Finger counting to relieve working memory in children with developmental coordination disorder: Insights from behavioral and three-dimensional motion analyses.

A limited number of studies have attempted to understand how motor deficits affect numerical abilities in children with developmental coordination disorder (DCD). The purpose of this study was to explore the functionality of finger-counting (FC) in children with DCD. The participants, 15 children with DCD and 15 typically developing (TD) children matched on school level and fluid reasoning abilities, were asked to use FC to solve an ordinal task with high working memory (WM) load. Behavioral measures supplemented with biomechanical measures, from three-dimensional motion analysis synchronized to a voice recording were used to assess children's performance and FC functionality (total duration, inter-finger [IF] transition, IF variance, finger/voice synchronization, and automatization of FC movements). Children with DCD were less accurate than TD children in using FC to solve ordinal problems with high WM load. This group difference could not be accounted for by poor FC skills given that FC movement turned out to be as functional in children with DCD as in their TD peers. When added to the model as a covariate, WM captured a greater proportion of intergroup variability than manual dexterity, further suggesting that their difficulties would be better accounted for by limited WM resources than by fine motor skills.

Contribution of finger gnosia and fine motor skills to early numerical and arithmetic abilities: New insights from 3D motion analyses.

Finger gnosia and fine motor skills (FMS) are assumed to play a key role in the development of arithmetic abilities, but their contribution to early numerical skills (i.e., enumeration skills and cardinality) has received little attention so far. The purpose of this study was to investigate the predictive value of finger gnosia and FMS to enumeration, cardinal, and arithmetical abilities and how these different dimensions contribute to arithmetic development. Overall, 3- to 5-year-old preschoolers were asked to perform tasks assessing enumeration, cardinality, and early arithmetic, as well as finger gnosia and FMS. FMS, involving either static or dynamic fine finger movement, were examined using 3D motion analyses. Using hierarchical regression, FMS were found to be the best predictor of both cardinality and early arithmetic skills, while finger gnosia did not predict the additional variance of arithmetic performance when FMS and age were considered in the regression model. Moreover, neither finger gnosia nor FMS were significant predictors of enumeration. Mediation analyses indicated that knowledge of the cardinal principle fully mediates the relationship between FMS and arithmetic skills, suggesting that FMS contribute to cardinal principle knowledge development, which would be a gateway to more complex arithmetical processing. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Training arithmetical skills when finger counting and working memory cannot be used: A single case study in a child with cerebral palsy.

Children with cerebral palsy (CP) are at greater risk of mathematical learning disabilities due to associated motor and cognitive limitations. However, there is currently little evidence on how to support the development of arithmetic skills within such a specific profile. The aim of this single-case study was to assess the effectiveness of a neuropsychological rehabilitation of arithmetic skills in NG, a 9-year-old boy with CP who experienced math learning disability and cumulated motor and short-term memory impairments. This issue was explored combining multiple-baseline and changing-criterion designs. The intervention consisted of training NG to solve complex additions applying calculation procedures with a tailor-made computation tool. Based on NG's strengths, in accordance with evidence-based practice in psychology, the intervention was the result of a co-construction process involving N, his NG's parents and professionals (therapist and researchers). Results were analyzed by combining graph visual inspections with non-parametric statistics for single-case designs (NAP-scores). Analyses showed a specific improvement in NG's ability to solve complex additions, which maintained for up to 3 weeks after intervention. The training effect did not generalize to his ability to perform mental additions, and to process the symbolic magnitude.