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Konrad JD, Marrus N, Lohse KR, Thuet KM, Lang CE. Motor competence is related to acquisition of error-based but not reinforcement learning in children ages 6 to 12. Heliyon 2024; 10:e32731. [PMID: 39183856 PMCID: PMC11341300 DOI: 10.1016/j.heliyon.2024.e32731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 06/06/2024] [Accepted: 06/07/2024] [Indexed: 08/27/2024] Open
Abstract
Background An essential component of childhood development is increasing motor competence. Poor motor learning is often thought to underlie impaired motor competence, but this link is unclear in previous studies. Aims Our aim was to test the relationship between motor competence and motor learning in the acquisition phase. Both reinforcement learning (RL) and error-based learning (EBL) were tested. We hypothesized that slower RL and slower EBL acquisition rates would relate to lower motor competence. Methods and procedures Eighty-six participants ages 6-12 performed a target throwing task under RL and EBL conditions. The Movement Assessment Battery for Children - 2nd edition (MABC-2) provided a measure of motor competence. We assessed EBL and RL acquisition rates, baseline variability, and baseline bias from the throwing task. Outcomes and results In a multiple linear regression model, baseline variability (β = -0.49, p = <0.001) and the EBL acquisition rate (β = -0.24, p = 0.018) significantly explained the MABC-2 score. Participants with higher baseline variability and slower EBL acquisition had lower motor competence scores. The RL acquisition rate was independent of MABC-2 score suggesting that RL may be less of a contributor to poor motor competence. Conclusions and implications Children with slower EBL acquisition had lower motor competence scores but RL acquisition was unrelated to the level of motor competence. Emphasizing the unrelated reinforcement mechanisms over error-based mechanisms during motor skill interventions may help children with poor motor competence better acquire new motor skills.
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Affiliation(s)
- Jeffrey D. Konrad
- Washington University School of Medicine: Program in Physical Therapy, USA
| | - Natasha Marrus
- Washington University School of Medicine: Department of Psychiatry, USA
| | - Keith R. Lohse
- Washington University School of Medicine: Program in Physical Therapy, USA
| | - Kayla M. Thuet
- Washington University School of Medicine: Program in Physical Therapy, USA
| | - Catherine E. Lang
- Washington University School of Medicine: Program in Physical Therapy, USA
- Washington University School of Medicine: Program in Occupational Therapy, USA
- Washington University School of Medicine: Department of Neurology, USA
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2
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Wu SY, Jensen JL. Association Between Motor Competence and Percentage of Body Fat in Late Childhood: Comparing Proficiency in Fundamental Motor Skills and Advanced Movement Skills. Child Obes 2023; 19:452-460. [PMID: 36219742 DOI: 10.1089/chi.2022.0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Background: To solve the problem of a weakening relationship between motor competence and body adiposity from late childhood to adolescence, we defined and utilized advanced movement skills (AMS) characterized by higher biomechanical, physiological, and cognitive processing demands compared with fundamental motor skills (FMS). Methods: As a cross-sectional study, the proficiency in FMS and AMS for participants (43 boys and 45 girls) aged 9-12 years was measured by the Bruininks-Oseretsky Test of Motor Proficiency-Second Edition (BOT-2) and Test of Advanced Movement Skills (TAMS), respectively. Density plots and skewness of scoring distributions between assessments were inspected to examine test scalability. We also compared the incremental validity of BOT-2 and TAMS scores in the multiple linear regression models predicting the percentage of body fat (%BF, measured by Tanita BF-689 body scale). Results: The TAMS outcomes produced a more positively/right-skewed scoring distribution with a skewness of 0.09 compared with -0.49 for the BOT-2 scores, indicating a better test discrimination ability. The TAMS total scores were a significant predictor (B = -0.92, p = 0.03) in the model predicting %BF (R2 = 0.39, p < 0.001) and provided a greater degree of incremental validity (f2 = 0.058) compared with the BOT-2 (f2 = 0.018). Conclusions: This study provides supportive evidence that the proficiency in AMS is more appropriate, compared with FMS, at tracking the increasing motor competence and body adiposity in late childhood, which is helpful for motor skills training, physical activity promotion, and overweight/obesity prevention.
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Affiliation(s)
- Sz-Yan Wu
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, USA
| | - Jody L Jensen
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, USA
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3
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Amonoo HL, Lam JA, Daskalakis E, Deary EC, Celano C, Onyeaka HK, Newcomb R, Barata A, Horick N, Cutler C, Pirl WF, Lee SJ, Huffman JC, El-Jawahri A. Positive Psychological Well-Being in Hematopoietic Stem Cell Transplantation Survivors. Transplant Cell Ther 2023; 29:583.e1-583.e9. [PMID: 37442349 PMCID: PMC10529897 DOI: 10.1016/j.jtct.2023.07.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/26/2023] [Accepted: 07/05/2023] [Indexed: 07/15/2023]
Abstract
Positive thoughts and emotions contribute to overall psychological health in diverse medical populations, including patients undergoing HSCT. However, few studies have described positive psychological well-being (eg, optimism, gratitude, flourishing) in patients undergoing HSCT using well-established, validated patient-reported outcome measures. We conducted cross-sectional secondary analyses of baseline data in 156 patients at 100 days post-HSCT enrolled in a randomized controlled trial of a psychological intervention (ClinicalTrials.gov identifier NCT05147311) and a prospective study assessing medication adherence at a tertiary care academic cancer center from September 2021 to December 2022. We used descriptive statistics to outline participant reports of positive psychological well-being (PPWB) using validated measures for optimism, gratitude, positive affect, life satisfaction, and flourishing. The participants had a mean age of 57.4 ± 13.1 years, and 51% were male (n = 79). Many, but not all, participants reported high levels of PPWB (ie, optimism, gratitude, positive affect, life satisfaction, and flourishing), defined as agreement with items on a given PPWB measure. For example, for optimism, 29% of participants did not agree that "overall, I expect more good things to happen to me than bad." Aside from life satisfaction, mean PPWB scores were higher in the HSCT population than in other illness populations. Although many patients with hematologic malignancies undergoing HSCT report high levels of PPWB, a substantial minority of patients reported low PPWB (i.e., no agreement with items on a given PPWB measure). Because PPWB is associated with important clinical outcomes in medical populations, further research should determine whether an intervention to promote PPWB can improve quality of life in HSCT recipients.
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Affiliation(s)
- Hermioni L Amonoo
- Department of Psychosocial Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
| | - Jeffrey A Lam
- Department of Psychiatry, Cambridge Health Alliance, Cambridge, Massachusetts
| | | | - Emma C Deary
- Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts
| | - Christopher Celano
- Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Henry K Onyeaka
- Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Richard Newcomb
- Harvard Medical School, Boston, Massachusetts; Mass General Cancer Center, Massachusetts General Hospital, Boston, Massachusetts
| | - Anna Barata
- Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Nora Horick
- Mass General Cancer Center, Massachusetts General Hospital, Boston, Massachusetts; Mass General Hospital Biostatistics, Massachusetts General Hospital, Boston, Massachusetts
| | - Corey Cutler
- Harvard Medical School, Boston, Massachusetts; Division of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts
| | - William F Pirl
- Department of Psychosocial Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts
| | - Stephanie J Lee
- Division of Medical Oncology, Fred Hutchinson Cancer Center, University of Washington, Seattle, Washington
| | - Jeff C Huffman
- Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Areej El-Jawahri
- Harvard Medical School, Boston, Massachusetts; Mass General Cancer Center, Massachusetts General Hospital, Boston, Massachusetts
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4
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Hadwin KJ, Wood G, Payne S, Mackintosh C, Parr JVV. Strengths and weaknesses of the MABC-2 as a diagnostic tool for developmental coordination disorder: An online survey of occupational therapists and physiotherapists. PLoS One 2023; 18:e0286751. [PMID: 37267388 DOI: 10.1371/journal.pone.0286751] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 05/22/2023] [Indexed: 06/04/2023] Open
Abstract
The Movement Assessment Battery for Children-2 (MABC-2) is the most widely used instrument for aiding the diagnosis of developmental coordination disorder (DCD). Despite being shown to have strong validity and reliability, it has received criticism for aspects of its scoring system, the lack of formal training, and its susceptibility to overlook higher functioning DCD children. To aid the development of future diagnostic tools and/or iterations of the MABC-2, the present study attempted to draw upon the experience of key stakeholders and determine the strengths and weaknesses of the MABC-2. Using a short online questionnaire, occupational therapists (n = 14) and physiotherapists (n = 3) with experience using the MABC-2 for DCD diagnosis completed a series of Likert scale and free-text questions. Braun and Clarke's six-phase process to thematic analyses was used to identify main themes obtained across quantitative and qualitative data. Results indicate that whilst the MABC-2 is easy to administer and interpret, the scores can misrepresent true motor difficulties due to (a) daily variations in mental and physical state, (b) the reliance on non-functional tasks, (c) negative interference from parents, (d) changes in motor competency due to practice, and (e) a lack of formal examiner training to ensure the test is effectively lead. Further work is needed to more reliably determine how perceptions of the MABC-2 might vary across levels of expertise, profession, and cultural differences.
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Affiliation(s)
- Kathryn J Hadwin
- Allied Health Professions Research Unit, University of Central Lancashire, Preston, United Kingdom
| | - Greg Wood
- Department of Sport and Exercise Sciences, Manchester Metropolitan University Institute of Sport, Manchester, United Kingdom
| | - Sally Payne
- Royal College of Occupational Therapists, London, United Kingdom
| | - Christopher Mackintosh
- Department of Sport and Exercise Sciences, Manchester Metropolitan University Institute of Sport, Manchester, United Kingdom
| | - Johnny V V Parr
- Department of Sport and Exercise Sciences, Manchester Metropolitan University Institute of Sport, Manchester, United Kingdom
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Ng JL, Button C. Construct validation of a general movement competence assessment utilising active video gaming technology. Front Bioeng Biotechnol 2023; 11:1094469. [PMID: 37143604 PMCID: PMC10151535 DOI: 10.3389/fbioe.2023.1094469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 03/27/2023] [Indexed: 05/06/2023] Open
Abstract
Introduction: The assessment of children's motor competence is an important concern as physical inactivity has been linked with poor movement quality and aspects of well-being such as low self-esteem. The General Movement Competence Assessment (GMCA) is a new instrument that was developed using active video gaming technology. Methods: Confirmatory factor analysis was conducted to examine the internal validity of the GMCA in a sample of 253 typically developing children (135 boys and 118 girls), aged 7-12 years old (9.9 ± 1.6 years). Further, a second-order confirmatory factor analysis examined how the four constructs fit onto the higher-order variable of movement competence. Results: Results revealed that the first-order four-construct model of the GMCA was a good fit (CFI 0.98; TLI 0.98; RMSEA 0.05). The second-order confirmatory factor analysis revealed that the four constructs loaded directly onto movement competence. It accounted for 95.44% of the variance which is approximately 20% more than the first-order model. The internal structure of the GMCA identified four constructs of movement competence (i.e., stability, object-control, locomotion and dexterity) based on the study sample. Discussion: Performance trends in the general movement competence assessment support empirical evidence that movement competence improves as children age. Results suggest that active video games have considerable potential to help assess general motor competency in the wider population. Future work may consider the sensitivity of motion-sensing technologies in detecting developmental changes over time.
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Affiliation(s)
- Jonathan Leo Ng
- Department of Health, Physical Education, and Sport, School of Education, College of Design and Social Context, RMIT University, Melbourne, VIC, Australia
- *Correspondence: Jonathan Leo Ng,
| | - Chris Button
- School of Physical Education, Sport, and Exercise Sciences, Division of Sciences, University of Otago, Dunedin, Otago, New Zealand
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6
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Zhang JY, Shen QQ, Wang DL, Hou JM, Xia T, Qiu S, Wang XY, Zhou SB, Yang WW, Heng SY, Lu CC, Cui L, Yin HC. Physical activity intervention promotes working memory and motor competence in preschool children. Front Public Health 2022; 10:984887. [PMID: 36225790 PMCID: PMC9549139 DOI: 10.3389/fpubh.2022.984887] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 08/31/2022] [Indexed: 01/25/2023] Open
Abstract
Objective This study investigated the effects of 12 weeks of specifically designed physical activity intervention on working memory and motor competence in preschool children and explored the correlation between working memory changes and motor competence changes by the intervention. Methods Four classes of preschool children were grouped into an intervention group and a control group. Children in the intervention group received a 12-week physical activity intervention, while children in the control group followed their daily routine as usual. Before and after the intervention period, children were assessed with the 1-back task and Movement Assessment Battery for Children, second edition (MABC-2) to measure their working memory and motor competence, respectively. Results Regarding working memory, the accuracy on the 1-back task increased significantly in the intervention group relative to the control group. The intervention group demonstrated a greater decrease in response time from pre- to posttest than the control group, but the difference was not statistically significant. Regarding motor competence, children's manual dexterity, aiming and catching and total score increased significantly in the intervention group relative to the control group, while no significant difference in static and dynamic balance was observed between the two groups. Furthermore, the correlation results showed that changes in the efficacy and efficiency of working memory were positively related to changes in static and dynamic balance and the total score on the MABC-2. Conclusion These findings demonstrated that 12 weeks of specifically designed physical activity intervention could improve preschool children's efficacy of working memory as well as manual dexterity, aiming and catching and global motor competence. The improvement in the efficacy and efficiency of working memory was positively related to the improvement in static and dynamic balance and global motor competence.
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Affiliation(s)
- Jing-Yi Zhang
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Qi-Qi Shen
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Dong-Ling Wang
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Jin-Mei Hou
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Tong Xia
- College of P.E. and Sports, Beijing Normal University, Beijing, China
| | - Shou Qiu
- Branch School of Mingguang, Beijing Normal University Kindergarten, Beijing, China
| | - Xiao-Ye Wang
- Branch School of Mingguang, Beijing Normal University Kindergarten, Beijing, China
| | - Si-Bo Zhou
- Branch School of Mingguang, Beijing Normal University Kindergarten, Beijing, China
| | - Wen-Wen Yang
- Branch School of Mingguang, Beijing Normal University Kindergarten, Beijing, China
| | - Si-Yu Heng
- Branch School of Mingguang, Beijing Normal University Kindergarten, Beijing, China
| | - Can-Can Lu
- Branch School of Mingguang, Beijing Normal University Kindergarten, Beijing, China
| | - Lei Cui
- College of P.E. and Sports, Beijing Normal University, Beijing, China,*Correspondence: Lei Cui
| | - Heng-Chan Yin
- College of P.E. and Sports, Beijing Normal University, Beijing, China,Heng-Chan Yin
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Michel E, Gado G. Faktorielle Struktur motorischer Kompetenzen bei Grundschulkindern der ersten Klasse. KINDHEIT UND ENTWICKLUNG 2022. [DOI: 10.1026/0942-5403/a000385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Theoretischer Hintergrund: Das Wissen über die faktorielle Struktur motorischer Kompetenzen ist unter anderem für die Interventionsplanung relevant; bei distinkten Faktoren sind domänspezifische Ansätze sinnvoll. Die zugrundeliegende Struktur ist ferner für die Interpretation von Gesamt- und Subskalenwerten bedeutsam. Fragestellung: Untersucht wird, ob den Leistungen von Grundschulkindern in der motorischen Testbatterie Movement ABC-2 ( Petermann, 2015 ) die drei distinkten, interkorrelierten Faktoren Handgeschicklichkeit, Balance und Ballfertigkeiten zugrunde liegen. Methode: Die Daten von n = 123 7- bis 8-jährigen Erstklässlern wurden mittels konfirmatorischer Faktorenanalyse ausgewertet. Ergebnisse: Das Originalmodell mit elf Indikatoren stellte sich für die betrachtete Stichprobe als nicht adäquat heraus. Nach Ausschluss des Indikators Mattenhüpfen 2 – besseres Bein konnte eine gute globale Passung des getrimmten dreifaktoriellen Modells mit korrelierten Faktoren nachgewiesen werden. Diskussion und Schlussfolgerung: Eine Revision einzelner Items für diese Altersgruppe scheint sinnvoll. Die Schwierigkeit des Items Mattenhüpfen 2 könnte erhöht werden, und das Item Zweihändiges Fangen könnte leicht abgeändert werden, um präzises Fangen isoliert zu erfassen. Diese Maßnahmen könnten auch dazu beitragen, das gesamte Leistungsspektrum in dieser Altersgruppe besser zu erfassen.
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Affiliation(s)
- Eva Michel
- Julius-Maximilians-Universität Würzburg, Deutschland
| | - Gina Gado
- Julius-Maximilians-Universität Würzburg, Deutschland
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van der Veer G, Kamphorst E, Minnaert A, Cantell M, Kakebeeke TH, Houwen S. Assessing Motor Performance in Preschool Children: The Zurich Neuromotor Assessment-2 and the Movement Assessment Battery for Children-2. Percept Mot Skills 2021; 128:2014-2032. [PMID: 34130549 PMCID: PMC8414808 DOI: 10.1177/00315125211025246] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Comparing motor assessment tools that are available for young children is important in order to select the most appropriate clinical and research tools. Hence, this study compared motor performance assessed with the Zurich Neuromotor Assessment-2 (ZNA-2) to the Movement Assessment Battery for Children-2 (MABC-2). The sample consisted of 169 children, aged 3-5 years (87 boys; 51%). We used Pearson correlations to examine relationships between the ZNA-2 and MABC-2 component and total scores. In addition, Pearson correlations were performed between individual fine motor and balance items of the ZNA-2 and MABC-2. Results were that the total scores of the ZNA-2 and MABC-2 correlated moderately (r = .40, p < .001). Non-significant to moderate correlations were found between components (r = -.00 to .47) and between individual items of fine motor skills (r = .04 to .38) and balance (r = -.12 to .38). Thus, the ZNA-2 and MABC-2 measure partly similar and partly different aspects of motor performance.
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Affiliation(s)
- Gerda van der Veer
- Inclusive and Special Needs Education Unit, Faculty of
Behavioural and Social Sciences, University of Groningen, Groningen, the
Netherlands
| | - Erica Kamphorst
- Inclusive and Special Needs Education Unit, Faculty of
Behavioural and Social Sciences, University of Groningen, Groningen, the
Netherlands
| | - Alexander Minnaert
- Inclusive and Special Needs Education Unit, Faculty of
Behavioural and Social Sciences, University of Groningen, Groningen, the
Netherlands
| | - Marja Cantell
- Inclusive and Special Needs Education Unit, Faculty of
Behavioural and Social Sciences, University of Groningen, Groningen, the
Netherlands
| | - Tanja H. Kakebeeke
- Child Development Center, University Children’s Hospital Zürich,
Zürich, Switzerland
| | - Suzanne Houwen
- Inclusive and Special Needs Education Unit, Faculty of
Behavioural and Social Sciences, University of Groningen, Groningen, the
Netherlands
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Construct Validity and Reliability of the Revised Physical and Neurological Examination of Subtle Signs (PANESS) Gaits and Stations Measures. JOURNAL OF MOTOR LEARNING AND DEVELOPMENT 2021. [DOI: 10.1123/jmld.2020-0027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Purpose: To facilitate precise diagnosis and provide tailored treatment of postural anomalies in the pediatric population, appropriate assessments are essential. In light of the multicomponent structure of postural control, understanding underlying constructs of an assessment is valuable in selecting and interpreting assessments. This study investigates the construct validity of the Gaits and Stations variables in the Revised Physical and Neurological Examination of Subtle Signs, a measure used to evaluate standing postural control in youth with mild neurological deficits. Methods: Data were included from 350 healthy participants ages 10–19 years old. An exploratory factor analysis with varimax rotation was performed. Individual loadings of ≥0.4 were used for factor designation. Results: Three latent factors were identified and labeled, based on evidence, as dynamic stability, movement strategies/coordination, and underlying motor systems—musculoskeletal strength. Conclusions: These brief, easily administered Gaits and Stations measures of the Physical and Neurological Examination of Subtle Signs facilitate evaluation of three constructs of standing postural control relevant to youth with mild neuromotor impairments. This information will potentially assist in clinical practice to identify youth with postural control deficits and establish developmentally appropriate interventions and in research to refine understanding of pathology and the impact on components of postural control.
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Jaikaew R, Satiansukpong N. Movement performance and movement difficulties in typical school-aged children. PLoS One 2021; 16:e0249401. [PMID: 33831074 PMCID: PMC8031441 DOI: 10.1371/journal.pone.0249401] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Accepted: 03/17/2021] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Developmental Coordination Disorder (DCD) is an impairment of executive motor skills. Children aged 7-10 years gradually develop effective movement that enables smooth performance in various daily self-care, academic and sport activities. The purpose of this study was to examine whether the Movement Assessment Battery for Children-Second Edition-Age Band 2, (MABC2-AB2), which is a western standardized test, could be used in Thai children for differentiating between movement performance and movement difficulties. METHOD Three hundred and sixty typical Thai children aged 7-10 years old were recruited from three primary schools in Chiang Mai district, Thailand. The participants were divided into four age groups and tested using the Movement Assessment Battery for Children-Second Edition-Age Band 2-Thai version (MABC2-AB2-T). RESULTS Manual Dexterity, Aiming and Catching, and Balance rose with age increment. Older participants had better movement performance than younger ones. The results showed that 91.11 percent of the participants had typical movement, while 3.61 and 5.28 percent of them had movement difficulty and movement at risk, respectively. In addition, three test items: Drawing Trail, Walking Heel to Toe Forward, and Hopping on Mats had a ceiling effect when used for Thai children. CONCLUSION The MABC2-AB2-T could be used to assess movement performance and movement difficulties in Thai children. About 9 percent of typical Thai children aged 7-10 years old needed early intervention. Administration of the three test items may need to be revised.
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Affiliation(s)
- Rujira Jaikaew
- Master Student, Faculty of Associated Medical Sciences, Department of Occupational Therapy, Chiang Mai University, Chiang Mai, Thailand
| | - Nuntanee Satiansukpong
- Associate Professor, Faculty of Associated Medical Sciences, Department of Occupational Therapy, Chiang Mai University, Chiang Mai, Thailand
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11
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French B, Sycamore NJ, McGlashan HL, Blanchard CCV, Holmes NP. Correction: Ceiling effects in the Movement Assessment Battery for Children-2 (MABC-2) suggest that non-parametric scoring methods are required. PLoS One 2021; 16:e0245674. [PMID: 33471795 PMCID: PMC7832596 DOI: 10.1371/journal.pone.0202689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
[This corrects the article DOI: 10.1371/journal.pone.0198426.].
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12
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Davies V, Reid J, Scott EM. Optimisation of Scores Generated by an Online Feline Health-Related Quality of Life (HRQL) Instrument to Assist the Veterinary User Interpret Its Results. Front Vet Sci 2021; 7:601304. [PMID: 33490133 PMCID: PMC7815521 DOI: 10.3389/fvets.2020.601304] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 12/01/2020] [Indexed: 11/24/2022] Open
Abstract
Using methodology previously described for the dog health-related quality of life (HRQL) tool (VetMetrica™), the aim was to optimize the scores profile of a comparable feline online HRQL instrument for monitoring HRQL in cats, to assist in its interpretation. Measuring HRQL helps quantify the impact of disease and its treatment on well-being, aids clinical decision making and provides information in clinical trials. In Study 1, using data collected from previous studies, scores generated for three domains of HRQL (Vitality, Comfort, Emotional Well-being) in healthy cats were normalized using standard statistical techniques of logit transformation and T-scores, such that the average healthy cat has a score of 50 in all three HRQL domains. Using normalized scores from healthy and sick cats, a threshold score of 44.8 was determined, above which 70% of healthy cats should score. Study 2 determined the Minimal Important Difference (MID) in normalized score that constituted a clinically significant improvement in each domain. Three methods were tested in order to determine the MID, with the final choice made based on statistical and clinical considerations. Thresholds of 5, 7.5, and 5 were chosen for the three HRQL domains representing Vitality, Comfort and Emotional Well-being, respectively. This study makes available a means of displaying HRQL scores from an online application in an easily interpretable manner and quantifies a clinically meaningful improvement in score. To illustrate the practical application of these developments, three case examples are presented. Example 1 illustrates the raw and normalized scores for a group of overweight cats enrolled in a Feline Weight Management Programme. Example 2 shows three groups of osteoarthritic cats, each with different severity of disease. The third is an elderly, un-well cat whose HRQL was recorded over time, specifically to facilitate end of life discussion between owner and veterinary clinician.
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Affiliation(s)
- Vinny Davies
- School of Computing Science, University of Glasgow, Glasgow, United Kingdom
| | - Jacqueline Reid
- School of Veterinary Medicine, University of Glasgow, Glasgow, United Kingdom
| | - E Marian Scott
- School of Mathematics & Statistics, University of Glasgow, Glasgow, United Kingdom
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13
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Chyung SY(Y, Hutchinson D, Shamsy JA. Evidence‐Based Survey Design: Ceiling Effects Associated with Response Scales. ACTA ACUST UNITED AC 2020. [DOI: 10.1002/pfi.21920] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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14
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Hagihara H, Ienaga N, Enomoto D, Takahata S, Ishihara H, Noda H, Tsuda K, Terayama K. Computer Vision-Based Approach for Quantifying Occupational Therapists' Qualitative Evaluations of Postural Control. Occup Ther Int 2020; 2020:8542191. [PMID: 32410925 PMCID: PMC7201486 DOI: 10.1155/2020/8542191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 03/03/2020] [Indexed: 12/02/2022] Open
Abstract
This study aimed to leverage computer vision (CV) technology to develop a technique for quantifying postural control. A conventional quantitative index, occupational therapists' qualitative clinical evaluations, and CV-based quantitative indices using an image analysis algorithm were applied to evaluate the postural control of 34 typically developed preschoolers. The effectiveness of the CV-based indices was investigated relative to current methods to explore the clinical applicability of the proposed method. The capacity of the CV-based indices to reflect therapists' qualitative evaluations was confirmed. Furthermore, compared to the conventional quantitative index, the CV-based indices provided more detailed quantitative information with lower costs. CV-based evaluations enable therapists to quantify details of motor performance that are currently observed qualitatively. The development of such precise quantification methods will improve the science and practice of occupational therapy and allow therapists to perform to their full potential.
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Affiliation(s)
- Hiromichi Hagihara
- Graduate School of Human and Environmental Studies, Kyoto University, Kyoto, Japan
- Research Fellow of Japan Society for the Promotion of Science, Tokyo, Japan
| | - Naoto Ienaga
- Research Fellow of Japan Society for the Promotion of Science, Tokyo, Japan
- Graduate School of Science and Technology, Keio University, Yokohama, Japan
| | | | | | | | - Haruka Noda
- Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Koji Tsuda
- Graduate School of Frontier Science, University of Tokyo, Tokyo, Japan
- RIKEN Center for Advanced Intelligence Project, Tokyo, Japan
| | - Kei Terayama
- RIKEN Center for Advanced Intelligence Project, Tokyo, Japan
- Medical Sciences Innovation Hub Program, RIKEN Cluster for Science, Technology and Innovation Hub, Kanagawa, Japan
- Graduate School of Medicine, Kyoto University, Kyoto, Japan
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15
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Davies V, Reid J, Wiseman-Orr ML, Scott EM. Optimising outputs from a validated online instrument to measure health-related quality of life (HRQL) in dogs. PLoS One 2019; 14:e0221869. [PMID: 31532799 PMCID: PMC6750605 DOI: 10.1371/journal.pone.0221869] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 08/07/2019] [Indexed: 11/19/2022] Open
Abstract
Measurement of health-related quality of life (HRQL) is becoming increasingly valuable within veterinary preventative health care and chronic disease management, as well as in outcomes research. Initial reliability and validation of a 22 item shortened version of VetMetrica (VM), structured questionnaire instrument to measure HRQL in dogs via a mobile application was reported previously. Meaningful interpretation and presentation of the 4 domain scores comprising the HRQL profile generated by VM is key to its successful use in clinical practice and research. Study one describes transformation of domain scores from 0-6 to 0-100 and normalisation of these based on the healthy canine population in two age ranges, such that a score of 50 on a 0-100 scale represents the score for the age-related average healthy dog, and establishment of a threshold to assess domain-specific health status for individual dogs. This provides the clinician with a simple method of ascertaining the health status of an individual dog relative to the average healthy population in the same age group (norm-based scoring). Study two determines the minimum important difference (MID) in domain scores which represents the smallest improvement in score that is meaningful to the dog owner, thus providing the clinician with a means of recognising what is likely to be a significant improvement in scores for an individual dog over time. Visual representation of these guidelines for the purpose of interpreting VM profile scores is presented using case studies.
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Affiliation(s)
- Vinny Davies
- School of Computing Science, University of Glasgow, Glasgow, Scotland, United Kingdom
- School of Mathematics and Statistics, University of Glasgow, Glasgow, Scotland, United Kingdom
| | | | - M. Lesley Wiseman-Orr
- School of Mathematics and Statistics, University of Glasgow, Glasgow, Scotland, United Kingdom
| | - E. Marian Scott
- School of Mathematics and Statistics, University of Glasgow, Glasgow, Scotland, United Kingdom
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16
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McGlashan HL, Blanchard CCV, Sycamore NJ, Lee R, French B, Holmes NP. Improvement in children's fine motor skills following a computerized typing intervention. Hum Mov Sci 2017; 56:29-36. [PMID: 29096181 PMCID: PMC5716426 DOI: 10.1016/j.humov.2017.10.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 10/16/2017] [Accepted: 10/19/2017] [Indexed: 11/14/2022]
Abstract
Children spend a large proportion of their school day engaged in tasks that require manual dexterity. If children experience difficulties with their manual dexterity skills it can have a consequential effect on their academic achievement. The first aim of this paper was to explore whether an online interactive typing intervention could improve children’s scores on a standardised measure of manual dexterity. The second aim was to implement a serial reaction time tapping task as an index of children's finger movement learning, and to see whether performance on this task would improve after the intervention. Seventy-eight typically developing children aged between 8 and 10 were tested at their school on the pre-intervention Movement Assessment Battery for Children (2nd edition; MABC-2) and tapping tasks. Twenty-eight of these children volunteered to be randomly allocated to the intervention or control group. Children in the intervention group had a choice of two online games to play at home over a period of four weeks, while the children in the control group were not given these games to play. The intervention and control groups were then re-tested on the MABC-2 manual dexterity and the tapping task. Children in the intervention group significantly improved their manual dexterity scores in the MABC-2 compared to the control group. On average, all children learnt the tapping sequence, however, there were no group differences and no effect of the intervention on the tapping task. These results have important implications for implementing a freely available, easy to administer, fun and interactive intervention to help children improve their manual dexterity skills.
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Affiliation(s)
- Hannah L McGlashan
- School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, UK
| | | | - Nicole J Sycamore
- School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, UK
| | - Rachel Lee
- School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, UK
| | - Blandine French
- School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, UK
| | - Nicholas P Holmes
- School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, UK.
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