Dynamic control of balance in children with Developmental Coordination Disorder

Lemke Dorothee Jelsma

Dynamic control of balance in children with Developmental Coordination Disorder

Lemke Dorothee Jelsma

Neuropsychology across the Life-Span

Onderzoeksoutput: Thesis fully internal (DIV)

2138 Downloads (Pure)

Samenvatting

Kinderen met motorische ontwikkelingsproblemen, ook wel DCD genoemd, hebben vaak balansproblemen. Ons onderzoek heeft zich gericht op de dynamische balanscontrole die nodig is tijdens het spelen van een computerspel waarbij kinderen het spel konden sturen door hun lichaamsgewicht te verplaatsen. We onderzochten kinderen met een motorische ontwikkelingsachterstand en balansproblemen en kinderen met een normale motorische ontwikkeling op i) verschillen in dynamische balanscontrole benodigd voor het spelen van het computerspel , ii) verschillen in het aanleren van de benodigde dynamische balanscontrole en iii) of er sprake was van overdracht van wat geleerd was tijdens het spelen van het computerspel naar niet getrainde balansvaardigheden in het dagelijks leven.
De kinderen met balansproblemen bleken minder succesvol in het spel. Ze verplaatsten hun lichaamsgewicht aanvankelijk minder ver en bewogen minder behendig in hun poging om te scoren. Deze verschillen werden eveneens gevonden bij kinderen in Zuid Afrika, hetgeen bevestigde dat het coördinatie probleem onafhankelijk is van cultuur of eerder opgedane ervaringen met computerspelen. Het goede nieuws is dat deze kinderen over een langere periode even snel balansvaardigheden aanleren als hun leeftijdsgenoten. Bovendien behielden ze het niveau van controle van het spel na een periode zonder oefening en lieten ze na training ook verbetering zien in dagelijkse vaardigheden, zoals hinkelen, springen en slalom rennen, zowel in de Nederlandse als in de Zuid Afrikaanse studie.
Een motorisch trainingsprotocol in de vorm van een actief computerspel met elementen van feedback, anticiperen en reageren heeft dus een positieve invloed op balansvaardigheden van kinderen met een motorische ontwikkelingsachterstand.

Originele taal-2	English
Kwalificatie	Doctor of Philosophy
Toekennende instantie	Rijksuniversiteit Groningen
Begeleider(s)/adviseur	Smits-Engelsman, B.C.M., Supervisor, Externe Persoon Tucha, Oliver, Supervisor Geuze, Reint H., Co-supervisor
Datum van toekenning	28-sep.-2017
Plaats van publicatie	[Groningen]
Uitgever	University of Groningen
Gedrukte ISBN's	978-90-367-9964-5
Elektronische ISBN's	978-90-367-9963-8
Status	Published - 2017

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Title and contentsFinal publisher's version, 134 KB
Chapter 1Final publisher's version, 250 KB
Chapter 2Final publisher's version, 622 KB
Chapter 3Final publisher's version, 1,14 MB
Chapter 4Final publisher's version, 698 KB
Chapter 5Final publisher's version, 1,18 MB
Chapter 6Final publisher's version, 1,37 MB
Chapter 7Final publisher's version, 1,37 MB
Chapter 8Final publisher's version, 1,09 MB
Chapter 9 Dutch SummaryFinal publisher's version, 322 KB
AcknowledgementsFinal publisher's version, 424 KB
List of PublicationsFinal publisher's version, 328 KB
Complete thesisFinal publisher's version, 3,82 MB
PropositionsFinal publisher's version, 501 KB

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title = "Dynamic control of balance in children with Developmental Coordination Disorder",

abstract = "Children with motor coordination problems (or DCD) frequently experience balance problems. Our study investigated the dynamic balance control needed when playing a computer game in which children control the game by adequately shifting weight. We studied children with motor coordination problems and typically developing children to investigate i) which aspects of dynamic balance control differ, ii) whether learning to play the computer game successfully differs and iii) whether improvements in dynamic balance control and game scores lead to transfer to other balance skills like running, jumping or stair climbing. Initial dynamic balance control in the game appeared less accurate in children with motor coordination problems compared to their peers. They shifted their weight less and more erratic in their attempts to score. The difference in performance between children was also found in our study in South Africa, which confirmed that the motor coordination problem is independent of culture or previous gaming experience. Importantly, children with coordination problems learned as fast as their peers, albeit on a different level. Besides, retention of the level of control of the game after a period of no practice was present and after training the improvements in performance on game scores translated into improved balance skills of daily life, both in the Dutch and the South African children. A training protocol consisting of an active computer game with elements of feedback, anticipation and reaction has a positive effect in balance skills of children with motor coordination problems.",

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AB - Children with motor coordination problems (or DCD) frequently experience balance problems. Our study investigated the dynamic balance control needed when playing a computer game in which children control the game by adequately shifting weight. We studied children with motor coordination problems and typically developing children to investigate i) which aspects of dynamic balance control differ, ii) whether learning to play the computer game successfully differs and iii) whether improvements in dynamic balance control and game scores lead to transfer to other balance skills like running, jumping or stair climbing. Initial dynamic balance control in the game appeared less accurate in children with motor coordination problems compared to their peers. They shifted their weight less and more erratic in their attempts to score. The difference in performance between children was also found in our study in South Africa, which confirmed that the motor coordination problem is independent of culture or previous gaming experience. Importantly, children with coordination problems learned as fast as their peers, albeit on a different level. Besides, retention of the level of control of the game after a period of no practice was present and after training the improvements in performance on game scores translated into improved balance skills of daily life, both in the Dutch and the South African children. A training protocol consisting of an active computer game with elements of feedback, anticipation and reaction has a positive effect in balance skills of children with motor coordination problems.

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