Effectiveness of Cognitive Orientation to Occupational Performance intervention in improving motor skills of children with developmental coordination disorder: A randomized waitlist-control trial

• Published in: Clinical rehabilitation 2022-06, Vol.36 (6), p.776-788
• Main Authors: Izadi-Najafabadi, Sara, Gunton, Cassandra, Dureno, Zara, Zwicker, Jill G
• Format: Article
• Language: English
• Subjects: Attention deficit hyperactivity disorder; Canada; Child; Comorbidity; Competence; Coordination; Developmental coordination disorder; Evaluative Studies; Humans; Hyperactivity; Intervention; Learning; Motor ability; Motor Skills; Motor Skills Disorders; Occupational therapy; Only children; Orientation; Pediatrics; Rehabilitation; Skills
• ISSN: 0269-2155; 1477-0873
• DOI: 10.1177/02692155221086188

Objectives To determine if Cognitive Orientation to Occupational Performance was effective in improving performance and transfer of motor learning in children with developmental coordination disorder (with/without attention deficit hyperactivity disorder); and whether outcomes were maintained three months post-intervention. Design Randomized waitlist-control trial (ClinicalTrials.gov ID: NCT02597751) Setting BC Children's Hospital, Vancouver, Canada Subjects Thirty-seven children with developmental coordination disorder and 41 children with co-occurring attention deficit hyperactivity disorder (all 8–12 years), randomized to treatment or waitlist groups. Interventions One-hour of intervention once weekly for 10 weeks. Main Measures (1) Canadian Occupational Performance Measure to measure self-perceived performance of motor goals (10-point scale); (2) Performance Quality Rating Scale to measure therapist-observed movement quality (10-point scale); and (3) Bruininks-Oseretsky Test of Motor Proficiency – 2nd ed. to measure overall motor skill ability/transfer of motor learning (percentile). Results Both groups showed significant improvement (p