A home intervention programme for a child with developmental coordination disorder
University of Wales Institute Cardiff
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This study reports the effect a six-week intervention programme can have on the motor skill performance (MSP) of a child with developmental coordination disorder (DCD). The programme employed the cognitive-motor approach and was implemented on a six year old boy who was selected as the case study. A six-week home programme (HP) was specifically designed for the subject and implemented daily by his parents. The subject also weekly attended an Enrichment Clinic (EC) held at the University of Wales Institute, Cardiff (UWIC) throughout this period, so that he was not restricted to a single form of intervention application. The subject’s MSP was assessed by examining his ability to execute four ball skills (throwing, kicking, catching and striking). These skills were video-recorded by the subject’s parents in the home environment before and after intervention implementation. The recordings were examined by two analysts using a checklist and grading system to determine whether the six-week programme improved the subject’s MSP. The execution of the 'throwing', 'kicking' and 'catching' skills progressed with intervention as improvements in coordination, force control and balance were evident. However, his 'striking' MSP worsened as his force control and striking technique deteriorated. This deterioration in MSP was concluded to be related to the few task-specific practices implemented during the six weeks. The considerable increase in the subject’s balance suggests that the parents were capable of implementing the HP effectively, as the EC did not execute activities solely aimed at improving balance. It may be concluded that intervention supplied daily over a six-week period, has the potential to improve MSP. However, intervention must contain skill-specific activities which involve the regular practice of the desired motor skills (MS) to be improved. Little skill-specific practice was found to negatively affect MSP.
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