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Developmental Coordination DisorderNCT07096817

Effects of a Highly Intensive Balance Therapy Camp in Children With Developmental Coordination Disorder

A study testing Highly intensive individualized balance therapy in people with Developmental Coordination Disorder, run by Hasselt University at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main objective of this clinical trial is to investigate the short (immediately after intervention) and medium term (three month) effects of a highly intensive, comprehensive postural control 6-day therapy camp in school-aged children (6 to 12 years) with developmental coordination disorder at different levels of… Read more about this study

Who is it for?
Ages 6 to 12 years
Conditions the study is for
Developmental Coordination Disorder
What is being tested?
Highly intensive individualized balance therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteBelgium
Study dates
2 Nov 2022to 30 Nov 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • diagnosed with DCD by a pediatrician, using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria: (i) motor skill acquisition and performance is at an age-inappropriate level (Criterion A), objectified with the total MABC-2 score at or below the 16th percentile or subscale score at or below the 5th percentile; (ii) the motor skills deficit significantly and persistently interferes with the activities of everyday living (Criterion B), objectified with the DCD Questionnaire 2007 (DCD-Q) ; (iii) Onset of symptoms in early childhood (Criterion C) evaluated by anamnesis with parents; (iv) The motor skills deficits are not better accounted for by any other medical (neurological, intellectual, visual, etc.), neurodevelopmental, psychological, social condition, or cultural background (criterion D), evaluated by a neuromotor examination performed by an acknowledged pediatrician.
  • children who have no formal diagnosis are evaluated by the research team using the diagnostic criteria as outlined in the inclusion criteria. In this case, Criterion D is evaluated based on anamnesis and clinical examination. If criterion A, B, C are met and other intellectual, visual or neurological conditions have not been reported, they are included as having "probable" DCD.
  • Due to the interventional focus on postural control, children are only included if they score below the 50th percentile for the balance subscale of the MABC-2 and below 80% on the Kids-BESTest total score.
  • Due to the high comorbidity rate in children with DCD, such as attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and dyslexia, the comorbidities are listed through thorough anamnesis and the Strengths and difficulties questionnaire (SDQ) is used.

Who cannot join

  • not able to follow instructions or cooperate sufficiently due to behavioral problems

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Hasselt University

    Diepenbeek, Limburg, 3590

Other trials in Belgium

About this study

Official title: Fundamental Insights Into the Interplay Between Postural Control and Motor Development in Children With DCD: a Synergistic Approach of Functional Evaluations, Neuromechanics and Brain Activity

The main objective of this clinical trial is to investigate the short (immediately after intervention) and medium term (three month) effects of a highly intensive, comprehensive postural control 6-day therapy camp in school-aged children (6 to 12 years) with developmental coordination disorder at different levels of the The International Classification of Functioning, Disability and Health (ICF) framework.

Being tested
Highly intensive individualized balance therapy
Keywords
"Postural Balance"[Mesh], "Pediatrics"[Mesh], Developmental Coordination Disorder, "Motor Skills Disorders"[Mesh], Postural Control, Rehabilitation, Functional Therapy, Highly intensive therapy, Motor learning, Individual therapy
Medical subject headings
Motor Skills Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Highly intensive individualized balance therapyBehavioural

    In the form of a camp with total therapy hours of 40 hours with a central theme of "Circus", children will receive individualized (1 therapist per child) intensive therapy. The intervention is functional, and divided in six activity categories: jumping, sitting balance, walking and running, circus, individual goals and group activities with focus on social interaction. Each category should: 1. partially or fully cover the multisystemic balance framework of Horak, with the overall program covering the entire framework, 2. be fun and focusing on collaboration rather than competition.

Study groups in NCT07096817
Study groupRoleWhat they receive
Individualized balance therapy (with follow-up after and baseline follow-up)ExperimentalThe therapy of the children will be given in intensive camps. A total of four camps are organized between April 2023 and August 2024. Each camp consists of six days of therapy, with a total therapy time of 40 hours. The central camp theme is "Circus", due to the attractiveness for children and the link with postural control. The intervention is functional, and divided in six activity categories: jumping, sitting balance, walking and running, circus, individual goals and group activities with focus on social interaction (Table 2). Each category should: 1. partially or fully cover the multisystemic framework of Horak, with the overall program covering the entire framework , 2. be fun and focusing on collaboration rather than competition. During three months prior to the intervention (camps), the children are followed up for six months and assessed at three time points. They will keep on following their usual physiotherapy sessions.
Receives: Behavioral: Highly intensive individualized balance therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Balance Evaluation Systems Test (Kids-BESTest) scores

    The Kids-BESTest is a standardized performance tool to assess postural control in children aged between 5 and 18 years old. The test has excellent reliability and consists of 36 items divided over 6 domains. Items are scored from 0 (worst performance) to 3 (normal performance) on 4-point Likert scale. Based on the summation of the task scores, the domain and total scores can be calculated and expressed as a percentage (minimum 0 - maximum 100). A higher score means a better balance performance.

    Measured: 6 months pre-assessment, 3 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

Secondary outcomes (11)
  1. Change in scores on the Canadian Occupational Performance Measure (COPM)

    The COPM is a client-centered outcome measure to determine and evaluate individual treatment goals. Measurement properties are satisfactory to excellent. In a semi-structured interview between therapist and child (over 8 years) or parents (under 8 years) balance-related problems in daily living are determined. After scoring for importance on a 10-point rating scale (minimum 1 - maximum 10), up to 3 self-selected treatment goals are identified. Each goal is self-rated based on the level of performance and satisfaction. In this study the Dutch version is used. Higher scores indicate more satisfaction and better performance.

    Measured: pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 month follow-up assessment

  2. Change in scores of the Test of Gross Motor Development, 3rd edition (TGMD-3)

    The TGMD-3 is a functional process-oriented test to assess fundamental motor skills in children between 3 and 10 years old, with high test-retest reliability and validity. The test consists of 13 fundamental motor skills, subdivided across two subscales: locomotor and object control skills. Each skill is assessed with three to five performance criteria reflecting the developmental stage of the movement pattern. If a criterion is reached a score 1 is given, if not a score 0 is given. Each skill is assessed 2 times. All criterion scores of the two repetitions of each skill is summed up to obtain the domain scores. These raw domain scores are corrected for age and sex to a scaled score per domain (minimum 1 - maximum 20). Afterwards the scaled score for the total score (gross motor index) is calculated. The scaled scores are used for analyses. A higher score means a better motor performance.

    Measured: 6 months pre-assessment, 3 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

  3. Changes muscle activation patterns during balance tasks (measured with surface electromyography): onset latencies

    Surface EMG is a reliable tool that can be used to measure muscle activity in lumbar and lower limb muscles. Muscle activity is registered using sEMG TrignoTM, Delsys Inc., USA. Registered muscles are: m. gastrocnemius medial head, m. tibialis anterior, m. rectus femoris, m. biceps femoris, m. gluteus medius and mm. erector spinae. Outcome measure regarding sEMG is onset latencies (time in ms). Sensor placement and locations are performed in accordance with the SENIAM guidelines. Muscle activity is registered simultaneously with fNIRS during performance of Kids-BESTest tasks.

    Measured: 6 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

  4. Changes muscle activation patterns during balance tasks (measured with surface electromyography): time to peak

    Surface EMG is a reliable tool that can be used to measure muscle activity in lumbar and lower limb muscles. Muscle activity is registered using sEMG TrignoTM, Delsys Inc., USA. Registered muscles are: m. gastrocnemius medial head, m. tibialis anterior, m. rectus femoris, m. biceps femoris, m. gluteus medius and mm. erector spinae. Outcome measure regarding sEMG is time to peak activity (time in ms). Sensor placement and locations are performed in accordance with the SENIAM guidelines. Muscle activity is registered simultaneously with fNIRS during performance of Kids-BESTest tasks.

    Measured: 6 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

  5. Changes muscle activation patterns during balance tasks (measured with surface electromyography): co-contraction

    Surface EMG is a reliable tool that can be used to measure muscle activity in lumbar and lower limb muscles. Muscle activity is registered using sEMG TrignoTM, Delsys Inc., USA. Registered muscles are: m. gastrocnemius medial head, m. tibialis anterior, m. rectus femoris, m. biceps femoris, m. gluteus medius and mm. erector spinae. Outcome measure regarding sEMG is co-contraction (percentage). Sensor placement and locations are performed in accordance with the SENIAM guidelines. Muscle activity is registered simultaneously with fNIRS during performance of Kids-BESTest tasks.

    Measured: 6 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

  6. Changes in oxy-hemoglobin levels in different cortical brain regions during balance tasks (measured with functional Near-Infrared Spectroscopy)

    To register cortical brain activity, fNIRS is applied simultaneously with preselected Kids-BESTest tasks. This optical neuro-imaging technique uses infrared light to monitor changes in the concentration (μmol/l) of oxygenated (HbO2) between the task and baseline condition. It is a reliable tool for within-subject measurements and can be reliably applied in children. Due to its portability, it can be used during postural control tasks and gait measurements. The NIRSport 2 (NIRx Medical Technologies, GE) with continuous wave (760nm; 850nm) imaging is used. The region of interests (ROI) targeted with fNIRS were determined based on evidence of brain areas responsible for adequate postural control tasks in healthy individuals and affected brain areas in children with DCD in a variety of tasks. The ROI include the inferior (IPL) and superior parietal lobe (SPL), premotor cortex (PMC) and the supplementary motor area (SMA).

    Measured: 6 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention)

  7. Changes in deoxy-hemoglobin levels in different cortical brain regions during balance tasks (measured with functional Near-Infrared Spectroscopy)

    To register cortical brain activity, fNIRS is applied simultaneously with preselected Kids-BESTest tasks. This optical neuro-imaging technique uses infrared light to monitor changes in the concentration (μmol/l) of deoxygenated hemoglobin (HHb) between the task and baseline condition. It is a reliable tool for within-subject measurements and can be reliably applied in children. Due to its portability, it can be used during postural control tasks and gait measurements. The NIRSport 2 (NIRx Medical Technologies, GE) with continuous wave (760nm; 850nm) imaging is used. The region of interests (ROI) targeted with fNIRS were determined based on evidence of brain areas responsible for adequate postural control tasks in healthy individuals and affected brain areas in children with DCD in a variety of tasks. The ROI include the inferior (IPL) and superior parietal lobe (SPL), premotor cortex (PMC) and the supplementary motor area (SMA).

    Measured: 6 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention)

  8. Self-perceived competence measured with "Competentiebelevingsschaal voor kinderen (CBSK) (=Dutch)

    In children 8-12 years self-perceived competence is assessed with CBSK. The CBSK is reliable and consists of 36 items across six domains: scholastic competence, social acceptation, athletic competence, physical appearance, behavioral conduct and global self-worth. Each item is scored on a 4-point ordinal scale. Raw subscale scores are converted to percentile scores (minimum 0 - maximum 100).

    Measured: 6 months pre-assessment, 3 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

  9. Parents' perception of their child using a qualitative questionnaire and interview parents

    Parents' perception of their child is questioned with 14 open questions on the child, parents, family and social contacts. Before intervention, parents list their baseline findings, changes are questioned after intervention. Based on these answers, a focus group with the parents is organized at follow-up.

    Measured: pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

  10. Questionnaire for therapists

    Details (goals, frequency, duration) on the participants' therapy and potential changes in content since the first baseline measurement were questioned with the therapists before intervention. If during the therapy time before and after the camp, postural control goals were set, training methods were inventoried. On follow-up, changes in therapy goals and potential changes in performance are questioned.

    Measured: pre-interventional assessment (up to two weeks before the start of the intervention), 3 months follow-up assessment

  11. Pictorial scale of perceived competence and social acceptance (PSPCSA)

    In children aged 6-7 years, the PSPCSA is used. The PSPCSA is reliable and consists 24 items across 4 domains (cognitive competence, physical competence, peer acceptance and maternal acceptance). Items are scored on a 4-point ordinal scale. Raw subscale scores can be calculated, with higher scores indicating higher competence (minimum 24 - maximum 48).

    Measured: 6 months pre-assessment, 3 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2025
  2. Study start2 Nov 2022
  3. Primary completion30 Nov 2024
  4. Study completion30 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
pre-post interventional test design with a triple, nontraining baseline and follow-up. After inclusion, participants are followed for six months prior to the intervention using a triple baseline consisting of six months pre-assessment (T1), a three-months pre-assessment (T2) and a pre-interventional assessment, up to two weeks before the intervention (T3). After the camp, patients perform a post-interventional assessment, up to two weeks after the end of the intervention (T4) and a three-month follow-up assessment (T5)
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07096817
Sponsor's protocol ID
21KP09BOF
Status last verified
Jul 2025
First submitted
11 Jul 2025
Last updated
31 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results, after deidentification (text, tables, figures, and appendices)

Publications

  • Velghe S, Rameckers E, Meyns P, Johnson C, Hallemans A, Verbecque E, Klingels K. Effects of a highly intensive balance therapy camp in children with developmental coordination disorder - An intervention protocol. Res Dev Disabil. 2024 Apr;147:104694. doi: 10.1016/j.ridd.2024.104694. Epub 2024 Feb 20.

    PubMed 38382234

Questions about this trial

What is this clinical trial studying?

A study testing Highly intensive individualized balance therapy in people with Developmental Coordination Disorder, run by Hasselt University at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Balance Evaluation Systems Test (Kids-BESTest) scores (time frame: 6 months pre-assessment, 3 months pre-assessment, pre-interventional assessment (up to two weeks before the start of the intervention), post-interventional assessment (up to two weeks after the end of the intervention), 3 months follow-up assessment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07096817, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2025.

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