Article

OBJECTIVE: To identify effective motor training interventions for children with
developmental coordination disorder from research graded as high quality (using
objective criteria) for the purpose of informing evidence-based clinical practice. DATA SOURCES: We followed the guidance for conducting systematic
reviews issued by the Centre for Reviews and Dissemination. Six OvidSP electronic
databases (AMED, All EBM reviews (including Cochrane), Embase, Ovid MEDLINE,
PsychARTICLES Full Text, PsycINFO) were searched systematically. We aimed to
retain only randomized control trials and systematic reviews of randomized
control trials, defined as the highest level of evidence by the Oxford Centre for
Evidence-Based Medicine. We searched reference lists of retained articles to
identify further appropriate articles. REVIEW METHODS: Two reviewers critically
appraised and categorized articles by effect size (including confidence
intervals), inclusion of power calculations and quality using the Physiotherapy
Evidence Database (PEDro) scale. Only studies scoring seven or more on the PEDro
scale (classed by the PEDro as high reliability) were retained. RESULTS: No
systematic reviews met our criteria for inclusion from 846 articles yielded by
the systematic search. Nine randomized control trials investigating 15
interventions to improve motor skills met our inclusion criteria for 'high
quality'. Nevertheless, not all included studies were adequately powered for
determining an effect. CONCLUSION: Large effect sizes associated with 95 %
confidence intervals suggest that 'Neuromotor Task Training', 'Task-oriented
Motor Training' and 'Motor Imagery + Task Practice Training' are the most
effective reported interventions for improving motor skills in children with
developmental coordination disorder.

Langue : ANGLAIS