Abnormalities of motor and praxis imagery in children with DCD

In an earlier study using the visually guided pointing task (VGPT) the authors showed that the timing of imagined movement sequences in children with developmental coordination disorder (DCD) does not conform to the conventional speed-for-accuracy trade-off (or Fitts' law [P.M. Fitts, Journal of Experimental Psychology 47 (1954) 381-391]) that occurs when the distance and accuracy requirements of movements are varied [P. Maruff, P.H. Wilson, M. Trebilcock, J. Currie, Neuropsychologia 37 (1999b) 1317-1324]. The present study sought to replicate this earlier finding and to examine (using a weight manipulation) whether this deficit was also attributable to inaccurate programming of relative force. The chronometry of real and imagined movements was investigated in a group of 20 children with DCD aged between 8 and 12 years and a group of controls matched on age and verbal IQ (VIQ). Movement duration was tested for real and imagined movements using the preferred hand, with the VGPT performed under two load conditions: with and without the addition of a weight attached to a pen. Group means of each subjects' mean movement duration were calculated and plotted against target width for each of the four conditions [Movement type (2) x Load (2)] and a logarithmic curve was fitted to the data points. In the control group, the speed-for-accuracy trade-off for both real and imagined performance conformed to Fitts' law under each load condition. In the DCD group only real movements conformed to Fitts' law. Moreover, the effect of load differed between groups--for real movements, movement duration did not differ between load and no-load conditions for either group, while for imagined movements, movement duration increased under the load condition for the control group only. These results replicate and extend the results of our earlier study. This pattern of performance suggests that children with DCD have an impairment in the ability to generate internal representations of volitional movements which may reflect an impaired ability to process efference copy signals. The ability to programme both relative force and timing appears to underly this difficulty. Results have implications for the use of (guided) motor imagery training in order to facilitate the development of motor skill in children with DCD.     

Extended practice of reciprocal wrist and arm movements of varying difficulties

An experiment was designed to determine the degree to which reciprocal aiming movements of the wrist and arm with various accuracy requirements (Fitts' tasks) are enhanced by extended practice. The vast majority of research on motor learning shows performance improvement over practice. However, literature examining the effect of practice on Fitts' task performance is limited and inconclusive. Participants were asked to flex/extend their limb/lever in the horizontal plane at the wrist (arm stabilized) or elbow joint (wrist stabilized) in an attempt to move back and forth between two targets as quickly and accurately as possible. The targets and current position of the limb were projected on the screen in front of the participant. Target width was manipulated with amplitude constant (16°) in order to create indexes of difficulty (ID) of 1.5, 3, 4.5, and 6. Contrary to the earlier reports, after 20 days of practice, we found minimal changes in movement time or the movement time-ID relationships for the arm and wrist over practice. However, the variability in the movement endpoints decreased over practice and wrist movements at ID=6 were characterized by shorter movement times and longer dwell times relative to arm movements with dwell time for the wrist increasing over practice. These data are consistent with the notion that Fitts' tasks provide a stable measure of perceptual-motor capabilities.     

The role of movement speed in learning a visuo-manual coordination in children

Summary The aim of the present study was to investigate the processes underlying aiming movements (motor programming and feedback control), and to explore their modification through learning. Two groups of 6- and 9-year-old children were asked to perform a directional aiming task without visual feedback (open-loop situation). After 15 trials (pretest) all subjects were submitted to a practice session which consisted of three series of trials with visual feedback (closed-loop situation). Half of the subjects had to perform the task at maximum speed (programmed movements), while the other half was required to perform slow movements (feedback-controlled movements). After the practice session all subjects were tested again in the openloop situation without time constraints (posttest). The results showed that during the practice session, accuracy was greater than in the two test conditions. It was greater in the case of slow movements than in the case of rapid ones. Moreover, in the case of rapid movements, it did not improve over the three practice series, while it did improve with slow movements. The difference between pre- and posttests showed that both groups improved their accuracy with practice in all conditions, the greatest improvement being obtained with rapid practice movements in 9-year-old children. It is suggested that different types of feedback (on-line and delayed feedback) contribute in varying degrees to the improvement of the aiming movements. However, the rapid movement condition, which requires a greater efficiency of programming, was found to be more effective for learning than the slow movement condition. The age-related differences found in learning suggest that feedback information can be fully integrated into motor programming only after 6 years of age.     

Parameterization of movement execution in children with developmental coordination disorder

The Rhythmic Movement Test (RMT) evaluates temporal and amplitude parameterization and fluency of movement execution in a series of rhythmic arm movements under different sensory conditions. The RMT was used in combination with a jumping and a drawing task, to evaluate 36 children with Developmental Coordination Disorder (DCD) and a matched control group. RMT errors in space and in time were significantly larger for children with DCD. Omission of sensory information decreased the accuracy of movement parameterization in children with DCD more than in the control group, suggesting that children with DCD have more problems in building up an internal representation of the movement. Errors in time correlated significantly with the jumping and drawing task, while errors in space did not. Deficits of temporal movement parameterization might be one of the underlying causes of poor motor performance in some children with DCD.     

Information entropy analysis of discrete aiming movements

Information entropy and mutual information were investigated in discrete movement aiming tasks over a wide range of spatial (20-160 mm) and temporal (250-1250 ms) constraints. Information entropy was calculated using two distinct analyses: (1) with no assumption on the nature of the data distribution; and (2) assuming the data have a normal distribution. The two analyses showed different results in the estimate of entropy that also changed as a function of task goals, indicating that the movement trajectory data were not from a normal distribution. It was also found that the information entropy of the discrete aiming movements was lower than the task defined indices of difficulty (ID) that were selected for the congruence with Fitts' law. Mutual information between time points of the trajectory was strongly influenced by the average movement velocity and the acceleration/deceleration segments of the movement. The entropy analysis revealed structure to the variability of the movement trajectory and outcome that has been masked by the traditional distributional analyses of discrete aiming movements.     

Developmental coordination disorder: associated problems in attention,learning, and psychosocial adjustment

This study investigated the problems of attention, learning and psychosocial adjustment evidenced by children with developmental coordination disorder (DCD). Forty-five children identified with DCD, 51 children identified as being suspect for DCD and 78 comparison children without motor problems on standardized tests of motor function participated in this study. Results revealed that both children with DCD and children suspect for DCD obtained significantly poorer scores on measures of attention and learning (reading, writing and spelling) than comparison children. Children with DCD and those suspect for DCD were also found to evidence a relatively high level of social problems and display a relatively high level of somatic complaints based on parent report. These findings indicate that all children with movement problems are at risk for problems in attention, learning and psychosocial adjustment. Assessment of children with movement problems, regardless of the degree or severity of these problems should examine a wide range of functions in addition to motor functioning. Such an approach, would assist in determining the types of intervention that would provide the most benefit to these children.     

Adults with probable developmental coordination disorder selectively process early visual,but not tactile information during action preparation. An electrophysiological study

Developmental coordination disorder (DCD) is a neurodevelopmental condition affecting motor coordination in children and adults. Here, EEG signals elicited by visual and tactile stimuli were recorded while adult participants with and without probable DCD (pDCD) performed a motor task. The task cued reaching movements towards a location in visible peripersonal space as well as an area of unseen personal space. Event-related potentials elicited by visual and tactile stimuli revealed that visual processing was strongly affected by movement preparation in the pDCD group, even more than in controls. However, in contrast to the controls, tactile processing in unseen space was unaffected by movement preparation in the pDCD group. The selective use of sensory information from vision and proprioception is fundamental for the adaptive control of movements, and these findings suggest that this is impaired in DCD. Additionally, the pDCD group showed attenuated motor rhythms (beta: 13–30 Hz) over sensorimotor regions following cues to prepare movements towards unseen personal space. The results reveal that individuals with pDCD exhibit differences in the neural mechanisms of spatial selection and action preparation compared to controls, which may underpin the sustained difficulties they experience. These findings provide new insights into the neural mechanisms potentially disrupted in this highly prevalent disorder.     

A Sensorimotor Basis for Motor Learning: Evidence Indicating Specificity of Practice

Our previous work (Proteau, Marteniuk, Girouard, & Dugas, 1987) was concerned with determining whether with relatively extensive practice on a movement aiming task, as the skill theoretically starts becoming open-loop, there would be evidence for a decreasing emphasis on visual feedback for motor control. We eliminated vision of the moving limb after moderate and extensive practice and found that the movement became more dependent on this feedback with greater amounts of practice. In the present study, we wished to test the hypothesis, developed from our previous work, that at the base of movement learning is a sensorimotor representation that consists of integrated information from central processes and sensory feedback derived from previous experiences on the movement task. A strong test of this hypothesis would be the prediction that for an aiming task, the addition of vision, after moderate and relatively extensive practice without vision, would lead to an increasingly large movement decrement, relative to appropriate controls. We found good support for this prediction. From these and previous results, and the idea of the sensorimotor representation underlying learning, we develop the idea that learning is specific to the conditions that prevail during skill acquisition. This has implications for the ideas of generalized motor program and schema theory.     

Procedural learning in children with developmental coordination disorder

Despite the fact that developmental coordination disorder (DCD) is characterised by a deficit in the ability to learn or automate motor skills, few studies have examined motor learning over repeated trials. In this study we examined procedural learning in a group of 10 children with DCD (aged 8-12 years) and age-matched controls without DCD. The learning task was modelled on that of Nissen and Bullemer. Children performed a serial reaction time (SRT) task in which they were required to learn a spatial sequence that repeated itself every 10 trials. Children were not aware of the repetition. Spatial targets were four (horizontal) locations presented on a computer monitor. Children responded using four response keys with the same horizontal mapping as the stimulus. They were tested over five blocks of 100 trials each. The first four blocks presented the same repeating sequence, while the fifth block was randomised. Procedural learning was indexed by the slope of the regression of RT on blocks 1-4. Results showed that most children displayed strong procedural learning of the sequence, despite having no explicit knowledge about it. Overall, there was no group difference in the magnitude of learning over blocks of trials - most children performed within the normal range. Procedural learning for simple sequential movements appears to be intact in children with DCD. This suggests that cortico-striatal circuits that are strongly implicated in the sequencing of simple movements appear to be function normally in DCD.     

Programming precision in repetitive tapping

The present paper reports an experiment using the Fitts' tapping paradigm. It is concerned with a comparison of movement times and accuracy during blind and visual repetitive tapping. A blind condition was used to investigate rapid aiming movements under motor program control, whilst visual aiming was used to assess the role of visual feedback for control purposes. Subjects in the blind conditions were able to replicate the amplitude specifications of the task, whereas effective target width was constant for a set amplitude and did not reflect specified target width. Subjects, furthermore, responded more rapidly when tapping blind. These results are discussed in terms of the magnitude of forces being attempted as a result of performing a set amplitude, and the role of visual feedback.     

Increased associated movements: influence of attention deficits and movement difficulties

This study was designed to examine whether increased associated movements (AMs) reflect motor difficulties or the symptoms associated with attention disorders. Four groups of male children (N=51) aged 6-8 years participated: Group 1 consisted of 13 children diagnosed with developmental coordination disorder (DCD); Group 2 consisted of 13 children diagnosed with attention deficit hyperactivity disorder (ADHD); Group 3 consisted of 10 children diagnosed with co-occurring DCD and ADHD, and Group 4 was a control sample of 15 children, with no known movement or attention difficulties. Various AM tasks were selected from established assessments and previous research to measure AM severity. The results supported the hypothesis that increased severity of AMs reflect movement difficulties with children in the DCD and DCD/ADHD groups displaying significantly more AMs than children in the ADHD and control groups (p<.001). No differences were found between the ADHD only and control groups (p=.67) or the DCD and DCD/ADHD groups (p=.81) suggesting that AM severity is not influenced by the neurodevelopmental symptoms associated with ADHD.     

Testing predictive control of movement in children with developmental coordination disorder using converging operations

Recent systematic reviews (Wilson et al., 2013, Dev. Med. Child Neurol., 55, 217; Adams et al., 2014, Neurosci. Biobehav. Rev., 47C, 225) suggest that a common underlying problem in developmental coordination disorder (DCD) is the internal modelling deficit. The study presented here is the first to test this hypothesis using a within‐subject design, assessing motor imagery, action planning, and rapid online control (ROC) in a sample of children screened rigorously for DCD. Participants were 66 children; 33 children (26 boys and seven girls) aged 6–11 years in the DCD group and 33 controls (gender and age matched). Motor imagery was assessed with the hand rotation task (HRT), action planning with an end‐state comfort effect test, and ROC with the double‐step pointing task. Results showed that children with DCD were slower and less accurate than controls in the HRT. Reduced forward planning for comfortable end‐state was also shown in DCD. Finally, no group differences were found on the ROC task. Collectively, children with DCD manifest deficits in the internal modelling of movements, but this varies under different task constraints, particularly those related to movement complexity.     

Developmental trends in speed accuracy trade-off in 6-10-year-old children performing rapid reciprocal and discrete aiming movements

Cyclic tasks are performed better than discrete tasks in adults but it is unknown whether this advantage is present in children as well. Three age groups of participants (6, 8, and 10 years old) executed cyclic and discrete aiming movements to two differently sized target using a Fitts task to examine the developmental effects on speed/accuracy trade-off. Children showed the same advantage of cyclic over discrete movements as previously demonstrated for adults but at a slower speed. The slope of the speed accuracy trade-off was similar in the three age groups in the cyclic as compared to the discrete control mode, suggesting that children learn both tasks equally well in this age range. The index of performance (IP) increased with age but not differently for the two control modes. Children showed clear differences between the kinematics of discrete and cyclic movements and these differences were similar to those seen in adults. Cyclic movements were faster, had higher IP, showed fewer changes in velocity and were more ballistic. Thus movement execution was different between the two tasks, consistent with the hypothesis that cyclic tasks make use of neural oscillators. The slower movement speed in young children is consistent with their limited ability to use open loop control.     

Development of motor imagery ability in children with developmental coordination disorder – A goal-directed pointing task

Children with developmental coordination disorder (DCD) have difficulties with the predictive control of movements. This was shown in studies that target motor imagery and motor planning, and appears to become particularly evident with increases in task complexity. In this study, we used a complex mental chronometry paradigm to examine the development of motor imagery ability in children with DCD, using a longitudinal design. Thirty children were included in the DCD group (aged 6–11 years) and age- and gender-matched to 30 controls. The DCD group had a Movement Assessment Battery for Children-2 score ≤16th percentile and the control group ≥25th percentile. Results of this study showed that children with DCD indeed had a significantly lower correlation between executed and imagined movements. Importantly, the increase in the correlation and linear fit during subsequent measurements was comparable for the DCD and control group. Together, these findings suggest a delayed developmental onset of motor imagery ability in DCD, but a similar rate of development over time compared to the control group. Based on these results, it seems likely that explicit motor imagery instructions can be used to improve predictive control in children with DCD.     

Graphomotor skills in children with developmental coordination disorder (DCD): Handwriting and learning a new letter

The aim of the present study was to analyze handwriting difficulties in children with developmental coordination disorder (DCD) and investigate the hypothesis that a deficit in procedural learning could help to explain them. The experimental set-up was designed to compare the performances of children with DCD with those of a non-DCD group on tasks that rely on motor learning in different ways, namely handwriting and learning a new letter. Ten children with DCD and 10 non-DCD children, aged 8–10 years, were asked to perform handwriting tasks (letter/word/sentence; normal/fast), and a learning task (new letter) on a graphic tablet. The BHK concise assessment scale for children’s handwriting was used to evaluate their handwriting quality. Results showed that both the handwriting and learning tasks differentiated between the groups. Furthermore, when speed or length constraints were added, handwriting was more impaired in children with DCD than in non-DCD children. Greater intra-individual variability was observed in the group of children with DCD, arguing in favor of a deficit in motor pattern stabilization. The results of this study could support both the hypothesis of a deficit in procedural learning and the hypothesis of neuromotor noise in DCD.     

On the Role of Visual Afferent Information for the Control of Aiming Movements Toward Targets of Different Sizes

The authors investigated (a) whether the specificity of practice hypothesis is mediated by the importance of visual afferent information for the control of manual aiming movements and (b) how movement planning and online correction processes to the movement initial impulse are affected by the withdrawal of visual information in transfer. In acquisition, participants (N = 40) aimed at targets of different sizes in a full-vision or in a target-only condition before being transferred to a target-only condition without knowledge of results. The results supported the hypothesis that learning is specific to the source or sources of afferent information that are more likely to ensure optimal performance. The results also suggested that individuals will not always use visual afferent information more extensively when aiming at a small rather than at a large target. Instead, in a temporally constrained task, the relative efficiency of visually based corrections appears to mediate how exclusively an individual will rely on online visual afferent information for movement control. Finally, the detailed kinematic analysis performed in the present study clearly indicated that online modifications to the movement primary impulse are possible, arguing for a continuous or pseudo-continuous control of relatively slow aiming movements on the basis of visual afferent input.     

Procedural learning and automatization process in children with developmental coordination disorder and/or developmental dyslexia

ObjectiveThere is increasing evidence to suggest that developmental dyslexia (DD) and developmental coordination disorder (DCD) actually form part of a broader disorder. Their frequent association could be justified by a deficit of the procedural memory system, that subtends many of the cognitive, motor and linguistic abilities that are impaired in both DD and DCD. However, studies of procedural learning in these two disorders have yielded divergent results, and in any case no studies have so far addressed the issue of automatization (dual-task paradigm).MethodsWe administered a finger tapping task to participants aged 8–12 years (19 DCD, 18 DD, and 22 with both DD and DCD) to explore procedural learning and automatic movements in these three groups of children, comparing motor performances at the prelearning stage, after 2 weeks of training, and in a post-training dual-task condition.ResultsFirst, results indicated that all the children were able to learn a sequence of movements and even automatize their movements. Second, they revealed between-groups differences in procedural/automatization learning abilities, setting the DCD group apart from the other two. Third, contrary to our expectations concerning comorbidity, they suggested that the DD + DCD association does not have an additional impact on behavioral performances.     

Adaptive programming of arm movements

Adaptations of goal-directed elbow movements of moderate speed, called "continuous" movements and recognized by their single-peaked velocity profiles, were studied for two monkeys that were learning to perform a motor task. The animals were rewarded for what they did, namely, to carry out a step-tracking and holding task by means of discrete elbow movements, but not for how they did it, that is, for any particular mode of movement execution. Yet, both animals increased the use of the programmed, continuous movements when they began to carry out the behavioral task requirements appropriately. Furthermore, continuous movements adapted with increases of peak and of average velocity such that the ratio of these parameters tended to be maintained or decreased. These velocity changes were incorporated into remembered movement programs late in motor learning when the animals approached their best performance proficiencies.     

On the role of visual afferent information for the control of aiming movements toward targets of different sizes

The authors investigated (a). whether the specificity of practice hypothesis is mediated by the importance of visual afferent information for the control of manual aiming movements and (b). how movement planning and online correction processes to the movement initial impulse are affected by the withdrawal of visual information in transfer. In acquisition, participants (N = 40) aimed at targets of different sizes in a full-vision or in a target-only condition before being transferred to a target-only condition without knowledge of results. The results supported the hypothesis that learning is specific to the source or sources of afferent information that are more likely to ensure optimal performance. The results also suggested that individuals will not always use visual afferent information more extensively when aiming at a small rather than at a large target. Instead, in a temporally constrained task, the relative efficiency of visually based corrections appears to mediate how exclusively an individual will rely on online visual afferent information for movement control. Finally, the detailed kinematic analysis performed in the present study clearly indicated that online modifications to the movement primary impulse are possible, arguing for a continuous or pseudo-continuous control of relatively slow aiming movements on the basis of visual afferent input.     

Investigating how children produce rotation and pointing movements when they learn to write letters

How do children learn to write letters? During writing acquisition, some letters may be more difficult to produce than others because certain movement sequences require more precise motor control (e.g., the rotation that produces curved lines like in letter O or the pointing movement to trace the horizontal bar of a T). Children of ages 6–10 (N = 108) wrote sequences of upper-case letters on a digitizer. They varied in the number of pointing and rotation movements. The data revealed that these movements required compensatory strategies in specific kinematic variables. For pointing movements there was a duration decrease that was compensated by an increase in in-air movement time. Rotation movements were produced with low maximal velocity but high minimal velocity. At all ages there was a global tendency to keep stability in the tempo of writing: pointing movements exhibited a duration trade-off whereas rotation movements required a trade-off on maximal and minimal velocity. The acquisition of letter writing took place between ages 6 and 7. At age 8 the children shifted focus to improving movement control. Writing automation was achieved around age 10 when the children controlled movement duration and fluency. This led to a significant increase in writing speed.