The subtypes of developmental coordination disorder.

Autor: Lust JM; Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, the Netherlands., Steenbergen B; Behavioural Science Institute, Faculty of Social Sciences, Radboud University, Nijmegen, the Netherlands.; Development and Disability Program, Healthy Brain and Mind Research Centre, Australian Catholic University, Melbourne, Victoria, Australia., Diepstraten JAEM; Rehabilitation Medicine, Sint Maartenskliniek, Ubbergen, the Netherlands., Wilson PH; Development and Disability Program, Healthy Brain and Mind Research Centre, Australian Catholic University, Melbourne, Victoria, Australia., Schoemaker MM; University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, the Netherlands., Poelma MJ; Rehabilitation Medicine, Sint Maartenskliniek, Ubbergen, the Netherlands.
Jazyk: angličtina
Zdroj: Developmental medicine and child neurology [Dev Med Child Neurol] 2022 Nov; Vol. 64 (11), pp. 1366-1374. Date of Electronic Publication: 2022 May 16.
DOI: 10.1111/dmcn.15260
Abstrakt: Aim: To identify subtypes in a large group of children clinically diagnosed with developmental coordination disorder (DCD) based on their pattern of motor, cognitive, and visual-motor abilities.
Method: Standardized scores for verbal IQ, total IQ, Movement Assessment Battery for Children, Second Edition (MABC-2) balance, MABC-2 manual dexterity, MABC-2 ball skills, and Beery-Buktenica Developmental Tests of Visual-Motor Integration (Beery-VMI), Motor Coordination (Beery-MC), and Visual Perception (Beery-VP) were used. The NbClust complete procedure was used to best partition the data on 98 children (84 males, 14 females, mean [SD] age: 8 years [2 years 1 month]) into clusters. Deviation contrasts, multivariate analysis of variance, and post hoc comparisons were used to characterize the clusters.
Results: Four clusters were revealed: two clusters with a broad motor skill problem, one with relatively preserved visual-motor integration and Beery-MC skills, and a second with abnormal ball skills, balance, and Beery-MC skills. A third cluster with more specific gross-motor problems, and a fourth with relatively preserved ball skills but low Beery-MC and performance IQ, were identified. Balance scores were 'at risk' or 'abnormal' in all four clusters.
Interpretation: DCD is a heterogeneous condition. However, subtypes can be discriminated on the basis of more severe difficulties in fine-motor performance, gross-motor performance, or both. There was evidence for generalized motor impairments in around half of all children. Importantly, at least borderline level reduced balance was evident in each subtype.
What This Paper Adds: Four subtypes were identified in a large clinical group of children with developmental coordination disorder (DCD). Subtypes were based on motor, cognitive, and visual-motor abilities. There was evidence of generalized motor impairments in around 50% of children with DCD. A generalized balance problem is present across all subtypes of DCD.
(© 2022 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.)
Databáze: MEDLINE
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