A Novel Balance Training Program for Children With Developmental Coordination Disorder: A Randomized Controlled Trial

• Published in: Medicine (Baltimore) Vol. 95; no. 16; p. e3492
• Main Authors: Fong, Shirley S.M., Guo, X., Cheng, Yoyo T.Y., Liu, Karen P.Y., Tsang, William W.N., Yam, Timothy T.T., Chung, Louisa M.Y., Macfarlane, Duncan J.
• Format: Journal Article
• Language: English
• Published: United States The Authors. Published by Wolters Kluwer Health, Inc. Health, Inc. All rights reserved 01-04-2016; Wolters Kluwer Health
• Subjects: Child; Clinical Trial/Experimental Study; Exercise Therapy - methods; Female; Follow-Up Studies; Humans; Male; Motor Skills - physiology; Motor Skills Disorders - physiopathology; Motor Skills Disorders - rehabilitation; Muscle Strength - physiology; Postural Balance - physiology; Retrospective Studies; Single-Blind Method; Time Factors; Treatment Outcome
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000003492

This study aimed to compare the effectiveness of a specific functional movement-power training (FMPT) program, a functional movement training (FMT) program and no training in the improvement of balance strategies, and neuromuscular performance in children with developmental coordination disorder (DCD). It was a randomized, single-blinded, parallel group controlled trial.
161 children with DCD (age: 6-10 years) were randomly assigned to the FMPT, FMT, or control groups. The 2 intervention groups received FMPT or FMT twice a week for 3 months. Measurements were taken before, after, and 3 months after the end of the intervention period. The primary outcomes were the composite score and strategy scores on the sensory organization test as measured by a computerized dynamic posturography machine. Secondary outcomes included the knee muscle peak force and the time taken to reach the peak force. The balance strategies adopted in sensory challenging environments of the FMPT participants showed greater improvement from baseline to posttest than those of the FMT participants (7.10 points; 95% confidence interval, 1.51-12.69; P = 0.008) and the control participants (7.59 points; 95% confidence interval, 1.81-13.38; P = 0.005). The FMPT participants also exhibited greater improvement from baseline to the posttest in the knee extensor peak force and time to peak force in the knee flexors. The FMPT program was more effective than the conventional FMT program in the enhancement of balance strategies and neuromuscular performance in children with DCD.