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Short-term motor learning of dynamic balance control in children with probable Developmental Coordination Disorder
Institution:1. Developmental and Clinical Neuropsychology, University of Groningen, Grote Kruisstraat 2-1, 9712 TS Groningen, The Netherlands;2. Department of Health and Rehabilitation Sciences, University of Cape Town, South Africa;3. Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Gebouw De Nayer (GDN), Tervuursevest 101 bus 1501, B-3001 Heverlee, Belgium;1. University of Cape Town, Faculty of Health Sciences, Department of Health and Rehabilitation Sciences, Suite F45: Old Main Building, Groote Schuur Hospital, Main Road, Observatory 7925, Cape Town, 8000, South Africa;2. Katholieke Universiteit Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Department of Kinesiology, Movement Control and Neuroplasticity Research Group, Tervuursevest 101, Postbox 1501, B-3001 Heverlee, Belgium;1. College of Life and Environmental Sciences, University of Exeter, Exeter, UK;2. Department of Health Sciences, Liverpool Hope University, Liverpool, UK;3. Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada;1. Sint Maartenskliniek, Afdeling Research Development and Education, Nijmegen, The Netherlands;2. Avansplus, University for Professionals, Heerbaan 14-40, 4817 NL Breda, The Netherlands;3. Ghent University and Arteveldehogeschool, Campus Heymans 2B3, De Pintelaan 185, 9000 Gent, Belgium;4. Motor Control Laboratory, Research Center for Movement Control and Neuroplasticity, Dep. of Kinesiology, University of Leuven, De Nayer kamer 02.11, Tervuurse Vest 101, 3001 Leuven, Belgium;1. University of Cape Town, Faculty of Health Sciences, Department of Health and Rehabilitation Sciences, Suite F45: Old Main Building, Groote Schuur Hospital, Main Road, Observatory 7925, Cape Town 8000, South Africa;2. Katholieke Universiteit Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Department of Kinesiology, Movement Control and Neuroplasticity Research Group, Tervuursevest 101, Postbox 1501, B-3001 Heverlee, Belgium;3. Avans + University of Professionals, Department of Physiotherapy, Heerbaan 14-40, Postbox 2087, 4800 CB Breda, The Netherlands;4. Maastricht University Medical Centre, Department of Rehabilitation Medicine & Adelante Center of Expertise in Rehabilitation & Audiology, P.O. Box 616, 6200 MD Maastricht, The Netherlands;1. Department of Health & Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa;2. Institute of Child Development, University of Minnesota, USA;1. Department of Occupational Science and Occupational Therapy, University of British Columbia, Canada;2. Department of Pediatrics, University of British Columbia, Canada;3. Child & Family Research Institute, Canada;4. Sunny Hill Health Centre for Children, Canada
Abstract:PurposeTo explore the differences in learning a dynamic balance task between children with and without probable Developmental Coordination Disorder (p-DCD) from different cultural backgrounds.ParticipantsTwenty-eight Dutch children with DCD (p-DCD-NL), a similar group of 17 South African children (p-DCD-SA) and 21 Dutch typically developing children (TD-NL) participated in the study.MethodsAll children performed the Wii Fit protocol. The slope of the learning curve was used to estimate motor learning for each group. The protocol was repeated after six weeks. Level of motor skill was assessed with the Movement ABC-2.ResultsNo significant difference in motor learning rate was found between p-DCD-NL and p-DCD-SA, but the learning rate of children with p-DCD was slower than the learning rate of TD children. Speed–accuracy trade off, as a way to improve performance by slowing down in the beginning was only seen in the TD children, indicating that TD children and p-DCD children used different strategies. Retention of the level of learned control of the game after six weeks was found in all three groups after six weeks. The learning slope was associated with the level of balance skill for all children. This study provides evidence that children with p-DCD have limitations in motor learning on a complex balance task. In addition, the data do not support the contention that learning in DCD differs depending on cultural background.
Keywords:Dynamic balance  Motor learning  Developmental Coordination Disorder  Speed–accuracy trade off  Wii Fit
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