Effects of Vestibular Physiotherapy Protocol on Children with Developmental Coordination Disorder in the Prevention of Fall

International Journal of Research and Scientific Innovation (IJRSI) | Volume VII, Issue III, March 2020 | ISSN 2321–2705

Effects of Vestibular Physiotherapy Protocol on Children with Developmental Coordination Disorder in the Prevention of Fall

K.Bharathi^1*, R. Madhuram^2
 1Senior Therapist, SRM College of Physiotherapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur-603203, India
²Intern, SRM College of Physiotherapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur-603203, India
*Corresponding author

Abstract
Background: Developmental Coordination Disorder (DCD) is a disorder in which motor coordination is impaired substantially and also affects the Activities of Daily Life (ADL) and academic performances as defined in the diagnostic and statistical manual of the mental disorder 4th edition (DSM IV). Developmental coordination disorder is more common in boys than girls. 73% to 87% of developmental coordination disorder children have difficulty in maintaining posture. Vestibular rehabilitation therapy is the accountable for balance maintenance and stability.
Objective: To find out the effectiveness of vestibular rehabilitation therapy on children with developmental coordination disorder in the prevention of falls.
Methodology: A quasi- experimental study was done in pre and post test type on 30 samples with age group of 8– 13 years children with Developmental coordination disorder for the duration of six weeks. The vestibular rehabilitation therapy was used as the intervention for the improvement of balance and the prevention of falls.
Outcome Measures: DCDQ’ 07 Questionnaire, Timed Up and Go Test (TUGT) and Pediatric Balance Scale (PBS). RESULTS: There is a significant difference in the pre and post test of TUG test and PBS after the intervention. (p<0.05)
Conclusion: The vestibular physiotherapy protocol increases the posture controlling ability and declines the risk of falls from low to moderately low in children with Developmental coordination disorder.

Keywords: Developmental Coordination Disorder (DCD), Poor postural control, vestibular rehabilitation, Paediatric balance scale (PBS) and Timed up and go test (TUGT).

I. INTRODUCTION

The Developmental Co-ordination Disorder is a disorder in which motor coordination is substantially impaired and also affects the ADL (activities of daily life) and academic performances and the symptoms of Developmental Coordination Disorder have no relation in any neuro medical condition such as cerebral palsy and learning disabilities as defined in the text book of diagnostic and statistical manual of the mental disorder 4th edition (DSM IV)1.

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