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Neuromotor task training for children with developmental coordination disorder: a controlled trial.

A S Niemeijer1, B C M Smits-Engelsman, M M Schoemaker

  • 1Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, The Netherlands. A.Niemeijer@ppsw.rug.nl

Developmental Medicine and Child Neurology
|May 24, 2007
PubMed
Summary

Neuromotor task training (NTT) effectively improves motor skills in children with developmental coordination disorder (DCD). This child-centred therapy demonstrated significant gains on motor assessments compared to no intervention, particularly for older children.

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Area of Science:

  • Pediatric physiotherapy
  • Neurorehabilitation
  • Child development

Background:

  • Developmental Coordination Disorder (DCD) affects children's motor skills.
  • A child-centred, task-oriented approach, Neuromotor Task Training (NTT), has been developed.
  • Evaluating NTT's efficacy is crucial for evidence-based practice.

Purpose of the Study:

  • To assess the effectiveness of Neuromotor Task Training (NTT) for children with DCD.
  • To compare motor performance changes in children receiving NTT versus a control group.
  • To identify factors influencing NTT treatment success.

Main Methods:

  • A randomized controlled trial design was employed.
  • Participants were children with DCD scoring below the 15th percentile on the Movement Assessment Battery for Children (MABC).

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  • The intervention group received 9 weekly 30-minute NTT sessions, while the control group received no intervention. Motor skills were assessed using MABC and Test of Gross Motor Development - 2 (TGMD-2) pre- and post-intervention.

    • Main Results:

    • Children receiving NTT showed significant improvements in MABC and TGMD-2 scores.
    • Motor performance did not improve spontaneously in the control group.
    • Children demonstrated greater improvement on tasks similar to those trained during NTT.
    • Older children with poorer initial motor patterns experienced higher treatment success.

    Conclusions:

    • Neuromotor Task Training (NTT) is an effective intervention for improving motor skills in children with DCD.
    • NTT leads to measurable improvements in gross and fine motor abilities.
    • Treatment gains are task-specific, and NTT shows particular promise for older children with more significant motor challenges.