Systematic Review to Inform the Developmental Coordination Disorder Clinical Practice Guideline Update: Physical
Kai Iwamoto1, Kalala Pines, Carly Lochala
1Children's Hospital Los Angeles, Division of Pediatric Rehabilitation Medicine, Los Angeles, California (Drs Iwamoto and Pines); University of Southern California, Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, Los Angeles, California (Drs Iwamoto, Pines, Lochala, Long, and Sargent); and Children's Hospital Los Angeles, Patient Care Services Education and Research, Los Angeles, California (Ms Hess).
Summary
Physical therapy (PT) for developmental coordination disorder (DCD) interventions is reviewed. Evidence reaffirms task-oriented approaches and supports new supplemental activities like active video gaming.
Area of Science:
- Pediatric physical therapy
- Developmental coordination disorder research
- Clinical practice guideline development
Background:
- Developmental Coordination Disorder (DCD) impacts motor skills in children.
- Physical therapy (PT) is a primary intervention for DCD.
- Clinical Practice Guidelines (CPGs) require regular evidence updates.
Purpose of the Study:
- To systematically review current evidence on PT interventions for DCD.
- To inform the 2020 DCD CPG update.
- To assess the quality of evidence for PT interventions in DCD.
Main Methods:
- Searched eight databases for relevant studies (qualitative, RCTs, SRs).
- Included 16 studies in the review.
- Assessed risk of bias and certainty of evidence for included studies.
Main Results:
- Task-oriented interventions, recommended by the 2020 DCD CPG, were supported by 3 SRs, 3 RCTs, and 1 qualitative study.
- Supplemental activities, including active video gaming, were supported by 1 SR and 7 RCTs.
- Evidence quality for supplemental activities ranged from low to very low.
Conclusions:
- Newer evidence reaffirms three of the five intervention recommendations from the 2020 DCD CPG.
- Low to very low-quality evidence supports new supplemental PT activities for DCD.
- Findings will guide future PT management and CPG updates for DCD.
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