Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.
Department of Pediatrics, Division of Developmental Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Dev Med Child Neurol. 2021 Jun;63(6):659-667. doi: 10.1111/dmcn.14804. Epub 2021 Jan 10.
To summarize current evidence for early identification and motor-based intervention for children aged 5 years and younger of age with/at risk of developmental coordination disorder (DCD).
Using scoping review methodology, we independently screened over 11 000 articles and selected those that met inclusion criteria.
Of the 103 included articles, 78 articles were related to early identification and are summarized in a companion article. Twenty-two articles focused on early intervention, with an additional three articles covering both early identification and intervention. Most intervention studies were at a low level of evidence, but provide encouraging evidence that early intervention is beneficial for young children with/at risk of DCD. Direct intervention can be provided to whole classes, small groups, or individuals according to a tiers of service delivery model. Educating and building the capacity of parents and early childhood educators are also key elements of early intervention.
Evidence for early intervention for children with/at risk of DCD is emerging with promising results. Further studies are needed to determine best practice for early intervention and whether intervening early can prevent the negative developmental trajectory and secondary psychosocial consequences associated with DCD.
总结目前针对 5 岁及以下发育性协调障碍(DCD)患儿或有患病风险患儿的早期识别和基于运动的干预措施的证据。
采用范围综述方法,我们独立筛选了超过 11000 篇文章,并选择了符合纳入标准的文章。
在 103 篇纳入的文章中,有 78 篇与早期识别有关,这些文章在一篇相关的综述中进行了总结。22 篇文章专注于早期干预,另有 3 篇文章同时涵盖早期识别和干预。大多数干预研究的证据水平较低,但提供了令人鼓舞的证据,表明早期干预对有/有患病风险的 DCD 的幼儿有益。根据服务提供模式的层次,可以向整个班级、小组或个体提供直接干预。教育和增强家长及幼儿教育工作者的能力也是早期干预的关键要素。
针对有/有患病风险的 DCD 患儿的早期干预证据正在出现,并取得了有前景的结果。需要进一步的研究来确定早期干预的最佳实践,以及早期干预是否可以预防与 DCD 相关的负面发展轨迹和继发性心理社会后果。