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M.Sc. (Physiotherapy), Faculty of Haelth Sciences, University of the Witwatersrand, 2008. / Children with Developmental Coordination Disorder (DCD) are a heterogeneous group who have a marked impairment in the performance of functional motor skills. DCD affects 5-8 % of children in the mainstream educational system, with twice as many boys than girls being affected. DCD often co-occurs with other developmental disorders such as Attention Deficit Hyperactivity Disorder (ADHD), Attention Deficit (ADD), severe learning disabilities and reading disabilities and is often associated with educational, social and emotional problems that often persist beyond adolescence. Current research has shown that children with DCD do not outgrow their motor problems and without intervention they do not improve (Zoia et al, 2006; Barnhart et al, 2003; Peters and Wright, 1999). The aim of this study was to investigate the effect of an eight week group gross motor intervention programme on 26 children with Developmental Coordination Disorder (DCD) at Forest Town School, which is a special-needs school for children with learning disabilities. The intervention programme consisted of gross motor activities commonly used by the physiotherapists at the school for their DCD groups. The children attended a thirty-minute physiotherapy session a week, in groups of up to 6, for eight weeks. The children’s motor performance was assessed using the Bruininks-Oseretsky Test for Motor Proficiency (BOTMP) pre- intervention, post- intervention and then eight weeks after the intervention had ceased. The children were used as their own controls. The results of the statistical analysis revealed that the mean group gross motor and fine motor scores significantly improved after the intervention. It was found that the gross motor scores improved by a larger percentage than the fine motor, which may be because the intervention consisted purely of gross motor activities. The fine motor scores also significantly improved, implying that there was a transfer or generalisation of skills to the fine motor tasks. The improvement in the motor performance was found to be maintained eight weeks after the intervention was stopped. It was concluded in the study that the eight week group physiotherapy programme at Forest Town School improved the motor skills of children with DCD and learning difficulties. Physiotherapy in a small group may therefore be a cost effective solution for the treatment of children with DCD in government-funded schools and hospitals that have a limited number of physiotherapists available to treat these children.

Developmental Coordination Disorder (DCD) is characterised by impairments to motor control and learning, the cause of which remains unclear. Recently, researchers have used cognitive neuroscientific approaches to explore the basis of poor coordination in children, with one hypothesis suggesting that an internal modelling deficit (IMD) is one of the underlying causes of DCD. The aim of this thesis was to further test the IMD hypothesis using a motor imagery paradigm - the mental rotation of hands. Versions of this task were used in all studies to assess motor imagery ability, with an additional whole-body task used in Studies 2 and 3. Further, an alphanumeric rotation task was used in Studies 1 and 2 to assess visual imagery ability. Studies 1 and 2 provided varying levels of support for the IMD hypothesis. In Study 1, only a subgroup of DCD children performed differently from other children in the study on the hand tasks, but tighter task constraints in Study 2 led to overall group differences between DCD and controls in terms of accuracy. The DCD group were also significantly less accurate than controls in the whole-body task, but there were no group differences in either Study 1 or 2 on the visual imagery task. Interestingly, in Study 2, there was an indication that children with severe levels of motor impairment were less accurate than children with less severe motor impairment, suggesting that motor impairment level could play a role in the severity of motor imagery deficits. Study 3 was designed to explore the impact of motor impairment severity on motor imagery ability further. The results confirmed that children with severe DCD had greater motor imagery impairment than children with mild DCD - children with severe DCD performed less accurately than both controls and those with mild DCD in the hand task with instructions and the controls in the whole-body task. Further, those children with mild DCD were able to respond somewhat to motor imagery instructions, whereas those with severe DCD were not. This study provided support to the IMD hypothesis, though the deficit was shown to be dependent on a number of factors. Chapter 5 presents a reasoned account of these various findings and their implications are discussed. It is concluded that motor imagery deficits are evident in many children with DCD, but more so in children with severe motor impairment. A general imagery deficit was ruled out based on the findings of Studies 1 and 2 which showed that visual imagery processes appear intact in children with DCD. Taken together with previous imagery and IMD studies, and related research on feedforward control in DCD, it is concluded that the deficits in motor imagery observed in this thesis are consistent with the hypothesis that an IMD is one likely causal factor in the disorder, particularly in more severe DCD. The observation of differing response patterns between children with mild and severe forms of DCD has important implications for developing a theory of DCD and for remediation.

The purpose of this study was to examine the incidence of obesity and Developmental Coordination Disorder (DCD) of girls in the age group 10-12 years of different race groups in the North-West Province. A second purpose was to determine if DCD status can be predicted effectively among 10-12 year old girls with regard to race, age, percentage body fat, body mass, length, body mass index and bent aim hang. Obesity is the cause of health risks, psychological consequences and improper development (Chantell et al., 1994:116; Marshall & Bouffard, 1994:1997; Treuth et al., 1997:1738). Children with DCD have poor motor abilities and experience problems regarding concentration and social abilities, all of which are necessary for successful schooling (Geuze & Borger, 1993:14; Piek & Edwards, 1997:55; Sugden & Chambers, 1998:139) According to research, the incidence of obesity among children has doubled over the last 20 years, and 10-30% of all children and adolescents can be classified as obese. Causes of obesity may be genetic but a lack of physical activity and an unbalanced diet can also contribute to obesity. Health risks, psycho-social risks and developmental disorders are all indicated in the literature to be consequences of obesity. The incidence of DCD is documented in the literature to be between 5% and 16%. It is also shown that it may be the cause of problems in daily living and at school, and some racial differences with regard to motor differences are indicated. It is also indicated that overweight and obese children are less mobile and that their motor achievement is poorer in movements where the shifting of body weight is required. All the subjects for this study (N=346) completed the Movement ABC (MABC) (Henderson & Sugden, 1992) to determine their DCD status. Fat percentage was determined from the subscapular and triceps skin folds according to the formula of Boileau et al. (1985:17-27), while a body mass index (BMI) (l/w2)above the 85th percentile was used as a criterion for overweight, and a BMI of above the 95th percentile for obesity. The Statistics for Windows computer package was used to determine descriptive statistics and significant differences between the groups. The results showed that the incidence of obesity and DCD were 4,93% and 59,78% respectively. 50% of the white girls, 72,73% of blacks, 0% of coloureds and 100% of Indian girls in the total group who were classified as DCD were also obese. The results indicated a higher relationship between obesity and DCD among the Indian and black girls compared to the white and coloured girls in the DCD group. Indian girls showed the highest incidence of obesity and coloured girls the least. The Indian and black girls also showed the highest incidence of DCD, while the percentages of DCD among all the race groups were higher than the levels indicated in the literature. The percentage of obesity found in the study was lower than in the literature, but higher percentages were found among the Indian and white girls, while all the obese Indian girls were also classified as suffering from DCD. With regard to the second aim of the study, no significant predictors for DCD could be found among the different body composition variables of bent arm hang, race and age, although some tendencies emerged. Results showed that the percentage fat was not a good predictor of DCD status in the group, but in the different racial groups its predictive value became higher. However, none of the variables could be considered good predictors of DCD status among girls, although it can be concluded that there are tendencies towards a relationship between obesity, DCD and race. Thus it is important for children with DCD and obesity (separate and in combination) to be identified and treated with intervention programs as early as possible, and it is essential to include physical activities as part of the treatment (Dussart, 1994:81; LeMure et al., 2000:336). The results of the study indicated that it is important to analyse the needs and characteristics of the different race groups in order to ensure the success of such programs. Indian girls especially should be encouraged to participate in physical activity programmes because of the high percentages of obesity found in the DCD group. / Thesis (M.Sc. (Human Movement Science))--North-West University, Potchefstroom Campus, 2004.

The purpose of this study was to examine the incidence of obesity and Developmental Coordination Disorder (DCD) of girls in the age group 10-12 years of different race groups in the North-West Province. A second purpose was to determine if DCD status can be predicted effectively among 10-12 year old girls with regard to race, age, percentage body fat, body mass, length, body mass index and bent aim hang. Obesity is the cause of health risks, psychological consequences and improper development (Chantell et al., 1994:116; Marshall & Bouffard, 1994:1997; Treuth et al., 1997:1738). Children with DCD have poor motor abilities and experience problems regarding concentration and social abilities, all of which are necessary for successful schooling (Geuze & Borger, 1993:14; Piek & Edwards, 1997:55; Sugden & Chambers, 1998:139) According to research, the incidence of obesity among children has doubled over the last 20 years, and 10-30% of all children and adolescents can be classified as obese. Causes of obesity may be genetic but a lack of physical activity and an unbalanced diet can also contribute to obesity. Health risks, psycho-social risks and developmental disorders are all indicated in the literature to be consequences of obesity. The incidence of DCD is documented in the literature to be between 5% and 16%. It is also shown that it may be the cause of problems in daily living and at school, and some racial differences with regard to motor differences are indicated. It is also indicated that overweight and obese children are less mobile and that their motor achievement is poorer in movements where the shifting of body weight is required. All the subjects for this study (N=346) completed the Movement ABC (MABC) (Henderson & Sugden, 1992) to determine their DCD status. Fat percentage was determined from the subscapular and triceps skin folds according to the formula of Boileau et al. (1985:17-27), while a body mass index (BMI) (l/w2)above the 85th percentile was used as a criterion for overweight, and a BMI of above the 95th percentile for obesity. The Statistics for Windows computer package was used to determine descriptive statistics and significant differences between the groups. The results showed that the incidence of obesity and DCD were 4,93% and 59,78% respectively. 50% of the white girls, 72,73% of blacks, 0% of coloureds and 100% of Indian girls in the total group who were classified as DCD were also obese. The results indicated a higher relationship between obesity and DCD among the Indian and black girls compared to the white and coloured girls in the DCD group. Indian girls showed the highest incidence of obesity and coloured girls the least. The Indian and black girls also showed the highest incidence of DCD, while the percentages of DCD among all the race groups were higher than the levels indicated in the literature. The percentage of obesity found in the study was lower than in the literature, but higher percentages were found among the Indian and white girls, while all the obese Indian girls were also classified as suffering from DCD. With regard to the second aim of the study, no significant predictors for DCD could be found among the different body composition variables of bent arm hang, race and age, although some tendencies emerged. Results showed that the percentage fat was not a good predictor of DCD status in the group, but in the different racial groups its predictive value became higher. However, none of the variables could be considered good predictors of DCD status among girls, although it can be concluded that there are tendencies towards a relationship between obesity, DCD and race. Thus it is important for children with DCD and obesity (separate and in combination) to be identified and treated with intervention programs as early as possible, and it is essential to include physical activities as part of the treatment (Dussart, 1994:81; LeMure et al., 2000:336). The results of the study indicated that it is important to analyse the needs and characteristics of the different race groups in order to ensure the success of such programs. Indian girls especially should be encouraged to participate in physical activity programmes because of the high percentages of obesity found in the DCD group. / Thesis (M.Sc. (Human Movement Science))--North-West University, Potchefstroom Campus, 2004.

Thesis (MScPhysio (Interdisciplinary Health Sciences. Physiotherapy))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: Background: Children who lack the motor coordination to perform the tasks that have usually been acquired at their age, given normal intellectual ability and the absence of other neurological disorders, are classified as having Developmental Coordination Disorder (DCD) according to DSMIV. Limited professional resources prohibit individual therapy and these children are being treated in “gross motor groups” regardless of the fact that this has limited proven efficacy. This study aims to investigate whether group exercise physiotherapy does improve the gross motor function of children with DCD aged six to ten years old. Methods: Thirty-nine children were assessed at pre and post intervention on the Movement Assessment Battery for Children (M-ABC) as well as the Perceived Efficacy and Goal Setting (PEGS) questionnaire by a blinded research assistant. They were randomly allocated to either a control (N=19) or an intervention group (N=20). The intervention group was then further subdivided into groups of four to six per group to attend group exercise sessions of 30 – 45 minutes three times per week. Group exercises were aimed at improving manual dexterity, ball skills and balance by incorporating aerobic exercises, strengthening exercises, coordination as well as task specific activities. Results: There was a significant increase (p=.028) in the total scores tested by the experimental group on the M-ABC after the eight week intervention. Manual dexterity skills had improved significantly (p=.035). There was a trend for ball skills to improve (p=.088) but no improvement was recorded for static or dynamic balance post intervention. PEGS results indicated that subjects considered themselves as very competent regardless of their abilities. Conclusions: The results of this study support the hypothesis that an eight week group exercise program can improve the gross motor skills of children with DCD. It would seem that implementing such an intervention is a viable option, especially where resources limit the availability of one to one therapy. / AFRIKAANSE OPSOMMING: Agtergrond: Kinders wat „n gebrek aan motoriese koördinasie het om ouderdoms verwante take te verrig, gegewe dat hulle normale intellektuele vermoëns het en die afwesigheid van ander neorologiese abnormaliteite, word geklassifiseer as “Developmental Coordination Disorder” (DCD) volgens die DSM IV. Beperkte professionele menslike hulpbronne voorkom individele terapie en hierdie kinders word gewoonlik behandel in grofmotoriese groepe, ongeag dat daar min bewyse is dat dit „n effektiewe behandelings metode is. Die doel van hierdie studie is om vas te stel of „n fisioterapie groepsoefenprogram „n effektiewe behandelingsvorm is om die grofmotoriese vaardighede in ses tot tienjarige primêre skool kinders, met „n diagnose van DCD, verbeter. Metodes: Nege-en-dertig kinders was geassesseer met die “Movement Assessment Battery for Children” (M-ABC) en die “Perceived Efficacy and Goal Setting” (PEGS) vraelys deur „n geblinde navorsingsassistent. Hulle is in twee groepe nl kontrole groep wat nie intervensie gekry het nie (N=19) en „n eksperimentele groep (N=20)verdeel deur eenvoudige ewekansige toewysing. Die eksperimentele groep was verder onderverdeel in groepe van vier tot ses om groepsoefeningsessies by te woon drie keer „n week vir 30 tot 45 minute. Die doel van die groepsoefeninge was om die volgende areas te verbeter: handvaardigheid, balvaardigheid en balans deur die inkorporasie van balansaktiwiteite, spierversterkingsoefeninge, koördinasie sowel as taak spesifieke aktiwiteite. Die deelnemers was weer geassesseer met die Movement-ABC en die PEGS na die agt weke lange intervensie program. Resultate: Daar was 'n beduidende toename (p=.028) in die algehele telling deur die eksperimentele groep op die M-ABC na die agt weke deelname. Handvaardigheid het beduidend verbeter (p=.035). Daar was „n tendens vir balvaardighede om te verbeter (p=0.88), maar geen verbetering was aangedui vir balans na die ingryping nie. Die PEGS resultate was moeilik om te interpreteer aangesien die deelnemers hulself as baie vaardig gesien het ten spyte van hulle vermoëns. Gevolgtrekking: Die resultate van hierdie studie ondersteun die hipotese dat 'n doelgerigte groepsoefeningsprogram wel die grofmotoriese vaardighede van kinders met „n diagnose van DCD verbeter. Fisioterapeute kan 'n groepsofeningsprogram met vertroue implementeer waar 'n tekort aan menslike hulpbronne een tot een terapie beperk.

Children with developmental coordination disorder (DCD) find academic and performing age-appropriate perceptual-motor skills more difficult than their peers. According to research, children classified as learning disabled often show signs of one or more syndromes of developmental disorders rather than an isolated, discrete disability. The more common learning disorders include disabilities related to verbal communication development, reading disorders, gross and fine motor dysfunction and motor hyperactivity. Attention disorders, including or excluding hyperactivity, are not considered learning disabilities in themselves. However, because attention problems can gravely interfere with school performance, they are often associated with problems concerning academic skills Literature further reveals that boys are more inclined to motor problems, learning disabilities and ADHD, compared to girls. With regards to racial diversity, limited information is available, even though some literature implies that certain racial diversities differ to some extent regarding motor problems (DCD). The purpose of this study was to examine the relationship between DCD, learning disabilities and ADHD of children (N = 99) in the age group 6 to 7 years in Potchefstroom in the NW province. A second purpose was to examine the differences between gender and certain racial groups in the age group 6 to 7years in Potchefstroom with regards to to DCD, learning disabilities and ADHD. Two grade one classes were randomly selected from three selected schools in the Potchefstroom district proportionally representing the different racial groups [white (n = 37), black (n = 50), Coloured (n = 12)]. In this group, 48 boys and 53 girls were evaluated with the Movement ABC (MABC) (Henderson & Sugden, 1992), the Aptitude test for school beginners (ASB) (Swart et a/., 1994), the Modified Conner's abbreviated teacher and the Taylor Hyperactivity checklist (Lowenberg & Lucas, 1999). The Statistics for Windows computer package was used for analyzing the data. The group of children without DCD showed a statistically significant higher total ASB scores than the DCD group (p ≤ 0.00). A multiple regression analysis showed a statistically significant interaction between DCD, learning disabilities and ADHD which varied between 22% and 36%. Analysis of differences in the ASB of boys and girls with and without DCD showed no significant interactions, although racial interactions (p < 0.001) were found with the DCD group (p < 0.025). Boys with DCD did not perform as well as the girls in the coordination subtest, and their ADHD totals indicate more symptoms than those of the girls. Black children's numerical skills, verbal communication and the ASB total appeared to be considerably lower than the values of the white children. Overall, the conclusion can be made that DCD has an effect on 6 to 7-year old children's learning abilities and to a lesser extent on their ADHD status. / Thesis (M.A. (Human Movement Science))--North-West University, Potchefstroom Campus, 2007.

Thesis (M.A. (Human Movement Science))--North-West University, Potchefstroom Campus, 2007.

Children with developmental coordination disorder (DCD) find academic and performing age-appropriate perceptual-motor skills more difficult than their peers. According to research, children classified as learning disabled often show signs of one or more syndromes of developmental disorders rather than an isolated, discrete disability. The more common learning disorders include disabilities related to verbal communication development, reading disorders, gross and fine motor dysfunction and motor hyperactivity. Attention disorders, including or excluding hyperactivity, are not considered learning disabilities in themselves. However, because attention problems can gravely interfere with school performance, they are often associated with problems concerning academic skills Literature further reveals that boys are more inclined to motor problems, learning disabilities and ADHD, compared to girls. With regards to racial diversity, limited information is available, even though some literature implies that certain racial diversities differ to some extent regarding motor problems (DCD). The purpose of this study was to examine the relationship between DCD, learning disabilities and ADHD of children (N = 99) in the age group 6 to 7 years in Potchefstroom in the NW province. A second purpose was to examine the differences between gender and certain racial groups in the age group 6 to 7years in Potchefstroom with regards to to DCD, learning disabilities and ADHD. Two grade one classes were randomly selected from three selected schools in the Potchefstroom district proportionally representing the different racial groups [white (n = 37), black (n = 50), Coloured (n = 12)]. In this group, 48 boys and 53 girls were evaluated with the Movement ABC (MABC) (Henderson & Sugden, 1992), the Aptitude test for school beginners (ASB) (Swart et a/., 1994), the Modified Conner's abbreviated teacher and the Taylor Hyperactivity checklist (Lowenberg & Lucas, 1999). The Statistics for Windows computer package was used for analyzing the data. The group of children without DCD showed a statistically significant higher total ASB scores than the DCD group (p ≤ 0.00). A multiple regression analysis showed a statistically significant interaction between DCD, learning disabilities and ADHD which varied between 22% and 36%. Analysis of differences in the ASB of boys and girls with and without DCD showed no significant interactions, although racial interactions (p < 0.001) were found with the DCD group (p < 0.025). Boys with DCD did not perform as well as the girls in the coordination subtest, and their ADHD totals indicate more symptoms than those of the girls. Black children's numerical skills, verbal communication and the ASB total appeared to be considerably lower than the values of the white children. Overall, the conclusion can be made that DCD has an effect on 6 to 7-year old children's learning abilities and to a lesser extent on their ADHD status. / Thesis (M.A. (Human Movement Science))--North-West University, Potchefstroom Campus, 2007.

Resumo: A escrita é uma forma de comunicação importante que se desenvolve com a idade e com a escolarização. Algumas crianças apresentam dificuldade em desenvolver uma escrita proficiente. Do ponto de vista do controle motor, uma escrita não proficiente pode estar vinculada à dificuldade da criança ativar adequadamente as sinergias motoras que dão suporte a esta habilidade. Portanto, estimular as sinergias motoras dos dedos pode proporcionar melhora na cinética e cinemática da escrita e, conseqüentemente, na qualidade da escrita. O objetivo do presente trabalho foi verificar os efeitos de um programa de intervenção, para crianças com dificuldades na escrita, composto por atividades manipulativas e pré-caligráficas que estimularam as sinergias motoras dos dedos por meio da variação da produção de força dos dedos. Trinta e duas crianças foram indicadas por suas professoras de classe para participarem do estudo. Dezesseis crianças, de 7 a 12 anos de idade, com baixa qualidade na escrita, formaram o Grupo Experimental (GE), e outras 16 crianças com boa qualidade na escrita, e com idade, gênero e preferência manual correspondentes ao GE, formaram o Grupo Controle (GC). O desempenho motor de todos os participantes foi avaliado pelo Movement Assessment Battery for Children, M-ABC (HENDERSON; SUDGEN, 1992). Todos os participantes tiveram a qualidade da escrita avaliada pelo Minnesota Handwriting Assessment (REISMAN, 1999) adaptado à língua portuguesa. Além disso, todos os participantes foram testados na produção gráfica e escrita sobre uma mesa digitalizadora (Wacom, Intuos2). Ambos, o Minnesota Handwriting Assessment adaptado e a produção gráfica e escrita sobre uma mesa digitalizadora foram administrados antes (pré-teste) e após (pós-teste) o programa de intervenção. Somente o GE foi submetido ao programa de intervenção. O programa de intervenção... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Handwriting is an essential manner of human communication which develops with the process of aging and schooling. Some children present difficulties in developing a proficient handwriting. From the motor control perspective, a non-proficient handwriting may be associated with the difficulty to appropriately activate specific motor synergies. Thus, the stimulation of motor synergies of the fingers can improve the kinetic, and kinematic parameters of handwriting, and consequently the quality of the product of handwriting. The purpose of the present study was to examine the effect of an intervention program involving manipulative and pre-calligraphic activities. The intervention activities were based on variation in the force production of the fingers for children with handwriting difficulties. A total of 32 children aged between 7 and 12 years were selected to participate in the study by the classroom teachers. The Experimental Group (EG) was composed by 16 children displaying poor quality of handwriting, and other 16 children matched by age, gender and handedness showing high quality of handwriting composed the Control Group (CG). The motor performance of the participants was assessed by the Movement Assessment Battery for Children, M-ABC (HENDERSON; SUDGEN, 1992). All participants had the quality of the handwriting assessed by the Minnesota Handwriting Assessment (REISMAN, 1999) adapted to the Portuguese language. Furthermore, participants were tested in the handwriting and graphic production on a digitizing tablet (WACOM - Intuos2). Both the Minnesota Handwriting Assessment adapted and the handwriting and graphic production on a digitizing tablet were administered before (i.e., pretest) and after (i.e., post test) the intervention program. Only the EG was submitted to the intervention program. The intervention program consisted of 27 sessions... (Complete abstract click electronic access below) / Orientador: Ana Maria Pellegrini / Coorientador: Cynthia Yukiko Hiraga / Banca: Luis Eduardo P.B.T. Dantas / Banca: Livia de Castro Magalhães / Doutor