Clumsiness in Children‐Do they Grow out Of It? A 10‐Year Follow‐Up Study

Losse, Anna; Henderson, Sheila; Elliman, David; Hall, David; Knight, Elizabeth; Jongmans, Marian J.

doi:10.1111/j.1469-8749.1991.tb14785.x

Cited by 547 publications

(331 citation statements)

References 18 publications

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“…5 They also show that spontaneous development within a 3-to 4-month period is rare in children with DCD. 3,4 As in most recent studies on DCD, the MABC was used to select children with DCD, 1 and to measure changes in performance. One could, therefore, argue that the reported effects of therapy are the result of 'regression to the mean'.…”

Section: Discussionmentioning

confidence: 99%

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Neuromotor task training for children with developmental coordination disorder: a controlled trial

Niemeijer

Smits-Engelsman

Schoemaker

2007

Develop Med Child Neuro

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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 The Child Behavior Checklist subscales withdrawn, thought problems, anxious/depressed, and delinquency were determinants of effects on motor patterns.Approximately 5 to 10% of schoolchildren have difficulty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...

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Section: Discussionmentioning

confidence: 99%

“…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.…”

mentioning

confidence: 99%

Neuromotor task training for children with developmental coordination disorder: a controlled trial

Niemeijer

Smits-Engelsman

Schoemaker

2007

Develop Med Child Neuro

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“…Several studies performed on populations of children with a minor motor disability, such as dyspraxic children, clumsy children, and children with developmental coordination disorder, observed a higher incidence of victimization (Losse et al 1991). According to Yude et al (1998), children with minor motor disabilities might find themselves in an awkward situation because, although they do not have an obvious disability, they cannot perform as well as their peers.…”

Section: Discussionmentioning

confidence: 99%

Victimization: a newly recognized outcome of prematurity

Nadeau¹,

Tessier

Robaey

2004

Develop Med Child Neuro

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Victimization by peers affects 10 to 20% of school children under the age of 12 years. Physical, verbal, and psychological victimization (being pushed, hit, called names, teased, being the target of rumours, theft, extortion) is associated with short-and long-term adjustment problems, such as peer rejection, social withdrawal, low self-esteem, anxiety, loneliness, and depression, as well as academic problems and school drop-out. Research on populations of school children (primary and secondary) has associated victimization with personal risk factors (the victim's characteristics and behaviour) and interpersonal risk factors (social relationships between peers). Studies on the social adjustment of preterm children at school age show that, even in the absence of a major motor or cognitive disability, this population has several personal risk factors associated with victimization. The objective of this study was to compare the level of victimization experienced by a group of 96 seven-year-old children born extremely preterm (EP, < 29 weeks of gestation; 49 females) against that experienced by a group of 63 term children (34 females) matched for age and sex, maternal level of education, and family socioeconomic status. The children born EP had a mean gestational age of 27.3 weeks (SD 1.2) and a mean birthweight of 1001.1g (SD 223) and normal birthweight children had a mean gestational age of 39.5 weeks (SD 1.5) and a mean birthweight of 3468.7g (SD 431). Physical and verbal victimization were assessed in a school setting by peers with individual sociometric interviews (Modified Peer Nomination Inventory). After controlling for physical growth (height and weight) at the age of 7 years, the data indicate two independent effects: males were more victimized than females, and children born preterm experienced more verbal victimization by their peers than their term classmates, even when participants with a visible motor, intellectual, or sensory disability were excluded. Several hypotheses are presented to account for the higher incidence of verbal victimization of preterm children.

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“…Detailed neuropathological analyses have yet to identify the specific deficiencies in a child's central nervous system which are responsible for DCD although a number of theories have been proposed involving numerous heterogeneous factors [7]. the onset of DCD occurs during early childhood and persists into adulthood, affecting activities of daily living both at home and school [8]. the symptoms of DCD most commonly manifest as chronic motor impairments which distinguish children from their developmentally typical peers [9].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Polish version of the Motor Observation Questionnaire for Teachers (MOQ-T)

Nowak¹,

Schoemaker²

2018

Hum Mov.

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Purpose. Developmental Coordination Disorder (DCD) is a neurodevelopmental condition affecting 6-10% of school-aged children. DCD causes chronic motor impairments which distinguish children from their developmentally typical peers. to adapt and evaluate the psychometric properties of the Motor Observation Questionnaire for teachers (MOQ-t) for use in a Polish child population. Methods. Physical education teachers assessed a normative sample of 348 children using the MOQ-t. Internal consistency was evaluated by calculating Cronbach's alpha. Factor analysis was performed to investigate construct validity. A clinic-referred sample (n = 31) and a control group (n = 33) were recruited and concurrent validity was assessed by calculating correlations between the MOQ-t and the Körperkoordinationstest für Kinder (KtK). receiver Operating Characteristic curve analysis assessed discriminative validity. Results. Cronbach's alpha for the total MOQ-t score was 0.962. Factor analysis identified three factors: gross motor skills, fine motor skills, and general motor coordination. A negative correlation between the MOQ-t and KtK scores was found in both the control and clinic-referred groups. the AUC metric for the sample was 0.96 (CI: 0.90-1.00). Sensitivity was 0.80 for total MOQ-t scores at or above 44.5 with a specificity of 94%. Conclusions. the psychometric properties of the MOQ-t as a DCD screening instrument in Polish school-aged children are promising. Further investigation warrants the inclusion of larger population samples and additional validity comparisons such as with the commonly used Movement Assessment battery for Children (Second Edition).

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Clumsiness in Children‐Do they Grow out Of It? A 10‐Year Follow‐Up Study

Cited by 547 publications

References 18 publications

Neuromotor task training for children with developmental coordination disorder: a controlled trial

Neuromotor task training for children with developmental coordination disorder: a controlled trial

Victimization: a newly recognized outcome of prematurity

Psychometric properties of the Polish version of the Motor Observation Questionnaire for Teachers (MOQ-T)

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