About this trial
Developmental Coordination Disorder (DCD) affects motor planning and functional mobility in children, leading to long-term functional and psychosocial difficulties. This randomized clinical trial will compare the effectiveness of Obstacle Course Training (OCT) and Neuromotor Task Training (NTT) in improving motor planning and functional mobility in children aged 7-10 years diagnosed with DCD. Participants will be randomly allocated to either OCT or NTT for 9 weeks (two sessions per week). Outcomes will be assessed using standardized motor performance measures to determine the more effective intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
• Diagnosis of DCD based on DSM4/5 criteria.
Children aged 7-10.
Gender male and female.
Mini-Mental State Examination (MMSE) score >24 .
Disqualifiers
History of surgery and lower limb injuries over the past 12 months.
Use of assistive devices to balance and walk.
Severe ADHD, Autism Spectrum Disorder (if it significantly interferes with participation), or major psychiatric disorders.
Taking neuroleptics or any other medications that significantly alter muscle tone, coordination, or attention.
Trial design
Parallel
Treatments tested in this trial
Obstacle Course Training
BehavioralParticipants will perform Obstacle Course Training on a 12-meter walkway with a midpoint obstacle at low (30% leg length) and high (50% leg length) heights. Training includes single-task walking (8 trials) and dual-task walking (16 trials) with concurrent visual discrimination tasks using flashcards. Walking time, toe clearance, and response accuracy will be recorded. Sessions will be conducted twice weekly for 9 weeks.
Neuromotor Task Training
BehavioralEach session will involve task-oriented activities arranged in multiple stations. Activities will be broken down into planning, execution, and evaluation phases and will include soccer, netball, basketball, tagging games, rope skipping, and other age-appropriate functional games. Children will perform tasks with therapist guidance and feedback to enhance motor planning and performance. Each session will last approximately 45-60 minutes, including warm-up, main activities, and cool-down. The intervention will be delivered over 9 weeks, with 2 sessions per week.
Treatment groups
Trial outcomes
Primary outcomes
Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) for fine and gross Motor Skills
The BOT-2 (Bruininks-Oseretsky Test of Motor Proficiency, Second Edition) scoring converts raw scores into precise motor proficiency metrics for ages 4-21, using sex-specific norms
Timed Up and Go Test (TUG)
The Timed Up and Go (TUG) test measures functional mobility and fall risk in seconds. The test requires a participant to stand up, walk 3 meters, turn, walk back, and sit down. Results \< 10 seconds indicate normal mobility, while times \>13.5-14 seconds indicate a higher risk of falls and frailty, requiring further evaluation
Sponsors and contacts
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