Overview

This trial is active, not recruiting.

Condition developmental coordination disorder
Treatments pt-fmt, fmt alone
Sponsor The University of Hong Kong
Start date March 2014
End date March 2017
Trial size 87 participants
Trial identifier NCT02393404, 27100614

Summary

Objective: To compare the effectiveness of functional movement-power training (PT-FMT), functional movement training (FMT) alone and no intervention in improving balance strategies and performance among children with developmental coordination disorder (DCD).

Design: A randomised controlled clinical trial. Sample: 87 children with DCD. Interventions: 12 weeks of PT and FMT or FMT alone in the two intervention groups.

Major outcomes: Sensory organisation test - balance strategy and composite scores; Movement Assessment Battery for Children - total impairment score and balance subscore; hand-held dynamometer measurements of lower limb muscle strength and time to peak force.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose treatment
Arm
(Experimental)
Functional movement-power training group
pt-fmt
Physiotherapeutic functional movement-power training
(Experimental)
Functional movement training group
fmt alone
Physiotherapeutic power training
(No Intervention)
No intervention control group

Primary Outcomes

Measure
Changes in sensory organisation test balance strategy
time frame: Baseline (0 month), 3-month post-intervention (3 months), and 3-month follow-up (6 months)
Changes in sensory organisation test composite scores
time frame: Baseline (0 month), 3-month post-intervention (3 months), and 3-month follow-up (6 months)

Secondary Outcomes

Measure
Changes in Movement Assessment Battery for Children total impairment score
time frame: Baseline (0 month), 3-month post-intervention (3 months), and 3-month follow-up (6 months)
Changes in Movement Assessment Battery for Children balance subscore
time frame: Baseline (0 month), 3-month post-intervention (3 months), and 3-month follow-up (6 months)
Changes in hand-held dynamometer measurements of lower limb muscle strength
time frame: Baseline (0 month), 3-month post-intervention (3 months), and 3-month follow-up (6 months)
Changes in hand-held dynamometer measurements of lower limb muscle time to peak force
time frame: Baseline (0 month), 3-month post-intervention (3 months), and 3-month follow-up (6 months)

Eligibility Criteria

Male or female participants from 6 years up to 10 years old.

Inclusion Criteria: 1. a formal diagnosis of DCD based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) 2. a gross motor composite score ≤ 42 on the Bruininks-Oseretsky Test of Motor Proficiency 3. 6-10 years old 4. attending a mainstream school; and (5) no intellectual impairment. Exclusion Criteria: 1. diagnosis of an emotional, neurological or other movement disorder 2. significant congenital, musculoskeletal or cardiopulmonary disorders that might affect motor performance 3. receiving active treatments including traditional Chinese medicine 4. disruptive behaviour 5. unable to follow instructions thoroughly.

Additional Information

Official title Enhancing Neuromuscular Performance and Central Nervous System Plasticity Through Functional Movement-power Training to Improve Balance Strategies in Children With Developmental Coordination Disorder: A Randomised Controlled Trial
Principal investigator Shirley SM Fong, PT, PhD
Description With the growing numbers of children with dyspraxia in Hong Kong, the focus of paediatric rehabilitation services has shifted from severe motor disorders (e.g., cerebral palsy) to relatively minor motor problems such as developmental coordination disorder (DCD). Evidence-based treatment strategies must be developed to suit this changing need. Children diagnosed with DCD are characterised by marked impairment in motor functions. Poor balance ability is a major concern because it may predispose children to falls and affect their motor skill development. At present, rehabilitation regimes for DCD-affected children use functional movement training (FMT) to induce neural plastic changes in the central nervous system (CNS) and thus enhance functional (balance) performance. Less emphasis is placed on treating the neuromuscular impairments that might also affect functional outcomes. Recently, the investigators research team discovered that slowed hamstring muscle force production, a neuromuscular deficit, may be one of the causes of poor balance strategies in children with DCD, but no effective treatment strategy has yet been examined. Power training (PT) has been found to be effective in increasing the speed of muscle force production and balance in adults through various neuromuscular mechanisms. In this study, the investigators intend to treat both the CNS and peripheral neuromuscular deficits in DCD-affected children. Therefore, the investigators will incorporate PT into a conventional FMT regime. The investigators hypothesise that balance strategies and functional performance in children with DCD will be improved most by treating both the CNS and neuromuscular deficits. This hypothesis will be supported by the finding that PT with FMT is superior to FMT alone in improving balance strategies and functional performance in children with DCD. Objective: To compare the effectiveness of PT-FMT, FMT alone and no intervention in improving balance strategies and performance among children with DCD. Design: A randomised controlled clinical trial. Sample: 87 children with DCD. Interventions: 12 weeks of PT and FMT or FMT alone in the two intervention groups. Major outcomes: Sensory organisation test - balance strategy and composite scores; Movement Assessment Battery for Children - total impairment score and balance subscore; hand-held dynamometer measurements of lower limb muscle strength and time to peak force. Anticipated results and clinical significance: DCD-affected children who receive FMT together with PT will have the best balance performance outcomes. If the results are positive, this training programme could be readily transferrable to clinical practice. This could have positive socio-economic implications, such as shorter treatment periods and reduced healthcare costs.
Trial information was received from ClinicalTrials.gov and was last updated in March 2015.
Information provided to ClinicalTrials.gov by The University of Hong Kong.