Kai Iwamoto, Kalala Pines, Carly Lochala, Danielle Long, Paula Hess, Barbara Sargent
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Systematic Review to Inform the Developmental Coordination Disorder Clinical Practice Guideline Update: Physical Therapy Intervention.
Purpose: Systematically review current evidence on physical therapy (PT) intervention for developmental coordination disorder (DCD) to inform the update to the 2020 DCD Clinical Practice Guideline (CPG).
Methods: Eight databases were searched for qualitative studies, randomized controlled trials (RCTs) and systematic reviews (SRs) that informed PT management of DCD. Risk of bias and certainty of evidence were assessed.
Results: Sixteen studies were included. Three SRs, 3 RCTs, and 1 qualitative study supported task-oriented interventions, the first-choice intervention recommended by the 2020 DCD CPG. One SR and 7 RCTs supported supplemental activities, including a meta-analysis of 2 studies on active video gaming. One qualitative study informed how physical therapists adapt motor learning strategies for children with DCD.
Conclusion: Newer evidence reaffirms 3 of the 5 recommendations on intervention of the 2020 DCD CPG and adds low to very low-quality evidence on new evidence-informed supplemental activities.
期刊介绍：
Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.
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