Field-Based Tests of Strength and Anaerobic Capacity Used in Children With Developmental Coordination Disorder: A Systematic Review

OBJECTIVE

Children with developmental coordination disorder (DCD) are reported to have lower levels of strength and anaerobic capacity. The purpose of this study was to (1) identify field-based tests for strength and anaerobic capacity used in studies comparing children with DCD and children who were typically developing (TD), (2) examine the methodological quality of studies reporting psychometric properties and rate the psychometric properties of the examined test, and (3) summarize available evidence by combining the methodological quality of the studies and the quality of the psychometric properties of the test.

METHODS

An electronic search was conducted in July 2019 in 4 electronic databases. For purpose 1, primary studies were included with no exclusion of study design in which children aged 4 to 18 years with DCD were compared with children who were TD on strength and/or anaerobic capacity measures. For purpose 2, primary studies were included with no exclusion of study design in which a psychometric property was investigated. The Consensus-Based Standards for Selection of Health Measurement Instruments (COSMIN) was used to evaluate the methodological quality of the 34 studies and rate the psychometric properties of the tests used.

RESULTS

Hand-held dynamometer, bent knee push-up, vertical jump, standing long-jump, functional strength measurement, fitness test, and test battery can be recommended for TD, and the shuttle run item of the Bruininks-Oseretsky Test of Motor Proficiency-Second Edition and 10 m × 5 m sprints (straight and slalom) can be recommended for DCD.

CONCLUSION

Information regarding psychometric properties of field-based tests for strength and anaerobic capacity in children with DCD is lacking.

IMPACT

Information about the psychometric properties of field-based tests for strength and anaerobic capacity in children with DCD is lacking. More information is available on TD children, but it is also not complete; information regarding validity and responsiveness, especially, is missing. When using measures in children with DCD, it is important to keep in mind this lack of evidence for the validity and reliability of the outcomes for this target group.

Reliability of Sargent Jump Test in 4- to 5-Year-Old Children

We assessed the test-retest reliability of the Sargent jump (VJ) for vertical jumping performed by 4 and 5 years old pre-schoolers. The VJ was administered three times (familiarization, test, and retest) to 163 children (mean age: 4.48 ± 0.5 years; 55.8% girls). The results were compared with those obtained in the standing long jump (SLJ) and in the 25 -m dash test to identify how its performance correlated with other measures of leg power. Systematic change in the mean and retest correlations with these other measures were used to help analyze VJ test-retest reliability. Additionally, Pearson correlation coefficients were used to examine the degree of association between the test and retest trials of the VJ. The VJ showed a higher correlation and agreement in the 4-year-old, compared with the 5-year old, group (r_c = 0.956 vs. 0.796; α = 0.95 vs. 0.84; ICC: 0.828; 95% CI: 0.730-0.891 vs 0.739; 95% CI: 0.589-0.834). Effect sizes were small ( d ≤ 0.285) for all the VJ tests performed. Fair to poor significant relationships were established between the VJ (test), VJ (retest), and the SLJ. No significant association was observed between the VJ and the 25 -m dash tests. Our findings suggest that the Sargent jump test is reliable when executed by 4- and 5-year-olds. The lack of a strong association with other measures of leg power should be taken into account at the time of selecting the most appropriate test to assess this strength dimension.