Treatment approach for children with developmental coordination disorder (DCD) can be divided into: 1) the “bottom-up” approach, which includes sensory integration training, perceptual motor training and process-oriented approach, and 2) the “top-down” approach, which includes a recent new problem-solving approach, i.e. the cognitive orientation to daily occupational performance (CO-OP). This study is to investigate the effectiveness of CO-OP and to improve motor, cognitive and functional performance after treatment in children with DCD in a single-group pilot trial. Six children with DCD were recruited consecutively by convenient sampling at a single time occasion. A treatment programme based on the CO-OP, which consisted of seven weekly sessions, was provided for all children in a closed group format. Motor, cognitive and functional performances were evaluated pre-/post-treatment. Significant differences after treatment were found in activity performance in motor planning, motor process, and daily life within the group. The results indicated that the CO-OP focused in the cognitive domain helped to improve problem-solving skills and organization of daily chores in everyday life. This pilot study demonstrated the effectiveness of this new approach in clinical application and provided a good piece of preliminary evidence in the local context.
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Donna Chan (2007) studied this question.
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