Effectiveness of Cognitive Orientation to daily Occupational Performance for autistic children with developmental coordination disorder.

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Developmental Medicine and Child Neurology Pub Date : 2025-02-01 Epub Date: 2024-08-14 DOI:10.1111/dmcn.16058

Melika Kangarani-Farahani, Sandy Thompson-Hodgetts, Jill G Zwicker

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引用次数: 0

Abstract

Aim: To determine if the Cognitive Orientation to daily Occupational Performance (CO-OP) intervention is effective in improving motor skills of autistic children with developmental coordination disorder (DCD), and whether motor gains are maintained 3 months after therapy.

Method: In this quasi-experimental study, we recruited 27 autistic children (8-12 years) with DCD without intellectual disability. The treatment group received CO-OP intervention once weekly for 10 weeks, focusing on three child-chosen motor goals. The waitlist group received CO-OP 3 months later. Outcome measures included the Canadian Occupational Performance Measure (child ratings of motor performance and satisfaction), Performance Quality Rating Scale (therapist-observed movement quality), and the Bruninks-Oseretsky Test of Motor Proficiency, Second Edition (motor ability).

Results: Non-parametric analyses showed significant improvements (p < 0.013) in all outcomes. Follow-up analysis revealed significant improvements in performance (p < 0.001, W = 0.69), satisfaction (p < 0.001, W = 0.72), and movement quality (p < 0.001, W = 0.62). Despite slight declines at follow-up, overall improvements from pretest remained evident.

Interpretation: The CO-OP intervention effectively improved motor skills of autistic children.

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认知定向对患有发育协调障碍的自闭症儿童日常职业表现的效果。

目的：确定 "日常职业表现认知定向"（CO-OP）干预是否能有效提高患有发育协调障碍（DCD）的自闭症儿童的运动技能，以及治疗3个月后运动技能的提高是否能保持：在这项准实验研究中，我们招募了 27 名患有发育协调障碍但无智力障碍的自闭症儿童（8-12 岁）。治疗组接受 CO-OP 干预，每周一次，为期 10 周，重点是三个由儿童选择的运动目标。候补名单组在 3 个月后接受 CO-OP。结果测量包括加拿大职业表现测量（儿童对运动表现和满意度的评分）、表现质量评分量表（治疗师观察到的运动质量）和布鲁宁克斯-奥塞雷斯基运动能力测试第二版（运动能力）：结果：非参数分析表明，CO-OP 干预显著提高了运动能力（p）：CO-OP 干预疗法有效提高了自闭症儿童的运动技能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developmental Medicine and Child Neurology 医学-临床神经学

CiteScore

7.80

自引率

13.20%

发文量

338

审稿时长

3-6 weeks

期刊介绍： Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA). For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.