0.001 Con 34.04±15.23 43.70±11.52 9.66±14.79 0.001

Bonferroni’s test. All data are

expressed as mean±standard

deviation

Examples of results

of fine motor skills

tests

Discussion These results highlight the sensitivity of preschoolers to

the effects of exposure to organized physical activities

during school time.

Specific training affects the development of some motor

skill competences and not others.

Our data are in line with Edelman’s Theory premises.

Indeed, the largest improvements induced by the training

occurred with tests performed on equipments that were

present in the park.