Systematic Review to Inform the Developmental Coordination Disorder Clinical Practice Guideline Update: Physical Therapy Examination/Evaluation.

IF 1.5 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2025-04-01 Epub Date: 2025-03-06 DOI:10.1097/PEP.0000000000001178

Danielle Long, Carly Lochala, Kalala Pines, Kai Iwamoto, Paula Hess, Barbara Sargent

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Abstract

Purpose/hypothesis: Systematically review current evidence on the content of physical therapy (PT) examination and evaluation to inform the update to the 2020 Developmental Coordination Disorder (DCD) Clinical Practice Guideline (CPG).

Methods: Eight databases were searched for studies that informed the content of PT examination and evaluation, including psychometric properties of tests and measures used in the PT management of DCD. Methodological quality and certainty of evidence were assessed.

Results: Three systematic reviews and 30 cohort studies were included. Two findings impacting the 2020 DCD CPG are: (1) very low- to high-quality evidence supports cultural adaptations and cutoff scores for DCD-specific questionnaires, and (2) very low-quality evidence supports 4 outcome measures that are responsive to change with intervention.

Conclusion: Newer evidence reaffirms 4 of 5 recommendations on examination of the 2020 DCD CPG and adds evidence that could increase the recommendation strength of 2 action statements from best practice to moderate.

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发育协调障碍临床实践指南更新的系统评价：物理治疗检查/评估。

目的/假设：系统地回顾关于物理治疗（PT）检查和评估内容的现有证据，为2020年发育协调障碍（DCD）临床实践指南（CPG）的更新提供信息。方法：检索8个数据库，检索有关PT检查和评估内容的研究，包括测试的心理测量特性和用于DCD PT管理的措施。评估了方法质量和证据的确定性。结果：纳入了3项系统综述和30项队列研究。影响2020年DCD CPG的两个发现是：(1)非常低到高质量的证据支持文化适应和DCD特定问卷的截止分数，(2)非常低质量的证据支持4项结果测量，这些结果测量对干预的变化有反应。结论：新的证据重申了2020年DCD CPG审查的5项建议中的4项，并增加了可以将2项行动声明的推荐强度从最佳实践提高到中等的证据。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.