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Attention and motor profiles in children with developmental coordination disorder: A neuropsychological and neuroimaging investigation
Clinical Systems Neuroscience Section, UCL Great Ormond Street Institute of Child Health, UCL Great Ormond Street Institute of Child Health, London, UK.
Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. Royal Free London NHS Foundation Trust, London, UK; Department of Health Sciences, Brunel University London, Uxbridge, UK.ORCID iD: 0000-0002-1129-8071
Speech and Language Group, Murdoch Children's Research Institute, Melbourne, Parkville, VIC, Australia; Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne, Parkville, VIC, Australia.
Radiology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
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2024 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 66, no 3, p. 362-378Article in journal (Refereed) Published
Abstract [en]

AIM: This study aimed to (1) quantify attention and executive functioning in children with developmental coordination disorder (DCD), (2) assess whether some children with DCD are more likely to show attention difficulties, and (3) characterize brain correlates of motor and attention deficits.

METHOD: Fifty-three children (36 with DCD and 17 without) aged 8 to 10 years underwent T1-weighted and diffusion-weighted magnetic resonance imaging, and standardized attention and motor assessments. Parents completed questionnaires of executive functioning and symptoms of inattention and hyperactivity. We assessed regional cortical thickness and surface area, and cerebellar, callosal, and primary motor tract structure.

RESULTS: Analyses of covariance and one-sample t-tests identified impaired attention, non-motor processing speed, and executive functioning in children with DCD, yet partial Spearman's rank correlation coefficients revealed these were unrelated to one another or the type or severity of the motor deficit. Robust regression analyses revealed that cortical morphology in the posterior cingulate was associated with both gross motor skills and inattentive symptoms in children with DCD, while gross motor skills were also associated with left corticospinal tract (CST) morphology.

INTERPRETATION: Children with DCD may benefit from routine attention and hyperactivity assessments. Alterations in the posterior cingulate and CST may be linked to impaired forward modelling during movements in children with DCD. Overall, alterations in these regions may explain the high rate of non-motor impairments in children with DCD.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 66, no 3, p. 362-378
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Pediatrics
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URN: urn:nbn:se:hj:diva-62426DOI: 10.1111/dmcn.15745ISI: 001061367800001PubMedID: 37667426Scopus ID: 2-s2.0-85170270255Local ID: HOA;intsam;903249OAI: oai:DiVA.org:hj-62426DiVA, id: diva2:1796217
Available from: 2023-09-12 Created: 2023-09-12 Last updated: 2024-02-22Bibliographically approved

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