Effects of a Highly Intensive Balance Therapy Camp in Children With Developmental Coordination Disorder

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-02

Study Completion Date

2024-11-30

Brief Summary

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The main objective of this clinical trial is to investigate the short (immediately after intervention) and medium term (three month) effects of a highly intensive, comprehensive postural control 6-day therapy camp in school-aged children (6 to 12 years) with developmental coordination disorder at different levels of the The International Classification of Functioning, Disability and Health (ICF) framework.

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Detailed Description

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Conditions

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Developmental Coordination Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

pre-post interventional test design with a triple, nontraining baseline and follow-up. After inclusion, participants are followed for six months prior to the intervention using a triple baseline consisting of six months pre-assessment (T1), a three-months pre-assessment (T2) and a pre-interventional assessment, up to two weeks before the intervention (T3). After the camp, patients perform a post-interventional assessment, up to two weeks after the end of the intervention (T4) and a three-month follow-up assessment (T5)

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

The Kids-BESTest and TGMD-3 performances are videotaped and scored on video by an experienced assessor. Assessors are blinded for the pre-post condition and timing of the assessment.

Study Groups

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Individualized balance therapy (with follow-up after and baseline follow-up)

The therapy of the children will be given in intensive camps. A total of four camps are organized between April 2023 and August 2024. Each camp consists of six days of therapy, with a total therapy time of 40 hours. The central camp theme is "Circus", due to the attractiveness for children and the link with postural control. The intervention is functional, and divided in six activity categories: jumping, sitting balance, walking and running, circus, individual goals and group activities with focus on social interaction (Table 2). Each category should: 1. partially or fully cover the multisystemic framework of Horak, with the overall program covering the entire framework , 2. be fun and focusing on collaboration rather than competition.

During three months prior to the intervention (camps), the children are followed up for six months and assessed at three time points. They will keep on following their usual physiotherapy sessions.

Group Type EXPERIMENTAL

Highly intensive individualized balance therapy

Intervention Type BEHAVIORAL

In the form of a camp with total therapy hours of 40 hours with a central theme of "Circus", children will receive individualized (1 therapist per child) intensive therapy. The intervention is functional, and divided in six activity categories: jumping, sitting balance, walking and running, circus, individual goals and group activities with focus on social interaction. Each category should: 1. partially or fully cover the multisystemic balance framework of Horak, with the overall program covering the entire framework, 2. be fun and focusing on collaboration rather than competition.

Interventions

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Highly intensive individualized balance therapy

In the form of a camp with total therapy hours of 40 hours with a central theme of "Circus", children will receive individualized (1 therapist per child) intensive therapy. The intervention is functional, and divided in six activity categories: jumping, sitting balance, walking and running, circus, individual goals and group activities with focus on social interaction. Each category should: 1. partially or fully cover the multisystemic balance framework of Horak, with the overall program covering the entire framework, 2. be fun and focusing on collaboration rather than competition.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* diagnosed with DCD by a pediatrician, using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria: (i) motor skill acquisition and performance is at an age-inappropriate level (Criterion A), objectified with the total MABC-2 score at or below the 16th percentile or subscale score at or below the 5th percentile; (ii) the motor skills deficit significantly and persistently interferes with the activities of everyday living (Criterion B), objectified with the DCD Questionnaire 2007 (DCD-Q) ; (iii) Onset of symptoms in early childhood (Criterion C) evaluated by anamnesis with parents; (iv) The motor skills deficits are not better accounted for by any other medical (neurological, intellectual, visual, etc.), neurodevelopmental, psychological, social condition, or cultural background (criterion D), evaluated by a neuromotor examination performed by an acknowledged pediatrician.
* Due to the interventional focus on postural control, children are only included if they score below the 50th percentile for the balance subscale of the MABC-2 and below 80% on the Kids-BESTest total score.
* Due to the high comorbidity rate in children with DCD, such as attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and dyslexia, the comorbidities are listed through thorough anamnesis and the Strengths and difficulties questionnaire (SDQ) is used.