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Does a physiotherapy programme of gross motor training influence motor function and activities of daily living in
Sonill S Maharaj1, Riona Lallie2
1Department of Physiotherapy, School of Health Sciences, University of KwaZulu-Natal, South Africa.
Insights
Gross motor training significantly improved motor skills in children with developmental coordination disorder (DCD). Eight weeks of this physiotherapy intervention enhanced coordination and balance, offering a beneficial approach for DCD management.
Area of Science:
- Pediatrics
- Neurology
- Physical Therapy
Background:
- Developmental Coordination Disorder (DCD) affects children's motor skills and daily activities.
- Motor difficulties in DCD are persistent without intervention.
- Limited clinical protocols exist for DCD physiotherapy.
Purpose of the Study:
- To evaluate the effectiveness of an 8-week gross motor training program for children aged 6-12 with DCD.
- To determine if targeted physiotherapy improves gross motor function in DCD.
Main Methods:
- A randomized controlled trial involving 64 children with DCD (Movement Assessment Battery for Children score ≤15th percentile).
- Intervention group received 8 weeks of weekly 30-minute gross motor training (core stability, strength, balance, coordination, task-specific activities).
- Control group received general therapy. Assessments included M-ABC and DCDQ pre- and post-intervention.
Main Results:
- Sixty children completed the study. No adverse events were reported.
- The intervention group showed significant improvements in M-ABC scores (6.46%), ball skills (3.54%), and balance (4.80%) compared to minimal changes in the control group.
- Developmental Coordination Disorder Questionnaire (DCDQ) scores significantly improved (p < 0.05), with parent-reported scores higher than teacher-reported scores.
Conclusions:
- Eight weeks of gross motor training is a beneficial physiotherapy intervention for improving gross motor function in children with DCD.
- This program offers a structured approach to address motor deficits in DCD.
- Further research may explore optimal training durations and specific components.
Background:
Children with developmental coordination disorder (DCD) lack motor coordination and have difficulty performing motor skills and activities of daily living. Research shows these children do not outgrow their motor difficulties and without intervention do not improve. Physiotherapy is relevant for these children, but due to limited clinical protocols for DCD the aim of this study was to determine the effect of a gross motor training programme for 6-12-year-old children with DCD.
Methods:
This randomised pre-test, post-test study recruited 64 children with scores of 15th percentile or below using the Movement Assessment Battery for Children (M-ABC). The children were divided equally into an intervention group receiving 8 weeks of gross motor training for core stability, strengthening exercises, balance and coordination with task-specific activities for 30 min per week, while the control group continued with general therapy and activities of daily living. The M-ABC and Developmental Coordination Disorder Questionnaire (DCDQ) were used to assess each child before and after 8 weeks.
Results:
Sixty children completed the study, with 43 males and 17 females (mean age 10.02 years, SD = 2.10). There were no adverse reactions to the programme and M-ABC scores for the intervention programme improved by 6.46%, ball skills (3.54%) and balance (4.80%) compared with the control (0.17%) and (0.15%), respectively. There were significant (p < 0.05) improvements in DCDQ scores, but teachers allocated lower scores than parents.
Conclusion:
This study supports 8 weeks of gross motor training which can be a beneficial intervention for physiotherapists to improve gross motor function for DCD.
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