Impaired postural control in children with developmental coordination disorder is related to less efficient central as well as peripheral control

TY - JOUR

T1 - Impaired postural control in children with developmental coordination disorder is related to less efficient central as well as peripheral control

AU - Speedtsberg, Merete Brink

AU - Christensen, Sofie Bouschinger

AU - Andersen, Ken Kjøller

AU - Bencke, Jesper

AU - Jensen, Bente Rona

AU - Curtis, Derek John

N1 - CURIS 2017 NEXS 001

PY - 2017/1/1

Y1 - 2017/1/1

N2 - BACKGROUND: Developmental coordination disorder (DCD) is a neurodevelopmental impairment that affects approximately 6% of children in primary school age. Children with DCD are characterized by impaired postural control. It has yet to be determined what effect peripheral and central neuromuscular control has on their balance control.OBJECTIVE: The aim of this study was to investigate the underlying mechanisms to impaired postural control in children with DCD using the rambling-trembling decomposition of the center of pressure (CoP).METHOD: Nine children with DCD (9.0±0.5years, 7 boys, 2 girls) and 10 age- and gender-matched typically developing children (TD) with normal motor proficiency (9.1±0.4years, 7 boys and 3 girls) performed 3×30s bipedal standing on a force plate in six sensory conditions following the sensory organization procedure. Sway length was measured and rambling-trembling decomposition of CoP was calculated in medio-lateral (ML) and anterior-posterior (AP) direction.RESULTS: Both rambling and trembling were larger for the children with DCD in AP (p=0.031; p=0.050) and ML direction (p=0.025; p=0.007), respectively. ML rambling trajectories did not differ in any conditions with fixed support surface. In ML direction children with DCD had a lower relative contribution of rambling to total sway (p=0.013).CONCLUSION: This study showed that impaired postural control in children with DCD is associated with less efficient supraspinal control represented by increased rambling, but also by reduced spinal feedback control or peripheral control manifested as increased trembling.

AB - BACKGROUND: Developmental coordination disorder (DCD) is a neurodevelopmental impairment that affects approximately 6% of children in primary school age. Children with DCD are characterized by impaired postural control. It has yet to be determined what effect peripheral and central neuromuscular control has on their balance control.OBJECTIVE: The aim of this study was to investigate the underlying mechanisms to impaired postural control in children with DCD using the rambling-trembling decomposition of the center of pressure (CoP).METHOD: Nine children with DCD (9.0±0.5years, 7 boys, 2 girls) and 10 age- and gender-matched typically developing children (TD) with normal motor proficiency (9.1±0.4years, 7 boys and 3 girls) performed 3×30s bipedal standing on a force plate in six sensory conditions following the sensory organization procedure. Sway length was measured and rambling-trembling decomposition of CoP was calculated in medio-lateral (ML) and anterior-posterior (AP) direction.RESULTS: Both rambling and trembling were larger for the children with DCD in AP (p=0.031; p=0.050) and ML direction (p=0.025; p=0.007), respectively. ML rambling trajectories did not differ in any conditions with fixed support surface. In ML direction children with DCD had a lower relative contribution of rambling to total sway (p=0.013).CONCLUSION: This study showed that impaired postural control in children with DCD is associated with less efficient supraspinal control represented by increased rambling, but also by reduced spinal feedback control or peripheral control manifested as increased trembling.

KW - Faculty of Science

KW - Developmental coordination disorder

KW - Postural control

KW - Center of pressure

KW - Rambling-Trembling

KW - Control mechanisms

U2 - 10.1016/j.gaitpost.2016.09.019

DO - 10.1016/j.gaitpost.2016.09.019

M3 - Journal article

C2 - 27693806

SN - 0966-6362

VL - 51

SP - 1

EP - 6

JO - Gait and Posture

JF - Gait and Posture

IS - 1

ER -