The Use of Telerehabilitation to Enhance Motor Function, Activity Performance, and Participation in Children With Developmental Coordination Disorder
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Canadian Occupational Performance Measure (COPM)
研究概览
简要总结
This randomized controlled trial aimed to compare the effects of a traditional sensory-based intervention and a telerehabilitation-based sensory intervention in children aged 3-7 years diagnosed with Developmental Coordination Disorder (DCD). Participants were randomly assigned to either face-to-face or combined face-to-face and telerehabilitation groups. The outcome measures included occupational performance, sensory processing, and functional independence. The study was conducted with ethical approval, and informed consent was obtained from all legal guardians.
详细描述
This single-blind, parallel-group randomized controlled trial aimed to compare the effects of a traditional face-to-face sensory-based intervention and a telerehabilitation-based sensory intervention in children aged 3-7 years diagnosed with Developmental Coordination Disorder (DCD). A total of 22 participants were randomized into two groups: the Sensory-Based Intervention (SBI) group and the Telerehabilitation-Based Sensory Intervention (TBSI) group.
The SBI group received weekly 40-minute in-person sessions for 8 weeks. The TBSI group received the same 8-week in-person intervention followed by 8 weeks of weekly 30-minute telerehabilitation sessions delivered via Zoom. Both interventions included structured sensory activities tailored to each child's developmental level.
Primary and secondary outcomes were measured before and after the intervention using the Canadian Occupational Performance Measure (COPM), the Dunn Sensory Profile Parent Questionnaire, and the Functional Independence Measure for Children (WeeFIM). The study followed CONSORT guidelines and ethical approval was obtained. Written informed consent was provided by all legal guardians.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 3 Years 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having a neurodevelopmental disorder with a confirmed diagnosis of one of the following: autism spectrum disorder, intellectual disability, developmental delay, communication disorder, or attention deficit hyperactivity disorder (ADHD)
- •Absence of any condition that may interfere with cooperation during the study
- •Receiving occupational therapy training for a duration between 3 months and 1 year to ensure group homogeneity in terms of prior therapy experience
排除标准
- •Presence of any visual or hearing impairment that could affect study outcomes
- •Having any systemic disease
- •Having a physical disability that may interfere with movement or motor function
研究组 & 干预措施
Sensory-Based Intervention Group
For the Sensory-Based Intervention Group, participants received a 40-minute face-to-face session once a week for 8 weeks, consisting of structured exercise and sensory-based interventions. Sessions were conducted in a therapy room equipped with sensory and activity materials.
At the end of each session, caregivers were provided with feedback, their questions were addressed, and individualized home assignments were given. The intervention program for each child was tailored to their individual needs, and the progression of activities was personalized and adjusted based on each child's performance and development throughout the study.
干预措施: Sensory-Based Exercises (Other)
Telerehabilitation-Based Sensory Intervention Group
For the Telerehabilitation-Based Sensory Intervention Group, participants received 40-minute in-person sensory-based sessions once a week for 8 weeks, followed by 30-minute telerehabilitation sessions once a week for an additional 8 weeks. Telerehabilitation was delivered via Zoom using a webcam-equipped computer.
The online sessions were designed as a continuation of the face-to-face intervention and included individualized activity plans, caregiver coaching, home program recommendations, and ergonomic adjustments. Caregivers were informed in advance about required materials and setup. Each session was adapted to the child's developmental level, with activities progressively structured from simple to complex.
干预措施: Sensory-Based Exercises (Other)
Telerehabilitation-Based Sensory Intervention Group
For the Telerehabilitation-Based Sensory Intervention Group, participants received 40-minute in-person sensory-based sessions once a week for 8 weeks, followed by 30-minute telerehabilitation sessions once a week for an additional 8 weeks. Telerehabilitation was delivered via Zoom using a webcam-equipped computer.
The online sessions were designed as a continuation of the face-to-face intervention and included individualized activity plans, caregiver coaching, home program recommendations, and ergonomic adjustments. Caregivers were informed in advance about required materials and setup. Each session was adapted to the child's developmental level, with activities progressively structured from simple to complex.
干预措施: Telerehabilitation and Based Sensory Intervention (Other)
结局指标
主要结局
Canadian Occupational Performance Measure (COPM)
时间窗: From enrollment to the end of treatment at 8 weeks
The Canadian Occupational Performance Measure (COPM) is a standardized assessment tool frequently used by occupational therapists to identify problems in occupational performance areas and to measure individuals' perceived performance and satisfaction levels. The COPM is administered through a semi-structured interview and takes approximately 20-30 minutes to complete. It involves individuals rating their performance and satisfaction in the areas of self-care, productivity, and leisure activities. The COPM has been adapted and validated across various age groups and diagnostic populations and is commonly used in pediatric settings as well.
Dunn Sensory Profile
时间窗: From enrollment to the end of treatment at 8 weeks
In this study, the Parent Questionnaire version of the Sensory Profile was administered to assess the sensory processing patterns of participating children. Developed by Winnie Dunn in 1999, the Sensory Profile is designed for children aged 3 to 10 and consists of 125 items evaluating various aspects of sensory development. The tool identifies four sensory response patterns: sensitivity, registration, avoidance, and seeking. Scoring is categorized into three main domains: sensory processing, modulation, and behavioral/emotional responses. The questionnaire includes subscales such as auditory, visual, vestibular, tactile, multisensory, and oral sensory processing, as well as items addressing endurance, posture, activity level, emotional modulation, and social-emotional responses.
Functional Independence Measure for Children (WeeFIM)
时间窗: From enrollment to the end of treatment at 8 weeks
The Functional Independence Measure for Children (WeeFIM) was developed to address the sensitivity and comprehensiveness limitations of the Barthel Index in assessing functional independence. It evaluates both motor and cognitive components of a child's functional abilities and is based on the International Classification of Functioning, Disability and Health (ICF). The WeeFIM consists of 18 items, divided into two domains: 13 items in the motor domain and 5 items in the cognitive domain. It is commonly used to assess the level of assistance required by children in daily activities.
次要结局
未报告次要终点
研究者
burak menek
Principal Investigator
Istanbul Medipol University Hospital