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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 [with consumer summary] |
Au MK, Chan WM, Lee L, Chen TMK, Chau RMW, Pang MYC |
Clinical Rehabilitation 2014 Oct;28(10):992-1003 |
clinical trial |
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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 to 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 (rho = 0.680, p = 0.030) and composite equilibrium score (rho = 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.
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