Federal University of Minas Gerais, Belo Horizonte, Av. Antonio Carlos 6627, DTO, Occupational Therapy Department, EEFFTO, UFMG, Campus Pampula, 31270-901 Belo Horizonte, MG, Brazil.
Res Dev Disabil. 2011 Jul-Aug;32(4):1309-16. doi: 10.1016/j.ridd.2011.01.029. Epub 2011 Feb 16.
To systematically review all literature published in peer reviewed journals from January 1995 to July 2008 in order to summarize and describe the activity limitations and participation restrictions of children with developmental coordination disorder (DCD).
Multiple databases were systematically searched for articles related to DCD; only descriptive, intervention or qualitative articles were retained. Articles were coded using the International Classification of Function, Disability and Health (ICF) and descriptions of the activity and participation issues of individuals with DCD were identified.
Data analysis revealed that, from 371 articles that met inclusion criteria, only 44 (14.4%) presented any data related to activity or participation issues. Information was inconsistent and only 18 articles used published measurement tools. Most frequently cited issues were poor handwriting, difficulties playing ball games, getting dressed and participating in organized sports.
Evidence concerning activity and participation issues for children with DCD is limited in both volume and scope. Improved understanding of participation and of activity limitations in children with DCD is essential for clarifying diagnostic criteria, guiding assessment, and making evidence-based decisions regarding intervention. Researchers working with this population should make every effort to measure and consistently report the impact of children's motor impairments on function.
系统地回顾 1995 年 1 月至 2008 年 7 月期间在同行评议期刊上发表的所有文献，以总结和描述发育性协调障碍（DCD）儿童的活动受限和参与受限情况。
系统地搜索了多个数据库，以获取与 DCD 相关的文章；仅保留描述性、干预性或定性文章。使用国际功能、残疾和健康分类（ICF）对文章进行编码，并确定 DCD 个体的活动和参与问题的描述。
数据分析显示，在符合纳入标准的 371 篇文章中，只有 44 篇（14.4%）提供了与活动或参与问题相关的数据。信息不一致，只有 18 篇文章使用了已发表的测量工具。最常被引用的问题是书写困难、球类运动困难、穿衣和参加有组织的运动困难。
关于 DCD 儿童的活动和参与问题的证据在数量和范围上都很有限。为了澄清诊断标准、指导评估以及对干预做出基于证据的决策，了解 DCD 儿童的参与和活动受限情况至关重要。与该人群合作的研究人员应尽力测量并一致报告儿童运动障碍对功能的影响。
