Effects of Task-Oriented Intervention in Children With Developmental Coordination Disorder

Effects of Task-oriented Intervention of Upper Limb on Coordination and In-hand Manipulation Among Children With Developmental Coordination Disorder

physical coordination is impacted by developmental coordination disorder (DCD), commonly referred to as dyspraxia. It makes a youngster appear to move clumsily and perform worse than expected in everyday tasks for their age. Fine and gross motor coordination issues are a hallmark of this neurodevelopmental disorder. Task-oriented therapies help children with DCD develop their skills, coordination, and manipulative abilities by including them in intentional, goal-directed tasks. This is noteworthy because a child's quality of life can be greatly impacted by these skills, which are essential for everyday tasks like writing, tying shoelaces, walking, and balance. The purpose of the research is to ascertain how task-oriented upper limb intervention affects children with impaired coordination and hand-eye coordination.

Study Overview

• Status: Recruiting
• Conditions: Developmental Coordination Disorder
• Intervention / Treatment: Behavioral: Task Oriented Intervention

Detailed Description

The task-oriented intervention aimed at the upper limbs will be administered to the intervention group. For 3 months, interventions were offered 3 days a week.Over the course of 6 months, this quasi-experimental study will be carried out in Lahore. Data will be gathered from the Harbanspura branch of The Punjab School and the Askari School System in Mughalpura. There will be 18 students in the study. The study's inclusion criteria will be children with developmental coordination disorders between the ages of 4 and 12 Youngsters needed to be able to comprehend and adhere to instructions, both boys and girls who scored between 15 and 57 overall on the Developmental Coordination Disorder Questionnaire 2007.Children with congenital respiratory, cardiovascular, or musculoskeletal disorders, as well as those with unstable seizures, will be excluded. Both before and after the operation, data will be gathered. The Movement Assessment Battery for Children (MABC-2), the Developmental Coordination Disorder Questionnaire, and the ABIL HAND KID instrument will be used to assess subjects with developmental coordination disorders.

• Study Type: Interventional
• Enrollment (Estimated): 18
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Muhammad Asif Javed, MS; Phone Number: 03224209422; Email: a.javed@riphah.edu.pk
• Study Contact Backup: Name: IMRAN AMJAD, PhD; Phone Number: 9233224390125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 5470
      • Recruiting
      • Askari School System, Mughalpura, The Punjab School Harbunspura baranch
      • Contact: Muhammad Asif Javed, MS; Phone Number: 03224209422; Email: a.javed@riphah.edu.pk
      • Contact: Amjad Imran, PHD; Phone Number: 9233224390125; Email: imran.amjad@riphah.edu.pk
      • Principal Investigator: MahNoor Fatima, MS

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Developmental coordination disorder children aged 4 to 12 years old.
• Have a total score of 15-57 on the Developmental Coordination Disorder Questionnaire2007.
• Children had to be able to understand and follow instructions.
• Boys and girls both are included

Exclusion Criteria:

• Children with unstable seizures will be excluded.
• DCD children with any congenital cardio-respiratory condition, congenital musculoskeletal condition.
• DCD children with severe visual and/or hearing disability preventing them from completing exercises prescribed by either program.
• Children with behavioral difficulty making them unable to complete exercises prescribed by either program

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Task-oriented intervention; task-oriented intervention for individual of developmental coordination disorder	Behavioral: Task Oriented Intervention; Intervention group will recieve task oriented interventions.Throwing and catching balls of different sizes and weights will be done. For writing, a task-oriented approach has 4 phases that will involve writing,correcting and fun writing 30-minute per session. Interventions provided 3 days per week for 3 months.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in Motor Coordination as Measured by the DCDQ	The DCDQ evaluates changes in motor coordination in children aged 4-16 years based on parent-reported outcomes. It measures three subscales: Control During Movement, Fine Motor/Handwriting, and General Coordination. Scores are collected at pre and post-intervention (3 months), with higher scores indicating improved motor coordination.	15 minutes
Changes in Manual Ability Assessed by the ABILHAND-Kids Questionnaire	The ABILHAND-Kids Questionnaire evaluates changes in manual ability and bimanual coordination in daily activities among children with motor impairments. It is a parent-reported measure assessing the ease or difficulty with which a child performs 21 bimanual tasks in their daily life. Scores are collected at baseline (pre-intervention), and post-intervention (3 months), with higher scores indicating improved manual ability and functional performance.	10 minutes

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Mah Noor Fatima, MS*, Riphah International University

Publications and helpful links

General Publications

• Civetta LR, Hillier SL. The developmental coordination disorder questionnaire and movement assessment battery for children as a diagnostic method in Australian children. Pediatr Phys Ther. 2008 Spring;20(1):39-46. doi: 10.1097/PEP.0b013e31815ccaeb.

Study record dates

Study Major Dates

• Study Start (Actual): October 28, 2024
• Primary Completion (Estimated): January 28, 2025
• Study Completion (Estimated): February 12, 2025

Study Registration Dates

• First Submitted: November 3, 2024
• First Submitted That Met QC Criteria: December 12, 2024
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 12, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Keywords: Upper limb; Developmental Coordination Disorder; Task-Oriented Intervention
• Additional Relevant MeSH Terms: Mental Disorders; Neurodevelopmental Disorders; Motor Skills Disorders
• Other Study ID Numbers: REC/RCR & AHS/24/0703

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No