scholarly journals Motor Intervention With And Without Nintendo® Wii For Children With Developmental Coordination Disorder: Protocol For A Randomized Clinical Trial

2019 ◽  
Author(s):  
JORGE Lopes CAVALCANTE NETO ◽  
Bert Steenbergen ◽  
Eloisa Tudella

Abstract Background Despite the benefits highlighted by motor interventions based on virtual reality for children with Developmental Coordination Disorder (DCD), there are still doubts whether these are greater than those obtained with conventional interventions due to the absence of systematized protocols and lack of evidence. Here we present a protocol to systematically compare the effects of two motor training programs (one Nintendo® Wii based and the other no-Wii motor activities) on the motor learning in children with DCD. Methods/Design Two intervention protocols (one based on Nintendo® Wii and the other no-Wii motor activities) will be carried out, with interventions occurring twice a week in 60-minute sessions, with a minimum of 12 and a maximum of 16 sessions per child. The protocols were developed based on the domains of the Movement Assessment Battery for Children – Second Edition (MABC-2) (Manual dexterity, aiming & catching, balance), with two activities for each of the MABC -2 domains. The study will include children aged 7 to 10 with total MABC-2 score ≤16, and Developmental Coordination Disorder Questionnaire (DCDQ) score <46 (age of 7 years), score <55 (age group of 8 to 9 years and 11 months), or score <57 (age of 10 years) as scored by the parents. Children will be randomly allocated by draw in one of the two intervention protocols. MABC-2 and DCDQ will be applied before and after intervention to evaluate the effects of the interventions on motor performance and parents’ perception respectively. Motor learning will be assessed by means of the scores obtained in the games. Evaluators and therapists will be trained and blind about the data of the children in the study.

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Jorge Lopes Cavalcante Neto ◽  
Bert Steenbergen ◽  
Eloisa Tudella

Abstract Background Despite the benefits highlighted by motor interventions based on virtual reality for children with Developmental Coordination Disorder (DCD), there are still doubts as to whether these are greater than those obtained with conventional interventions due to the absence of systematized protocols, and lack of evidence. Here, we present a protocol to systematically compare the effects of two motor-training programs (one Nintendo® Wii-based and the other no-Wii motor activities) on the motor learning in children with DCD. Methods/design Two intervention protocols (one based on Nintendo® Wii and the other no-Wii motor activities) will be carried out, with interventions occurring twice a week in 60-min sessions, with a minimum of 12 and a maximum of 16 sessions per child. The protocols were developed based on the domains of the Movement Assessment Battery for Children – Second Edition (MABC-2) (Manual Dexterity, Aiming and Catching, Balance), with two activities for each of the MABC − two domains. The study will include children aged 7 to 10 years with a total MABC-2 score ≤ 16, and a Developmental Coordination Disorder Questionnaire (DCDQ) score < 46 (age of 7 years), score < 55 (age group of 8 to 9 years and 11 months), or score < 57 (age of 10 years) as scored by the parents. Children will be randomly allocated by draw in one of the two intervention protocols. MABC-2 and DCDQ will be applied before and after intervention to evaluate the effects of the interventions on motor performance and parents’ perception, respectively. Motor learning will be assessed by means of the scores obtained in the games. Evaluators and therapists will be trained and evaluators will be blind regarding the data of the children in the study. Discussion Owing to its motivating aspects, training with Nintendo® Wii may be particularly beneficial for children with DCD. The results of this study protocol should help researchers and therapists to better understand the benefits of Nintendo® Wii-based motor intervention over those obtained with no-Wii interventions in children with DCD. It should also create references about more systematized protocols for replication in clinical practice, seeking the improvement of the motor components of these children. Trial registration RBR-89ydgj


2019 ◽  
Author(s):  
JORGE Lopes CAVALCANTE NETO ◽  
Bert Steenbergen ◽  
Eloisa Tudella

Abstract Background: Despite the benefits highlighted by motor interventions based on virtual reality for children with Developmental Coordination Disorder (DCD), there are still doubts whether these are greater than those obtained with conventional interventions due to the absence of systematized protocols and lack of evidence. Here we present a protocol to systematically compare the effects of two motor training programs (one Nintendo® Wii based and the other no-Wii motor activities) on the motor learning in children with DCD. Methods/Design: Two intervention protocols (one based on Nintendo® Wii and the other no-Wii motor activities) will be carried out, with interventions occurring twice a week in 60-minute sessions, with a minimum of 12 and a maximum of 16 sessions per child. The protocols were developed based on the domains of the Movement Assessment Battery for Children – Second Edition (MABC-2) (Manual dexterity, aiming & catching, balance), with two activities for each of the MABC -2 domains. The study will include children aged 7 to 10 with total MABC-2 score ≤16, and Developmental Coordination Disorder Questionnaire (DCDQ) score <46 (age of 7 years), score <55 (age group of 8 to 9 years and 11 months), or score <57 (age of 10 years) as scored by the parents. Children will be randomly allocated by draw in one of the two intervention protocols. MABC-2 and DCDQ will be applied before and after intervention to evaluate the effects of the interventions on motor performance and parents’ perception respectively. Motor learning will be assessed by means of the scores obtained in the games. Evaluators and therapists will be trained and evaluators will be blind about the data of the children in the study. Discussion: Owing to its motivating aspects, training with Nintendo® Wii may be particularly beneficial for children with DCD. The results of this study protocol will help researchers and therapists to better understand the benefits of Nintendo® Wii based motor intervention over those obtained with no-Wii interventions in children with DCD. It will also create references about more systematized protocols for replication in clinical practice, seeking the improvement of the motor components of these children. Trial registration: http://www.ensaiosclinicos.gov.br/rg/RBR-89ydgj/


2019 ◽  
Author(s):  
JORGE Lopes CAVALCANTE NETO ◽  
Bert Steenbergen ◽  
Eloisa Tudella

Abstract Abstract Background: Despite the benefits highlighted by motor interventions based on virtual reality for children with Developmental Coordination Disorder (DCD), there are still doubts whether these are greater than those obtained with conventional interventions due to the absence of systematized protocols and lack of evidence. Here we present a protocol to systematically compare the effects of two motor training programs (one Nintendo® Wii based and the other no-Wii motor activities) on the motor learning in children with DCD. Methods/Design: Two intervention protocols (one based on Nintendo® Wii and the other no-Wii motor activities) will be carried out, with interventions occurring twice a week in 60-minute sessions, with a minimum of 12 and a maximum of 16 sessions per child. The protocols were developed based on the domains of the Movement Assessment Battery for Children – Second Edition (MABC-2) (Manual dexterity, aiming & catching, balance), with two activities for each of the MABC -2 domains. The study will include children aged 7 to 10 with total MABC-2 score ≤16, and Developmental Coordination Disorder Questionnaire (DCDQ) score <46 (age of 7 years), score <55 (age group of 8 to 9 years and 11 months), or score <57 (age of 10 years) as scored by the parents. Children will be randomly allocated by draw in one of the two intervention protocols. MABC-2 and DCDQ will be applied before and after intervention to evaluate the effects of the interventions on motor performance and parents’ perception respectively. Motor learning will be assessed by means of the scores obtained in the games. Evaluators and therapists will be trained and evaluators will be blind about the data of the children in the study. Discussion: Owing to its motivating aspects, training with Nintendo® Wii may be particularly beneficial for children with DCD. The results of this study protocol will help researchers and therapists to better understand the benefits of Nintendo® Wii based motor intervention over those obtained with no-Wii interventions in children with DCD. It will also create references about more systematized protocols for replication in clinical practice, seeking the improvement of the motor components of these children. Trial registration: http://www.ensaiosclinicos.gov.br/rg/RBR-89ydgj/


2006 ◽  
Vol 86 (9) ◽  
pp. 1221-1230 ◽  
Author(s):  
Anuschka S Niemeijer ◽  
Marina M Schoemaker ◽  
Bouwien CM Smits-Engelsman

Abstract Background and Purpose. Physical therapists' teaching skills often are disregarded in research studies. We examined whether the use of different teaching principles during neuromotor task training was associated with treatment effects. Subjects. Nineteen children (mean age=7 years 5 months, range=5–10 years) who had developmental coordination disorder and who performed below the 15th percentile on the age-related Movement Assessment Battery for Children (M-ABC) and 11 physical therapists participated in the study. Methods. One intervention session for each child was videotaped. The frequency of the use of principles included in the motor teaching principles taxonomy (Niemeijer et al, 2003) was correlated with changes in motor performance on the M-ABC and the second edition of the Test of Gross Motor Development. Results. Providing clues on how to perform a task, asking children about a task, and explaining why a movement should be executed in a certain way were related to better movement performance. Discussion and Conclusion. Teaching principles may be associated with success in therapeutic situations.


2019 ◽  
pp. 135910531987825
Author(s):  
Tatiane Targino Gomes Draghi ◽  
Jorge Lopes Cavalcante Neto ◽  
Eloisa Tudella

We examined whether reported higher frequencies of anxiety and depression symptoms are related to the presence of developmental coordination disorder in school-age Brazilian children. A total of 272 children were assigned to six groups according to age and motor performance. The Movement Assessment Battery for Children-Second Edition evaluated the motor performance. The Spence Children’s Anxiety Scale and the Child Depression Inventory assessed anxiety and depression symptoms, respectively. Brazilian children are at high risk for anxiety, regardless of motor performance and age. However, children with developmental coordination disorder report significantly more depressive symptomatology in 10–12 years compared to typically developing children.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Soumendra Saha

Purpose: To systematically review published research literatures to identify and evaluate the effectiveness of perceptual motor training on improvement in motor performance in individuals having Developmental Coordination Disorder (DCD).Methods: Multiple databases were methodically searched for articles related to Developmental Coordination Disorder; only descriptive, intervention or qualitative articles were retained. Research indicates that poor motor co-ordination has far reaching implications for social and emotional wellbeing and that DCD occurs not only in children, but that motor difficulties are retained in adulthood.Results: Generalized performance deficit is observed in majority of the children with DCD. Pronounced difficulty in internal (forward) modeling, rhythmic coordination, executive function, gait and postural control, catching and interceptive action, and aspects of sensoriperceptual function were observed in most of the individuals diagnosed with DCD.Conclusions: Result suggests the perceptual motor training approach may result in positive outcomes in motor performance in individuals having DCD. Cognitive orientation to daily occupational performance was observed as better alternative to contemporary coordination treatment approach. Furthermore, psychomotor therapy which includes emphasis on music and rhythm and sensory integration therapy was observed as having sustainably facilitative impacts. 


2018 ◽  
Vol 62 ◽  
pp. 211-220 ◽  
Author(s):  
Sandra J.M. van Cappellen – van Maldegem ◽  
Femke van Abswoude ◽  
Hilde Krajenbrink ◽  
Bert Steenbergen

2020 ◽  
Vol 11 (4) ◽  
pp. 6399-6403
Author(s):  
Ganapathy Sankar U ◽  
Monisha R

Developmental coordination disorder (DCD) is identified as a heterogeneous disorder of motor learning and functioning. Children with DCD avoid physical activities in school as because of low self-esteem; they perceive themselves less capable and avoids peer group interactions at school. They tend to isolate themselves from an academic task as well as from physical activity sessions. Neuromotor task training and WII training are task-based interventions designed to enhance motor performance among children with developmental coordination disorder. Aim of the study is to compare the effectiveness of two task-oriented interventions like NTT and WII on motor performance, isometric strength, the aerobic and anaerobic capacity of children with DCD attending primary schools in and around Chennai. Children of age 5-10 years were included and randomly assigned into two groups, Group A and B. Developmental coordination disorder questionnaire- DCDQ was used to screen children with DCD at the baseline. Dynamometer, functional strength assessment, sprint test and 6MWT – 6-minute walk test was used to assess the performance of children with DCD at baseline and after intervention with NTT and WII. Results of the study proved that no significant improvement was reported in both the groups for isometric strength development. However, the Motor performance was enhanced in group A treated with NTT. Wii training showed improvement in anaerobic performance. The study concludes by adding knowledge that both the interventions were safe to execute for children with developmental coordination disorder.


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