Developmental coordination disorder (DCD) Musculoskeletal Diseases Motor skill disorder
Conditions
Interventions
UCBL foot orthoses are being used in the study. The effect of the foot orthoses in the management of DCD diagnosed children will be determined by comparing the two groups of children:
1. One group of
once at the start of the seven week programme and once at the end. These foot orthoses currently form part of the multi-disciplinary management of children with DCD therefore, the duration will be as
Sponsors
Canonbury Products Ltd (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The study population will be composed of children entering the multi-disciplinary therapy programme at the Sanderson Child Development Centre, Medway Maritime Hospital. Children entering this programme: 1. Have an established diagnosis of DCD 2. Will be aged 7 years and over
Exclusion criteria
Exclusion criteria: 1. Any relevant medical complications that are likely to prevent a change in gait parameters. This includes any condition affecting neuromuscular integrity and orthopaedic condition causing a gait disturbance. 2. Unwilling to wear footwear that is suitable to use with an orthoses (low heeled, fastening, supportive footwear)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The GAITRite Gold Footmat will be used in the study to identify spatio-temporal gait parameters. This is a walkway which is embedded with sensors. The GAITRite system can provide measurements of spatial parameters such as step length, stride length, base of gait, angle of progression; it can provide measurements of temporal parameters such as cadence, velocity, stance phase duration, swing phase duration. Previous studies have identified the following parameters as being changed in children with DCD: 1. Single support duration (decreased) 2. Swing phase (decreased) 3. Cadence (increased) 4. Stride length (decreased) These parameters will be used as primary outcome measures and recorded pre- and post-provision of foot orthoses, assessed at the start and end of the seven week programme. | — |
Secondary
| Measure | Time frame |
|---|---|
| The Bruininks-Oseretsky test of motor proficiency (BOT) is a tool that measures improvement in function in children using an individually administered measure of gross and fine motor skills. The score consists of eight subtests which assess: 1. Fine motor precision: seven items (e.g., cutting out a circle, connecting dots) 2. Fine motor integration: eight items (e.g., copying a star, copying a square) 3. Manual dexterity: five items (e.g., transferring pennies, sorting cards, stringing blocks) 4. Bilateral coordination: seven items (e.g., tapping foot and finger, jumping jacks) 5. Balance: nine items (e.g., walking forward on a line, standing on one leg on a balance beam) 6. Running speed and agility: five items (e.g., shuttle run, one-legged side hop) 7. Upper-limb coordination: seven items (e.g., throwing a ball at a target, catching a tossed ball) 8. Strength: five items (e.g., standing long jump, sit-ups) The data taken from BOT composite scores will be used in secondary analysis. This will include body coordination, strength and agility and total motor composite scores. Secondary outcome measures will be assessed at the start and end of the seven week programme. | — |
Countries
United Kingdom
Outcome results
None listed