Timing and Motor Control in Clumsy Children

Auditory rhythm facilitates perception and action in children at risk for developmental coordination disorder

Developmental Coordination Disorder (DCD) is a common neurodevelopmental disorder featuring deficits in motor coordination and motor timing among children. Deficits in rhythmic tracking, including perceptually tracking and synchronizing action with auditory rhythms, have been studied in a wide range of motor disorders, providing a foundation for developing rehabilitation programs incorporating auditory rhythms. We tested whether DCD also features these auditory-motor deficits among 7-10 year-old children. In a speech recognition task with no overt motor component, modulating the speech rhythm interfered more with the performance of children at risk for DCD than typically developing (TD) children. A set of auditory-motor tapping tasks further showed that, although children at risk for DCD performed worse than TD children in general, the presence of an auditory rhythmic cue (isochronous metronome or music) facilitated the temporal consistency of tapping. Finally, accuracy in the recognition of rhythmically modulated speech and tapping consistency correlated with performance on the standardized motor assessment. Together, the results show auditory rhythmic regularity benefits auditory perception and auditory-motor coordination in children at risk for DCD. This provides a foundation for future clinical studies to develop evidence-based interventions involving auditory-motor rhythmic coordination for children with DCD.

Children with developmental coordination disorder have less variable motor unit firing rate characteristics across contractions compared to typically developing children

Introduction

Understanding the nuances of neuromuscular control is crucial in unravelling the complexities of developmental coordination disorder (DCD), which has been associated with differences in skeletal muscle activity, implying that children with DCD employ distinct strategies for muscle control. However, force generation and control are dependent on both recruitment of motor units and their firing rates and these fine details of motor function have yet to be studied in DCD. The purpose of this study was therefore to compare motor unit characteristics in a small muscle of the hand during low level, handgrip contractions in typically developing (TD) children and children with DCD.

Methods

Eighteen children (9 TD vs. 9 DCD) completed a series of manual handgrip contractions at 10 ± 5% of their maximum voluntary contraction. High density surface electromyography was used to record excitation of the first dorsal interosseus muscle. Recorded signals were subsequently decomposed into individual motor unit action potential trains. Motor unit characteristics (firing rate, inter-pulse interval, and action potential amplitude) were analysed for contractions that had a coefficient variation of <10%.

Results and Discussion

This study found few differences in average motor unit characteristics (number of motor units: TD 20.24 ± 9.73, DCD 27.32 ± 14.00; firing rate: TD 7.74 ± 2.16 p.p.s., DCD 7.86 ± 2.39 p.p.s.; inter-pulse interval: TD 199.72 ± 84.24 ms, DCD 207.12 ± 103 ms) when force steadiness was controlled for, despite the DCD group being significantly older (10.89 ± 0.78 years) than the TD group (9.44 ± 1.67 years). However, differences were found in the variability of motor unit firing statistics, with the children with DCD surprisingly showing less variability across contractions (standard deviation of coefficient of variation of inter-pulse interval: TD 0.38 ± 0.12, DCD 0.28 ± 0.11). This may suggest a more fixed strategy to stabilise force between contractions used by children with DCD. However, as variability of motor unit firing has not been considered in previous studies of children further work is required to better understand the role of variability in motor unit firing during manual grasping tasks, in all children.

Auditory-Perceptual and Auditory-Motor Timing Abilities in Children with Developmental Coordination Disorder: A Scoping Review

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.

Below average motor skills predict victimization from childhood bullies: A study of adults with ADHD

Children with ADHD are frequently clumsy and involved in bullying, both as victims and perpetrators. The relationship between motor skills and bully status is poorly understood. The aim of the current study was to evaluate the effect of motor skills in childhood on bully victimization/perpetration in those with ADHD. In this cross-sectional study, 403 adults diagnosed with ADHD filled out a questionnaire on their recall of bully victimization, bully perpetration, performance in physical education (PE) (defined as performance below average in i.e., ball dexterity, coordination or agility) as a proxy for motor skills, and academic skills at age 12, as compared to their peers. Of the current sample, 63% remembered being victimized and 31% noted they were perpetrators. Thirty-two percent recalled that they performed below average in PE. Being diagnosed with ADHD and having poor motor skills was strongly associated with bully victimization (OR = 2.63; 95% CI:1.62, 4.27, p < .001). Victimization was more common during all measured time periods, from nursery school until the age of 15, among those with poor performance in PE as compared to those without poor performance. No relationship was found between poor motor skills and bully perpetration. CONCLUSION: A crucial role of the cerebellum is coordination and the linking of sequenced motor actions through milli-second timing. Aberrations in this ability makes a person present as "different", which was stated as the most common reason for social exclusion by other children. Therefore, subtle clumsiness (presumed by poor performance in PE class) is suggested to mirror deficits in social skills, which is intuitively observed by peers, leading to victimization.

Developmental Coordination Disorder: State of the Art and Future Directions from a Neurophysiological Perspective

Developmental coordination disorder (DCD) is a common neurodevelopmental condition characterized by disabling motor impairments being visible from the first years of life. Over recent decades, research in this field has gained important results, showing alterations in several processes involved in the regulation of motor behavior (e.g., planning and monitoring of actions, motor learning, action imitation). However, these studies mostly pursued a behavioral approach, leaving relevant questions open concerning the neural correlates of this condition. In this narrative review, we first survey the literature on motor control and sensorimotor impairments in DCD. Then, we illustrate the contributions to the field that may be achieved using transcranial magnetic stimulation (TMS) of the motor cortex. While still rarely employed in DCD research, this approach offers several opportunities, ranging from the clarification of low-level cortical electrophysiology to the assessment of the motor commands transmitted throughout the corticospinal system. We propose that TMS may help to investigate the neural correlates of motor impairments reported in behavioral studies, thus guiding DCD research toward a brain-oriented acknowledgment of this condition. This effort would help translational research to provide novel diagnostic and therapeutic tools.

The Differential Effects of Auditory and Visual Stimuli on Learning, Retention and Reactivation of a Perceptual-Motor Temporal Sequence in Children With Developmental Coordination Disorder

This study investigates the procedural learning, retention, and reactivation of temporal sensorimotor sequences in children with and without developmental coordination disorder (DCD). Twenty typically-developing (TD) children and 12 children with DCD took part in this study. The children were required to tap on a keyboard, synchronizing with auditory or visual stimuli presented as an isochronous temporal sequence, and practice non-isochronous temporal sequences to memorize them. Immediate and delayed retention of the audio-motor and visuo-motor non-isochronous sequences were tested by removing auditory or visual stimuli immediately after practice and after a delay of 2 h. A reactivation test involved reintroducing the auditory and visual stimuli after the delayed recall. Data were computed via circular analyses to obtain asynchrony, the stability of synchronization and errors (i.e., the number of supplementary taps). Firstly, an overall deficit in synchronization with both auditory and visual isochronous stimuli was observed in DCD children compared to TD children. During practice, further improvements (decrease in asynchrony and increase in stability) were found for the audio-motor non-isochronous sequence compared to the visuo-motor non-isochronous sequence in both TD children and children with DCD. However, a drastic increase in errors occurred in children with DCD during immediate retention as soon as the auditory stimuli were removed. Reintroducing auditory stimuli decreased errors in the audio-motor sequence for children with DCD. Such changes were not seen for the visuo-motor non-isochronous sequence, which was equally learned, retained and reactivated in DCD and TD children. All these results suggest that TD children benefit from both auditory and visual stimuli to memorize the sequence, whereas children with DCD seem to present a deficit in integrating an audio-motor sequence in their memory. The immediate effect of reactivation suggests a specific dependency on auditory information in DCD. Contrary to the audio-motor sequence, the visuo-motor sequence was both learned and retained in children with DCD. This suggests that visual stimuli could be the best information for memorizing a temporal sequence in DCD. All these results are discussed in terms of a specific audio-motor coupling deficit in DCD.

Procedural learning and retention of audio-verbal temporal sequence is altered in children with developmental coordination disorder but cortical thickness matters

Rhythmic abilities are impaired in developmental coordination disorder (DCD) but learning deficit of procedural skills implying temporal sequence is still unclear. Current contradictory results suggest that procedural learning deficits in DCD highly depend on learning conditions. The present study proposes to test the role of sensory modality of stimulations (visual or auditory) on synchronization, learning, and retention of temporal verbal sequences in children with and without DCD. We postulated a deficit in learning particularly with auditory stimulations, in association with atypical cortical thickness of three regions of interesting: sensorimotor, frontal and parietal regions. Thirty children with and without DCD (a) performed a synchronization task to a regular temporal sequence and (b) practiced and recalled a novel non-regular temporal sequences with auditory and visual modalities. They also had a magnetic resonance imaging to measure their cortical thickness. Results suggested that children with DCD presented a general deficit in synchronization of a regular temporal verbal sequence irrespective of the sensory modality, but a specific deficit in learning and retention of auditory non-regular verbal temporal sequence. Stability of audio-verbal synchronization during practice correlated with cortical thickness of the sensorimotor cortex. For the first time, our results suggest that synchronization deficits in DCD are not limited to manual tasks. This deficit persists despite repeated exposition and practice of an auditory temporal sequence, which suggests a possible alteration in audio-verbal coupling in DCD. On the contrary, control of temporal parameters with visual stimuli seems to be less affected, which opens perspectives for clinical practice.

Temporal Consistency and Movement Effort of Repetitive Reaching During Continuation in Children and Adults

The ability to match one's movements to an external beat and maintain that rhythm in the absence of the beat suggests sophisticated, well-developed neural control. Children (aged 5-10 years) were compared with adults (aged 18-30 years) during a repetitive reaching task to determine development of this control. Children as young as 5 years exhibited this control. The mean rate of reaching did not differ between groups nor did it differ during the two phases, suggesting an overall ability to internalize and continuously repeat a given pace. Children aged 5-8 years were significantly more variable than children aged 9-10 years and adults, likely attributable to variability in central control processes. We found a possible transition period of temporal control. Children aged 9-10 years begin to exhibit more adult-like levels of variability with respect to temporal consistency and movement effort.

Variability in coordination patterns in children with developmental coordination disorder (DCD)

High motor variability is an often-found characteristic of Developmental Coordination Disorder (DCD). Still, the role of high motor variability in DCD needs further examination. This study focused on variability in coordination patterns, which is essential considering that DCD is a coordination disorder. We examined variability in coordination patterns of the arm over repetitions of trials in goal-directed reaching movements. This variability was partitioned into variability that does not affect the index fingertip position (V_ucm) and variability that does affect the index fingertip position (V_ort). This study aimed to increase the understanding of motor variability in DCD by comparing V_ucm and V_ort between children with DCD and typically developing (TD) children in a goal-directed reaching task. Twenty-two children (eleven with DCD) ages 6-11 performed 30 reaching movements. The Uncontrolled Manifold method was used to quantify V_ucm and V_ort. Results showed that children with DCD had more V_ucm than TD children while V_ort was similar between groups, showing that coordination patterns in children with DCD are more variable, but interestingly, this higher variability does not affect performance. This study indicates that high motor variability in DCD is not necessarily negative. Possible roles of motor variability in DCD are discussed.

Is auditory perceptual timing a core deficit of developmental coordination disorder?

Time is an essential dimension for perceiving and processing auditory events, and for planning and producing motor behaviors. Developmental coordination disorder (DCD) is a neurodevelopmental disorder affecting 5-6% of children that is characterized by deficits in motor skills. Studies show that children with DCD have motor timing and sensorimotor timing deficits. We suggest that auditory perceptual timing deficits may also be core characteristics of DCD. This idea is consistent with evidence from several domains, (1) motor-related brain regions are often involved in auditory timing process; (2) DCD has high comorbidity with dyslexia and attention deficit hyperactivity, which are known to be associated with auditory timing deficits; (3) a few studies report deficits in auditory-motor timing among children with DCD; and (4) our preliminary behavioral and neuroimaging results show that children with DCD at age 6 and 7 have deficits in auditory time discrimination compared to typically developing children. We propose directions for investigating auditory perceptual timing processing in DCD that use various behavioral and neuroimaging approaches. From a clinical perspective, research findings can potentially benefit our understanding of the etiology of DCD, identify early biomarkers of DCD, and can be used to develop evidence-based interventions for DCD involving auditory-motor training.

The General Motor Ability Hypothesis: An Old Idea Revisited

While specific motor abilities have become a popular explanation for motor performance, the older, alternate notion of a general motor ability should be revisited. Current theories lack consensus, and most motor assessment tools continue to derive a single composite score to represent motor capacity. In addition, results from elegant statistical procedures such as higher order factor analyses, cluster analyses, and Item Response Theory support a more global motor ability. We propose a contemporary model of general motor ability as a unidimensional construct that is emergent and fluid over an individual’s lifespan, influenced by both biological and environmental factors. In this article, we address the implications of this model for theory, practice, assessment, and research. Based on our hypothesis and Item Response Theory, our Lifespan Motor Ability Scale can identify motor assessment tasks that are relevant and important across varied phases of lifespan development.

A developmental and clinical perspective of rhythmic interpersonal coordination: From mimicry toward the interconnection of minds

Imitation plays a critical role in the development of intersubjectivity and serves as a prerequisite for understanding the emotions and intentions of others. In our review, we consider spontaneous motor imitation between children and their peers as a developmental process involving repetition and perspective-taking as well as flexibility and reciprocity. During childhood, this playful dynamic challenges developing visuospatial abilities and requires temporal coordination between partners. As such, we address synchrony as form of communication and social signal per se, that leads, from an experience of similarity, to the interconnection of minds. In this way, we argue that, from a developmental perspective, rhythmic interpersonal coordination through childhood imitative interactions serves as a precursor to higher- level social and cognitive abilities, such as theory of mind (TOM) and empathy. Finally, to clinically illustrate our idea, we focus on developmental coordination disorder (DCD), a condition characterized not only by learning difficulties, but also childhood deficits in motor imitation. We address the challenges faced by these children on an emotional and socio-interactional level through the perspective of their impairments in intra- and interpersonal synchrony.

Lack of Motor Inhibition as a Marker of Learning Difficulties of Bimanual Coordination in Teenagers With Developmental Coordination Disorder

This study tested the learning of a new bimanual coordination in teenagers with and without Developmental Coordination Disorder (DCD). Both groups improved accuracy of the new coordination. No difference was found on stability. But DCD teenagers exhibited an overall higher number of additional taps, suggesting a persistent lack of motor inhibition during learning. Moreover, teenagers with the lowest scores of motor abilities present the highest number of additional taps. All these results suggest that this number of additional taps (rather than traditional measures of accuracy and stability) could be a good marker of perceptual-motor learning deficit in DCD.

Preferred Perceptual Tempo for Sound Sequences: Comparison of Adults, Children, and Infants

Previous motor and perceptual tasks have found optimal processing for sound sequences of a rate of around 600 msec. IOI (Interonset Interval). This zone of optimal processing (the rate at which discrimination is optimal) slows with age and is also found with infants. The current work investigated whether listeners “prefer” sequences at the rate for which they demonstrate optimal processing. In the present study, three experiments were done. Exp. 1 measured tempo preferences in adults who listened to pairs of isochronous sound sequences varying in tempo (from 100- to 1500-msec. IOI) and were required to indicate which they preferred. As expected, highest preferences were expressed for the intermediate tempi, supporting the hypothesis of a zone of preferred tempi comparable to the zone of optimal processing. Moreover, this preference for intermediate tempi was not affected by the temporal context (absence of differences between a fast, a slow, and a wide set of tempi). In Exp. 2, the same procedure was applied to 6- and 10-yr.-olds. Children in both groups had systematic preferences for the fastest tempi within a set, and the older children generally preferred slower sequences. Exp. 3 used a preference paradigm for sound sequences with 4-mo.-old infants, comparing sequences of 100- vs 300-msec. IOI, 300- vs 900-msec. IOI, and 100- vs 900-msec. IOI. No systematic tempo preferences were observed. We conclude that tempo discrimination and tempo preference may have some commonality (perhaps related to a zone of optimal processing), especially in adults, but that they also involve quite distinct processes which undergo different developmental sequences. Whereas adults prefer what they process the best, children prefer what is fastest (and therefore more attention-getting), and we have not been able to detect preferences in infants.

Depth Perception of Elementary School Students with Qualitatively Evidenced Locomotor Impairments

The purpose of the study was to examine differences in depth perception of students classified according to their gross locomotor skills. The seven qualitative gross locomotor tasks of Ulrich's Test of Gross and Motor Development were used to classify 162 students as either motor impaired ( n1 = 27) or nonimpaired ( n2 = 135). The Howard Dollman Apparatus was used to measure depth perception. Analysis showed that the motor-impaired group scored significantly lower than the nonimpaired group on depth perception. Discriminant function analysis indicated that only the running task separated the students by depth perception scores. Subsequent multiple regression analysis confirmed that the running task, along with sliding and galloping, were significant predictors of the students' perception of the third dimension. Physical educators working with students with gross locomotor impairments or low perception of the third dimension need to adjust their teaching and offer opportunities for successful involvement in physical education classes and sports.

Are Motor Timing Problems Subgroup Specific in Children with Developmental Coordination Disorder?

This study investigated subgroup and task specificity of self-paced timing in children with developmental coordination disorder (DCD). Self-paced tempo (intertap interval) and timing stability (coefficient of variation) were measured in three repetitive tasks—hand tapping, foot tapping, and jumping in place—in 37 children aged 6 to 9 years classified into gross motor impaired (GM), fine and gross motor impaired (F&G), or coordinated control (CC) groups. Results showed that, although tempo did not vary between coordination groups, timing stability for the hand was significantly worse for the F&G motor impaired group (p < .05). Discriminant function analysis correctly classified 75% of CC, 67% of F&G, and 67% of GM children. Although timing inconsistency of hand tapping identified a coordination subgroup, these tasks provide only moderate prediction of group membership.

Timing and Force Characteristics of Muscle Activity: Postural Control in Children with and Without Developmental Coordination Disorders

Setting appropriate timing and force parameters of muscle activity is a significant part of producing skillful movement behavior: Data reported here suggest that an important characteristic of children with developmental coordination disorders (DCD) is inconsistency and lack of precision in regulating timing and force characteristics of muscle activity to correct for perturbations to balance. Children with and without DCD stood on a moveable platform. Balance was perturbed under fully redundant sensory conditions and under conditions where vision was removed or vestibular input was modified. EMG activity in tibialis anterior and quadriceps leg muscles was recorded. Children with normal motor development produced less force than children with DCD. Children with DCD tended to rely on proximal muscle activity to respond to perturbations to balance and, in contrast to children with normal motor development, modified temporal but not force characteristics of muscle activity when the sensory framework for balance was modified.

Examining the relationship between motor assessments and handwriting consistency in children with and without probable developmental coordination disorder

Children with Developmental Coordination Disorder (DCD) often experience difficulties in handwriting. The current study examined the relationships between three motor assessments and the spatial and temporal consistency of handwriting. Twelve children with probable DCD and 29 children from 7 to 12 years who were typically developing wrote the lowercase letters "e" and "l" in cursive and printed forms repetitively on a digitizing tablet. Three behavioral assessments, including the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI), the Minnesota Handwriting Assessment (MHA) and the Movement Assessment Battery for Children (MABC), were administered. Children with probable DCD had low scores on the VMI, MABC and MHA and showed high temporal, not spatial, variability in the letter-writing task. Their MABC scores related to temporal consistency in all handwriting conditions, and the Legibility scores in their MHA correlated with temporal consistency in cursive "e" and printed "l". It appears that children with probable DCD have prominent difficulties on the temporal aspect of handwriting. While the MHA is a good product-oriented assessment for measuring handwriting deficits, the MABC shows promise as a good assessment for capturing the temporal process of handwriting in children with DCD.

Restricted and repetitive behaviors in autism spectrum disorders: the relationship of attention and motor deficits

Restricted and repetitive behaviors (RRBs) are hallmark symptoms of autism spectrum disorders (ASDs); however, it has proven difficult to understand the mechanisms underlying these behaviors. One hypothesis suggests that RRBs are the result of a core deficit in attention. Alternatively, abnormalities of the motor system may constitute the central mechanism underlying RRBs, given motor deficits observed in ASDs. In this experiment, we investigated the etiology of RRBs and the relationship between attention and motor deficits. Movement impairments (a) may be indirectly related to attention deficits, (b) may result from a shared compromised process, or (c) may be independent. Twenty-two adolescents with ASD and 20 typically developing participants performed a spatial attention task. Movement impairments were assessed with a rhythmic tapping task. Attentional orienting and motor control were found to be related and supported the hypothesis that these impairments in ASD arise from a shared process. In contrast, measures of attention switching and motor control were found to be independent. Stereotyped behaviors, as assessed by parental ratings, were related more to the degree of motor impairment than to deficits of attention. These results suggest that both attentional orienting deficits and stereotyped RRBs are related to a compromised motor system.

Developmental coordination disorders: state of art

In the literature, descriptions of children with motor coordination difficulties and clumsy movements have been discussed since the early 1900s. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), it is a marked impairment in the development of fine or global motor coordination, affecting 6% of school-age children. All these children are characterized for developmental coordination disorder (DCD) in motor learning and new motor skill acquisition, in contrast to adult apraxia which is a disorder in the execution of already learned movements. No consensus has been established about etiology of DCD. Intragroup approach through factor and cluster analysis highlights that motor impairment in DCD children varies both in severity and nature. Indeed, most studies have used screening measures of performance on some developmental milestones derived from global motor tests. A few studies have investigated different functions together with standardized assessments, such as neuromuscular tone and soft signs, qualitative and quantitative measures related to gross and fine motor coordination and the specific difficulties -academic, language, gnosic, visual motor/visual-perceptual, and attentional/executive- n order to allow a better identification of DCD subtypes with diagnostic criteria and to provide an understanding of the mechanisms and of the cerebral involvement.

Motor skill learning in children with Developmental Coordination Disorder

Children with Developmental Coordination Disorder (DCD) are characterized as having motor difficulties and learning impairment that may last well into adolescence and adulthood. Although behavioral deficits have been identified in many domains such as visuo-spatial processing, kinesthetic perception, and cross-modal sensory integration, recent studies suggested that the functional impairment of certain brain areas, such as cerebellum and basal ganglia, are the underlying causes of DCD. This review focuses on the "motor learning deficits" in DCD and their possible neural correlates. It presents recent evidence from both behavioral and neuroimaging studies and discusses dominant neural hypotheses in DCD. Given the heterogeneity of this disorder, a successful intervention program should target the specific deficits on an individual basis. Future neuroimaging studies are critical steps in enhancing our understanding of learning deficits in DCD.

Neural underpinnings of impaired predictive motor timing in children with Developmental Coordination Disorder

A dysfunction in predictive motor timing is put forward to underlie DCD-related motor problems. Predictive timing allows for the pre-selection of motor programmes (except 'program' in computers) in order to decrease processing load and facilitate reactions. Using functional magnetic resonance imaging (fMRI), this study investigated the neural correlates of motor timing in DCD (n=17) and typically developing children (n=17). The task involved motor responses to sequences of visual stimuli with predictive or unpredictive interstimulus intervals (ISIs). DCD children responded with a smaller reaction time (RT) advantage to predictive ISIs compared to typically developing children. Typically developing children exhibited higher activation in the right dorsolateral prefrontal cortex (DLPFC) and right inferior frontal gyrus (IFG) for responses at unpredictive as opposed to predictive ISIs, whereas activations in DCD children were non-differentiable. Moreover, DCD children showed less activation than typically developing children in the right DLPFC, the left posterior cerebellum (crus I) and the right temporo-parietal junction (TPJ) for this contrast. Notably, activation in the right temporo-parietal junction (TPJ) positively correlated with RT as an indicator of processing load in both groups. These data indicate that motor performance in DCD children requires extra processing demands due to impaired predictive encoding.

The Distinction between Tapping and Circle Drawing with and without Tactile Feedback: An Examination of the Sources of Timing Variance

An internal clock-like process has been implicated in the control of rhythmic movements performed for short (250–2,000 ms) time scales. However, in the past decade, it has been claimed that a clock-like central timing mechanism is not required for smooth cyclical movements. The distinguishing characteristic delineating clock-like (event) from non-clock-like (emergent) timing is thought to be the kinematic differences between tapping (discrete-like) and circle drawing (smooth). In the archetypal event-timed task (tapping), presence of perceptual events is confounded with the discrete kinematics of movement (table contact). Recently, it has been suggested that discrete perceptual events help participants synchronize with a metronome. However, whether discrete tactile events directly elicit event timing has yet to be determined. In the present study, we examined whether a tactile event inserted into the circle drawing timing task could elicit event timing in a self-paced (continuation) timing task. For a majority of participants, inserting an event into the circle drawing task elicited timing behaviour consistent with the idea that an internal timekeeper was employed (a correlation of circle drawing with tapping). Additionally, some participants exhibited characteristics of event timing in the typically emergently timed circle drawing task. We conclude that the use of event timing can be influenced by the insertion of perceptual events, and it also exhibits persistence over time and over tasks within certain individuals.

Auditory and visual information do not affect self-paced bilateral finger tapping in children with DCD

Children with Developmental Coordination Disorder (DCD) are more variable in timing their fingers to an external cue. In this study, we investigated the intrinsic coordination properties of self-selected anti-phase finger tapping with and without vision and audition in children with and without DCD and compared their performance to that of adults. Ten children with DCD (Mean age=7.12±0.3 years), 10 age- and sex-matched typically developing (TD) children, and 10 adults participated in this study. Participants tapped their fingers in anti-phase at a self-selected speed under four different sensory conditions: (1) with vision and audition, (2) with vision but no audition, (3) with audition but no vision, and (4) without vision and audition. We assessed intertap interval (ITI), variability of ITI, mean relative phasing (RP) between the fingers and the variability in RP. Children with DCD adopted a similar mean frequency, but were less accurate and more variable than the other groups. The different sensory conditions did not affect performance in any of the groups. We conclude that visual and auditory feedback of tapping are not salient information sources for bilateral self-selected tapping and that children with DCD are intrinsically less accurate and more variable in their tapping frequency and coordination.

Paced finger-tapping abnormalities in bipolar disorder indicate timing dysfunction

OBJECTIVES

Theoretical and empirical evidence suggests that impaired time perception and the neural circuitry contributing to internal timing mechanisms may contribute to severe psychiatric disorders, including mood disorders. The structures that are involved in subsecond timing, i.e., cerebellum and basal ganglia, have also been implicated in the pathophysiology of bipolar disorder. However, the timing of subsecond intervals has infrequently been studied in this population.

METHODS

Paced finger-tapping tasks have been used to characterize internal timing processes in neuropsychiatric disorders. A total of 42 bipolar disorder patients (25 euthymic, 17 manic) and 42 age-matched healthy controls completed a finger-tapping task in which they tapped in time with a paced (500-ms intertap interval) auditory stimulus (synchronization), then continued tapping without auditory input while attempting to maintain the same pace (continuation). This procedure was followed using the dominant index finger, then with alternating thumbs.

RESULTS

Bipolar disorder participants showed greater timing variability relative to controls regardless of pacing stimulus (synchronization versus continuation) or condition (dominant index finger versus alternating thumbs). Decomposition of timing variance into internal clock versus motor implementation components using the Wing-Kristofferson model showed higher clock variability in the bipolar disorder groups compared to controls, with no differences between groups on motor implementation variability.

CONCLUSIONS

These findings suggest that internal timing mechanisms are disrupted in bipolar disorder patients, independent of symptom status. Increased clock variability in bipolar disorder may be related to abnormalities in cerebellar function.

Online motor control in children with developmental coordination disorder: chronometric analysis of double-step reaching performance

BACKGROUND

Although there are a number of plausible accounts to explain movement clumsiness in children [or developmental coordination disorder (DCD)], the cause(s) of the disorder remain(s) an issue of debate. One aspect of motor control that is particularly important to the fluid expression of skill is rapid online control (ROC). Data on DCD have been conflicting. While some recent work using double-step reaching suggests no difficulty in online control, others suggest deficits (e.g. based on sequential pointing). To help resolve this debate, we suggest two things: use of recent neuro-computational models as a framework for investigating motor control in DCD, and more rigorous investigation of double-step reaching. Our working assumption here is that ROC is only viable through the seamless integration of predictive (or forward) models of movement and feedback-based mechanisms.

AIM

The aim of this chronometric study was to explore ROC in children with DCD using a double-step reaching paradigm. We predicted slower online adjustments in DCD based on the argument that these children manifest a core difficulty in predictive control.

METHODS

Participants were a group of 17 children with DCD and 27 typically developing children aged between 7 and 12 years. Visual targets were presented on a 17-inch LCD touch screen, inclined to an angle of 15° from horizontal. The children were instructed to press each target as it appeared as quickly and accurately as possible. For 80% of the trials, the central target location remained unchanged for the duration of the movement (non-jump trials), while for the remaining 20% of trials, the target jumped at movement onset to one of the two peripheral locations (jump trials). Reaction time (RT), movement time (MT) and reaching errors were recorded.

RESULTS

For both groups, RT did not vary according to trial condition, while children with DCD were slower to initiate movement. Further, the MT of children with DCD was prolonged to a far greater extent on jump trials relative to controls, with a large effect size. As well, children with DCD committed significantly more errors, notably a reduced ability to inhibit central responses on jump trials.

CONCLUSION

Our findings help reconcile some disparate findings in the literature using similar tasks. The pattern of performance in children with DCD suggests impairment in the ability to make rapid online adjustments that are based on a predictive (or internal) model of the action. These results pave the way for future kinematic investigation.

Disability and Orientation-Specific Performance during a Reciprocal Tapping Task

Reciprocal tapping tasks have frequently been used to quantify user performance and motor control system function. This experiment used a reciprocal tapping task to examine differences in performance for participants oriented both in front and to the side of a touch screen. Evaluating performance in different orientations for touch screen users is important because public spaces and workplaces may have barriers which preclude touch screens from always being operated from directly in front. Additionally, building design standards may require a wheelchair user in a public building to operate a touch screen from the side because there may not be enough clearance to orient their wheelchair in a manner which allows them to only operate the screen from the front. Participants with motor control impairments affecting the upper extremity and participants without upper extremity motor control impairments completed a study examining reciprocal tapping performance while using a touch screen. Both groups included wheelchair users. Results indicate the orientation of the user, with respect to the touch screen, influences the number of taps which can be completed in five seconds and the amount of force used to activate the buttons. Both variables are negatively affected when the touch screen is oriented to the side of the user. Additionally, users with motor control impairments affecting the upper extremity completed fewer taps and had longer dwell times on the buttons than participants with non-impaired upper extremities. This experiment helps us begin to understand the impact of user-interface position but more research, including more ecologically valid tasks for the user, is needed.

Generalized motor abilities and timing behavior in children with specific language impairment

PURPOSE

To examine whether children with specific language impairment (SLI) differ from normally developing peers in motor skills, especially those skills related to timing.

METHOD

Standard measures of gross and fine motor development were obtained. Furthermore, finger and hand movements were recorded while children engaged in 4 different timing tasks, including tapping and drawing circles in time with a metronome or a visual target. Fourteen children with SLI (age 6 to 8 years) and 14 age-matched peers who were typically developing participated.

RESULTS

As expected, children with SLI showed poorer performance on a standardized test of gross and fine motor skill than did their normally developing peers. However, timing skill in the manual domain was equivalent to that seen in typically developing children.

CONCLUSIONS

Consistent with earlier findings, relatively poor gross and fine motor performance is observed in children with SLI. Surprisingly, rhythmic timing is spared.

The effects of a motor and a cognitive concurrent task on walking in children with developmental coordination disorder

The effects of type (cognitive vs. motor) and difficulty level (easy vs. hard) of a concurrent task on walking were examined in 10 boys and 4 girls (age 4-6 years) with developmental coordination disorder (DCD) and 28 age- and gender-matched unaffected children. Each child performed free walking (single task), walking while carrying an empty tray (dual task, the concurrent task being motor and easy), walking while carrying a tray with 7 marbles (the concurrent task being motor and hard), walking while repeating a series of digits forward (the concurrent task being cognitive and easy), and walking while repeating the digits backward (the concurrent task being cognitive and hard). Walking was affected by the concurrent task (i.e., dual-task cost) in the children with DCD more so than in the comparison children. Greater task difficulty also increased the dual-task cost in the children with DCD more so than in the comparison children. These patterns were only noted for the motor concurrent task. The cognitive concurrent task also affected walking, but the dual-task costs did not differ between difficulty levels, nor between the groups.

Auditory-motor coupling of bilateral finger tapping in children with and without DCD compared to adults

The ability to modulate bilateral finger tapping in time to different frequencies of an auditory beat was studied. Twenty children, 7 years of age, 10 with and 10 without developmental coordination disorder (DCD), and 10 adults tapped their left index and right middle fingers in an alternating pattern in time with an auditory signal for 15s (four trials each, randomly, at 0.8, 1.6, 2.4, 3.2 Hz per finger). Dominant and non-dominant finger data were collapsed since no differences emerged. All three groups were able to modulate their finger frequency across trials to closely approximate the signal frequency but children with DCD were unable to slow down to the lowest frequency. Children with DCD were more variable in tap accuracy (SD of relative phase) and between finger coordination than typically developing children who were respectively more variable than the adults. Children with DCD were unable to consistently synchronize their finger with the beat. Adults were tightly synchronized and often ahead of the beat while children without DCD tended to be behind the beat. Overall, these results indicated that children with DCD can only broadly match their finger movements to an auditory signal with variability and poor synchronicity as key features of their auditory-fine-motor control. Individual inspection of the data revealed that five children with DCD had difficulty matching the slowest frequencies and that these children also had higher variability and lower percentile MABC scores from the movement assessment battery for children (MABC) than other children with DCD. Three children with DCD were more variable only at higher frequencies and two performed like typically developing children.

Temporal variability in continuous versus discontinuous drawing for children with Developmental Coordination Disorder

Children with Developmental Coordination Disorder (DCD) are reported to have high temporal variability in tasks requiring precise timing. The current study examined whether this timing deficit was due to the cerebellar 'explicit timing' process in the discontinuous, but not the continuous movement. Ten children with DCD and 31 typically developing children performed continuous, discontinuous circle and line drawing tasks. Results showed that both children with DCD and their age-matched controls had higher temporal variability in the discontinuous than that in the continuous movements. Individual comparisons between each child with DCD and the performance of typically developing children revealed that 2 out of 10 children with DCD showed limited timing deficit in both types of discontinuous drawing (lines and circles). Additionally, three different children with DCD had timing problems with only discontinuous line drawing. Thus, the possibility of a compromised cerebellar function may exist in a subgroup of children with DCD. This work raises a critical issue with respect to the functional heterogeneity of this population and emphasizes the importance of an individualized analysis in this movement disorder.

Developmental coordination disorder pertains to a deficit in perceptuo-motor synchronization independent of attentional capacities

We investigated from a dynamic pattern perspective to motor coordination whether the deficiency in motor coordination characterizing Developmental Coordination Disorder children pertains to a general disorder in synchronization leading to a lower stability of the performed coordination pattern, and the extent to which the trouble is linked to attentional capacities. Twenty-four DCD children without ADHD aged eight to thirteen and 60 control children were asked (1) to perform a Continuous Performance Test assessing sustained attention; (2) to flex one finger either in synchrony or in syncopation with a visual periodic signal whose frequency was increased stepwise, assessing synchronization abilities. For the attentional task, percentage of exact responses, number of errors and reaction time were recorded. For the synchronization task, we measured relative phase (i.e., the ratio between the stimulus and the response onset and the time separating two successive stimuli). DCD children were significantly more variable than controls in both conditions and the difficulty in synchronization was unrelated to attentional disorders (ANCOVA). These findings support the idea of a general synchronization disorder in DCD children underlying their poor motor coordination. Moreover, this synchronization disorder does not appear to be strictly dependent on the level of sustained attentional capacities.

The time of our lives: life span development of timing and event tracking

Life span developmental profiles were constructed for 305 participants (ages 4-95) for a battery of paced and unpaced perceptual-motor timing tasks that included synchronize-continue tapping at a wide range of target event rates. Two life span hypotheses, derived from an entrainment theory of timing and event tracking, were tested. A preferred period hypothesis predicted a monotonic slowing of a preferred rate (tempo) of event tracking across the life span. An entrainment region hypothesis predicted a quadratic profile in the range of event rates that produced effective timing across the life span; specifically, age-specific entrainment regions should be narrower in childhood and late adulthood than in midlife. Findings across tasks provide converging support for both hypotheses. Implications of these findings are discussed for understanding critical periods in development and age-related slowing of event timing.

Interspeaker variation in habitual speaking rate: additional evidence

PURPOSE

The purpose of the present study was to test the hypothesis that talkers previously classified by Y.-C. Tsao and G. Weismer (1997) as habitually fast versus habitually slow would show differences in the way they manipulated articulation rate across the rate continuum.

METHOD

Thirty talkers previously classified by Tsao and Weismer (1997) as having habitually slow (n = 15; 7 males, 8 females) and habitually fast (n = 15; 8 males, 7 females) articulation rates produced a single sentence at 7 different rates, using a magnitude production paradigm. Hence, the participants were not randomly assigned to conditions.

RESULTS

Quadratic regression functions relating measured to intended articulation rates were all statistically significant, and most important, there were significant differences between the slow and fast groups in the y intercepts of the functions, for both males and females.

CONCLUSIONS

This study provides a constructive replication of Tsao and Weismer (1997), showing a difference between slow and fast talkers with a new set of speech materials and in a new task. The findings appear to be consistent with a biological basis for intertalker rate differences.

Age effects in time estimation: relationship to frontal brain morphometry

Compared with many other cognitive functions, relatively little is known about time representation in the brain. Recent work shows disrupted timing and time estimation in older adults, although it is unclear whether these effects are the result of normal aging or disease-related processes. The present study examined time estimation in persons across the adult lifespan who were free from significant medical or psychiatric history. Results showed older adults exhibited greater variability in time estimation, but no evidence for systematic acceleration or slowing emerged. This variability was correlated with performance on a variety of cognitive tests including attention, working memory and executive function. Although no relationship emerged between time estimation and EEG indices from central regions, multiple MRI indices were significantly correlated with time estimation. Stepwise regression showed volume of the supplementary motor area predicted variability in time estimation. These results indicate that healthy aging is associated with altered time estimation and suggest that changes in frontal brain regions mediate these effects.

Interactive metronome training for a 9-year-old boy with attention and motor coordination difficulties

The purpose of this case report is to describe a new intervention, the Interactive Metronome, for improving timing and coordination. A nine-year-old boy, with difficulties in attention and developmental delay of unspecified origin underwent a seven-week training program with the Interactive Metronome. Before, during, and after training timing, accuracy was assessed with testing procedures consistent with the Interactive Metronome training protocol. Before and after training, his gross and fine motor skills were examined with the Bruininiks-Oseretsky Test of Motor Proficiency (BOTMP). The child exhibited marked change in scores on both timing accuracy and several BOTMP subtests. Additionally his mother relayed anecdotal reports of changes in behavior at home. This child's participation in a new intervention for improving timing and coordination was associated with changes in timing accuracy, gross and fine motor abilities, and parent reported behaviors. These findings warrant further study.

Parameterization of movement execution in children with developmental coordination disorder

The Rhythmic Movement Test (RMT) evaluates temporal and amplitude parameterization and fluency of movement execution in a series of rhythmic arm movements under different sensory conditions. The RMT was used in combination with a jumping and a drawing task, to evaluate 36 children with Developmental Coordination Disorder (DCD) and a matched control group. RMT errors in space and in time were significantly larger for children with DCD. Omission of sensory information decreased the accuracy of movement parameterization in children with DCD more than in the control group, suggesting that children with DCD have more problems in building up an internal representation of the movement. Errors in time correlated significantly with the jumping and drawing task, while errors in space did not. Deficits of temporal movement parameterization might be one of the underlying causes of poor motor performance in some children with DCD.

Transfer, Control, and Automatic Processing in a Complex Motor Task: An Examination of Bounce Juggling

The authors evaluated the hypothesis that controlled and automatic processes are opposite ends of a continuum of learning (e.g., R. M. Shiffrin & W. Schneider, 1977) vs. an alternative, concurrent emergence hypothesis (e.g., J. M. Bebko et al., 2003; G. Logan, 1989). The authors also measured potential positive transfer effects of learning from one motor task to another. Four experienced cascade jugglers and 5 novices learned to bounce juggle, practicing regularly for 5 weeks. The experienced jugglers showed positive transfer of learning, maintaining a lead of approximately 6-10 days over the novices, even as both groups automatized the new skill. Measures of automatic and controlled processing were positively correlated, indicating that those processes emerge concurrently. The authors present a model in which controlled and automatic processes emerge orthogonally.

Practitioner review: approaches to assessment and treatment of children with DCD: an evaluative review

BACKGROUND

Movement clumsiness (or Developmental Coordination Disorder--DCD) has gained increasing recognition as a significant condition of childhood. However, some uncertainty still exists about diagnosis. Accordingly, approaches to assessment and treatment are varied, each drawing on distinct theoretical assumptions about the aetiology of the condition and its developmental course.

METHOD

This review evaluates the current status of different approaches to motor assessment and treatment for children with DCD. These approaches are divided according to their broad conceptual origin (or explanatory framework): Normative Functional Skill Approach, General Abilities Approach, Neurodevelopmental Theory, Dynamical Systems Theory, and the Cognitive Neuroscientific Approach.

CONCLUSIONS

Each conceptual framework is shown to support assessment and treatment methods with varying degrees of conceptual and psychometric integrity. The normative functional skill approach supports the major screening devices for DCD and cognitive (or top-down) approaches to intervention. The general abilities approach and traditional neurodevelopmental theory are not well supported by recent research. The dynamical systems approach supports promising trends in biomechanical or kinematic analysis of movement, ecological task analysis, and task-specific intervention. Finally, and more recently, the cognitive neuroscientific approach has generated some examples of process-oriented assessment and treatment based on validated (brain-behaviour) models of motor control and learning. A multi-level approach to movement assessment and treatment is recommended for DCD, providing a more complete representation of motor development at different levels of function--behavioural, neurocognitive, and emotional.

Motorische Ungeschicklichkeit

Zusammenfassung. Das Kind mit koordinativen Problemen in der Motorik benötigt spezielle Aufmerksamkeit im frühen Kindesalter. Rechtzeitige Diagnose und konsequente Intervention der motorischen Ungeschicklichkeit (DCD) wirken sich positiv auf die weitere motorische Entwicklung aus. Darüber hinaus lässt sich durch eine frühe Intervention das psycho-soziale Stigma, das durch ungeschickte Bewegungen sowie dem Problem in Sport und Spiel mit anderen Kindern mitzuhalten, begegnen. Die Möglichkeit für diese Kinder, am Sport mit Gleichaltrigen teilzuhaben, hilft ihnen in ihrer Sozialisation. Das Ziel dieses Überblicksbeitrages ist es, motorische Ungeschicklichkeit zu definieren, typische Erscheinungsformen, Diagnosekriterien sowie bestehende Therapien vorzustellen.

Adding Drift to the Decomposition of Simple Isochronous Tapping: An Extension of the Wing-Kristofferson Model

The Wing-Kristofferson model (A. M. Wing & A. B. Kristofferson, (1973a, 1973b) decomposes the variance of isochronous finger tapping into 2 components: a central clock component and a peripheral motor component. The method assumes that there is no drift in the intertap intervals. A new method is introduced that further decomposes the clock component drift and drift-free clock variance. The method was studied through simulation and empirical analyses. Clock variance was the most prominent, followed by drift, and then motor variance. Individual and group differences were larger for the motor and drift variances than for the drift-free clock variance, so that group differences observed in the past may have been partially due to the failure to fully remove drift. The authors argue that the methods presented and extensions thereon show great promise in extending a method in wide use since 1973.

Developmental coordination disorder: a review of research on subtypes and comorbidities

The interest in Developmental Coordination Disorder (DCD) has grown considerably over the last decade. Nevertheless, its etiology and prognosis are still poorly understood. The idea is growing that DCD may not be a uniform disorder. This review summarizes research on DCD, with a particular focus on subtype and comorbidity studies. The main message of the paper is that, in order to understand the etiology and prognosis of DCD, we need to have a better understanding of its nature. This requires an awareness of the existence of subtypes and comorbidities. Current theories on comorbidity phenomena are discussed in terms of their possible merit for the development of the field. Particular attention is given to the Automatization Deficit Hypothesis, a theory based on research on dyslexia.

Low elementary movement speed is associated with poor motor skill in Turner's syndrome

The article aims to discriminate between 2 features that in principle both may be characteristic of the frequently observed poor motor performance in girls with Turner's syndrome (TS). On the one hand, a reduced movement speed that is independent of variations in spatial accuracy demands and therefore suggests a problem in motor execution. On the other hand, a disproportional slowing down of movement speed under spatial-accuracy demands, indicating a more central problem in motor programming. To assess their motor performance problems, 15 girls with TS (age 9.6-13.0 years) and 14 female controls (age 9.1-13.0 years) were tested using the Movement Assessment Battery for Children (MABC). In additionally, an experimental procedure using a variant of Fitts' graphic aiming task was used to try and disentangle the role of spatial-accuracy demands in different motor task conditions. The results of the MABC reestablish that overall motor performance in girls with TS is poor. The data from the Fitts' task reveal that TS girls move with the same accuracy as their normal peers but show a significantly lower speed independent of task difficulty. We conclude that a problem in motor execution is the main factor determining performance differences between girls with TS and controls.

Development of force control and timing in a finger-tapping sequence with an attenuated-force tap

We conducted an experiment to examine age-related differences in the control of force and timing in a finger-tapping sequence with an attenuated-force tap. Participants between 7 and 20 years old tapped on a load cell with feedback on practice trials. They were required to recall the force pattern (300 g, 300 g, 300 g, 100 g) and the intertap interval (400 ms) without feedback on test trials. Analysis indicated that the last attenuated tap affected the first three taps of the tapping sequence in adults and adolescents but not in children. Adults and adolescents appeared to respond with four taps as a chunk, resulting in a contextual effect on the timing of force control, but younger children had difficulty with such chunking. Further, adults and adolescents were able to more accurately produce individual force magnitudes to match target magnitudes than younger children. For the ratio of force in serial positions 1:4, 2:4, and 3:4, consequently, 7- to 8-year-old children had lower ratios than the other age groups. Although there was no difference among age groups for timing control of peak force to press duration as a control strategy of force, 7- to 8-year-old children spent more time to produce force than the other age groups. Peak force with a decreased force was more variable in the attenuated force serial position (4) than in the other serial positions in all five age groups. Peak force variability was particularly robust in younger children. These findings suggest that younger children have difficulty with both temporal and spatial (i.e., magnitude) components of force control.

Voluntary timing and brain function: an information processing approach

This article takes an information processing perspective to review current understanding of brain mechanisms of human voluntary timing. Theoretical accounts of timing of the production of isochronous tapping and rhythms and of bimanual responding repetitive responding are reviewed. The mapping of higher level temporal parameter setting and memory processes and of lower level motor implementation process onto cortical and subcortical brain structures is discussed in relation to evidence from selective lesions in a range of neurological motor disorders. Brain activation studies that have helped identify key brain structures involved in the control of timing are reviewed.

Development of bimanual skill: the search for stable patterns of coordination

In 2 experiments, dynamic systems theory predictions concerning intrinsic dynamics and variability of bimanual coordination were examined at different developmental stages. In Experiment 1, ten 4-, 6-, 7-, 8-, and 10-year-old children and adults performed unimanual dominant, unimanual nondominant, and bimanual continuous circle drawing. All tasks were performed at the participants' preferred rate, size, and mode of coordination. The 4-, 6-, and 7-year-old children produced larger circles with longer durations than those of the 8- and 10-year-olds and the adults. That finding demonstrates that younger children display different intrinsic dynamics than older children and adults. The 4-, 6-, and 7-year-old children also displayed more variability in bimanual coordination (more time in less stable patterns of coordination, higher standard deviation in relative phase) and produced more transitions between coordination patterns than the 8- and 10-year-olds and the adults. In Experiment 2, the same participants performed bimanual circles at increasing rates. Consistent with predictions of the HKB model (H. Haken, J. A. S. Kelso, & H. Bunz, 1985), the number of transitions decreased as speed increased. Some support was found for the notion that age-related variables of attention and rate contribute to the increased variability in young children's bimanual coordination.

A longitudinal study of motor ability and kinaesthetic acuity in young children at risk of developmental coordination disorder

Several studies have linked poor kinaesthetic ability with poor motor coordination in school-aged children. However, few studies have investigated kinaesthesis in younger children. The aim of this study was to determine if preschool aged children who have been identified as at risk of developing developmental coordination disorder (DCD) have poorer kinaesthetic ability than matched controls. Kinaesthetic ability and performance IQ were examined in a group of children aged between 4 and 5 years. Following individual assessment of 291 children, 31 were identified as at risk of DCD at this age. One year later, 30 of these children were retested, and 23 were still found to be at risk. These children were matched on verbal IQ, age and sex with control children and their performance compared on the kinaesthetic acuity test (KAT) [D.J. Livesey and N.A. Parkes, Aust. J. Psychol., 47 (1995) 160] and three subtests of the WPPSI-R performance IQ (D. Wechsler, Manual for the Wechsler preschool and primary scale of intelligence--revised, Psychological Corporation, New York, 1989). Both the KAT and the performance subtest scores were found to be significantly poorer in the children at risk of DCD. Follow-up testing one year later showed that both groups improved their kinaesthetic acuity score although the control children remained significantly better than the children with poor motor coordination.