The aim of this study was to evaluate neuromotor task training (NTT), a recently developed child-centred and taskoriented treatment programme for children with developmental coordination disorder (DCD). A treatment and a non-treatment control group of children with DCD were included. Children were selected if they scored below the 15th centile on the Movement Assessment Battery for Children (MABC). The children in the treatment group were recently referred for physiotherapy (n=26; 20 males, 6 females; mean age 7y 2mo [SD 1y 3mo]). The parents of the non-treated children were concerned about their children's motor performance and responded to advertisements for free testing (n=13; 10 males, 3 females; mean age 7y 2mo [SD 2y 1mo]). Before and after nine weekly 30-minute sessions of NTT or at least 9 weeks of no intervention, the MABC and the Test of Gross Motor Development -2 (TGMD-2) were administered. Therapists reported per session on treatment goals and tasks trained. The results indicate that motor performance does not improve spontaneously and that NTT is effective. During the intervention period, only the treated group improved on the MABC and the TGMD-2. Children improved most on tasks similar to those trained. In older children with poorer motor patterns, NTT's treatment success was higher. The Child Behavior Checklist subscales withdrawn, thought problems, anxious/depressed, and delinquency were determinants of effects on motor patterns.Approximately 5 to 10% of schoolchildren have difficulty learning motor skills. 1 A child is diagnosed with developmental coordination disorder (DCD) if the performance in daily activities that require motor coordination is substantially below that expected given the child's chronological age and intelligence, in the absence of any known neurological disorder or pervasive developmental disorder (PDD). 2 To diagnose a child as having DCD, inadequate proficiency in movement performance should negatively interfere with activities of daily life. 2 This latter criterion, and the fact that most children do not outgrow DCD, which can have potentially long-term consequences, 3,4 support the need for intervention.Evidence is lacking for the efficacy of treatment approaches that concentrate on the deficits in processes assumed to underlie poor motor coordination, such as sensory integration therapy and kinaesthetic training. 5,6 For a decade, more task-oriented approaches have been emphasized and reveal promising results. These approaches focus directly on the functional skills hindering the child. Because only a few studies have investigated task-oriented approaches, more efficacy research is needed.In the Netherlands, neuromotor task training (NTT) has recently been developed especially for children with DCD, because the existing intervention programmes show no or little effect, and are not explicitly developed for these children. 7,8 Until the introduction of NTT, Dutch therapists eclectically used what they had learned on various courses. 9 NTT is based upon a cognitive neurosc...