발달성 협응장애 아동의 임상양상과 작업 치료의 효과
Clinical Features and Effects of Occupational Therapy in Children with Developmental Coordination Disorder
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective: To assess the clinical features of children with developmental coordination disorder (DCD) and the effects of occupational therapy. Method: Seventeen children were diagnosed with DCD using by Bruininks-Osteretsky test of motor proficiency (BOTMP). To investigate the clinical features, neurological examinations such as soft neurological signs, speech evaluation, cognitive assessment, and psychiatric evaluation were performed on the 17 participants. Among the participants, 8 children had occupational therapy. BOTMP and cognitive function were evaluated both prior to and 6 months after the intervention. Results: Children with DCD showed various soft neurological signs and co-morbidities such as attention-deficit hyperactivity disorder (ADHD), developmental language disorder, and emotional problems. The cognitive assessment revealed disproportionately low performance IQ for all subjects. After occupational therapy, scores for BOTMP and performance IQ increased significantly. Conclusion: The clinical features of DCD are heterogeneous and occupational therapy focused on motor proficiency was effective. This study supports raising interest in and attention on children with motor coordination difficulties. (J Korean Acad Rehab Med 2010; 34: 85-90)
Abstract
Objective: To assess the clinical features of children with developmental coordination disorder (DCD) and the effects of occupational therapy. Method: Seventeen children were diagnosed with DCD using by Bruininks-Osteretsky test of motor proficiency (BOTMP). To investigate the clinical features, neurological examinations such as soft neurological signs, speech evaluation, cognitive assessment, and psychiatric evaluation were performed on the 17 participants. Among the participants, 8 children had occupational therapy. BOTMP and cognitive function were evaluated both prior to and 6 months after the intervention. Results: Children with DCD showed various soft neurological signs and co-morbidities such as attention-deficit hyperactivity disorder (ADHD), developmental language disorder, and emotional problems. The cognitive assessment revealed disproportionately low performance IQ for all subjects. After occupational therapy, scores for BOTMP and performance IQ increased significantly. Conclusion: The clinical features of DCD are heterogeneous and occupational therapy focused on motor proficiency was effective. This study supports raising interest in and attention on children with motor coordination difficulties. (J Korean Acad Rehab Med 2010; 34: 85-90)
참고문헌 (23)
- Barnhart RC, "Developmental coordination disorder", Phys Ther, 83, pp.722~731 (2003)
- Magalhães LC, "Terminology used in research reports of developmental coordination disorder", Dev Med Child Neurol, 48, pp.937~941 (2006)
- Lingam R, "Prevalence of developmental coordination disorder using the DSM-IV at 7 years of age: a UK population based study", Pediatrics, 123, pp.693~700 (2009)
- Dewey D, "Developmental coordination disorder: what is it?", Phys Occup Ther Pediatr, 20, pp.5~27 (2001)
- Sugden D, "Current approaches to intervention in children with developmental coordination disorder", Dev Med Child Neurol, 49, pp.467~471 (2007)
- Cummins A, "Motor coordination, empathy, and social behavior in school-aged children", Dev Med Child Neurol, 47, pp.437~442 (2005)
- Sugden DA, "Intervention approaches and children with developmental coordination disorder", Pediatr Rehabil, 2, pp.139~147 (1998)
- Losse A, "Clumsiness in children-do they grow out of it? A 10-year follow-up study", Dev Med Child Neurol, 33, pp.55~68 (1991)
- Schoemaker MM, "Physiotherapy for clumsy children: an evaluation study", Dev Med Child Neurol, 36, pp.143~155 (1994)
- Bruininks RH, "Bruininks-Oseretsky test of motor proficiency: Examiner’s manual, 1st ed", pp.11~23 (1978), American Guidance Service
- Tsiotra GD, "A comparison of developmental coordination disorder prevalence rates in Canadian and Greek children", J Adolesc Health, 39, pp.125~127 (2006)
- Polatajko HJ, "Developmental coordination disorder (dyspraxia): an overview of the state of the art", Semin Pediatr Neurol, 12, pp.250~258 (2005)
- Macnab JJ, "The search for subtypes of DCD: is cluster analysis the answer?", Hum Mov Sci, 20, pp.49~72 (2001)
- Sugden D, "Children with developmental coordination disorder", pp.189~193 (2005), Whurr Publishers
- Gueze RH, "Clinical and research diagnostic criteria for developmental coordination disorder: a review and discussion", Hum Mov Sci, 20, pp.7~47 (2001)
- Miller LT, "Malloy-Miller T, Polatajko HJ. Clinical description of children with developmental coordination disorder", Can J Occup Ther, 68, pp.5~15 (2001)
- Davis NM, "Developmental coordination disorder at 8 years of age in a regional cohort of extremely-low-birthweight or very preterm infants", Dev Med Child Neurol, 49, pp.325~330 (2007)
- WHO Multicentre Growth Reference Study Group, "Assessment of sex differences and heterogeneity in motor milestone attainment among populations in the WHO Multicentre Growth Reference Study", Acta Paediatr Suppl, 450, pp.66~75 (2006)
- Fellick JM, "Neurological soft signs in mainstream pupils", Arch Dis Child, 85, pp.371~374 (2001)
- Willoughby C, "Motor problems in children with developmental coordination disorder: review of the literature", Am J Occup Ther, 49, pp.787~794 (1995)
- Kaplan BJ, "DCD may not be a discrete disorder", Hum Mov Sci, 17, pp.471~490 (1998)
- Mandich AD, "Treatment of children with developmental coordination disorder: what is the evidence?", Phys Occup Ther Pediatr, 20, pp.51~68 (2001)
- Miller LT, "A pilot trial of a cognitive treatment for children with developmental coordination disorder", Hum Mov Sci, 20, pp.183~210 (2001)