Clinical Features and Effects of Occupational Therapy in Children with Developmental Coordination Disorder.

, Kim, Seong Woo; , Shin, Jung Bin; , You, Sung; , Song, Sang Hyuk; , Chung, Hee Jung; , Kim, Young Ki

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(1):85-90.

Kim, Seong Woo , Shin, Jung Bin , You, Sung , Song, Sang Hyuk , Chung, Hee Jung , Kim, Young Ki

¹Department of Physical Medicine and Rehabilitation, National Health Insurance Corporation Ilsan Hostpital, Korea. lemood@naver.com
²Developmental Delay Clinic, National Health Insurance Corporation Ilsan Hostpital, Korea.

발달성 협응장애 아동의 임상양상과 작업 치료의 효과

김성우, 신정빈, 유 성, 송상혁, 정희정¹, 김영기¹

국민건강보험공단 일산병원 재활의학과, ¹발달지연클리닉

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)

Key Words: Developmental coordination disorder, Clinical feature, Occupational therapy