Cognitive orientation to daily occupational performance (CO-OP) approach as telehealth for a child with developmental coordination disorder: a case report.
Hiroyasu Shiozu, Shigeki Kurasawa
PMID 37645233WHAT IT FOUND
An eight-year-old boy with developmental coordination disorder improved his handwriting, cycling, and playground skills after ten weekly telehealth sessions.
The therapist coached him to discover strategies via video, while his mother filmed homework practice for review.
Key findings
01The child reported performance and satisfaction improvements of at least two points on all five goals, including handwriting and cycling.
02Observed quality of performance improved on all five goals, with handwriting and column addition rising from 4 to 10 on a 10-point scale.
03Gross motor goals like jumping rope could not be practised live during video calls, so the mother filmed practice at home for the therapist to review.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This is a single case report, so it cannot show that the treatment works for other children. The child received no other concurrent therapy during the intervention period, but the outcome is based on one person's experience. The therapist created the specific scoring definitions for the observational measure during the study, which may affect how the scores are interpreted. The study did not use a standardised physical test to confirm the diagnosis of developmental coordination disorder.
Declared interests
The work was supported by JSPS KAKENHI (grant no 23K02581). No other conflicts of interest are declared.
The easy way to misread this
Do not assume this telehealth model is proven effective for children with developmental coordination disorder. It describes what happened to one boy; there is no control group and no evidence that the improvements were caused by the intervention rather than natural development or the intensity of parental involvement.