Cognitive and neuroimaging findings in developmental coordination disorder: new insights from a systematic review of recent research
Aim To better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi‐component account. Method A systematic review of the experimental literature published between June 2011 and September 2016 was conducted using a modi...
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| Published in: | Developmental medicine and child neurology Vol. 59; no. 11; pp. 1117 - 1129 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
01-11-2017
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| Online Access: | Get full text |
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| Abstract | Aim
To better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi‐component account.
Method
A systematic review of the experimental literature published between June 2011 and September 2016 was conducted using a modified PICOS (population, intervention, comparison, outcomes, and study type) framework. A total of 106 studies were included.
Results
Behavioural data from 91 studies showed a broad cluster of deficits in the anticipatory control of movement, basic processes of motor learning, and cognitive control. Importantly, however, performance issues in DCD were often shown to be moderated by task type and difficulty. As well, we saw new evidence of compensatory processes and strategies in several studies. Neuroimaging data (15 studies, including electroencephalography) showed reduced cortical thickness in the right medial orbitofrontal cortex and altered brain activation patterns across functional networks involving prefrontal, parietal, and cerebellar regions in children with DCD than those in comparison groups. Data from diffusion‐weighted magnetic resonance imaging suggested reduced white matter organization involving sensorimotor structures and altered structural connectivity across the whole brain network.
Interpretation
Taken together, results support the hypothesis that children with DCD show differences in brain structure and function compared with typically developing children. Behaviourally, these differences may affect anticipatory planning and reduce automatization of movement skill, prompting greater reliance on slower feedback‐based control and compensatory strategies. Implications for future research, theory development, and clinical practice are discussed.
RESUMEN
Hallazgos cognitivos y de neuroimágenes en niños con TDC (trastornos del desarrollo de la coordinación): nuevas perspectivas en base a una revisión sistemática de investigaciones recientes
Objetivo
Mejorar la comprensión de los factores neuronales y de funcionamiento que pueden ser la base de los TDC (trastornos del desarrollo de la coordinación) y sus implicaciones para una descripción multifactorial.
MetodoSe realizó una revisión sistemática de la literatura científica publicada entre Junio de 2011 y Septiembre de 2016 utilizando un marco PICOS modificado (población, intervención, comparación, resultados y tipo de estudio). Se incluyeron un total de 106 estudios.
Resultados
Los datos de comportamiento motor de 91 estudios mostraron un amplio conjunto de déficits en el control anticipatorio del movimiento, en los procesos básicos de aprendizaje motor y en el control cognitivo. Es importante destacar que los problemas de rendimiento motor en TDC a menudo se ven moderados por el tipo de tareas y la dificultad de las mismas. Asimismo, en varios estudios vimos nuevos indicios de estrategias y procesos compensatorios. Los datos de neuroimagen (15 estudios, incluyendo electroencefalografía) mostraron un grosor cortical reducido en la corteza orbitofrontal medial derecha y patrones alterados de activación cerebral a lo largo de redes funcionales que implican regiones prefrontales, parietales y cerebelares en niños con TDC con respecto a los grupos control. Los datos de resonancia magnética por difusión (DTI) sugirieron una reducción de la organización de la materia blanca que involucra estructuras sensoriomotoras y una conectividad estructural alterada a través de toda la red cerebral.
Interpretación
Tomados en conjunto, los resultados apoyan la hipótesis de que los niños con TDC muestran diferencias en la estructura y función cerebral en comparación con los niños con un desarrollo típico. En lo que hace a comportamiento motor, estas diferencias pueden afectar la planificación anticipada y dificultar la automatización de las habilidades motoras, lo que lleva a una mayor dependencia de un control motor basado en sistemas de retroalimentación más lenta y de estrategias compensatorias. Se discuten las implicaciones para la investigación futura, el desarrollo teórico y la práctica clínica.
RESUMO
Achados cognitivos e de neuroimagem em desordem do desenvolvimento da coordenação: novas descobertas a partir de uma revisão sistemática de estudos recentes
Objetivo
Compreender melhor of fatores neurais e de desemppenho que podem explicar a desordem do desenvolvimento da coordenação (DDC), e implicações para uma causa multi‐componentes.
Método
Uma revisão sistemática da literatura experimental publicada entre Junho de 2011 e Setembro de 2016 foi conduzida seguindo uma estrutura PICOS (população, intervenção, comparação, resultados e tipo do estudo) modificada. Um total de 106 estudos foi incluído.
Resultados
Dados comportamentais de 91 estudos mostraram um amplo grupo de deficits em controle antecipatório do movimento, processos básicos de aprendizagem motora, e controle cognitivo. No entanto, um achado importante foi que as dificuldades de desempenho em DDC foram frequentemente moderadas por tipo e dificuldade da tarefa. Também encontramos novas evidências de processos e estratégias compensatórios em vários estudos. Dados de neuroimagem (15 estudos, incluindo encefalografia) mostraram reduzida espessura cortical no córtex orbitofrontal medial direito, e padrões alterados de ativação cerebral em redes funcionais envolvendo regiões pré‐frontais, parietais e cerebelares em crianças com DDC do que nas crianças dos grupos de comparação. Dados de estudos com ressonância magnética por difusão sugerem reduzida organização da substância branca envolvendo estruturas sensório‐motoras, e alterada conectividade estrutural em toda a rede cerebral.
Interpretação
Juntos, os resultados dão suporte à hipótese de que crianças com DDC mostram diferenças na estrutura e função cerebral comparadas com crianças com desenvolvimento típico. Comportamentalmente, estas diferenças podem afetar o planejamento antecipatório e reduzir a automatização da habilidade motora, causando maior dependência em estratégias de controle mais lentas, baseadas no feedback, e estratégias compensatórias. Implicações para futuras pesquisas, desenvolvimento teórico e prática clínica são discutidas.
What this paper adds
A comprehensive systematic review of recent experimental research on developmental coordination disorder (DCD).
A current synthesis that informs international consensus guidelines on DCD.
Behavioural and neuroimaging findings are integrated with reference to current theory.
Evidence that motor control deficits in DCD depend on the nature of the task.
Evidence to show alterations of structural and functional neural connectivity in DCD.
Implications for clinical practice are provided, based on recent research.
What this paper adds
A comprehensive systematic review of recent experimental research on developmental coordination disorder (DCD).
A current synthesis that informs international consensus guidelines on DCD.
Behavioural and neuroimaging findings are integrated with reference to current theory.
Evidence that motor control deficits in DCD depend on the nature of the task.
Evidence to show alterations of structural and functional neural connectivity in DCD.
Implications for clinical practice are provided, based on recent research.
This article is commented on by Liégeois on page 1103 of this issue.
This article's has been translated into Spanish and Portuguese.
Follow the links from the to view the translations. |
|---|---|
| AbstractList | AIMTo better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi-component account.METHODA systematic review of the experimental literature published between June 2011 and September 2016 was conducted using a modified PICOS (population, intervention, comparison, outcomes, and study type) framework. A total of 106 studies were included.RESULTSBehavioural data from 91 studies showed a broad cluster of deficits in the anticipatory control of movement, basic processes of motor learning, and cognitive control. Importantly, however, performance issues in DCD were often shown to be moderated by task type and difficulty. As well, we saw new evidence of compensatory processes and strategies in several studies. Neuroimaging data (15 studies, including electroencephalography) showed reduced cortical thickness in the right medial orbitofrontal cortex and altered brain activation patterns across functional networks involving prefrontal, parietal, and cerebellar regions in children with DCD than those in comparison groups. Data from diffusion-weighted magnetic resonance imaging suggested reduced white matter organization involving sensorimotor structures and altered structural connectivity across the whole brain network.INTERPRETATIONTaken together, results support the hypothesis that children with DCD show differences in brain structure and function compared with typically developing children. Behaviourally, these differences may affect anticipatory planning and reduce automatization of movement skill, prompting greater reliance on slower feedback-based control and compensatory strategies. Implications for future research, theory development, and clinical practice are discussed. A comprehensive systematic review of recent experimental research on developmental coordination disorder (DCD). A current synthesis that informs international consensus guidelines on DCD. Behavioural and neuroimaging findings are integrated with reference to current theory. Evidence that motor control deficits in DCD depend on the nature of the task. Evidence to show alterations of structural and functional neural connectivity in DCD. Implications for clinical practice are provided, based on recent research. This article is commented on by Liégeois on page 1103 of this issue. This article's abstract has been translated into Spanish and Portuguese. Follow the links from the abstract to view the translations. To better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi-component account. A systematic review of the experimental literature published between June 2011 and September 2016 was conducted using a modified PICOS (population, intervention, comparison, outcomes, and study type) framework. A total of 106 studies were included. Behavioural data from 91 studies showed a broad cluster of deficits in the anticipatory control of movement, basic processes of motor learning, and cognitive control. Importantly, however, performance issues in DCD were often shown to be moderated by task type and difficulty. As well, we saw new evidence of compensatory processes and strategies in several studies. Neuroimaging data (15 studies, including electroencephalography) showed reduced cortical thickness in the right medial orbitofrontal cortex and altered brain activation patterns across functional networks involving prefrontal, parietal, and cerebellar regions in children with DCD than those in comparison groups. Data from diffusion-weighted magnetic resonance imaging suggested reduced white matter organization involving sensorimotor structures and altered structural connectivity across the whole brain network. Taken together, results support the hypothesis that children with DCD show differences in brain structure and function compared with typically developing children. Behaviourally, these differences may affect anticipatory planning and reduce automatization of movement skill, prompting greater reliance on slower feedback-based control and compensatory strategies. Implications for future research, theory development, and clinical practice are discussed. Aim To better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi‐component account. Method A systematic review of the experimental literature published between June 2011 and September 2016 was conducted using a modified PICOS (population, intervention, comparison, outcomes, and study type) framework. A total of 106 studies were included. Results Behavioural data from 91 studies showed a broad cluster of deficits in the anticipatory control of movement, basic processes of motor learning, and cognitive control. Importantly, however, performance issues in DCD were often shown to be moderated by task type and difficulty. As well, we saw new evidence of compensatory processes and strategies in several studies. Neuroimaging data (15 studies, including electroencephalography) showed reduced cortical thickness in the right medial orbitofrontal cortex and altered brain activation patterns across functional networks involving prefrontal, parietal, and cerebellar regions in children with DCD than those in comparison groups. Data from diffusion‐weighted magnetic resonance imaging suggested reduced white matter organization involving sensorimotor structures and altered structural connectivity across the whole brain network. Interpretation Taken together, results support the hypothesis that children with DCD show differences in brain structure and function compared with typically developing children. Behaviourally, these differences may affect anticipatory planning and reduce automatization of movement skill, prompting greater reliance on slower feedback‐based control and compensatory strategies. Implications for future research, theory development, and clinical practice are discussed. RESUMEN Hallazgos cognitivos y de neuroimágenes en niños con TDC (trastornos del desarrollo de la coordinación): nuevas perspectivas en base a una revisión sistemática de investigaciones recientes Objetivo Mejorar la comprensión de los factores neuronales y de funcionamiento que pueden ser la base de los TDC (trastornos del desarrollo de la coordinación) y sus implicaciones para una descripción multifactorial. MetodoSe realizó una revisión sistemática de la literatura científica publicada entre Junio de 2011 y Septiembre de 2016 utilizando un marco PICOS modificado (población, intervención, comparación, resultados y tipo de estudio). Se incluyeron un total de 106 estudios. Resultados Los datos de comportamiento motor de 91 estudios mostraron un amplio conjunto de déficits en el control anticipatorio del movimiento, en los procesos básicos de aprendizaje motor y en el control cognitivo. Es importante destacar que los problemas de rendimiento motor en TDC a menudo se ven moderados por el tipo de tareas y la dificultad de las mismas. Asimismo, en varios estudios vimos nuevos indicios de estrategias y procesos compensatorios. Los datos de neuroimagen (15 estudios, incluyendo electroencefalografía) mostraron un grosor cortical reducido en la corteza orbitofrontal medial derecha y patrones alterados de activación cerebral a lo largo de redes funcionales que implican regiones prefrontales, parietales y cerebelares en niños con TDC con respecto a los grupos control. Los datos de resonancia magnética por difusión (DTI) sugirieron una reducción de la organización de la materia blanca que involucra estructuras sensoriomotoras y una conectividad estructural alterada a través de toda la red cerebral. Interpretación Tomados en conjunto, los resultados apoyan la hipótesis de que los niños con TDC muestran diferencias en la estructura y función cerebral en comparación con los niños con un desarrollo típico. En lo que hace a comportamiento motor, estas diferencias pueden afectar la planificación anticipada y dificultar la automatización de las habilidades motoras, lo que lleva a una mayor dependencia de un control motor basado en sistemas de retroalimentación más lenta y de estrategias compensatorias. Se discuten las implicaciones para la investigación futura, el desarrollo teórico y la práctica clínica. RESUMO Achados cognitivos e de neuroimagem em desordem do desenvolvimento da coordenação: novas descobertas a partir de uma revisão sistemática de estudos recentes Objetivo Compreender melhor of fatores neurais e de desemppenho que podem explicar a desordem do desenvolvimento da coordenação (DDC), e implicações para uma causa multi‐componentes. Método Uma revisão sistemática da literatura experimental publicada entre Junho de 2011 e Setembro de 2016 foi conduzida seguindo uma estrutura PICOS (população, intervenção, comparação, resultados e tipo do estudo) modificada. Um total de 106 estudos foi incluído. Resultados Dados comportamentais de 91 estudos mostraram um amplo grupo de deficits em controle antecipatório do movimento, processos básicos de aprendizagem motora, e controle cognitivo. No entanto, um achado importante foi que as dificuldades de desempenho em DDC foram frequentemente moderadas por tipo e dificuldade da tarefa. Também encontramos novas evidências de processos e estratégias compensatórios em vários estudos. Dados de neuroimagem (15 estudos, incluindo encefalografia) mostraram reduzida espessura cortical no córtex orbitofrontal medial direito, e padrões alterados de ativação cerebral em redes funcionais envolvendo regiões pré‐frontais, parietais e cerebelares em crianças com DDC do que nas crianças dos grupos de comparação. Dados de estudos com ressonância magnética por difusão sugerem reduzida organização da substância branca envolvendo estruturas sensório‐motoras, e alterada conectividade estrutural em toda a rede cerebral. Interpretação Juntos, os resultados dão suporte à hipótese de que crianças com DDC mostram diferenças na estrutura e função cerebral comparadas com crianças com desenvolvimento típico. Comportamentalmente, estas diferenças podem afetar o planejamento antecipatório e reduzir a automatização da habilidade motora, causando maior dependência em estratégias de controle mais lentas, baseadas no feedback, e estratégias compensatórias. Implicações para futuras pesquisas, desenvolvimento teórico e prática clínica são discutidas. What this paper adds A comprehensive systematic review of recent experimental research on developmental coordination disorder (DCD). A current synthesis that informs international consensus guidelines on DCD. Behavioural and neuroimaging findings are integrated with reference to current theory. Evidence that motor control deficits in DCD depend on the nature of the task. Evidence to show alterations of structural and functional neural connectivity in DCD. Implications for clinical practice are provided, based on recent research. What this paper adds A comprehensive systematic review of recent experimental research on developmental coordination disorder (DCD). A current synthesis that informs international consensus guidelines on DCD. Behavioural and neuroimaging findings are integrated with reference to current theory. Evidence that motor control deficits in DCD depend on the nature of the task. Evidence to show alterations of structural and functional neural connectivity in DCD. Implications for clinical practice are provided, based on recent research. This article is commented on by Liégeois on page 1103 of this issue. This article's has been translated into Spanish and Portuguese. Follow the links from the to view the translations. |
| Author | Smits‐Engelsman, Bouwien Sugden, David Wilson, Peter H Clark, Jane Blank, Rainer Caeyenberghs, Karen Steenbergen, Bert Mumford, Nick |
| Author_xml | – sequence: 1 givenname: Peter H orcidid: 0000-0003-3747-0287 surname: Wilson fullname: Wilson, Peter H email: peterh.wilson@acu.edu.au organization: Australian Catholic University – sequence: 2 givenname: Bouwien surname: Smits‐Engelsman fullname: Smits‐Engelsman, Bouwien organization: University of Cape Town – sequence: 3 givenname: Karen surname: Caeyenberghs fullname: Caeyenberghs, Karen organization: Australian Catholic University – sequence: 4 givenname: Bert surname: Steenbergen fullname: Steenbergen, Bert organization: Radboud University – sequence: 5 givenname: David surname: Sugden fullname: Sugden, David organization: University of Leeds – sequence: 6 givenname: Jane surname: Clark fullname: Clark, Jane organization: University of Maryland – sequence: 7 givenname: Nick surname: Mumford fullname: Mumford, Nick organization: Australian Catholic University – sequence: 8 givenname: Rainer surname: Blank fullname: Blank, Rainer organization: Child Centre |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28872667$$D View this record in MEDLINE/PubMed |
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To better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi‐component... To better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi-component... A comprehensive systematic review of recent experimental research on developmental coordination disorder (DCD). A current synthesis that informs international... AIMTo better understand the neural and performance factors that may underlie developmental coordination disorder (DCD), and implications for a multi-component... |
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| Title | Cognitive and neuroimaging findings in developmental coordination disorder: new insights from a systematic review of recent research |
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