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Clin Rehabil. 2014 Oct;28(10):992-1003. doi: 10.1177/0269215514527596. Epub 2014 Mar 25.

Core stability exercise is as effective as task-oriented motor training in improving motor proficiency in children with developmental coordination disorder: a randomized controlled pilot study.

Author information

1
Physiotherapy Department, Kowloon Hospital, Hong Kong, China.
2
Physiotherapy Department, Duchess of Kent Children's Hospital, Hong Kong, China.
3
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China Marco.Pang@polyu.edu.hk.

Abstract

OBJECTIVE:

To compare the effectiveness of a core stability program with a task-oriented motor training program in improving motor proficiency in children with developmental coordination disorder (DCD).

DESIGN:

Randomized controlled pilot trial.

SETTING:

Outpatient unit in a hospital.

PARTICIPANTS:

Twenty-two children diagnosed with DCD aged 6-9 years were randomly allocated to the core stability program or the task-oriented motor program.

INTERVENTION:

Both groups underwent their respective face-to-face training session once per week for eight consecutive weeks. They were also instructed to carry out home exercises on a daily basis during the intervention period.

MAIN MEASURES:

Short Form of the Bruininks-Oseretsky Test of Motor Proficiency (Second Edition) and Sensory Organization Test at pre- and post-intervention.

RESULTS:

Intention-to-treat analysis revealed no significant between-group difference in the change of motor proficiency standard score (P=0.717), and composite equilibrium score derived from the Sensory Organization Test (P=0.100). Further analysis showed significant improvement in motor proficiency in both the core stability (mean change (SD)=6.3(5.4); p=0.008) and task-oriented training groups (mean change(SD)=5.1(4.0); P=0.007). The composite equilibrium score was significantly increased in the task-oriented training group (mean change (SD)=6.0(5.5); P=0.009), but not in the core stability group (mean change(SD) =0.0(9.6); P=0.812). In the task-oriented training group, compliance with the home program was positively correlated with change in motor proficiency (ρ=0.680, P=0.030) and composite equilibrium score (ρ=0.638, P=0.047).

CONCLUSION:

The core stability exercise program is as effective as task-oriented training in improving motor proficiency among children with DCD.

KEYWORDS:

DCD; Task oriented practice; core stability training; developmental coordination disorder

PMID:
24668358
DOI:
10.1177/0269215514527596
[Indexed for MEDLINE]

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