Movement – ABC by Ward
Purpose: To determine if different personnel and environments effect outcome measures in child diagnosed with developmental coordination disorders.
Population: Children with age ranged from 5 years and 1 month to 8 years and 11 months; 66 males and 27 females.
Methods/Intervention: Compare scores on Movement Assessment Battery for Children (MABC) outcome measure in children who were randomly assigned to: at school with physical therapist or school assistant, in a clinic with a physical therapist. Intervention consisted of a group exercise setting with 1:3 adult to child ratio that consisted of a fine-motor warm up, a fine-motor activity, body awareness activity, gross-motor warm up, gross motor circuit or skills activity. All groups received the same program during each session for 60 minutes/session, once/week for 13 weeks.
Results: All groups showed significant improvement in MABC scores but no statistical difference in scores amongst groups in different settings and personnel.
I thought this article’s purpose was interesting. I have always wondered how/if a different setting or personnel could effect outcomes in the physical therapy world. We have learned how important patient rapport is and how it can positively and negatively effect outcomes, so it is not far off to hypothesize how an environment or people could effect how people perform in physical therapy. This article concludes that a trained school assistant can effectively lead an exercise group for young children with developmental coordination disorders as well as a physical therapist can in the same setting or in a clinic. I believe this study did a good job at keeping the environments different, yet homogenous, at the same time. They made an effort to use the same equipment, follow a script and even keep the same adult:child ratios in the different settings.