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Systematic Review to Inform the Developmental Coordination Disorder Clinical Practice Guideline Update: Physical
Danielle Long1, Carly Lochala, Kalala Pines
1Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California (Drs Long, Lochala, Pines, Iwamoto, and Sargent); Division of Pediatric Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, California (Drs Pines and Iwamoto); Patient Care Services Education and Research, Children's Hospital Los Angeles, Los Angeles, California (Ms Hess).
Purpose/Hypothesis:
Systematically review current evidence on the content of physical therapy (PT) examination and evaluation to inform the update to the 2020 Developmental Coordination Disorder (DCD) Clinical Practice Guideline (CPG).
Methods:
Eight databases were searched for studies that informed the content of PT examination and evaluation, including psychometric properties of tests and measures used in the PT management of DCD. Methodological quality and certainty of evidence were assessed.
Results:
Three systematic reviews and 30 cohort studies were included. Two findings impacting the 2020 DCD CPG are: (1) very low- to high-quality evidence supports cultural adaptations and cutoff scores for DCD-specific questionnaires, and (2) very low-quality evidence supports 4 outcome measures that are responsive to change with intervention.
Conclusion:
Newer evidence reaffirms 4 of 5 recommendations on examination of the 2020 DCD CPG and adds evidence that could increase the recommendation strength of 2 action statements from best practice to moderate.
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