Swipe om te navigeren naar een ander artikel
The online version of this article (https://doi.org/10.1186/s13047-019-0353-y) contains supplementary material, which is available to authorized users.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Developmental coordination disorder (DCD) is a common condition in children affecting motor coordination. This impacts on academic performance, and activities of daily living. Literature surrounding interventions for DCD has focused mostly on physical and occupational therapies. However, it is known that children with DCD present to podiatrists as these children often also have abnormalities in lower limb functioning associated with the condition. This study aimed to determine current knowledge of Australian podiatrists regarding presentation, assessment, and management of children with developmental coordination disorder.
A single-round survey, developed using SurveyMonkey®, was completed by a sample of Australian podiatrists. Data were collected through either online or paper means. Participants were asked about their familiarity with DCD and depending on their response, were directed via skip logic to questions on presentation, assessment and management strategies of DCD in children. Participants were also asked about their willingness and preferences for further education on DCD. Descriptive statistics were used to describe the data.
There were 365 Australian podiatrists who completed the survey. There were 30% (n = 109) who reported being familiar with DCD as a diagnosis, while a further 37% (n = 134) reported familiarity with alternate or outdated terminology associated with the DCD diagnosis. Participants who were familiar with DCD or terminology relating to DCD, showed good knowledge of signs and symptoms associated with DCD. Both familiar and unfamiliar participants favoured referral to other health professionals over completing assessments. Common podiatric management strategies such as footwear advice, orthoses, and strength training were the most frequently chosen by both groups, despite current evidence only supporting strength training as an intervention. Participants were willing to receive education on DCD through a range of both online and in-person mediums.
The majority of Australian podiatrists were unfamiliar with DCD, despite its prevalence and symptomology falling within the podiatric scope. However, participants did overwhelmingly show willingness to receive further education on DCD. Further research should consider understanding the role of podiatrists in the assessment and management of children with DCD and the impact of the type of treatment strategies that may be provided.
Additional file 1: Survey instrument. (DOCX 1358 kb)13047_2019_353_MOESM1_ESM.docx
Additional file 2: Table 2. a) Associations of DCD as reported by podiatrists familiar with the condition. b) Reported assessment practices for podiatrists familiar and unfamiliar with DCD. (DOCX 15 kb)13047_2019_353_MOESM2_ESM.docx
Additional file 3: Table 6. Differences between management strategies for podiatrists who are and are not familiar with DCD (significant differences are bolded). (DOCX 14 kb)13047_2019_353_MOESM3_ESM.docx
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed: American Psychiatric Publishing; 2013.
Farmer M, Echenne B, Bentourkia M. Study of clinical characteristics in young subjects with developmental coordination disorder. Brain and Development. 2016;38(6):538–47. CrossRef
Miller LT, Missiuna CA, Macnab JJ, Malloy-Miller T, Polatajko HJ. Clinical description of children with developmental coordination disorder. Can J Occup Ther. 2001;68(1):5–15. CrossRef
Bart O, Jarus T, Erez Y, Rosenberg L. How do young children with DCD participate and enjoy daily activities? Res Dev Disabil. 2011;32(4):1317–22. CrossRef
Jarus T, Lourie-Gelberg Y, Engel-Yeger B, Bart O. Participation patterns of school-aged children with and without DCD. Res Dev Disabil. 2011;32(4):1323–31. CrossRef
Magalhães LC, Cardoso AA, Missiuna C. Activities and participation in children with developmental coordination disorder: a systematic review. Res Dev Disabil. 2011;32(4):1309–16. CrossRef
Caçola P, Killian M. Health-related quality of life in children with developmental coordination disorder: association between the PedsQL and KIDSCREEN instruments and comparison with their normative samples. Res Dev Disabil. 2018;75:32–9. CrossRef
Dewey D, Volkovinskaia A. Health-related quality of life and peer relationships in adolescents with developmental coordination disorder and attention-deficit–hyperactivity disorder. Dev Med Child Neurol. 2018;60(7):711–7. CrossRef
Karras HC, Morin DN, Gill K, Izadi-Najafabadi S, Zwicker JG. Health-related quality of life of children with developmental coordination disorder. Res Dev Disabil. 2019;84:85–95. CrossRef
Zwicker JG, Harris SR, Klassen AF. Quality of life domains affected in children with developmental coordination disorder: a systematic review. Child Care Health Dev. 2012;39(4):562–80. CrossRef
Blank R, Smits-Engelsman B, Polatajko H, Wilson P. European academy for childhood disability (EACD): recommendations on the definition, diagnosis and intervention of developmental coordination disorder (long version). Dev Med Child Neurol. 2011;54(1):54–93. CrossRef
Goyen TA, Lui K. Developmental coordination disorder in “apparently normal” schoolchildren born extremely preterm. Arch Dis Child. 2009;94(4):298. CrossRef
Harris SR, Mickelson ECR, Zwicker JG. Diagnosis and management of developmental coordination disorder. CMAJ. 2015;187(9):659–65. CrossRef
Zwicker JG, Missiuna C, Harris SR, Boyd LA. Developmental coordination disorder: a review and update. Eur Paediatr Neurol. 2012;1i6;(6):573–81. CrossRef
Smits-Engelsman BC, Blank R, van der Kaay AC, Mosterd-van der Meijs R, Vlugt-van den Brand E, Polatajko HJ, et al. Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis. Dev Med Child Neurol. 2012;55(3):229–37. CrossRef
Wilmut K, Du W, Barnett A. Gait patterns in children with developmental coordination disorder. Exp Brain Res. 2016;234(6):1747–55. CrossRef
Morrison SC, Ferrari J, Smillie S. Assessment of gait characteristics and orthotic management in children with developmental coordination disorder: preliminary findings to inform multidisciplinary care. Res Dev Disabil. 2013;34(10):3197–201. CrossRef
Podiatry Board of Australia Registrant Data. https://www.podiatryboard.gov.au/documents/default.aspx?record=WD18%2f24820&dbid=AP&chksm=SQKwvMEt%2byiU0h431M7ZLQ%3d%3d. Accessed 1 Feb 2018.
Sample Size Calculator. https://www.surveymonkey.com/mp/sample-size-calculator/. Accessed 1 Apr 2017.
SurveyMonkey Inc. Palo Alto. USA: California; 2016.
Kirby A, Salmon G, Edwards L. Attention-deficit hyperactivity and developmental coordination disorders: knowledge and practice among child and adolescent psychiatrists and paediatricians. Psychiatr Bull. 2007;31(9):336–8. CrossRef
Wilson BN, Neil K, Kamps PH, Babcock S. Awareness and knowledge of developmental co-ordination disorder among physicians, teachers and parents. Child. 2013;39(2):296–300.
Polatajko H, Fox M, Missiuna C. An international consensus on children with developmental coordination disorder. Can Occup Ther. 1995;62(1):3–6.
Polatajko HJ, Cantin N. Developmental coordination disorder (dyspraxia): an overview of the state of the art. Semin Pediatr Neurol. 2005;12(4):250–8. CrossRef
MedCalc Odds Ratio Calculator. https://www.medcalc.org/calc/odds_ratio.php. Accessed 1 Jul 2018.
Bruininks R, Bruininks B. Bruininks-Oserestky test of motor proficiency. 2nd ed. Minneapolis, MN: NCS Pearson; 2005.
Henderson S, Sudgen D, Barnett A. Movement assessment battery for children. 2nd ed. London, England: Harcourt Assessment; 2007.
Cranage S, Banwell H, Williams CM. Gait and lower limb observation of Paediatrics (GALLOP): development of a consensus based paediatric podiatry and physiotherapy standardised recording proforma. J Foot Ankle Res. 2016;9(1):8. CrossRef
Hillier S. Intervention for children with developmental coordination disorder: a systematic review. IJAHSP. 2007;5:3.
Yu JJ, Burnett AF, Sit CH. Motor skill interventions in children with developmental coordination disorder: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2018;99(10):2076–99. CrossRef
Gibbs V. An investigation into the challenges facing the future provision of continuing professional development for allied health professionals in a changing healthcare environment. Radiography. 2011;17(2):152–7. CrossRef
Rothman KJ, Gallacher JE, Hatch EE. Why representativeness should be avoided. Int J Epidemiol. 2013;42:1012–4. CrossRef
Ebrahim S, Davey Smith G. Commentary: should we always deliberately be non-representative? Int J Epidemiol. 2013;42:1022–6. CrossRef
- Determining the clinical knowledge and practice of Australian podiatrists on children with developmental coordination disorder: a cross-sectional survey
Helen A. Banwell
Cylie M. Williams
- BioMed Central