Learning a novel rhythmic stepping task in children with probable developmental coordination disorder.
Clin Biomech (Bristol, Avon)
; 102: 105904, 2023 02.
Article
em En
| MEDLINE
| ID: mdl-36764101
ABSTRACT
BACKGROUND:
Developmental coordination disorder affects approximately 6% of children, interfering with participation in physical activity and can persist through adulthood. However, no studies have investigated the neuromotor mechanisms of learning of a novel task with rhythmic cueing.METHODS:
Movement Assessment Battery for Children-2nd edition was used to identify 48 children with probable developmental coordination disorder (13.9 ± 0.05 yrs., 27% male) and 37 typically developed (13.9 ± 0.10 yrs., 54% male). While instrumented with an inertial measurement unit, both groups performed a novel rhythmic stepping task and with a concurrent auditory stroop test (dual-task), underwent seven weeks of intervention with step training with rhythmic cuing and were tested for retention five weeks post-intervention.FINDINGS:
Initially, the group with probable developmental coordination disorder had a higher variability of step timing (coefficient of variation 0.08 ± 0.003-typically developed - 0.09 ± 0.004-probable developmental coordination disorder, p < 0.05) and a frequency of peak power spectral density further from the target 0.5 Hz (0.50 ± 0.002 Hz-typically developed - 0.51 ± 0.003 Hz-probable developmental coordination disorder, p < 0.05), and were more affected by the dual-task power spectral density at 0.5 Hz (-7.2 ± 3.3%-typically developed - -13.4 ± 4.6%- prob_DCD, p < 0.05) and stroop test errors (6.4 ± 1.1%-typically developed - -11.1 ± 2.4%- probable developmental coordination disorder, p < 0.05). The intervention led to similar improvements in both groups in coefficient of variation of step timing (0.12 ± 0.01-Pre - 0.07 ± 0.002-Post, p < 0.05), frequency of the peak power spectral density (0.51 ± 0.005 Hz-Pre - 0.50 ± 0.001 Hz-Post, p < 0.05) and relative power spectral density bandpower (3.2 ± 0.2%-Pre - 5.9 ± 0.3%-Post, p < 0.05). All improvements were retained after five weeks post-training.INTERPRETATION:
Rhythmic cueing shows strong promise for enhancing motor learning in children with probable developmental coordination disorder. TRIAL REGISTRATION Retrospectively registered on ClinicalTrials.gov with reference NCT03150784.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos das Habilidades Motoras
Tipo de estudo:
Prognostic_studies
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Clin Biomech (Bristol, Avon)
Assunto da revista:
ENGENHARIA BIOMEDICA
/
FISIOLOGIA
Ano de publicação:
2023
Tipo de documento:
Article