Working memory and fine motor skills predict early numeracy performance of children with cerebral palsy

Early numeracy is an important precursor for arithmetic performance, academic proficiency, and work success. Besides their apparent motor difficulties, children with cerebral palsy (CP) often show additional cognitive disturbances. In this study, we examine whether working memory, non-verbal intelligence, linguistic skills, counting and fine motor skills are positively related to the early numeracy performance of 6-year-old children with CP. A total of 56 children (M = 6.0, SD = 0.61, 37 boys) from Dutch special education schools participated in this cross-sectional study. Of the total group, 81% of the children have the spastic type of CP (33% unilateral and 66% bilateral), 9% have been diagnosed as having diskinetic CP, 8% have been diagnosed as having spastic and diskinetic CP and 2% have been diagnosed as having a combination of diskinetic and atactic CP. The children completed standardized tests assessing early numeracy performance, working memory, non-verbal intelligence, sentence understanding and fine motor skills. In addition, an experimental task was administered to examine their basic counting performance. Structural equation modeling showed that working memory and fine motor skills were significantly related to the early numeracy performance of the children (β = .79 and p < .001, β = .41 and p < .001, respectively). Furthermore, counting was a mediating variable between working memory and early numeracy (β = .57, p < .001). Together, these findings highlight the importance of working memory for early numeracy performance in children with CP and they warrant further research into the efficacy of intervention programs aimed at working memory training.     

Fine motor skills enhance lexical processing of embodied vocabulary: A test of the nimble-hands,nimble-minds hypothesis

Research suggests that fine motor skills (FMS) are linked to aspects of cognitive development in children. Additionally, lexical processing advantages exist for words implying a high body–object interaction (BOI), with initial findings indicating that such words in turn link to children’s FMS—for which we propose and evaluate four competing hypotheses. First, a maturational account argues that any links between FMS and lexical processing should not exist once developmental variables are controlled for. Second, functionalism posits that any link between FMS and lexical processing arises due to environmental interactions. Third, the semantic richness hypothesis argues that sensorimotor input improves lexical processing, but predicts no links between FMS and lexical processing. A fourth account, the nimble-hands, nimble minds (NHNM) hypothesis, proposes that having greater FMS improves lexical processing for high-BOI words. In two experiments, the response latencies of preschool children (n?=?90, n?=?76, ages?=?5;1) to 45 lexical items encompassing high-BOI, low-BOI, and less imageable words were measured, alongside measures of FMS, reasoning, and general receptive/expressive vocabulary. High-BOI words appeared to show unique links to FMS, which remained after accounting for low-BOI and less imageable words, general vocabulary, reasoning, and chronological age. Although further work is needed, the findings provide initial support for the NHNM hypothesis.     

Cross-lateralisation in children with attention-deficit/hyperactivity disorder and motor skill performance

Cross-lateralisation and increased motor difficulties have been reported in children with attention-deficit/hyperactivity disorder (ADHD). Nevertheless, the question of how crossed (i.e. mixed preference) or uncrossed (i.e. same side preference) lateralisation impacts motor performance in children with ADHD has yet to be examined. In this study, previously validated observational measures of hand and foot preference were used to identify right-handed children with ADHD who display cross- (n = 29) and uncross-lateralisation (n = 31). An uncross-lateralised typically developing (TD) group (n = 32) was also identified, and included as a control. Motor performance was assessed with seven valid and reliable fine and gross motor tasks performed with both preferred and non-preferred limbs. Group, task and sex-related effects were examined. Findings revealed that male (but not female) cross-lateralised children with ADHD performed significantly worse, respectively, in two of the fine motor tasks (spiral tracing [p < .01], and dot filling [p < .05]). Results suggest that cross-lateralised hand and foot preference may affect complex motor skills in male children with ADHD. Furthermore, characteristics of ADHD may manifest differently in male and female children. Findings highlight the importance of considering both hand and foot preference when targeting motor interventions for children with ADHD.     

The effects of fine motor movement and tactile stimulation on the math problem solving of students with attention problems

This study evaluated the effectiveness of fine motor physical activity with tactile stimulation during two conditions of math problem solving, visual and auditory. Eight 4th and 5th grade students with attention problems participated. Using an alternating treatments design, students solved as many math story problems as they could, presented on worksheets or verbally during two conditions, with and without tactile stimulation during 20 min. Motor behavior, recorded from videotape, and number of correctly completed word problems were measured. Results suggest that fine motor manipulation of a tactile stimulation object reduced excessive motor movement and increased task completion of students with attention problems.     

Improvement in children’s fine motor skills following a computerized typing intervention

Children spend a large proportion of their school day engaged in tasks that require manual dexterity. If children experience difficulties with their manual dexterity skills it can have a consequential effect on their academic achievement. The first aim of this paper was to explore whether an online interactive typing intervention could improve children’s scores on a standardised measure of manual dexterity. The second aim was to implement a serial reaction time tapping task as an index of children's finger movement learning, and to see whether performance on this task would improve after the intervention. Seventy-eight typically developing children aged between 8 and 10 were tested at their school on the pre-intervention Movement Assessment Battery for Children (2nd edition; MABC-2) and tapping tasks. Twenty-eight of these children volunteered to be randomly allocated to the intervention or control group. Children in the intervention group had a choice of two online games to play at home over a period of four weeks, while the children in the control group were not given these games to play. The intervention and control groups were then re-tested on the MABC-2 manual dexterity and the tapping task. Children in the intervention group significantly improved their manual dexterity scores in the MABC-2 compared to the control group. On average, all children learnt the tapping sequence, however, there were no group differences and no effect of the intervention on the tapping task. These results have important implications for implementing a freely available, easy to administer, fun and interactive intervention to help children improve their manual dexterity skills.     

Contribution of binocular vision to the performance of complex manipulation tasks in 5–13 years old visually-normal children

Individual studies have shown that visuomotor coordination and aspects of binocular vision, such as stereoacuity and dynamic vergence control, continue to improve in normally developing children between birth and early teenage years. However, no study has systematically addressed the relationship between the development of binocular vision and fine manipulation skills. Thus, the aim of this cross-sectional study was to characterize performance of complex manipulation tasks during binocular and monocular viewing. Fifty-two children, between 5 and 13 years old, performed 2 manipulation tasks: peg-board and bead-threading under randomized viewing conditions. Results showed that binocular viewing was associated with a significantly greater improvement in performance on the bead-threading task in comparison to the peg-board task and the youngest children showed the greatest decrement in task performance under the monocular viewing condition when performing the bead-threading task. Thus, the role of binocular vision in performance of fine manipulation skills is both task- and age-dependent. These findings have implications for assessment of visuomotor skills in children with abnormal binocular vision, which occurs in 2–3% of otherwise typically developing children.     

Physical activity and motor skills in children: A differentiated approach

Being physically active plays an essential role in a child's physical development. While there is ample evidence for a positive association between physical activity (PA) and motor skills in children, the question of how PA should be implemented to optimally foster motor skill proficiency is less clear. To address this gap, the current longitudinal study compared four groups of children with different patterns of leisure-time PA engagement—namely children engaging in either structured PA, unstructured PA, a combination of structured and unstructured PA, or no PA at all—with respect to their gross and fine motor skill development. Results of repeated measures mixed modeling procedures revealed that engaging in structured PA—either exclusively or in combination with unstructured PA—is beneficial for children's gross motor development, whereas engaging in unstructured PA lacks such effectiveness. As to fine motor skills, a beneficial tendency of structured PA was observed as well. Hence, PA seems to be beneficial for motor skill development particularly when implemented in a formal setting with guided opportunities for practice. In conclusion, regularly engaging in structured PA constitutes a promising way to promote motor skills and support motor development over the long term.     

The relation between cognitive and motor performance and their relevance for children’s transition to school: A latent variable approach

Both theoretically and empirically there is a continuous interest in understanding the specific relation between cognitive and motor development in childhood. In the present longitudinal study including three measurement points, this relation was targeted. At the beginning of the study, the participating children were 5–6-year-olds. By assessing participants’ fine motor skills, their executive functioning, and their non-verbal intelligence, their cross-sectional and cross-lagged interrelations were examined. Additionally, performance in these three areas was used to predict early school achievement (in terms of mathematics, reading, and spelling) at the end of participants’ first grade. Correlational analyses and structural equation modeling revealed that fine motor skills, non-verbal intelligence and executive functioning were significantly interrelated. Both fine motor skills and intelligence had significant links to later school achievement. However, when executive functioning was additionally included into the prediction of early academic achievement, fine motor skills and non-verbal intelligence were no longer significantly associated with later school performance suggesting that executive functioning plays an important role for the motor-cognitive performance link.