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Intervention approaches and children with developmental coordination disorder
1School of Education, University of Leeds, UK. D.A.Sugden@education.leeds.ac.uk
Insights
Children with Developmental Coordination Disorder (DCD) struggle with motor skills affecting school success. Interventions, whether process-oriented or task-focused, show similar benefits, suggesting tailored learning is key.
Area of Science:
- Pediatrics
- Developmental Psychology
- Occupational Therapy
Background:
- Developmental Coordination Disorder (DCD) significantly impairs children's functional motor skills, impacting school achievement, behavior, and self-esteem.
- Without intervention, DCD-related motor deficits often persist and worsen over time.
- Limited controlled studies exist on effective interventions for DCD outside clinical settings.
Purpose of the Study:
- To evaluate the effectiveness of two distinct intervention approaches for children with DCD.
- To compare process-oriented versus functional task-oriented interventions for DCD.
- To identify underlying principles contributing to intervention success in DCD.
Main Methods:
- Review of controlled empirical investigations focusing on DCD interventions.
- Categorization of interventions into process-based (e.g., kinesthesis) and functional task-based approaches.
- Analysis of study outcomes comparing intervention groups to control groups.
Main Results:
- Both process-oriented and functional task-oriented interventions demonstrated significant improvements compared to control groups.
- No significant differences were found between the two types of intervention approaches.
- Effectiveness may stem from general learning principles like accurate assessment and individualized activity planning.
Conclusions:
- Interventions for DCD are effective, but the specific approach (process vs. task) may not be critical.
- General learning principles, including individualized assessment and tailored activities, likely drive positive outcomes.
- Collaboration with non-specialists (teachers, parents) is recommended for managing DCD, except in severe cases.
Abstract:
Children with Developmental Coordination Disorder (DCD) have a marked impairment in the performance of functional motor skills required to succeed at school. Longitudinal studies show that without intervention children with DCD often do not improve with development and the poor motor behaviour appears to have a detrimental effect on other aspects of functioning such as school achievement, behaviour and self esteem. Outside of clinical situations, there are only a small number of controlled empirical investigations, and from this small number two types of approaches emerge. The first concentrates on processes underlying motor skills and purports to improve areas such as kinesthesis or sensory motor processes. The second concentrates on teaching functional tasks aiming to specifically intervene in the deficient areas. Evaluations of these approaches show that they both work, producing significant improvements over control groups but show no differences between other approaches. It is hypothesized that more general learning principles are producing the effect, such as accurate assessment and tailoring activities to meet the needs of any individual child. Further, it is suggested that work with non-specialists in the motor area, such as teachers and parents, is a way forward with all but the most severely affected children.
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