Children With Developmental Coordination Disorder.

This study tested the effect of task-specific training of a perceptual ability for children with Developmental Coordination Disorder (DCD) compared to control children. A manual matching task (target location and pointing task) was used, which required the children to locate target pins either visually (seen target) or proprioceptively (felt target), while matching to the located target was always carried out without vision. Thirty-one children (11-12 years) were selected based on teacher statements regarding everyday motor skill performance, the DSM-IV criteria, and the Movement ABC test. Based on this, 10 children with obvious motor problems were placed in the DCD group (Trg-DCD), 9 children with no identified motor problems were placed in a training group (Trg-N), and 12 children also with no identified motor problems were placed in a control group. All the children were tested pre and post to training on a manual matching task. In the pretest, the children in the DCD group were significantly inferior to the control groups in the proprioceptive condition with both the preferred and nonpreferred hands. In the posttest, after the training periode was completed, the DCD subjects showed significant improvement in the proprioceptive condition for both preferred and nonpreferred hands. For the other groups, no significant training effects were observed across the training period. It is concluded that children in the DCD group may benefit from specific training of perceptual abilities, because they have motor control resources not exploited due to a lack of relevant experience.

Effect of physical fatigue on motor control at different skill levels.

The purpose of this experiment was to explore the effect of fatigue on motor coordination, and of prospective adjustment strategies to compensate for fatigue in a multijoint movement. Two male groups (N = 8) participated in the experiment: Highly skilled table tennis players (M age = 27 yr., SD = 2.3, n = 4) and Recreational table tennis players (M age = 25.9 yr., SD = 0.04, n = 4). The task was an attacking forehand drive towards a scaled target on the opposite side of the net. The Highly skilled players adjusted their movement patterns and preserved the task requirements in terms of spatial accuracy under the condition of fatigue by using opportunistic movement coordination. The Recreational players did not adjust their forehand drive, and spatial accuracy deteriorated. The current results support the notion that expertise enhances potential to adjust motor coordination strategies as a reaction to induced physical fatigue.

Sex differences in lateralisation of fine manual skills in children.

One hundred and twelve children (55 boys and 57 girls) were tested using two tasks taken from the Movement Assessment Battery for Children. The girls had a larger between-hands asymmetry than boys on the threading nuts on bolt task, thus indicating they were more lateralised. On the other task, placing pegs, no such sex differences were found. We present our findings as a warning to others that even though two tasks are assumed to measure the same, in this case unimanual performance, differences in task constraints will exist. Such differences may constitute a confounding factor when trying to infer about lateralisation based on behavioural tasks.

Spatial and temporal constraints on performance in children with movement co-ordination problems.

Eight 10-year-old children manifesting movement co-ordination problems (MCP), as assessed by the Movement Assessment Battery for Children (MABC), and a matched control group of eight children of a similar age without such problems, were required to carry out a laboratory ball-catching task. The task was constrained in such a way as to allow separate kinematic analyses of reaching (Experiment 1) and grasping (Experiment 2) subactions. Significant differences between the groups, in favour of the control group, were found with respect to both spatial and temporal performance in intercepting the moving ball. The MCP children were shown to initiate reaching movements later and to initiate grasping movement of the fingers earlier in time than the controls. MCP children also made more spatial errors. These findings are discussed in the context of the distinction made in the neuropsychological literature between proximal and distal motor control systems and the visual perceptual system.

Dynamics of hand preference in 4 year-old children.

Hand preference in groups of 4 year-old children towards either end of the skill continuum (as determined by the Movement ABC test) was explored by means of a catching task in which the 'direction of approach of the ball' was used as a control parameter within a dynamical systems framework. In Condition 1, the ball direction was systematically scaled in degrees from the right side of the subject to the left and vice versa. In Condition 2, the spatial location of the ball direction was varied randomly, rather than systematically, over the same range as for Condition 1. In both conditions, the two groups of children were shown to switch between hands (from left to right and vice versa) at well-defined positions on the scale. The different scale values obtained when ball direction was scaled from left to right compared with right to left were used to define hysteresis areas. These areas were more extensive and located more to the left of the midline for the group towards the less skilled end of the continuum than for those towards the more skilled end. Additionally, the less-skilled children were shown to use the right hand more to catch the balls delivered to the left side than did the more skilled children. In Condition 3, objects were placed on the table of the ball-delivery apparatus in order to make the catching action more complicated. The less skilled group were shown to use the right hand more than the left hand in all catching positions whereas the more skilled group showed an equal usage of both catching regimes.

The application of co-ordination dynamics to the analysis of discrete movements using table-tennis as a paradigm skill.

The purpose of this experiment was to explore the application of co-ordination dynamics to the analysis of discrete rather than cyclical movements. Subjects, standing in a fixed position, were required to return table-tennis balls delivered to different spatial locations in the direction of a fixed target. This was achieved in condition 1 by systematically scaling, from left to right and vice versa, the 'spatial location' of the ball-identified as a control parameter. In condition 2, the control condition, the spatial location was varied randomly over the same range. The changes between regimes of the stroke co-ordination pattern, defined at two different levels, (1) organisational--forehand or backhand drive. and (2) kinematic-the distance of the bat at ball-bat contact relative to the leading edge of the table, were identified as collective variables, the values of which changed spontaneously at the transition points exposed by the control parameter. The switch between regimes was shown to be dependent upon the direction of scaling, i.e. a hysteresis effect was identified in both conditions. These findings confirm that the conceptual and methodological frameworks of co-ordination dynamics can be applied, appropriately, to the analysis of discrete movements. Moreover, it would seem that control parameter values (spatial location of the ball) do not necessarily have to be scaled in a systematic way in order to produce the required effects.

Proximal versus distal control in proprioceptively guided movements of motor-impaired children.

Two groups of 7-year-old children diagnosed as motor-impaired (N = 6) or as controls (N = 6) were required to perform a task that involved locating targets under a table-top with one hand while attempting to match the position of the target with the other, on the table-top (intra-modal matching), always without visual control. The experimental design involved three different conditions: proximal control (P), distal control (D) or both (PD). Target distance errors were analysed in terms of absolute (AE) and variable error. When the scores for each hand were combined, the motor-impaired group showed inferior mean performance (AE scores) on all three conditions as compared with the control children and were also more variable in their behaviour. Analyses of scores achieved with the right and the left hand separately, however, demonstrated that the difference could largely be attributed to the scores obtained when matching with the right hand in conditions P and PD, and matching with the left hand in condition D. Possible explanations of these findings are discussed in the context of 'delay' (developmental lag) and/or 'deviancy' (neurological lesion/disconnection).

'Putting your foot in it'! A window into clumsy behaviour.

Intra-modal matching by 7-year-old children diagnosed as having hand-eye co-ordination problems (HECP) and a control group of children without such problems was tested using a target location and matching task. The 'foot-hand' task required the children to locate a target pin with the 'big-toe' (felt target) and match the located target position with the hand, without vision. There were four conditions: location via right foot-matching the located target with the right hand (RfRh) and left hand (RfLh) and location via left foot-matching the located target with the left hand (LfLh) and right hand (LfRh). Both groups demonstrated better performance in the intra- as compared to the inter-hemispheric conditions, suggesting that the corpus callosum is not yet fully mature at this age. The HECP children showed inferior performance to the control children in three of the four conditions, the conditions where the right hemisphere was involved and/or information had to be transported across the corpus callosum (RfLh; LfLh; LfRh). Two possible explanations of these findings are put forward and discussed: right hemisphere insufficiency with or without dysfunctional corpus callosum.

We can cure your child's clumsiness! A review of intervention methods.

Intervention procedures for treatment of clumsiness have come in many guises. We have looked at some of the most powerful methods put forward in the past 30 years--Perceptual-motor training (PMT), Sensory Integration Therapy (SIT), and some promising new approaches. Both the PMT and the SIT have been heavily criticised. It is hard to find support for the idea that the programmes improve academic skills or that they have more than a limited effect on perceptual-motor development as claimed. The more recently introduced Kinaesthetic training is shown to have an effect on general motor competence but that this may be better explained in terms of the general principles on which this training procedure lies rather than the influence on Kinaesthesis per se. Since other recent studies have also shown a dependence on similar general principles, it might be asked whether it is the teacher rather than the programmes that accounts for the differences shown between different intervention programmes.

Inter- and intra-sensory modality matching in children with hand-eye co-ordination problems.

Inter- and intra-sensory modality matching by 8-year-old children diagnosed as having hand-eye co-ordination problems (HECP) and by a control group of children without such problems were tested using a target-location and pointing task. The task required the children to locate target pins visually (seen target), with the hand (felt target) or in combination (felt and seen target), while pointing to the located target was always carried out without vision. The most striking finding, for both the control and the HECP children, was the superiority of performance when the target had to be located visually. When combined scores for both hands were analysed, the HECP children showed inferior performance to the control children in both inter- and intra-modal matching. Analyses of the scores achieved with the preferred and non-preferred hand separately, however, demonstrated that the differences between the HECP and the control children could, in the main, be attributed to lowered performances when the non-preferred hand was used for pointing to the target. When pointing with the preferred hand, the only significant difference between the groups was when the target was visually located, the control children showing superior performance. Pointing with the non-preferred hand gave rise to significant differences, in favour of the control children, when the target was located visually, with the hand or in combination. These findings suggest that earlier studies, using only the preferred hand or a combination of the scores of both hands, might need to be qualified. Putative neurological disorders in the HECP children are invoked to account for the poor performance with the non-preferred hand.

Inter- and intrasensory modality matching in children with hand-eye coordination problems: exploring the developmental lag hypothesis.

This study set out to explore the suggestion that the problems experienced by 8-year-old children diagnosed as clumsy in the area of hand-eye coordination (HECP) might be attributed to a developmental lag. The performances of this group of HECP children were compared with those of groups of 5-year-old and 8-year-old controls without such deficits, when required to carry out a task involving pointing, without vision, to targets located, visually, visually/proprioceptively, or proprioceptively, the dependent variable being the distance error score from the centre of the target. The performances of the HECP children, when vision or vision/proprioception was used to locate the targets, were shown to be inferior to those of the two control groups of children thereby supporting a visual deficit hypothesis. When the targets had to be located proprioceptively, the performance of the HECP children was shown to be similar to that of the 5-year-olds, while both groups were inferior to the 8-year-olds, thereby supporting a developmental lag hypothesis in proprioceptive terms. However, when the scores for the preferred and non-preferred hands were analysed separately a marked deterioration in the performances of both the 5-year-old controls and the HECP children was observed while the 8-year-old controls were unaffected. While this finding supports a developmental lag explanation of the inferior performances of the HECP children, it was necessary to qualify such an explanation when the within-group performances using the preferred and non-preferred hands were compared. Only the HECP children, under the visual/proprioceptive or proprioceptive conditions, showed significant performance differences, in favour of the preferred hand. This finding was taken as a suggestion that the developmental lag exhibited by the HECP children might have pathological overtones possibly related to the development of the corpus callosum.