Bimanual coordination in children: manipulation of object distance.

The performance of many everyday activities requires the coordination of the two upper limbs to achieve the goal of the task. Although bimanual performance has been studied in detail in adults, few studies have examined how children coordinate the movements of the two hands during symmetric and asymmetric bimanual prehension. With the current study, we asked younger (4-6 years, n = 14) and older (7-10 years, n = 16) children to complete a discrete bimanual task. Specifically, they reached to grasp cylinders located at near and far positions in either unimanual or bimanual condition. During bimanual symmetric conditions, participants performed movements with both hands toward two objects located at the same distance (both near or both far), while in the bimanual asymmetric conditions, they reached for objects at different distances. Results of the kinematic analyses indicated that the young children consistently experienced the "two target" effect, whereby bimanual movements were executed more slowly than unimanual movements to the same distance. Older children employed a hybrid strategy, exhibiting slower movements in bimanual congruent conditions, but larger non-dominant apertures in bimanual incongruent conditions. This hybrid strategy was hypothesized to stem from developmental changes occurring in the integration of sensory information around 8 years of age. While older children exhibited temporal and spatial coordination patterns that were similar to patterns reported in adults, large relative timing differences at the start and end of bimanual movements and considerably weaker spatial coupling were seen in the younger children.

Bimanual coordination in children: manipulation of object size.

An experiment was designed to investigate the temporal and spatial couplings of the transport and grasp components for bimanual movements performed by children. Thirty-one participants aged 4-6 (younger) and 7-10 (older) performed the unimanual task of reaching for, grasping, and lifting a small or large cylinder with the right or left hands or the bimanual task of reaching for, grasping and lifting two small cylinders, two large cylinders, or one small and one large cylinder with the right and left hands. Kinematic measures, relative timing differences between the hands, spatial plots and cluster analysis were used to quantify both temporal and spatial couplings of the limbs. While average kinematic results indicated that children in the 4-6 and 7-10 age range performed bimanual movements similarly to each other, spatio-temporal coupling measures indicated that the younger children performed the bimanual movements in a more sequential (serial) fashion. Kinematic results also indicated that the cost of the increase in task complexity normally seen in adults when grasping two targets bimanually compared to a single target unimanually are not consistently present for children. Instead, the cost associated with increases in task complexity appear to be mediated by whether the bimanual task imposes significantly greater demands on attentional processes. These results indicate that attention demands of the task as well as the intrinsic dynamics of the individual determine the degree of interlimb coupling of children during bimanual reach-to-grasp of different-sized objects.

Oral and manual force control in preschool-aged children: is there evidence for common control?

The authors examined and compared the development of oral and manual force control in preschool-aged children. In all, 50 typically developing children (aged 3-5 years) performed maximal strength tasks and submaximal visually guided tasks using tongue elevation, power, and precision grips. Dependent measures included strength, rate of force rise, initial force overshoot, force variability, and rate of force release. The authors performed age- and performance-related analyses. Results revealed similar changes for tongue, fingers, and hands across age- and performance-related measures for strength, initial force overshoot, and rate of force release. There were no significant changes in rate of force rise with increasing age. Force variability measures showed effector-specific changes with decreases across age- and performance-related measures for the hands and fingers but not for the tongue. Changes common across effector systems likely reflect biological development coupled with cognitive-strategic development. Effector-specific changes in force variability likely reflect experience gained through functional tasks influencing biological and cognitive-strategic development. Lack of change in force variability of the tongue suggests that fine control of the tongue is activity specific; thus, nonfunctional tasks are not likely to be sensitive to experience-related biological development.

Challenges and approaches to the identification of traumatic brain injury among nursing home residents.

The Minimum Data Set (MDS) is a standardized, federally mandated assessment tool used to identify the needs of nursing home residents and rehabilitation and nursing services received on a routine basis. These data can be used to identify people with traumatic brain injury (TBI), where a diagnosis is recorded. However, both limitations of the MDS and the presence of other neurological issues that can be confused with TBI can reduce the likelihood that brain injury is identified where it exists. The article discusses innovative methodological approaches and challenges to using the MDS data to identify people with TBI in nursing homes.

Impaired re-weighting of sensory feedback for maintenance of postural control in children with developmental coordination disorder.

To further the understanding of postural control impairments seen in children with developmental coordination disorder (DCD) and the effect of these impairments on motor performance in these children, 30 children with and without DCD (mean age=9 years, 7 months +/- 1 year, 10 months) were administered the Movement Assessment Battery for Children (M-ABC), Wechsler Abbreviated Scale of Intelligence and the Sensory Organization Test. Analyses of covariance revealed that children with DCD had greater difficulty maintaining postural control when visual and somatosensory feedback were compromised in sensory conflict environments (p=.031). Group differences in postural control were independent of age. Additionally, no correlation was seen between motor performance on the M-ABC and postural control measures for the Sensory Organization Test. Our results demonstrate that impaired ability to utilize vestibular feedback while re-weighting somatosensory and visual feedback for orientation may be responsible, in part, for the postural control impairments observed in some children with DCD.

Power and precision grip force control in three-to-five-year-old children: velocity control precedes amplitude control in development.

The aim of this study was to examine the development of underlying motor control strategies in young children by characterizing the changes in performance of a visually guided force regulation task using two different grip formations; a whole-hand power grip (developmentally easier) and a thumb-index finger precision grip (developmentally more advanced). Typically developing preschool children (n=50, 3.0-5.5 years) used precision and power grips to perform a ramp and hold task with their dominant and non-dominant hands. Participants performed five trials with each hand and grip holding the force at 30% of their maximum volitional contraction for 3 s. The data were examined for both age-related and performance-related changes in motor performance. Across ages, children increased in strength, decreased in initial overshoot of the target force level, and decreased in rate of force release. Results of a cluster analysis suggest non-linear changes in the development of force control in preschool children, with a plateau in (or maturation of) velocity measures (rate of force increase and force decrease) earlier than in amplitude-related measures (initial force overshoot and force variability).