PTOTPilotDevelopmental neurorehabilitation2021

Preliminary Improvements in Dynamic Postural Control after A Group-based Intervention Program for Children with Developmental Coordination Disorder: A Brief Report.

Priscila Tamplain, Gabriela M Sherrod, Chadwick Fuchs and 1 others

PMID 32945221

WHAT IT FOUND

A 10-week group program improved dynamic balance but not static balance in 12 children with DCD.

Nine participants improved their dynamic control scores. The lack of a control group and small sample size mean this is preliminary evidence, not proof the program works.

Key findings

01Dynamic postural control scores improved significantly after the intervention, while static postural control scores did not change.

02Nine of the twelve participants showed improvement in dynamic control, with responders improving by 3% to 37%.

03The study had no control group and a very small sample, limiting conclusions about efficacy.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

No control group, so improvements could be due to natural development, practice effects, or placebo. Very small sample size (n=12), limiting statistical power and generalizability. No follow-up assessment to determine if improvements were retained over time. Criterion C for DCD diagnosis (motor skills substantially below age expectations) was not formally assessed. Improvements were isolated to the specific dynamic task used; transfer to real-life skills or static balance was not demonstrated.

The easy way to misread this

Do not assume this program is proven effective. The study lacked a control group, so the observed improvements in dynamic balance could be due to natural growth or repeated testing rather than the intervention itself. Additionally, static balance did not improve, indicating the effects are not broad.

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