Cross-cultural validation of the Arabic version of the Developmental Coordination Disorder Questionnaire DCDQ'07, in a Lebanese sample of children.

BACKGROUND: The revised version of the Developmental Coordination Disorder Questionnaire (DCDQ'07) is a parent questionnaire designed to identify Developmental Coordination Disorder in 5-15-year-old children. AIM: The aim of this study was to carry out the translation and cross-cultural adaptation of the DCDQ'07, to examine psychometric properties, and to define the cut-off scores of the Arabic-Lebanese version of the questionnaire (DCDQ-AL). METHOD: 38 parents of children with and without motor difficulties participated in the translation and cross-cultural phase. As for the validation phase and the study of the psychometric properties, a total of one hundred and twenty-four typically developing children (N=124) aged between 5 and 15 years were recruited through schools in different districts across Lebanon, whereas the clinical sample (N = 56) of children with motor difficulties was recruited via psychomotor rehabilitation centers in Beirut and psychomotor therapists working in private clinics across the country. This study used the Movement Assessment Battery for Children - second edition (MABC-2) motor test developed to classify children according to their degree of motor impairment. RESULTS: For test-retest reliability and inter-rater reliability, excellent Intraclass Correlation Coefficients (ICC) were shown with values of 0.94 and 0.9, respectively. The internal consistency value for the DCDQ-AL was high (Cronbach's alpha = 0.947). Correlations between the DCDQ-AL scores and Movement Assessment Battery for Children (MABC-2) show adequate convergent validity (ρ = 0.65, p < .001). Differences in DCDQ-AL scores between children with and without motor difficulties (p < .001) provide clear evidence of discriminative validity. The Lebanese cut-offs are very similar to the Canadian version, except for the 5-7 age band. The DCDQ-AL shows a sensitivity of 0.91 and specificity of 0.77. The adapted questionnaire showed solid psychometric properties, allowing us to conclude that the DCDQ-AL can be used to support a diagnosis of DCD. CONCLUSION: The results provide evidence that the DCDQ-AL is a valid clinical screening tool for DCD that can assist Arabic speaking professionals in screening children aged 5-15 years old who are at risk of having DCD.

Specific Cues Can Improve Procedural Learning and Retention in Developmental Coordination Disorder and/or Developmental Dyslexia.

The present study investigates procedural learning of motor sequences in children with developmental coordination disorder (DCD) and/or developmental dyslexia (DD), typically-developing children (TD) and healthy adults with a special emphasis on (1) the role of the nature of stimuli and (2) the neuropsychological functions associated to final performance of the sequence. Seventy children and ten adults participated in this study and were separated in five experimental groups: TD, DCD, DD, and DCD + DD children and adults. Procedural learning was assessed with a serial reaction time task (SRTT) that required to tap on a specific key as accurately and quickly as possible when stimuli appeared on the screen. Three types of stimuli were proposed as cues: the classical version of the SRTT with 4 squares aligned horizontally on the screen, giving visuospatial cues (VS cues), and two modified versions, with 4 letters aligned horizontally on the screen (VS + L cues) and letters at the center of the screen (L cues). Reaction times (RT) during the repeated and random blocks allowed assessing three phases of learning: global learning, specific learning and retention of the sequence. Learning was considered as completed when RT evolved significantly in the three phases. Neuropsychological assessment involved, among other functions, memory and attentional functions. Our main result was that learning and retention were not influenced by the available cues in adults whereas learning improved with specific cues in children with or without neurodevelopmental disorders. More precisely, learning was not completed with L cues in children with neurodevelopmental disorders. For children with DD, learning was completed with the VS and VS + L cues whereas for children with DCD (with or without DD), learning was completed with combined VS + L cues. Comorbidity between DD and DCD had no more impact on procedural learning than DCD alone. These results suggest that learning depends on the nature of cues available during practice and that cues allowing learning and retention depend on the type of disorder. Moreover, selective attention was correlated with RT during retention, suggesting that this neuropsychological function is important for procedural learning whatever the available cues.

What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? Systematic review of the literature.

This article presents a review of the studies that have analysed the motor skills of ADHD children without medication and the influence of medication on their motor skills. The following two questions guided the study: What is the evidence of impairment of motor skills and aspects of motor control among children with ADHD aged between 6 and 16 years? What are the effects of ADHD medication on motor skills and motor control? The following keywords were introduced in the main databases: attention disorder and/or ADHD, motor skills and/or handwriting, children, medication. Of the 45 articles retrieved, 30 described motor skills of children with ADHD and 15 articles analysed the influence of ADHD medication on motor skills and motor control. More than half of the children with ADHD have difficulties with gross and fine motor skills. The children with ADHD inattentive subtype seem to present more impairment of fine motor skills, slow reaction time, and online motor control during complex tasks. The proportion of children with ADHD who improved their motor skills to the normal range by using medication varied from 28% to 67% between studies. The children who still show motor deficit while on medication might meet the diagnostic criteria of developmental coordination disorder (DCD). It is important to assess motor skills among children with ADHD because of the risk of reduced participation in activities of daily living that require motor coordination and attention.

[Neurobiological bases and neurophysiological correlates of developmental coordination disorders]. / Trouble de l'acquisition de la coordination : bases neurobiologiques et aspects neurophysiologiques.

Among psychomotor disorders in children, developmental coordination disorder (DCD) is characterized by a motor skill impairment that interferes with psychomotor development, academic performance and activities of daily living, despite normal intelligence. The main behavioural phenomena (lack of postural control, coordination and motor learning) suggest involvement of cerebellum, basal ganglia and frontal and parietal lobes. Our studies on a synchronisation/syncopation task, with EEG recording (coherence analysis and evoked potential), show that DCD children (8 to 12 years old) exhibit major interindividual variability and do not improve performance with repetition. In younger DCD children, an increase of coherence between fronto-central regions was reported, and, for evoked potential, an increase of motor preparation component and a N100 latency longer than control children. These findings support the idea of a general synchronization disorder in DCD children and furnish elements allowing a better understanding of intra- and interindividual variability.

Covariation of attentional cost and stability provides further evidence for two routes to learning new coordination patterns.

This study investigated how learning a new bimanual coordination pattern affects the attentional resources allotted by the CNS to maintain it throughout the acquisition process. The repertoire of the existing stable coordination patterns was individually evaluated before and after practice in order to detect expected changes with learning. Bistable participants, who initially exhibited stable and accurate coordination patterns at 0 degrees and 180 degrees of relative phase, practiced a 90 degrees pattern, whereas multistable participants, who already mastered the 90 degrees pattern, practiced 135 degrees pattern instead. In a typical dual-task paradigm, all participants had to simultaneously perform a reaction time task that assessed the associated attentional cost. Beyond an overall increase in accuracy, the results revealed a significant decrease in the attentional cost for bistable participants, accompanying the stabilization of the 90 degrees pattern with learning, but not for multistable participants, as the 135 degrees pattern barely stabilized. Pattern stability and attentional cost co-evolve during learning and the process follows two different routes depending on the interplay between the task and the learner's coordination abilities before practice.

Differential effects of task complexity on contextual interference in a drawing task.

A large number of studies demonstrated the beneficial effects of contextual interference (CI) created by a random practice of different task variations during training on the retention and transfer of motor skills. Current interpretations of this phenomenon assume that random practice engages the subjects in deep and elaborate processing of movement related information, whereas blocked practice results in more superficial processing leading to poorer performance on later retention and transfer tests. According to this line of interpretation, we hypothesised that the complexity of the task to be learned could modulate the effects of CI. If the task is sufficiently complex, it could force the subjects to rely on such elaborate processing, and the beneficial effects of the intertask interference created by random practice could be obscured in that case. We tested this hypothesis by analysing the effects of practice schedule (random vs. blocked), on the acquisition, retention and transfer of learning in a drawing task where subjects had to reproduce accurately, without visual control, geometrical patterns presented on a video screen, as a function of task complexity defined by the number of segments (two, three or four) of each pattern. The results indicated a clear beneficial effect of random over blocked practice on delayed retention and transfer. However, this CI effect was only observed in subjects who learned the simplest movements, and was not observed in subjects who practised the more complex task. These results are discussed in terms of intratask interference created by the planning of multiple movements and the processing of knowledge of results (KR) when the number of drawing movements is increased. These findings support the assumption that the level of cognitive effort in which the subjects are engaged during training is a main factor influencing long-term retention and transfer of motor skills.