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Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder

Developmental coordination disorder (DCD) affects a child’s ability to learn motor skills. Cognitive Orientation to daily Occupational Performance (CO-OP) is one of the recommended treatments to help achieve functional motor goals. The purpose of this study was to determine if CO-OP intervention ind...

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Autores principales: Gill, Kamaldeep K., Lang, Donna, Zwicker, Jill G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313074/
https://www.ncbi.nlm.nih.gov/pubmed/35884662
http://dx.doi.org/10.3390/brainsci12070856
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author Gill, Kamaldeep K.
Lang, Donna
Zwicker, Jill G.
author_facet Gill, Kamaldeep K.
Lang, Donna
Zwicker, Jill G.
author_sort Gill, Kamaldeep K.
collection PubMed
description Developmental coordination disorder (DCD) affects a child’s ability to learn motor skills. Cognitive Orientation to daily Occupational Performance (CO-OP) is one of the recommended treatments to help achieve functional motor goals. The purpose of this study was to determine if CO-OP intervention induces functional improvements and structural changes in the cerebellum of children with DCD. Using a randomized waitlist-controlled trial, we investigated the effects of CO-OP intervention on cerebellar volume in 47 children with DCD (8–12 years old). Outcome measures included the Canadian Occupational Performance Measure, Performance Quality Rating Scale (PQRS), and Bruininks–Oseretsky Test of Motor Proficiency-2. The SUIT toolbox was used to carry out voxel-based morphometry using T1-weighted MRI scans. Children with DCD showed improved motor outcomes and increased gray matter volume in the brainstem, right crus II, bilateral lobules VIIIb, and left lobule IX following CO-OP. Significant associations were found between PQRS scores and regional gray matter changes in the brainstem, right crus II, right lobule VIIb, right and left lobule VIIIb, and vermis IX. Given the improved motor and brain outcomes with CO-OP, it is recommended that children with DCD be referred for this rehabilitation intervention.
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spelling pubmed-93130742022-07-26 Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder Gill, Kamaldeep K. Lang, Donna Zwicker, Jill G. Brain Sci Article Developmental coordination disorder (DCD) affects a child’s ability to learn motor skills. Cognitive Orientation to daily Occupational Performance (CO-OP) is one of the recommended treatments to help achieve functional motor goals. The purpose of this study was to determine if CO-OP intervention induces functional improvements and structural changes in the cerebellum of children with DCD. Using a randomized waitlist-controlled trial, we investigated the effects of CO-OP intervention on cerebellar volume in 47 children with DCD (8–12 years old). Outcome measures included the Canadian Occupational Performance Measure, Performance Quality Rating Scale (PQRS), and Bruininks–Oseretsky Test of Motor Proficiency-2. The SUIT toolbox was used to carry out voxel-based morphometry using T1-weighted MRI scans. Children with DCD showed improved motor outcomes and increased gray matter volume in the brainstem, right crus II, bilateral lobules VIIIb, and left lobule IX following CO-OP. Significant associations were found between PQRS scores and regional gray matter changes in the brainstem, right crus II, right lobule VIIb, right and left lobule VIIIb, and vermis IX. Given the improved motor and brain outcomes with CO-OP, it is recommended that children with DCD be referred for this rehabilitation intervention. MDPI 2022-06-29 /pmc/articles/PMC9313074/ /pubmed/35884662 http://dx.doi.org/10.3390/brainsci12070856 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gill, Kamaldeep K.
Lang, Donna
Zwicker, Jill G.
Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder
title Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder
title_full Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder
title_fullStr Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder
title_full_unstemmed Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder
title_short Cerebellar Differences after Rehabilitation in Children with Developmental Coordination Disorder
title_sort cerebellar differences after rehabilitation in children with developmental coordination disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313074/
https://www.ncbi.nlm.nih.gov/pubmed/35884662
http://dx.doi.org/10.3390/brainsci12070856
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