ABSTRACT
INTRODUCTION: Developmental coordination disorder (DCD) is a neurodevelopmental disorder that affects children's occupational performance and participation. It is known that the Covid pandemic has adversely affected the whole world in many areas. We aim to investigate the occupational performance and participation of children with DCD before and during the COVID-19. METHODS: Sixty-five children aged 5-12 years included in the study were assessed by the Canadian Measure of Occupational Performance and the Participation and Environment Measure for Children and Youth. RESULTS: Statistically significant differences were detected in occupational performance and satisfaction scores (p < 0.01). Additionally, except for 'involvement in the home environment' (p > 0.05), there were statistically significant differences in all other areas of participation (p < 0.01). CONCLUSION: The occupational performance and participation of children with DCD are impacted during COVID-19. In addition, it is seen that the desire of families to change regarding participation has increased due to COVID-19. It would be beneficial to include strategies to improve these areas in the rehabilitation processes.
Subject(s)
COVID-19 , Motor Skills Disorders , Child , Adolescent , Humans , Motor Skills Disorders/rehabilitation , Canada , Activities of Daily Living , Quality of LifeABSTRACT
PURPOSE: The study aimed to examine the effects of "Cognitive Orientation to daily Occupational Performance" (CO-OP) approach in terms of performance and satisfaction as well as functional status in children with cerebral palsy (CP) receiving neurodevelopmental treatment (NDT) and determine the parents' satisfaction level. METHODS: Thirty-two children with CP were randomized to experimental (nâ=â16) or control (nâ=â16) groups, with nâ=â2 dropouts. Therapy was applied twice a week for five weeks. The experimental group received a CO-OP plus NDT, while the control group received only NDT. RESULTS: No baseline differences existed, except for years of schooling, which was higher in the experimental group. After treatment, there were statistically significant and clinically meaningful improvements in occupational performance and function, favouring children who received 5-weeks of CO-OP plus NDT over NDT alone (pâ<â0.05). CONCLUSION: CO-OP is expected to be beneficial if incorporated into CP rehabilitation.
Subject(s)
Cerebral Palsy , Occupational Therapy , Humans , Child , Parents , Physical Therapy Modalities , OrientationABSTRACT
Abstract Objective The objective of the study is to explore the effectiveness of task-oriented training (TOT) on occupational performance, functional independence, and fatigue of children with cancer. Method Two hundred and thirteen children (101 females, 112 males) with cancer were randomized to experimental (n = 112; 9.53±2.23 years) or control (n = 101; 7.93±1.98 years) groups. The experimental group received a TOT together with a conventional occupational therapy (COT), while the control group received only a COT. Both groups received 20 sessions of therapy. The outcomes regarding occupational performance via the Canadian Occupational Performance Measure, functional independence via the Functional Independence Measure for Children and fatigue via the Visual Analog Scale were evaluated by the blind evaluators before and after the interventions in the hospital setting. Results The occupational performance and satisfaction (p<0.001) scores showed statistically significant differences in the experimental group compared to the control group (p<0.01). A statistically significant improvement was determined in functional independence for both groups (p< 0.001). The experimental group indicated a significant reduction in fatigue (p values for fatigue before, during, after activity, morning and evening: p< 0.001) and in the control group (P values for fatigue all situation: p< 0.05). Conclusion The TOT seems to ensure more beneficial effects in increasing occupational performance, improving functional independence in daily activities, and decreasing fatigue at the early phases of inpatient treatment of childhood cancer.
RESUMO Objetivo O objetivo do estudo é explorar a eficácia do treino com tarefas orientados para o desempenho ocupacional, independência funcional e fadiga em crianças com câncer infantil. Método Duzentas e treze crianças com câncer infantil (101 meninas, 112 meninos) foram selecionadas aleatoriamente para o estudo (n = 112; 9.53 ± 2.23 anos) ou grupos controle (n = 101; 7.93 ± 1.98 anos). O grupo de estudo recebeu um treino com tarefas orientadas juntamente com uma terapia ocupacional convencional (TOC), enquanto o grupo de controle recebeu apenas um TOC por 20 sessões. Os resultados referentes ao desempenho ocupacional por meio da Medida Canadense de Desempenho Ocupacional, independência funcional por meio da Medida de Independência Funcional e fadiga por meio da Escala Visual Analógica foram avaliados por avaliadores cegos antes e após as intervenções no ambiente hospitalar. Resultados Os resultados do desempenho ocupacional e satisfação (p <0.001) apresentaram um aumento significativamente maior no grupo de estudo em comparação ao grupo controle (p <0.01). Uma melhora estatisticamente significativa foi determinada na independência funcional dos dois grupos (p <0.001). O grupo de estudo indicou uma redução significativa na fadiga (valores de p para fadiga antes, durante, após atividade, manhã e noite: p <0.001; sendo no grupo controle valores de p para fadiga em qualquer situação: p <0.05). Conclusão O treino com tarefas orientadas parece garantir efeitos mais benéficos no aumento do desempenho ocupacional, melhorando a independência funcional nas atividades diárias e diminuindo a fadiga nas fases iniciais do tratamento hospitalar de câncer infantil.
