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Gambra L, Cortese S, Lizoain P, Romero DR, Paiva U, Gándara C, Arrondo G, Magallón S. Excessive body weight in developmental coordination disorder: A systematic review and meta-analysis. Neurosci Biobehav Rev 2024; 164:105806. [PMID: 38986892 DOI: 10.1016/j.neubiorev.2024.105806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 05/28/2024] [Accepted: 07/05/2024] [Indexed: 07/12/2024]
Abstract
Evidence on the link between developmental coordination disorder (DCD) and obesity and overweight is mixed. Based on a pre-registered protocol (PROSPERO: CRD42023429432), we conducted the first systematic review/meta-analysis on the association between DCD and excessive weight. Web of Science, PubMed and an institutional database aggregator were searched until the 18th of December 2023. We assessed study quality using the Newcastle-Ottawa Scale and study heterogeneity using Q and I2 statistics. Data from 22 studies were combined, comprising 11,330 individuals out of which 1861 had DCD. The main analysis showed a significant association between DCD and higher body weight (OR:1.87, 95 % CI =1.43, 2.44). Meta-regression analyses indicated that the relationship was mediated by age, with stronger effects in studies with higher mean age (p 0.004). We conclude that DCD is associated with obesity and overweight, and this association increases with age. Our study could help to implement targeted prevention and intervention measures.
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Affiliation(s)
- Leyre Gambra
- Faculty of Education and Psychology, University of Navarra, Pamplona, Spain
| | - Samuele Cortese
- Centre for Innovation in Mental Health, School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK; Clinical and Experimental Sciences (CNS and Psychiatry), Faculty of Medicine, University of Southampton, Southampton, UK; Solent NHS Trust, Southampton, UK. 9Hassenfeld Children's Hospital at NYU Langone, New York University Child Study Center, New York City, NY, USA; DiMePRe-J-Department of Precision and Regenerative Medicine-Jonic Area, University of Bari "Aldo Moro", Bari, Italy
| | - Pablo Lizoain
- Faculty of Education and Psychology, University of Navarra, Pamplona, Spain
| | | | - Ursula Paiva
- Mind-Brain Group, Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain
| | - Carmen Gándara
- Faculty of Education and Psychology, University of Navarra, Pamplona, Spain
| | - Gonzalo Arrondo
- Mind-Brain Group, Institute for Culture and Society (ICS), University of Navarra, Pamplona, Spain.
| | - Sara Magallón
- Faculty of Education and Psychology, University of Navarra, Pamplona, Spain.
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Welsby E, Hordacre B, Hobbs D, Bouckley J, Ward E, Hillier S. Evaluating the influence of feedback on motor skill learning and motor performance for children with developmental coordination disorder: a systematic review. Front Pediatr 2024; 12:1327445. [PMID: 38706921 PMCID: PMC11066222 DOI: 10.3389/fped.2024.1327445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 04/01/2024] [Indexed: 05/07/2024] Open
Abstract
Introduction Children with developmental coordination disorder (DCD) have difficulties with learning and performing physical tasks. It is well known that task-specific practice is effective in improving motor skills. Additional feedback during practice may function as a quality improvement mechanism and therefore enhance motor skill outcomes. Aims To investigate the effect of different forms of feedback on motor learning and motor performance in children with DCD. Methods A systematic review was conducted (registration CRD42020175118) to investigate the effectiveness of different types of feedback, compared to other forms of feedback, or no additional feedback, on motor learning and motor performance outcomes in children with DCD. The search was run across six electronic databases (last search January 2024). Two reviewers independently screened studies for inclusion, assessed the quality of included studies, and extracted relevant data. A narrative synthesis was performed and included studies that assessed motor learning and/or performance outcomes following an intervention that delivered a specific form of feedback in comparison to another form of feedback or no specific feedback. Results 14 articles from 13 trials were included in this review. Feedback was delivered by providing various forms of feedback, including: knowledge of results, focus of attention and augmented feedback delivered via technology. No significant differences were found between different forms of feedback for motor learning or performance outcomes for children with DCD. Interventions that used technology (with augmented feedback) to deliver the intervention were found to be as effective as traditional therapy. All groups who participated in therapy, regardless of the presence or type of feedback received, improved in overall scores on a motor performance outcome assessment. Conclusion Despite the clear rationale for using feedback-oriented interventions for children with DCD, there is surprisingly limited and low-quality research. There is no clear evidence that one form of feedback is more effective than another, although it appears that feedback delivered via technology may be as effective as feedback delivered in traditional therapy interventions for children with DCD. Further exploration is required from appropriately powered and well-designed trials. Systematic Review Registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=175118, identifier (CRD42020175118).
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Affiliation(s)
- Ellana Welsby
- Innovation, Implementation, and Clinical Translation (IIMACT) in Health, Allied Health & Human Performance, University of South Australia, Adelaide, SA, Australia
| | - Brenton Hordacre
- Innovation, Implementation, and Clinical Translation (IIMACT) in Health, Allied Health & Human Performance, University of South Australia, Adelaide, SA, Australia
| | - David Hobbs
- Innovation, Implementation, and Clinical Translation (IIMACT) in Health, Allied Health & Human Performance, University of South Australia, Adelaide, SA, Australia
- College of Science and Engineering, Medical Device Research Institute, Flinders University, Adelaide, SA, Australia
| | - Joanne Bouckley
- Innovation, Implementation, and Clinical Translation (IIMACT) in Health, Allied Health & Human Performance, University of South Australia, Adelaide, SA, Australia
| | - Emily Ward
- Innovation, Implementation, and Clinical Translation (IIMACT) in Health, Allied Health & Human Performance, University of South Australia, Adelaide, SA, Australia
| | - Susan Hillier
- Innovation, Implementation, and Clinical Translation (IIMACT) in Health, Allied Health & Human Performance, University of South Australia, Adelaide, SA, Australia
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Pranjić M, Hashemi N, Arnett AB, Thaut MH. Auditory-Perceptual and Auditory-Motor Timing Abilities in Children with Developmental Coordination Disorder: A Scoping Review. Brain Sci 2023; 13:brainsci13050729. [PMID: 37239201 DOI: 10.3390/brainsci13050729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/18/2023] [Accepted: 04/25/2023] [Indexed: 05/28/2023] Open
Abstract
Developmental coordination disorder (DCD) remains largely underdiagnosed and masked by other co-occurring conditions. The aim of this study was to (1) provide the first review of research regarding auditory-motor timing and synchronization abilities in children with DCD and (2) examine whether reduced motor performance may be associated with difficulties in auditory perceptual timing. The scoping review was carried out across five major databases (MEDLINE, Embase, PsycINFO, CINAHL, and Scopus) in accordance with the PRISMA-ScR guidelines. Studies were screened by two independent reviewers against the inclusion criteria, without publication date restrictions. From an initial return of 1673 records, 16 articles were included in the final review and synthesized based on the timing modality studied (i.e., auditory-perceptual, motor, or auditory-motor). Results suggest that children with DCD have difficulties with rhythmic movements both with and without external auditory cues and further indicate that variability in and slowness of motor response are key characteristics of DCD, regardless of the experimental task. Importantly, our review highlights a significant gap in the literature regarding auditory perceptual abilities in DCD. In addition to testing auditory perception, future studies should compare the performance of children with DCD on paced and unpaced tasks to determine whether auditory stimuli contribute to a more or less stable performance. This knowledge may inform future therapeutic interventions.
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Affiliation(s)
- Marija Pranjić
- Music and Health Science Research Collaboratory, University of Toronto, Toronto, ON M5S 1C5, Canada
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON M4G 1R8, Canada
| | - Niloufaralsadat Hashemi
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON M4G 1R8, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON M5S 3G9, Canada
| | - Anne B Arnett
- Division of Developmental Medicine, Boston Children's Hospital, Boston, MA 02115, USA
- Pediatrics, Harvard Medical School, Boston, MA 02115, USA
| | - Michael H Thaut
- Music and Health Science Research Collaboratory, University of Toronto, Toronto, ON M5S 1C5, Canada
- Faculty of Medicine, Institute of Medical Science and Rehabilitation Research Institute, University of Toronto, Toronto, ON M5S 1A8, Canada
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González López A, Crespo Madrid V, Hidalgo-Robles Á, Gutiérrez-Ortega M. Early signs of functioning and contextual factors in children 0 to 6 years of age at high risk of or with developmental coordination disorder: A scoping review. Child Care Health Dev 2023; 49:230-239. [PMID: 35998914 DOI: 10.1111/cch.13049] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 07/04/2022] [Accepted: 08/18/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Developmental coordination disorder (DCD) can significantly impact body structures and functions, activities, participation and contextual factors. Using a scoping review methodology, we aimed to identify the characteristics or signs that can have an early impact on the development and functioning of children with DCD between 0 and 6 years. METHODS We searched the Medline, Cochrane and PEDro databases. The screening of the 1580 articles obtained was conducted independently and in duplicate. From the included articles, among others, we extracted results that reported the early developmental characteristics of children at high risk or diagnosed with DCD, the components of the International Classification of Functioning (ICF) and the F-Words studied in the results or the agents involved in the evaluation. RESULTS Seventeen articles were included in the review. From them, a set of early signs of DCD-general and specific-were collected that reflected the existence of restrictions in daily life activities from an early age and in certain routines, such as eating, dressing, grooming or playing. The most studied components of the ICF were activities and participation, with functioning being the most studied F-word. CONCLUSIONS Detection of activity limitations and restrictions in participation between 0 and 6 years in children with DCD is possible. Recognition of parental concerns and early assessment could facilitate the follow-up of children at high risk for DCD and their inclusion in screening programs that include standardized tools for their diagnosis.
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Affiliation(s)
- Anaïs González López
- Asociación para el Desarrollo Infantil y Conciliación Familiar (ADICO), Universidad Internacional de la Rioja, Logroño, Spain
| | - Vanesa Crespo Madrid
- ASPACECIRE Asociación Para la Ayuda A Personas Con Parálisis Cerebral y Síndromes Afines de Ciudad Real (ASPACECIRE), Universidad Internacional de la Rioja, Logroño, Spain
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Pimenta RA, Fuchs C, Fears NE, Mariano M, Tamplain P. Distinct mental health profiles in children with Developmental Coordination Disorder: A latent class analysis and associations. RESEARCH IN DEVELOPMENTAL DISABILITIES 2023; 132:104377. [PMID: 36423431 DOI: 10.1016/j.ridd.2022.104377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 08/24/2022] [Accepted: 11/12/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Children with Developmental Coordination Disorder (DCD) show indications for mental health problems. However, these problems are poorly understood. AIMS To identify patterns (profiles) of mental health in this population and to analyze the associations between profiles and child characteristics. METHODS AND PROCEDURES Parents of 119 children with DCD completed the Strengths and Difficulties Questionnaire. OUTCOMES AND RESULTS Results indicated that a four latent class was the best model. Profile 1 was defined as "no" mental health problems (n = 28; 24 %), Profile 2 was defined as "hyperactivity" problems (n = 53; 43.3 %), for clinical indications for hyperactivity, Profile 3 was defined as "internalizing" problems (n = 8; 7.3 %), for clinical indications for emotional symptoms and peer problems, and Profile 4 was defined as "internalizing and externalizing problems" (n = 30; 25.4 %), for clinical indications for problems in both areas. In addition, having a co-occurring disorder, accommodation plans, and using medications were associated with the profiles. CONCLUSIONS AND IMPLICATIONS There are distinct and unique profiles that children with DCD exhibit. Clinicians can use these profiles to better understand the presentation of mental health symptoms in this population and provide adequate services or support if mental health difficulties are present.
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Lino F, Chieffo DPR. Developmental Coordination Disorder and Most Prevalent Comorbidities: A Narrative Review. CHILDREN (BASEL, SWITZERLAND) 2022; 9:1095. [PMID: 35884081 PMCID: PMC9317644 DOI: 10.3390/children9071095] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 07/14/2022] [Accepted: 07/19/2022] [Indexed: 11/16/2022]
Abstract
This narrative review describes, in detail, the relationships between Developmental Coordination Disorder (DCD) and most prevalent associated comorbidities in their complexity, heterogeneity and multifactoriality. The research has been conducted on the main scientific databases, excluding single case papers. Blurred borders between the different nosographic entities have been described and advances in this field have been highlighted. In this multifaceted framework a specific profiling for co-occurring DCD, ADHD and ASD signs and symptoms is proposed, confirming the need for a multidisciplinary approach to define new diagnostic paradigms in early childhood.
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Affiliation(s)
- Federica Lino
- Clinical Psychology Unit, Fondazione Policlinico Universitario A. Gemelli IRRCS, 00168 Rome, Italy;
| | - Daniela Pia Rosaria Chieffo
- Clinical Psychology Unit, Fondazione Policlinico Universitario A. Gemelli IRRCS, 00168 Rome, Italy;
- Department of Life Sciences and Public Health, Catholic University of Sacred Heart, 00168 Rome, Italy
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Schmitt CM, Schoen S. Interoception: A Multi-Sensory Foundation of Participation in Daily Life. Front Neurosci 2022; 16:875200. [PMID: 35757546 PMCID: PMC9220286 DOI: 10.3389/fnins.2022.875200] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 05/03/2022] [Indexed: 11/25/2022] Open
Abstract
The purpose of this article is to examine evidence that broadens the clinical perspective on interoception as an imperative consideration for individuals with mental health and sensory processing challenges. The central supposition is that interoception is broader than just signals from the viscera. Rather, interoception refers to perceptions of bodily signals and bodily states that construct a subjective representation of the experience. These representations are then utilized for categorizing the sensory attributes and constructing meaning. Thus, this updated conceptualization presents interoception as a complex multidimensional system, with bidirectional features. The interplay between the brain and the body is necessary to maintain homeostasis as well as respond adaptively to the changes in one's internal and external environment. As a sensory capacity, interoceptive information must be processed and interpreted before it can be integrated into a personal experiential history. Interoception supports both body and mental functions and as such, interoceptive processes support health and wellness by establishing a felt sense of psychological and physiological safety that is foundational to meaningful participation in life. The information presented in this article is central to the pursuit of evidence-based best practices for any professional wishing to integrate consideration of interoception into their clinical practice.
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Affiliation(s)
- Carolyn M. Schmitt
- Sensory Therapies and Research (STAR) Institute, Centennial, CO, United States
| | - Sarah Schoen
- Sensory Therapies and Research (STAR) Institute, Centennial, CO, United States
- Rocky Mountain University of Health Professions, Provo, UT, United States
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Bisi MC, Fabbri M, Cordelli DM, Stagni R. Gait performance in toddlers born preterm: A sensor based quantitative characterization. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2022; 220:106808. [PMID: 35447429 DOI: 10.1016/j.cmpb.2022.106808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 03/11/2022] [Accepted: 04/09/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND AND OBJECTIVES Preterm children have an increased risk of motor difficulties. Gait analysis and wearable technologies allow the assessment of motor performance in toddlers, identifying early deviations from typical development. Using a sensor-based approach, gait performance of full-term and preterm toddlers at different risk of motor delay was analysed. The aim was to measure quantitative differences among groups. METHODS Twenty-nine two-year old children born preterm (≤36 gestational weeks) and 17 full-term controls, matched for age and walking experience, participated in the study. Preterm children were further divided based on risk of motor delay: preterm at high risk (n = 8, born at ≤28 gestational weeks or with ≤1000 g of body weight), and at moderate risk (n = 21). Children were asked to walk along a corridor while wearing 3 inertial sensors on the lower back and on the ankles. Gait temporal parameters, their variability, and nonlinear metrics of trunk kinematics (i.e. recurrence quantification analysis, multiscale entropy) were extracted from the collected data and compared among groups. RESULTS Children born preterm showed significantly longer stance and double support phases, higher variability of temporal parameters, and lower multiscale entropy values than peers born full-term. No difference was found for the other parameters when comparing preterm and full-term children. When comparing children grouped according to risk of delay, with increasing risk, children showed longer stride-, stance- and double-support-time, higher variability of temporal parameters, higher recurrence- and lower multiscale entropy values. CONCLUSIONS Sensor-based gait analysis allowed differentiating the gait performance of preterm from full-term toddlers, and of preterm toddlers at different risk of motor delay. When analysing the present results with respect to the expected trajectory of locomotor development, children born preterm, in particular those at higher risk of motor delay, exhibited a less mature motor control performance during gait: lower stability (i.e. longer support phases), and higher variability, although not structured towards the exploration of more complex movements (i.e. higher recurrence- and lower multiscale entropy values). These indexes can serve as biomarkers for monitoring locomotor development and early detecting risk to develop persistent motor impairments.
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Affiliation(s)
- Maria Cristina Bisi
- Department of Electrical, Electronic and Information Engineering, "Guglielmo Marconi" - DEI, University of Bologna, Italy; Interdepartmental Center for Industrial Research - Life Sciences and Health Technologies, University of Bologna, Italy.
| | - Manuela Fabbri
- IRCCS Institute of Neurological Sciences of Bologna, UOC Neuropsychiatry of the Pediatric Age, Bologna, Italy
| | - Duccio Maria Cordelli
- IRCCS Institute of Neurological Sciences of Bologna, UOC Neuropsychiatry of the Pediatric Age, Bologna, Italy; Department of Medical and Surgical Sciences - DIMEC, University of Bologna, Italy
| | - Rita Stagni
- Department of Electrical, Electronic and Information Engineering, "Guglielmo Marconi" - DEI, University of Bologna, Italy; Interdepartmental Center for Industrial Research - Life Sciences and Health Technologies, University of Bologna, Italy
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Potard C, Auger AC, Lenoir-Perrotel S, Jarry C. Examining frustration intolerance beliefs among adults with dyslexia or developmental coordination disorder. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 123:104184. [PMID: 35121415 DOI: 10.1016/j.ridd.2022.104184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 12/14/2021] [Accepted: 01/26/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Research suggests that adults diagnosed with specific learning disorders, such as dyslexia or developmental coordination disorder (DCD), are at greater risk of emotional problems related to frustration and anger. AIMS The purpose of this study was to investigate patterns of frustration intolerance beliefs among two groups of adults with a specific learning disorder (dyslexia or DCD), compared with typical adults. METHODS AND PROCEDURES Participants were 235 French adults (students or in employment) with dyslexia (Mage = 35.8 years, SD = 13.3; females = 63 %), DCD (Mage = 32.9 years, SD = 11.8; females = 58 %) or typical development (Mage = 33.2 years, SD = 12.7; females = 65 %), who completed an online self-report questionnaire. OUTCOMES AND RESULTS Analysis of variance revealed a significant between-groups difference, as both learning disorder groups had higher frustration intolerance beliefs than the typical adults. Post hoc analysis showed that participants with DCD scored higher than those with dyslexia on each type of frustration intolerance belief, while participants with dyslexia scored higher than typical adults on achievement frustration and discomfort intolerance. CONCLUSIONS AND IMPLICATIONS These results underline the usefulness of distinguishing between frustration intolerance dimensions, and of using rational emotive behavior therapy to reduce the irrational beliefs of people with DCD or dyslexia.
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10
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The unmet clinical needs of children with developmental coordination disorder. Pediatr Res 2021; 90:826-831. [PMID: 33504966 DOI: 10.1038/s41390-021-01373-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 12/14/2020] [Accepted: 12/30/2020] [Indexed: 01/30/2023]
Abstract
BACKGROUND The aim of this study was to understand the challenges experienced by families obtaining a diagnosis and therapy for developmental coordination disorder (DCD). METHODS Parents of 435 children aged 4-18 years with persistent motor difficulties consistent with a diagnosis of DCD completed an online survey. Diagnostic timeline and diagnostic label/s received were examined, along with therapies accessed. RESULTS There was inconsistent diagnostic terminology (nine separate terms) with more children diagnosed with dyspraxia (64.7%) than DCD (48.8%). Even though most parents (87.0%) reported that receiving a diagnosis was helpful, children did not receive a diagnosis until years after seeking help (mean 2.8 ± 2.3 years). Many children were diagnosed with at least one co-occurring neurodevelopmental, language or learning disorder (70.0%). Almost all families had accessed therapy for their child's movement difficulties (93.9%), but more than half did not have access to funding to support therapy costs (57.8%) and reported that the costs caused financial strain (52.6%). Two out of every three families reported that they did not feel the current level of therapy was sufficient. CONCLUSIONS This critical advocacy research highlights inconsistent and incorrect terminology and the challenges families experience in obtaining a diagnosis and adequate access to therapy for their child's movement difficulties. IMPACT This is the first comprehensive study to examine the challenges families experience gaining a diagnosis and therapy for their child with DCD. Families regularly experienced prolonged diagnosis; 45% waited between 2 and 4 years. There is no clear diagnostic pathway, with children more likely to be diagnosed with dyspraxia than the correct clinical diagnosis of DCD. More extensive implementation of the diagnostic guidelines into clinical practice is needed.
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Damiano DL. Early identification and intervention in developmental coordination disorder: lessons for and from cerebral palsy. Dev Med Child Neurol 2021; 63:630. [PMID: 33686677 DOI: 10.1111/dmcn.14829] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/06/2021] [Indexed: 11/27/2022]
Affiliation(s)
- Diane L Damiano
- Rehabilitation Medical Department, National Institutes of Health Clinical Center, Bethesda, MD, USA
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Effectiveness of Equine-Assisted Activities and Therapies for Improving Adaptive Behavior and Motor Function in Autism Spectrum Disorder. J Clin Med 2021; 10:jcm10081726. [PMID: 33923582 PMCID: PMC8073280 DOI: 10.3390/jcm10081726] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 03/31/2021] [Accepted: 04/13/2021] [Indexed: 01/10/2023] Open
Abstract
Equine-assisted activities and therapies (EAAT) have been suggested to improve adaptive behavior, and possibly motor function, in autism spectrum disorder (ASD). This study investigated the effects of EAAT on adaptive behavior and motor function in 15 children with ASD (13 males) aged 7–15 years as well as the impact of EAAT on the magnitude of stress in the parent–child system and the evolution in the child interaction with both the trained therapist and the therapeutic animal through the 20 weekly sessions of EAAT. EAAT were associated with greater adaptive behavior and coordination (all p ≤ 0.01) as well as a progressive improvement in the child’s abilities to respond to the increasing complexity of such form of positive behavioral support (all p < 0.001). However, EAAT did not prove to be effective in reducing parental distress. Collectively, preliminary evidence presented here may have important public health implications and gives reason to hope that EAAT could possibly be an effective option in ASD, warranting further investigation of its potential benefits in clinical trials among larger samples.
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Irie K, Matsumoto A, Zhao S, Kato T, Liang N. Neural Basis and Motor Imagery Intervention Methodology Based on Neuroimaging Studies in Children With Developmental Coordination Disorders: A Review. Front Hum Neurosci 2021; 15:620599. [PMID: 33551781 PMCID: PMC7862701 DOI: 10.3389/fnhum.2021.620599] [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: 10/23/2020] [Accepted: 01/04/2021] [Indexed: 01/22/2023] Open
Abstract
Although the neural bases of the brain associated with movement disorders in children with developmental coordination disorder (DCD) are becoming clearer, the information is not sufficient because of the lack of extensive brain function research. Therefore, it is controversial about effective intervention methods focusing on brain function. One of the rehabilitation techniques for movement disorders involves intervention using motor imagery (MI). MI is often used for movement disorders, but most studies involve adults and healthy children, and the MI method for children with DCD has not been studied in detail. Therefore, a review was conducted to clarify the neuroscientific basis of the methodology of intervention using MI for children with DCD. The neuroimaging review included 20 magnetic resonance imaging studies, and the neurorehabilitation review included four MI intervention studies. In addition to previously reported neural bases, our results indicate decreased activity of the bilateral thalamus, decreased connectivity of the sensory-motor cortex and the left posterior middle temporal gyrus, bilateral posterior cingulate cortex, precuneus, cerebellum, and basal ganglia, loss of connectivity superiority in the abovementioned areas. Furthermore, reduction of gray matter volume in the right superior frontal gyrus and middle frontal gyrus, lower fractional anisotropy, and axial diffusivity in regions of white matter pathways were found in DCD. As a result of the review, children with DCD had less activation of the left brain, especially those with mirror neurons system (MNS) and sensory integration functions. On the contrary, the area important for the visual space processing of the right brain was activated. Regarding of characteristic of the MI methods was that children observed a video related to motor skills before the intervention. Also, they performed visual-motor tasks before MI training sessions. Adding action observation during MI activates the MNS, and performing visual-motor tasks activates the basal ganglia. These methods may improve the deactivated brain regions of children with DCD and may be useful as conditioning before starting training. Furthermore, we propose a process for sharing the contents of MI with the therapist in language and determining exercise strategies.
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Affiliation(s)
- Keisuke Irie
- Cognitive Motor Neuroscience, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Amiri Matsumoto
- Cognitive Motor Neuroscience, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Shuo Zhao
- School of Psychology, Shenzhen Key Laboratory of Affective and Social Neuroscience, Shenzhen University, Shenzhen, China
| | - Toshihiro Kato
- Rehabilitation of Developmental Disorders, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Nan Liang
- Cognitive Motor Neuroscience, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan
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Colizzi M, Ciceri ML, Di Gennaro G, Morari B, Inglese A, Gandolfi M, Smania N, Zoccante L. Investigating Gait, Movement, and Coordination in Children with Neurodevelopmental Disorders: Is There a Role for Motor Abnormalities in Atypical Neurodevelopment? Brain Sci 2020; 10:E601. [PMID: 32887253 PMCID: PMC7565603 DOI: 10.3390/brainsci10090601] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 08/25/2020] [Accepted: 08/31/2020] [Indexed: 12/17/2022] Open
Abstract
Motor abnormalities have been suggested to play a role in most neuropsychiatric disorders, as a potential generic neurodevelopmental vulnerability. However, they still represent a neglected area, with a paucity of empirical studies, especially in pediatric populations. This case-control study aimed to comprehensively assess motor functioning in children with atypical neurodevelopment and investigate whether any socio-demographic or clinical characteristics would concur with motor difficulties to distinguish children with neurodevelopmental disorders (NDD) from healthy controls. Socio-demographic (age and gender) and clinical (intelligence quotient, gait, movement, and coordination) data were collected on 114 children aged 5-15 (83 with NDD, 31 healthy controls). Male children were at significantly higher risk for NDD (OR: 13.023, p < 0.001). Furthermore, there was a statistically significant interaction between the total intelligence quotient and overall coordination such that increasing levels of total intelligence quotient appeared to protect against the likelihood of being diagnosed with an NDD, but only in the context of a preserved coordination (OR: 0.964, p = 0.038). Collectively, results may have important public health implications, as they point towards the development of new approaches to establish an early prognosis in neurodevelopment, including assessing motor difficulties and mitigating their impact on children's quality of life.
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Affiliation(s)
- Marco Colizzi
- Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UK
- Child and Adolescent Neuropsychiatry Unit, Maternal-Child Integrated Care Department, Integrated University Hospital of Verona, 37126 Verona, Italy; (M.L.C.); (B.M.); (A.I.); (L.Z.)
| | - Marco Luigi Ciceri
- Child and Adolescent Neuropsychiatry Unit, Maternal-Child Integrated Care Department, Integrated University Hospital of Verona, 37126 Verona, Italy; (M.L.C.); (B.M.); (A.I.); (L.Z.)
- Neurorehabilitation Unit, Integrated University Hospital of Verona, 37134 Verona, Italy; (M.G.); (N.S.)
| | - Gianfranco Di Gennaro
- Department of Pathology and Diagnostics, Integrated University Hospital of Verona, 37126 Verona, Italy;
| | - Beatrice Morari
- Child and Adolescent Neuropsychiatry Unit, Maternal-Child Integrated Care Department, Integrated University Hospital of Verona, 37126 Verona, Italy; (M.L.C.); (B.M.); (A.I.); (L.Z.)
| | - Alessandra Inglese
- Child and Adolescent Neuropsychiatry Unit, Maternal-Child Integrated Care Department, Integrated University Hospital of Verona, 37126 Verona, Italy; (M.L.C.); (B.M.); (A.I.); (L.Z.)
| | - Marialuisa Gandolfi
- Neurorehabilitation Unit, Integrated University Hospital of Verona, 37134 Verona, Italy; (M.G.); (N.S.)
- Neuromotor and Cognitive Rehabilitation Research Centre (CRRNC), Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
| | - Nicola Smania
- Neurorehabilitation Unit, Integrated University Hospital of Verona, 37134 Verona, Italy; (M.G.); (N.S.)
- Neuromotor and Cognitive Rehabilitation Research Centre (CRRNC), Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
| | - Leonardo Zoccante
- Child and Adolescent Neuropsychiatry Unit, Maternal-Child Integrated Care Department, Integrated University Hospital of Verona, 37126 Verona, Italy; (M.L.C.); (B.M.); (A.I.); (L.Z.)
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15
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Tamplain P, Miller HL. What Can We Do to Promote Mental Health Among Individuals With Developmental Coordination Disorder? CURRENT DEVELOPMENTAL DISORDERS REPORTS 2020; 8:24-31. [PMID: 34306965 DOI: 10.1007/s40474-020-00209-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Purpose of the Review It is well-documented that individuals with DCD experience mental health problems, in both psychosocial and psychiatric domains. In this review, we propose a series of diverse options to improve mental health among individuals with DCD. Recent Findings Despite recognition of mental health problems in DCD, relatively little work has been done to develop effective interventions. There is an urgent need for action in this matter. We present and discuss options based on a societal perspective (awareness and understanding), parental perspective (access to services and resources), and child perspective (participation). Summary In order to improve mental health, interventions must take into account multiple levels in a complex framework that includes community, family, and the individual. While more research on intervention effectiveness is necessary, researchers, practitioners, and community advocates can use existing initiatives as a starting point to address the urgent need for improving mental health in DCD.
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Affiliation(s)
- Priscila Tamplain
- Department of Kinesiology, University of Texas at Arlington, 500 W Nedderman Dr, Arlington, TX 76019, USA
| | - Haylie L Miller
- Department of Physical Therapy, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76109, USA
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Assessment of Motor Development in Childhood: Contemporary Issues, Considerations, and Future Directions. JOURNAL OF MOTOR LEARNING AND DEVELOPMENT 2020. [DOI: 10.1123/jmld.2018-0028] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Assessment of the motor domain is a critical aspect of understanding motor development. Measurement of motor development is the baseline to understand potential delays and to promote the tools for change and improvement of this domain. This paper aims to reflect on the construct of motor development and the process of assessing motor performance. We review the use of assessments in motor development research and discuss issues of validity, reliability, sensitivity, and specificity. We appraise selected assessments, describe how the use of assessments changed over the periods of study in motor development, and examine the contemporary status of assessments and its applications. Finally, and most importantly, we provide suggestions and recommendations for future directions in the field, as well as pose important questions for researchers and practitioners to consider when selecting, using, and interpreting assessment results. In light of the contemporary view of motor development and the increasing focus on health applications, we recommend the use of screening tools, short forms, and technology, as well as encouraging the use of and more research on motor development assessments in childhood.
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17
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Parr JVV, Foster RJ, Wood G, Hollands MA. Children With Developmental Coordination Disorder Exhibit Greater Stepping Error Despite Similar Gaze Patterns and State Anxiety Levels to Their Typically Developing Peers. Front Hum Neurosci 2020; 14:303. [PMID: 32848677 PMCID: PMC7399056 DOI: 10.3389/fnhum.2020.00303] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 07/08/2020] [Indexed: 12/21/2022] Open
Abstract
This study examined stepping accuracy, gaze behavior, and state-anxiety in children with (N = 21, age M = 10.81, SD = 1.89) and without (N = 18, age M = 11.39, SD = 2.06) developmental coordination disorder (DCD) during an adaptive locomotion task. Participants walked at a self-selected pace along a pathway, placing their foot into a raised rectangular floor-based target box followed by either no obstacles, one obstacle, or two obstacles. Stepping kinematics and accuracy were determined using three-dimensional motion capture, whilst gaze was determined using mobile eye-tracking equipment. The children with DCD displayed greater foot placement error and variability when placing their foot within the target box and were more likely to make contact with its edges than their typically developing (TD) peers. The DCD group also displayed greater variability in the length and width of their steps in the approach to the target box. No differences were observed between groups in any of the gaze variables measured, in mediolateral velocity of the center of mass during the swing phase into the target box, or in the levels of self-reported state-anxiety experienced prior to facing each task. We therefore provide the first quantifiable evidence that deficits to foot placement accuracy and precision may be partially responsible for the increased incidence of trips and falls in DCD, and that these deficits are likely to occur independently from gaze behavior and state-anxiety.
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Affiliation(s)
- Johnny V V Parr
- Department of Sport and Exercise Sciences, Research Centre for Musculoskeletal Science and Sports Medicine, Manchester Metropolitan University, Manchester, United Kingdom
| | - Richard J Foster
- Research to Improve Stair Climbing Safety, Faculty of Science, School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Greg Wood
- Department of Sport and Exercise Sciences, Research Centre for Musculoskeletal Science and Sports Medicine, Manchester Metropolitan University, Manchester, United Kingdom
| | - Mark A Hollands
- Research to Improve Stair Climbing Safety, Faculty of Science, School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
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18
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Brown-Lum M, Izadi-Najafabadi S, Oberlander TF, Rauscher A, Zwicker JG. Differences in White Matter Microstructure Among Children With Developmental Coordination Disorder. JAMA Netw Open 2020; 3:e201184. [PMID: 32186744 PMCID: PMC7081126 DOI: 10.1001/jamanetworkopen.2020.1184] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
IMPORTANCE Developmental coordination disorder (DCD) is a motor impairment that significantly interferes with activities of daily living. Little is known about the cause of DCD and how it develops, making it difficult to understand why children with DCD struggle in learning motor skills and to determine the best intervention to optimize function. OBJECTIVE To characterize white matter differences using diffusion tensor imaging in children with and without DCD. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study collected diffusion tensor imaging data at BC Children's Hospital Research Institute in Vancouver, British Columbia, Canada, from September 2014 to January 2017. Using a sample of convenience, children with DCD and children without DCD aged 8 to 12 years underwent magnetic resonance imaging. Data analysis was conducted from January 2017 to January 2020. MAIN OUTCOMES AND MEASURES The main outcome measures were diffusion parameters, including fractional anisotropy and mean, axial, and radial diffusivity, which are thought to provide an indirect measure of white matter microstructure. Tract-based spatial statistics, a voxelwise statistical analysis of diffusion parameters, were conducted using a 2-group comparison design matrix with age and attention as covariates. RESULTS Thirty children without DCD (mean [SD] age, 9.9 [1.4] years; 21 [70%] boys) and 31 children with DCD (mean [SD] age, 10.1 [1.2] years; 26 [84%] boys) were included in the study. Compared with children without DCD, children with DCD were characterized by significantly lower fractional anisotropy and axial diffusivity in regions of white matter pathways associated with motor and sensorimotor processing, including the corticospinal tract (fractional anisotropy: mean [SD], 0.54 [0.03] vs 0.51 [0.03]; P < .001; axial diffusivity: mean [SD], 0.13 [0.98] vs 0.12 [0.46]; P = .01), posterior thalamic radiation at the retrolenticular part of the internal capsule (axial diffusivity: mean [SD], 0.14 [0.57] vs 0.14 [0.44]; P = .01), and cerebellar pathways (eg, superior cerebellar peduncle, fractional anisotropy: mean [SD], 0.49 [0.05] vs 0.46 [0.03]; P = .03; axial diffusivity: mean [SD], 0.14 [0.66] vs 0.14 [0.63]; P = .009). There were no significant differences in mean diffusivity and radial diffusivity between children with and without DCD. CONCLUSIONS AND RELEVANCE These findings suggest that children with DCD show significant brain differences in motor and sensorimotor white matter pathways compared with children without DCD. The pattern of diffusion parameters in children with DCD suggests that axonal development may be disrupted in this neurodevelopmental disorder.
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Affiliation(s)
- Meisan Brown-Lum
- Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada
- BC Children’s Hospital Research Institute, Vancouver, British Columbia, Canada
| | - Sara Izadi-Najafabadi
- Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada
- BC Children’s Hospital Research Institute, Vancouver, British Columbia, Canada
| | - Tim F. Oberlander
- BC Children’s Hospital Research Institute, Vancouver, British Columbia, Canada
- Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada
- Sunny Hill Health Centre for Children, Vancouver, British Columbia, Canada
| | - Alexander Rauscher
- BC Children’s Hospital Research Institute, Vancouver, British Columbia, Canada
- Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada
| | - Jill G. Zwicker
- BC Children’s Hospital Research Institute, Vancouver, British Columbia, Canada
- Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada
- Sunny Hill Health Centre for Children, Vancouver, British Columbia, Canada
- Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada
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19
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Montes-Montes R, Delgado-Lobete L, Pereira J, Schoemaker MM, Santos-del-Riego S, Pousada T. Identifying Children with Developmental Coordination Disorder via Parental Questionnaires. Spanish Reference Norms for the DCDDaily-Q-ES and Correlation with the DCDQ-ES. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E555. [PMID: 31952254 PMCID: PMC7014077 DOI: 10.3390/ijerph17020555] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 01/10/2020] [Accepted: 01/12/2020] [Indexed: 12/12/2022]
Abstract
Developmental Coordination Disorder (DCD) is one of the most prevalent neurodevelopmental disorders in school-aged children, with major consequences in psychosocial and physical health. Adequate identification of this disorder is necessary to prompt effective interventions. The aims of this study were to develop the Spanish adjusted reference norms for the DCDDaily-Q and to test the correlation and agreement between the Spanish versions of the DCDDaily-Q (DCDDaily-Q-ES) and the Developmental Coordination Disorder Questionnaire (DCDQ-ES), two reliable instruments to assess motor performance and DCD. Clinically relevant percentiles were calculated for the DCDDaily-Q-ES using a representative sample of Spanish children aged 5 to 10 years (n = 356; M = 7.3 years, SD = 1.8; boys = 50%). Pearson's correlation coefficient and intraclass correlation coefficient (ICC) were used to determine correlation and agreement between questionnaires, respectively. A moderate and significant correlation and agreement between DCDDaily-Q-ES and DCDQ-ES was found (r = 0.406; ICC = 0.381; p < 0.001). Differences in daily participation and performance were found between age groups, but not between boys and girls. Spanish age-adjusted percentiles and cutoff scores for DCDDaily-Q-ES are provided. This study offers further validation and relevant information regarding assessment of DCD and has practical implications for clinical practice and research.
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Affiliation(s)
- Rebeca Montes-Montes
- Centre for Information and Communications Technology Research (CITIC), TALIONIS Research Group, University of A Coruña, 15008 Coruña, Spain; (R.M.-M.); (J.P.); (T.P.)
| | - Laura Delgado-Lobete
- Faculty of Health Sciences, Health Integration and Promotion Research Unit (INTEGRA SAÚDE), University of A Coruña, 15011 Coruña, Spain;
| | - Javier Pereira
- Centre for Information and Communications Technology Research (CITIC), TALIONIS Research Group, University of A Coruña, 15008 Coruña, Spain; (R.M.-M.); (J.P.); (T.P.)
| | - Marina M. Schoemaker
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands;
| | - Sergio Santos-del-Riego
- Faculty of Health Sciences, Health Integration and Promotion Research Unit (INTEGRA SAÚDE), University of A Coruña, 15011 Coruña, Spain;
| | - Thais Pousada
- Centre for Information and Communications Technology Research (CITIC), TALIONIS Research Group, University of A Coruña, 15008 Coruña, Spain; (R.M.-M.); (J.P.); (T.P.)
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20
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Ferreira L, Gabbard C, Vieira JL, Tamplain P. Associations Between the Developmental Coordination Disorder Questionnaire - Brazilian Version (DCDQ-BR) and Motor Competence in School-Age Children. Phys Occup Ther Pediatr 2020; 40:121-133. [PMID: 31544582 DOI: 10.1080/01942638.2019.1665154] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Aim: Parental screening of children's motor skills can be helpful for early identification of Developmental Coordination Disorder (DCD). The present study examined the associations between the Developmental Coordination Disorder Questionnaire - Brazilian version (DCDQ-BR) and motor competence in school-age children.Methods: 707 children (332 boys, 375 girls) aged between 6- to 10-years and one of their parents participated in the study. Parents completed the DCDQ-BR and children's motor competence was determined using the Bruininks-Oseretsky Test of Motor Proficiency - 2nd edition (BOT-2).Results: The agreement between the BOT-2 and DCDQ-BR results was comparable across age, ranging from 74-84 percent. In general, there were low- to moderate correlations between all aspects of the parent report and children's motor competence. Sensitivity and specificity of the DCDQ-BR were 70% and 81%, respectively. Overall, boys had higher motor competence than girls, but parent reports were similar for gender.Conclusions: Parental assessment of their child's motor ability is moderately associated with motor competence, and this association is similar for boys and girls, even though boys scored higher in motor competence. Our findings suggest that it may be possible to reduce the length of clinical assessment by only testing children that flag as suspect for DCD in the DCDQ-BR.
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Affiliation(s)
- Luciana Ferreira
- Department of Physical Education, State University of Maringa, Maringa, Pr, Brazil.,Department of Kinesiology, University of Texas at Arlington, Arlington, Texas, USA
| | - Carl Gabbard
- Department of Health and Kinesiology, Texas A&M University, College Station, Texas, USA
| | - José Luiz Vieira
- Department of Physical Education, State University of Maringa, Maringa, Pr, Brazil.,Department of Physical Activity Sciences, Catholic University of Maule, Talca, Chile
| | - Priscila Tamplain
- Department of Kinesiology, University of Texas at Arlington, Arlington, Texas, USA
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21
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Cavalcante Neto JL, Steenbergen B, Tudella E. Motor intervention with and without Nintendo® Wii for children with developmental coordination disorder: protocol for a randomized clinical trial. Trials 2019; 20:794. [PMID: 31888736 PMCID: PMC6937960 DOI: 10.1186/s13063-019-3930-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Accepted: 11/23/2019] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Despite the benefits highlighted by motor interventions based on virtual reality for children with Developmental Coordination Disorder (DCD), there are still doubts as to whether these are greater than those obtained with conventional interventions due to the absence of systematized protocols, and lack of evidence. Here, we present a protocol to systematically compare the effects of two motor-training programs (one Nintendo® Wii-based and the other no-Wii motor activities) on the motor learning in children with DCD. METHODS/DESIGN Two intervention protocols (one based on Nintendo® Wii and the other no-Wii motor activities) will be carried out, with interventions occurring twice a week in 60-min sessions, with a minimum of 12 and a maximum of 16 sessions per child. The protocols were developed based on the domains of the Movement Assessment Battery for Children - Second Edition (MABC-2) (Manual Dexterity, Aiming and Catching, Balance), with two activities for each of the MABC - two domains. The study will include children aged 7 to 10 years with a total MABC-2 score ≤ 16, and a Developmental Coordination Disorder Questionnaire (DCDQ) score < 46 (age of 7 years), score < 55 (age group of 8 to 9 years and 11 months), or score < 57 (age of 10 years) as scored by the parents. Children will be randomly allocated by draw in one of the two intervention protocols. MABC-2 and DCDQ will be applied before and after intervention to evaluate the effects of the interventions on motor performance and parents' perception, respectively. Motor learning will be assessed by means of the scores obtained in the games. Evaluators and therapists will be trained and evaluators will be blind regarding the data of the children in the study. DISCUSSION Owing to its motivating aspects, training with Nintendo® Wii may be particularly beneficial for children with DCD. The results of this study protocol should help researchers and therapists to better understand the benefits of Nintendo® Wii-based motor intervention over those obtained with no-Wii interventions in children with DCD. It should also create references about more systematized protocols for replication in clinical practice, seeking the improvement of the motor components of these children. TRIAL REGISTRATION RBR-89ydgj.
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Affiliation(s)
- Jorge Lopes Cavalcante Neto
- Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo Brazil
- State University of Bahia (UNEB), Bahia, Brazil
| | | | - Eloisa Tudella
- Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo Brazil
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Omer S, Jijon AM, Leonard HC. Research Review: Internalising symptoms in developmental coordination disorder: a systematic review and meta-analysis. J Child Psychol Psychiatry 2019; 60:606-621. [PMID: 30485419 PMCID: PMC7379561 DOI: 10.1111/jcpp.13001] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/18/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Developmental coordination disorder (DCD) affects 5%-6% of children. There is growing evidence that DCD is associated with greater levels of internalising symptoms (i.e. depression and anxiety). This is the first systematic review and meta-analysis to explore the magnitude of this effect, the quality of the evidence and potential moderators. METHODS A systematic search was conducted to identify studies reporting a comparison between individuals with DCD/probable DCD and typically developing (TD) individuals on measures of internalising symptoms. A pooled effect size (Hedges g) was calculated using random-effects meta-analysis. Study quality, publication bias and potential moderators of the effect were explored. RESULTS Twenty studies, including a total of 23 subsamples, met the inclusion criteria, of which 22 subsamples were included in the meta-analysis (DCD: n = 1123; TD: n = 7346). A significant, moderate effect of DCD on internalising symptoms was found (g = 0.61). This effect remained robust after accounting for publication bias and excluding lower quality studies. The effect was significantly larger in studies utilising a cross-sectional design (vs. longitudinal), convenience sampling (vs. population screening) and a majority male sample. CONCLUSIONS The findings demonstrate that individuals with DCD experience greater levels of internalising symptoms than their peers. This highlights the importance of routine screening for emotional difficulties in DCD, raising awareness of the condition in mental health services and developing psychosocial interventions that extend beyond a focus on motor impairments. However, there is a need for higher quality, longitudinal studies to better understand the causal relationship between DCD and internalising symptoms.
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Affiliation(s)
- Serif Omer
- School of PsychologyUniversity of SurreyGuildfordSurreyUK
| | - Ana M. Jijon
- School of PsychologyUniversity of SurreyGuildfordSurreyUK
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23
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Lachapelle-Neveu L, Carrier C, Fink-Mercier M, Larivière M, Ruest C, Demers I, Maltais DB, Camden C. Expérimentation d’une formation sur le trouble développemental de la coordination destinée aux enseignants en éducation physique. Physiother Can 2019; 71:113-120. [PMID: 31040506 DOI: 10.3138/ptc.2017-93.f] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose: Best DCD practices include developing the ability of teachers to promote the participation of children in physical activities. The purpose of this study is to assess the impact of a one-day training session, including short lectures and workshops on developmental coordination disorder (DCD), on the perceptions that physical education teachers (PET) have of the knowledge, skills, and pedagogical practices. Methods: cohort study with a mixed pre-post-follow-up design that included a questionnaire before, immediately after, and three months after the training. Descriptive analyses, Wilcoxon tests, and a thematic analysis were performed. Results: 38, 35, and 22 PET respectively filled out the questionnaires at the three time-point. The perceptions of the knowledge, skills, and pedagogical practices of the PET were higher after the training compared to the initial perceptions (p < 0.006). At first, the PETs reported using certain general pedagogical strategies (e.g., modifying the task). After the training, the PETs gave more concrete examples and reported using new strategies (e.g., offering feedback after the task), which seems to have decreased behavioural problems. Conclusions: training can favourably modify the PETs' perceptions on their knowledge, skills, and practices. More research is necessary to assess the impact of the participation of children with a DCD.
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Affiliation(s)
- Laurence Lachapelle-Neveu
- Centre de recherche du Centre hospitalier universitaire de l'Université de Sherbrooke, Université de Sherbrooke
| | - Camille Carrier
- Centre de recherche du Centre hospitalier universitaire de l'Université de Sherbrooke, Université de Sherbrooke
| | - Marianne Fink-Mercier
- Centre de recherche du Centre hospitalier universitaire de l'Université de Sherbrooke, Université de Sherbrooke
| | - Maxime Larivière
- Centre de recherche du Centre hospitalier universitaire de l'Université de Sherbrooke, Université de Sherbrooke
| | - Catherine Ruest
- Centre de recherche du Centre hospitalier universitaire de l'Université de Sherbrooke, Université de Sherbrooke
| | - Isabelle Demers
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Institut de réadaptation en déficience physique de Québec
| | - Désirée B Maltais
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), Institut de réadaptation en déficience physique de Québec.,Département de réadaptation, Université Laval, Québec
| | - Chantal Camden
- Centre de recherche du Centre hospitalier universitaire de l'Université de Sherbrooke, Université de Sherbrooke
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Pedro A, Goldschmidt T, Daniels L. Parent-carer awareness and understanding of dyspraxia: Implications for child development support practices. JOURNAL OF PSYCHOLOGY IN AFRICA 2019. [DOI: 10.1080/14330237.2019.1568092] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Athena Pedro
- Department of Psychology, University of the Western Cape, Bellville, South Africa
| | - Tessa Goldschmidt
- Department of Psychology, University of the Western Cape, Bellville, South Africa
| | - Lito Daniels
- Department of Psychology, University of the Western Cape, Bellville, South Africa
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25
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Niklasson M, Rasmussen P, Niklasson I, Norlander T. Developmental Coordination Disorder: The Importance of Grounded Assessments and Interventions. Front Psychol 2018; 9:2409. [PMID: 30564173 PMCID: PMC6288430 DOI: 10.3389/fpsyg.2018.02409] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2017] [Accepted: 11/15/2018] [Indexed: 01/29/2023] Open
Abstract
This focused review is based on earlier studies which have shown that both children and adults diagnosed as having developmental coordination disorder (DCD), benefited from sensorimotor therapy according to the method Retraining for Balance (RB). Different approaches and assessments for children and adults in regard to DCD are scrutinized and discussed in comparison to RB which mainly includes (a) vestibular assessment and stimulation (b) assessment and integration of aberrant primary reflexes and (c) assessment and stimulation of auditory and visual perception. Earlier results indicate that the process of Sensorimotor therapy using RB techniques could be described according to a conceptual Kinesthetic-Vestibular Developmental Model (KVDM) whereby the training elicited temporary physical and psychological regressions followed by transformations i.e., positive physical and psychological development. We have also seen that this recurring pattern is similar for children and adults. In our conceptual model vestibular stimulation (perceptual priming) stimulates the nervous system, which might enhance object-related priming. This perceptual priming will also assist the suppression of persistent aberrant primary reflexes. In order to develop effective methods for assessment and intervention of DCD over the life span the importance of primary reflex inhibition and vestibular stimulation as well as a combination of bottom-up and top-down approaches have to be considered.
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Affiliation(s)
- Mats Niklasson
- Center for Research and Development, Evidens University College, Göteborg, Sweden
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
| | - Peder Rasmussen
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
- Department of Neuroscience and Physiology, Institute of Child and Adolescent Psychiatry, Sahlgrenska University Hospital, Göteborg, Sweden
| | - Irene Niklasson
- Center for Research and Development, Evidens University College, Göteborg, Sweden
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
| | - Torsten Norlander
- Center for Research and Development, Evidens University College, Göteborg, Sweden
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
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Bolk J, Farooqi A, Hafström M, Åden U, Serenius F. Developmental Coordination Disorder and Its Association With Developmental Comorbidities at 6.5 Years in Apparently Healthy Children Born Extremely Preterm. JAMA Pediatr 2018; 172:765-774. [PMID: 29868837 PMCID: PMC6142915 DOI: 10.1001/jamapediatrics.2018.1394] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
IMPORTANCE There are concerns that apparently healthy extremely preterm children face a risk of developing motor impairments, such as developmental coordination disorder. OBJECTIVE To evaluate the prevalence of developmental coordination disorder and associated comorbidities in a national cohort of apparently healthy children born at 22 to 26 gestational weeks, compared alongside term-born peers. DESIGN, SETTING, AND PARTICIPANTS This prospective, population-based cohort study included all children who were consecutively born at 22 to 26 gestational weeks in Sweden from April 1, 2004, through March 31, 2007. At 6.5 years, 441 preterm children were evaluated alongside 371 controls. A total of 275 preterm children (62.4%) and 359 term-born children (96.8%) did not have neurodevelopmental disabilities. Motor assessments were completed for 229 of 275 preterm children (83.3%) and 344 of 359 (95.8%) term-born children, who composed the final study sample. MAIN OUTCOMES AND MEASURES Developmental coordination disorder was defined as a score of the fifth percentile or lower on the Movement Assessment Battery for Children-Second Edition scale, using control group scores. Assessment tools included the Wechsler Intelligence Scale for Children-Fourth Edition, the Brown Attention-Deficit Disorder Scales, the Five to Fifteen questionnaire, and the Strengths and Difficulties questionnaire. RESULTS Of the 229 extremely preterm children and 344 term-born controls who underwent motor assessments, 115 (50.2%) and 194 (56.4%) were boys, respectively. Developmental coordination disorder was present in 85 of 229 (37.1%) preterm children and in 19 of 344 controls (5.5%) (adjusted odds ratio [OR], 7.92; 99% CI, 3.69-17.20). When preterm children with developmental coordination disorder were compared with term-born peers, the risk was increased for total behavioral problems, internalizing, externalizing, attentional problems, hyperactivity, perceptual problems, executive dysfunction, and poor social skills, with adjusted ORs varying from 2.66 (99% CI, 1.09-6.48) for time concepts to 9.06 (99% CI, 3.60-22.8) for attentional problems (all P < .01). When preterm children with and without developmental coordination disorder were compared, preterm children with developmental coordination disorder had more behavioral problems; the adjusted OR for total behavioral problems was 2.71 (99% CI, 1.15-6.37); for externalizing problems, 2.80 (99% CI, 1.10-7.12); for inattention, 3.38 (99% CI, 1.39-8.18); and for combined attention/hyperactivity problems, 3.68 (99% CI, 1.47-9.16) (all P < .01). Parents underestimated the children's motor problems and only a few of the children had received psychological care or physiotherapy. CONCLUSIONS AND RELEVANCE Children who were born extremely preterm faced a high risk for developmental coordination disorder with associated comorbidities. Our findings support the importance of a structured follow-up of motor function, behavior, and cognition.
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Affiliation(s)
- Jenny Bolk
- Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden,Sachs’ Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden
| | - Aijaz Farooqi
- Unit of Pediatrics, Institute of Clinical Sciences, University of Umeå, Umeå, Sweden
| | - Maria Hafström
- Department of Pediatrics, Institute of Clinical Sciences, The Queen Silvia Children's Hospital, University of Gothenburg, Gothenburg, Sweden,Department of Paediatrics, St Olavs Hospital, Trondheim, Norway,Department of Laboratory Medicine, Children’s and Women’s Health, Norwegian University of Science and Technology Trondheim, Trondheim, Norway
| | - Ulrika Åden
- Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden,Karolinska University Hospital, Stockholm, Sweden
| | - Fredrik Serenius
- Unit of Pediatrics, Institute of Clinical Sciences, University of Umeå, Umeå, Sweden,Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
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Caçola P, Killian M. Health-related quality of life in children with Developmental Coordination Disorder: Association between the PedsQL and KIDSCREEN instruments and comparison with their normative samples. RESEARCH IN DEVELOPMENTAL DISABILITIES 2018; 75:32-39. [PMID: 29482034 DOI: 10.1016/j.ridd.2018.02.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 01/25/2018] [Accepted: 02/12/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND AND AIMS One of the major concerns for Developmental Coordination Disorder (DCD) are the mental and physical consequences of the condition, especially as they relate to quality of life factors. Here, we examined health-related quality of life (HRQOL) in children with DCD, determined the association between two standardized parent reports, and compared HRQOL of our sample with DCD with the normative sample of each assessment for typically developing (TD) children and a sample of children with chronic health conditions. METHODS AND PROCEDURES Parents of children with reported DCD with ages between 6 and 12 completed the PedsQL and KIDSCREEN instruments through an online survey. The PedsQL measures HRQOL in the Physical, Emotional, Social, Academic, and Psychosocial Functioning domains, while the KIDSCREEN assesses HRQOL in Physical and Psychological Well-Being, Autonomy & Parents, Peers & Social Support, and School Environment. OUTCOMES AND RESULTS Pearson's correlation analyses showed low to moderate correlations between dimensions of the assessments, with the exception of the KIDSCREEN Autonomy & Parents. T-test analyses showed that the group with DCD showed significantly lower scores than the normative samples on the PedsQL and KIDSCREEN, and the PedsQL scores were significantly lower than those of a sample of children experiencing chronic illness. CONCLUSIONS AND IMPLICATIONS Scores on both instruments state that DCD likely represents a serious problem for children, and add to the body of evidence supporting the notion that children with DCD have lower overall HRQOL. We urge professionals to address or refer these children to services that can help improve children's quality of life and prevent future health problems.
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Affiliation(s)
- Priscila Caçola
- College of Nursing and Health Innovation, University of Texas at Arlington, United States.
| | - Michael Killian
- School of Social Work, University of Texas at Arlington, United States
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Nobusako S, Sakai A, Tsujimoto T, Shuto T, Nishi Y, Asano D, Furukawa E, Zama T, Osumi M, Shimada S, Morioka S, Nakai A. Deficits in Visuo-Motor Temporal Integration Impacts Manual Dexterity in Probable Developmental Coordination Disorder. Front Neurol 2018; 9:114. [PMID: 29556211 PMCID: PMC5844924 DOI: 10.3389/fneur.2018.00114] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Accepted: 02/14/2018] [Indexed: 11/13/2022] Open
Abstract
The neurological basis of developmental coordination disorder (DCD) is thought to be deficits in the internal model and mirror-neuron system (MNS) in the parietal lobe and cerebellum. However, it is not clear if the visuo-motor temporal integration in the internal model and automatic-imitation function in the MNS differs between children with DCD and those with typical development (TD). The current study aimed to investigate these differences. Using the manual dexterity test of the Movement Assessment Battery for Children (second edition), the participants were either assigned to the probable DCD (pDCD) group or TD group. The former was comprised of 29 children with clumsy manual dexterity, while the latter consisted of 42 children with normal manual dexterity. Visuo-motor temporal integration ability and automatic-imitation function were measured using the delayed visual feedback detection task and motor interference task, respectively. Further, the current study investigated whether autism-spectrum disorder (ASD) traits, attention-deficit hyperactivity disorder (ADHD) traits, and depressive symptoms differed among the two groups, since these symptoms are frequent comorbidities of DCD. In addition, correlation and multiple regression analyses were performed to extract factors affecting clumsy manual dexterity. In the results, the delay-detection threshold (DDT) and steepness of the delay-detection probability curve, which indicated visuo-motor temporal integration ability, were significantly prolonged and decreased, respectively, in children with pDCD. The interference effect, which indicated automatic-imitation function, was also significantly reduced in this group. These results highlighted that children with clumsy manual dexterity have deficits in visuo-motor temporal integration and automatic-imitation function. There was a significant correlation between manual dexterity, and measures of visuo-motor temporal integration, and ASD traits and ADHD traits and ASD. Multiple regression analysis revealed that the DDT, which indicated visuo-motor temporal integration, was the greatest predictor of poor manual dexterity. The current results supported and provided further evidence for the internal model deficit hypothesis. Further, they suggested a neurorehabilitation technique that improved visuo-motor temporal integration could be therapeutically effective for children with DCD.
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Affiliation(s)
- Satoshi Nobusako
- Neurorehabilitation Research Center, Kio University, Nara, Japan.,Graduate School of Health Science, Kio University, Nara, Japan
| | - Ayami Sakai
- Department of Rehabilitation, Higashi Osaka Yamaji Hospital, Osaka, Japan
| | - Taeko Tsujimoto
- Department of Rehabilitation, Nanso-no-Sato, Nursing Care Insurance Facilities, Osaka, Japan
| | - Takashi Shuto
- Department of Rehabilitation, Nogami Hospital, Osaka, Japan
| | - Yuki Nishi
- Department of Home-Visit Rehabilitation, Ishida Clinic, Osaka, Japan
| | - Daiki Asano
- Department of Rehabilitation, Japan Baptist Hospital, Kyoto, Japan
| | - Emi Furukawa
- Faculty of Education, Kio University, Nara, Japan
| | - Takuro Zama
- Department of Electrical Engineering, Graduate School of Science and Technology, Meiji University, Kanagawa, Japan
| | - Michihiro Osumi
- Neurorehabilitation Research Center, Kio University, Nara, Japan.,Graduate School of Health Science, Kio University, Nara, Japan
| | - Sotaro Shimada
- Department of Electronics and Bioinformatics, School of Science and Technology, Meiji University, Kanagawa, Japan
| | - Shu Morioka
- Neurorehabilitation Research Center, Kio University, Nara, Japan.,Graduate School of Health Science, Kio University, Nara, Japan
| | - Akio Nakai
- Hyogo Children's Sleep and Development Medical Research Center, Kobe, Japan
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Tolentino-Castro JW, Mühlbeier A, Mochizuki L, Wagner H. Delayed Latency of Postural Muscles of Individuals with Intellectual Disabilities. Front Psychol 2018; 9:109. [PMID: 29467709 PMCID: PMC5807919 DOI: 10.3389/fpsyg.2018.00109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Accepted: 01/23/2018] [Indexed: 11/13/2022] Open
Abstract
Individuals with intellectual disabilities (ID) (50 < IQ < 79) show impaired motor and postural control, these impairments are highly related to falls and injuries. Recent studies demonstrated these impairments are related with fine and gross motor development, which are more strongly associated with cognition, and consequently language for individuals with ID than for without ID. Despite these studies, little is known about the structure and functioning of this population's spinal cord, which is highly involved in postural control. The aim of our study was to assess the latency of the reflex responses in postural muscles after unexpected lateral external perturbations, in individuals with intellectual disabilities compared to typically developed participants. We assessed 16 participants with intellectual disabilities, 9 males and 7 females (aged 24.06 ± 8.66 years) and 20 typical developed participants (CG), 11 females, 9 males, (aged 21.20±1.96 years). While the participants were in an upright standing position electromyography was used to collect data from M. obliquus externus abdominis (OE) muscles, which were activated by unpredictable perturbations applied by a servomotor on a hand-held grip, following the lateral external perturbation to the trunk. The intellectual disabilities group presented contralateral OE muscles latency of 85.71±27.24 ms, and CG group presented 68.62±10.25 ms, no differences was found. Ipsilateral OE muscles latency also did not differs between the groups, ID group showed 96.60±30.20 ms and CG group showed 95.57±33.53 ms. Our study furthers the knowledge about the muscular activity of individuals with intellectual disabilities. The present experimental results may suggest unique spinal cord processing of individuals with intellectual disabilities when they are faced with unexpected lateral external perturbations.
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Affiliation(s)
- J Walter Tolentino-Castro
- Department of Movement Science, University of Münster, Münster, Germany.,Otto Creutzfeldt Center for Cognitive and Behavioral Neuroscience, University of Münster, Münster, Germany
| | - Andreas Mühlbeier
- Department of Movement Science, University of Münster, Münster, Germany
| | - Luis Mochizuki
- Department of Movement Science, College of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
| | - Heiko Wagner
- Department of Movement Science, University of Münster, Münster, Germany.,Otto Creutzfeldt Center for Cognitive and Behavioral Neuroscience, University of Münster, Münster, Germany
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Caçola P, Getchell N, Srinivasan D, Alexandrakis G, Liu H. Cortical activity in fine‐motor tasks in children with Developmental Coordination Disorder: A preliminary fNIRS study. Int J Dev Neurosci 2017; 65:83-90. [DOI: 10.1016/j.ijdevneu.2017.11.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 11/03/2017] [Accepted: 11/06/2017] [Indexed: 11/26/2022] Open
Affiliation(s)
- Priscila Caçola
- Department of KinesiologyUniversity of Texas at ArlingtonUnited States
| | - Nancy Getchell
- Department of Kinesiology & Applied PhysiologyUniversity of DelawareUnited States
| | - Dhivya Srinivasan
- Department of BioengineeringUniversity of Texas at ArlingtonUnited States
| | | | - Hanli Liu
- Department of BioengineeringUniversity of Texas at ArlingtonUnited States
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Niklasson M, Norlander T, Niklasson I, Rasmussen P. Catching-up: Children with developmental coordination disorder compared to healthy children before and after sensorimotor therapy. PLoS One 2017; 12:e0186126. [PMID: 29020061 PMCID: PMC5636139 DOI: 10.1371/journal.pone.0186126] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 09/26/2017] [Indexed: 01/17/2023] Open
Abstract
The aims of the present study were to (a) compare healthy children in terms of sensorimotor maturity to untreated children diagnosed with developmental coordination disorder (DCD) and (b) compare healthy children to diagnosed children following completed treatment with sensorimotor therapy. Participants were 298 children, 196 boys and 102 girls, distributed into a Norm group of healthy children (n = 99) and a group of children diagnosed with DCD (n = 199) with a total mean age of 8.77 years (SD = 2.88). Participants in both groups were assessed on instruments aimed to detect sensorimotor deviations. The children in the DCD group completed, during on average 36 months, sensorimotor therapy which comprised stereotypical fetal- and infant movements, vestibular stimulation, tactile stimulation, auditory stimulation, complementary play exercises, gross motor milestones, and sports-related gross motor skills. At the final visit a full assessment was once more performed. Results showed that the Norm group performed better on all sensorimotor tests as compared to the untreated children from the DCD group, with the exception of an audiometric test where both groups performed at the same level. Girls performed better on tests assessing proprioceptive and balance abilities. Results also showed, after controls for natural maturing effects, that the children from the DCD group after sensorimotor therapy did catch up with the healthy children. The concept of "catching-up" is used within developmental medicine but has not earlier been documented with regard to children and youth in connection with DCD.
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Affiliation(s)
- Mats Niklasson
- Center for Research and Development, Evidens University College, Göteborg, Sweden
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
| | - Torsten Norlander
- Center for Research and Development, Evidens University College, Göteborg, Sweden
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden
| | - Irene Niklasson
- Center for Research and Development, Evidens University College, Göteborg, Sweden
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
| | - Peder Rasmussen
- Center for Sensorimotor Research, Vestibularis Clinic, Kalmar, Sweden
- Department of Neuroscience and Physiology, Insitute of Child and Adolescent Psychiatry, Sahlgrenska University Hospital, Göteborg, Sweden
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