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Article ; Online: Physical and Mental Health of Children with Developmental Coordination Disorder

Priscila Caçola

Frontiers in Public Health, Vol

2016 Volume 4

Abstract: Developmental Coordination Disorder (DCD) is a neurodevelopmental condition characterized by poor motor proficiency that interferes with an individual’s activities of daily living. These problems in motor coordination are prevalent despite children’s ... ...

Abstract	Developmental Coordination Disorder (DCD) is a neurodevelopmental condition characterized by poor motor proficiency that interferes with an individual’s activities of daily living. These problems in motor coordination are prevalent despite children’s intelligence levels. Common symptoms include marked delays in achieving motor milestones and clumsiness, typically associated with poor balance, coordination, and especially handwriting skills. Currently, DCD is said to impact about 2-7% of school-age children. More importantly, DCD is considered to be one of the major health problems among school-aged children worldwide, with unique consequences to physical and mental health. Because these children and adolescents often experience difficulties participating in typical childhood activities (e.g., riding a bike), they tend be more sedentary, more overweight/obese, at a higher risk for coronary vascular disease, and have lower cardiorespiratory and physical fitness than their typically developing peers. From another perspective, the motor difficulties have also been linked to an increased risk for mental health issues, such as higher anxiety and depression. The understanding of the health consequences associated with DCD offers practical applications for the understanding of the mechanisms and intervention protocols that can improve the consequences of this condition. In this review, I will explore such consequences and provide evidence for the implementation of interventions that focus on improving physical and mental health in this population.
Keywords	Mental Health ; Motor Skills ; Children ; developmental coordination disorder ; physical health ; Public aspects of medicine ; RA1-1270
Subject code	796
Language	English
Publishing date	2016-10-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Developmental Coordination Disorder (DCD)

Priscila Caçola / Guilherme Lage

Motriz: Revista de Educacao Fisica, Vol 25, Iss

An overview of the condition and research evidence

2019 Volume 2

Abstract: Abstract Developmental Coordination Disorder (DCD) is a neurodevelopmental condition marked by impairments in the development of motor coordination. The uncoordinated movements of children with DCD lead to performance difficulties in daily life ... ...

Abstract	Abstract Developmental Coordination Disorder (DCD) is a neurodevelopmental condition marked by impairments in the development of motor coordination. The uncoordinated movements of children with DCD lead to performance difficulties in daily life activities and academic settings. Despite the high prevalence of this condition (2-7%) and severe consequences associated with it, DCD is not well recognized in clinical and educational practices, particularly in Brazil. This review provides an overview of DCD and the research evidence - we present definitions and characteristics associated with the condition, the diagnostic criteria, associated difficulties, frequent co-morbidities and a summary of the possible causes. Finally, we review management strategies and intervention approaches for DCD. We also discuss some of the common challenges of the field - while DCD has been largely studied in the last decade, there are still many gaps between research and practice that need to be filled. Awareness and dissemination of relevant, scientific information is necessary. In conclusion, DCD is a significant condition with a clear diagnostic criteria, and requires intervention to improve motor and functional skills, which can improve the associated difficulties as well as the physical and mental health consequences of the condition.
Keywords	developmental coordination disorder ; motor development ; children ; motor skills ; neurodevelopmental disorder ; Sports ; GV557-1198.995 ; Sports medicine ; RC1200-1245
Subject code	796
Language	English
Publishing date	2019-04-01T00:00:00Z
Publisher	Universidade Estadual Paulista (UNESP)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: 2280

Haylie Miller / Nicoleta Bugnariu / Priscila Caçola / Rita Patterson

Journal of Clinical and Translational Science, Vol 1, Pp 26-

2017 Volume 26

Abstract: OBJECTIVES/SPECIFIC AIMS: Individuals with autism spectrum disorder (ASD) and developmental coordination disorder (DCD) share overlap in their motor symptom profile and underlying neurology (Sumner, Leonard, & Hill, 2016, JADD). DSM-5 guidelines allow ... ...

Abstract	OBJECTIVES/SPECIFIC AIMS: Individuals with autism spectrum disorder (ASD) and developmental coordination disorder (DCD) share overlap in their motor symptom profile and underlying neurology (Sumner, Leonard, & Hill, 2016, JADD). DSM-5 guidelines allow these 2 disorders to be independent or co-occurring (APA, 2013), but common clinical practice does not include systematic assessment to determine the presence or absence of co-occurring DCD in children with ASD, or vice versa. Furthermore, in many cases DCD is managed in a nonspecific manner, with schools making accommodations for a child’s motor challenges without formally assigning a diagnosis of DCD. Thus, somewhat subjective, qualitative judgments are made by clinicians to classify children as DCD, ASD, or ASD+DCD in the absence of a reliable, valid, quantitative measure to distinguish between these profiles. As a first step toward developing such a measure, researchers must tease apart the nuanced differences in the motor symptoms of these 2 developmental disorders using methods that are scalable to clinical and educational settings. These methods must also be developed with consideration for logistical variables such as cost, clinical utility of data output, and ease-of-use if they are to be transferrable to physicians, school nurses, and other community health workers outside of academic laboratory settings. To that end, we conducted 2 complementary studies: 1 in the lab and 1 in the community. METHODS/STUDY POPULATION: In the community-based study, we used an affordable, user-friendly, portable balance testing system to assess postural stability during quiet standing (feet shoulder-width apart) with eyes open for 30 seconds. Data were generated from a single force plate in the balance platform. Potential participants were screened for other medical and neurological conditions that might impact their postural stability, and those with significant comorbidities were excluded. We tested 15 children with a reported diagnosis of ASD, 8 children with ...
Keywords	Medicine ; R
Subject code	360
Language	English
Publishing date	2017-09-01T00:00:00Z
Publisher	Cambridge University Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Baixo peso ao nascer e alterações no desenvolvimento motor

Priscila Caçola / Tatiana Godoy Bobbio

Revista Paulista de Pediatria, Vol 28, Iss 1, Pp 70-

a realidade atual Low birth weight and motor development outcomes: the current reality

2010 Volume 76

Abstract: OBJETIVO: Realizar uma revisão da literatura sobre fatores que influenciam o déficit de desenvolvimento motor em crianças com baixo peso ao nascer. FONTES DE DADOS: Estudos com crianças com baixo peso ao nascer, publicados no período de 1984 a 2008 nas ... ...

Abstract	OBJETIVO: Realizar uma revisão da literatura sobre fatores que influenciam o déficit de desenvolvimento motor em crianças com baixo peso ao nascer. FONTES DE DADOS: Estudos com crianças com baixo peso ao nascer, publicados no período de 1984 a 2008 nas bases de dados Medline e SciELO, usando as palavras chaves "baixo peso ao nascer" e " desenvolvimento motor", na língua inglesa. SÍNTESE DE DADOS: Embora diferenças no desenvolvimento entre crianças nascidas a termo e pré-termo sejam observadas com certa frequência, o seu entendimento ainda é um grande desafio para profissionais da saúde. O uso de diferentes testes e escores dificulta o diagnóstico, o manejo e a previsão dos déficits de desenvolvimento. Resultados heterogêneos são relatados dependendo do método de avaliação, idade e população estudada. Como é esperado que crianças com baixo peso ao nascer tenham risco para problemas cognitivos, motores e comportamentais, estudos abordando práticas de intervenção precoce seriam esperados; entretanto, isso não é observado. CONCLUSÕES: Devido à relação entre desenvolvimento motor e os outros domínios de desenvolvimento, é importante que o achado da alteração motora seja usado como uma variável diagnóstica e que os resultados encontrados sejam padronizados para melhor entendimento dos déficits que crianças com baixo peso ao nascer possam desenvolver OBJECTIVE: To review the literature about factors that may influence the occurrence of motor development deficits in low birth weight infants. DATA SOURCES: Studies with low birth weight infants published from 1984 to 2008, using the databases Medline and SciELO. Keywords were "low birth weight" and "motor development"; search was made on the English language. DATA SYNTHESIS: Although variations in the development of children born preterm and full term are common, their understanding is still a challenge for professionals in the pediatric health area. Researchers use different assessments and scores, which makes the deficits more difficult to be diagnosed, understood and predicted. Different results are found depending on the type of evaluation, age and the population studied. It is well known that low birth weight infants are at a higher risk for cognitive, motor and behavioral problems. On this basis, a variety of studies that explore early intervention were expected; however, this is not the case. CONCLUSIONS: Due to the relationship between motor and other domains of development, its use is important for diagnostic purposes. There is a need to standardize results for a better understanding of the deficits that low birth weight children are likely to develop
Keywords	recém-nascido de baixo peso ; destreza motora ; deficiências do desenvolvimento ; infant ; low birth weight ; motor skills ; developmental disabilities ; Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Language	Portuguese
Publishing date	2010-03-01T00:00:00Z
Publisher	Sociedade de Pediatria de São Paulo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Factors predicting sensory profile of 4 to 18 month old infants

Carina Pedrosa / Priscila Caçola / Maria Isabel Martins Mourão Carvalhal

Revista Paulista de Pediatria, Vol 33, Iss 2, Pp 160-

2015 Volume 166

Abstract: OBJECTIVE: To identify environment factors predicting sensory profile of infants between 4 and 18 months old. METHODS: This cross-sectional study evaluated 97 infants (40 females e 57 males), with a mean age of 1.05±0.32 years with the Test of Sensory ... ...

Abstract	OBJECTIVE: To identify environment factors predicting sensory profile of infants between 4 and 18 months old. METHODS: This cross-sectional study evaluated 97 infants (40 females e 57 males), with a mean age of 1.05±0.32 years with the Test of Sensory Functions in Infants (TSFI) and also asked 97 parents and 11 kindergarten teachers of seven daycare centers to answer the Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS). The AHEMD-IS is a questionnaire that characterizes the opportunities in the home environment for infants between 3 and 18 months of age. We tested the association between affordances and the sensory profile of infants. Significant variables were entered into a regression model to determine predictors of sensory profile. RESULTS: The majority of infants (66%) had a normal sensory profile and 34% were at risk or deficit. Affordances in the home were classified as adequate and they were good in the studied daycare centers. The results of the regression revealed that only daily hours in daycare center and daycare outside space influenced the sensory profile of infants, in particular the Ocular-Motor Control component. CONCLUSIONS: The sensory profile of infants was between normal and at risk. While the family home offered adequate affordances for motor development, the daycare centers of the infants involved demonstrated a good quantity and quality of affordances. Overall, we conclude that daily hours in the daycare center and daycare outside space were predictors of the sensory profile, particular on Ocular-Motor Control component.
Keywords	Lactente ; Desenvolvimento infantil ; Meio ambiente ; Pediatrics ; RJ1-570
Subject code	796
Language	English
Publishing date	2015-06-01T00:00:00Z
Publisher	Sociedade de Pediatria de São Paulo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Percentile curves for Brazilian children evaluated with the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition

Luciana Ferreira / José Luiz Lopes Vieira / Francielli Ferreira da Rocha / Pâmela Norraila da Silva / Francielle Cheuczuk / Priscila Caçola / Raquel Nichele de Chaves

Revista Brasileira de Cineantropometria e Desempenho Humano, Vol 22, Iss 0, Pp e65027-e

2020 Volume 65027

Abstract: This study aimed to (1) create percentile curves and norms for the eight subtests of the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2) for 6- to 10-year-old Brazilian children and to (2) compare them to the values of the original ... ...

Abstract	This study aimed to (1) create percentile curves and norms for the eight subtests of the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2) for 6- to 10-year-old Brazilian children and to (2) compare them to the values of the original test manual. To that, we tested a sample of 931 Brazilian children (477 girls, 454 boys) with ages between 6 to 10 with the BOT-2 assessment. The LMS method was used to generate the percentile curves and normative values, with the LMSchartmaker Pro software version 2.54. Results demonstrate that girls had significantly higher scores for the fine motor precision, fine motor integration, manual dexterity and balance subtests, while boys had significantly higher scores on upper-limb coordination, running speed and agility, and the strength subtests. The findings also indicated higher values for the Brazilian group in the subtests of bilateral coordination, running speed and agility, balance, and upper-limb coordination when compared to the North American normative sample. The percentile curves illustrate the increase in motor proficiency levels as age increases, with different trajectories for each subtest. Future studies should continue the investigation of cultural norms and appropriate assessments for the Brazilian population. Here, the creation of percentile curves and norms that are better suited for the Brazilian population can significantly help with assessment and intervention for motor development in distinct settings and with typical and atypical school-age children.
Keywords	children ; motor development ; motor proficiency ; norms ; percentile curves ; Sports ; GV557-1198.995 ; Medicine (General) ; R5-920
Subject code	796
Language	English
Publishing date	2020-02-01T00:00:00Z
Publisher	Universidade Federal de Santa Catarina
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Family socioeconomic status and the provision of motor affordances in the home

Teresa C. B. Freitas / Carl Gabbard / Priscila Caçola / Maria I. L. Montebelo / Denise C. C. Santos

Revista Brasileira de Fisioterapia, Vol 17, Iss 4, Pp 319-

2013 Volume 327

Abstract: BACKGROUND: Socioeconomic status (SES) and stimulation provided in the home environment are influential factors in aspects of child well-being including motor development. Little is known regarding the influence of SES on specific aspects of the home ... ...

Abstract	BACKGROUND: Socioeconomic status (SES) and stimulation provided in the home environment are influential factors in aspects of child well-being including motor development. Little is known regarding the influence of SES on specific aspects of the home environment. OBJECTIVE: To evaluate the availability of affordances in the home to promote infant motor development and family SES. METHOD : The sample consisted of 300 families with infants aged 3 to 18 months. SES was assessed according to family socioeconomic class, income and parental level of education. To evaluate motor affordances found at home, the Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) was used. The AHEMD-IS was designed to assess dimensions of the home environment including Physical Space (outside and inside space), Daily Activities and Play Materials (fine-motor and gross-motor toys). RESULTS: SES indicators significantly influenced the availability of Physical Space and Play Materials. The Physical Space dimension was influenced by family economic class and income. The Play Materials dimension was influenced by all SES indicators. Daily Activities were not influenced by any of the SES indicators. Daily activities and play material were influenced by the infant's age. CONCLUSIONS: This study suggests that SES indicators are influential with regard to the provision of motor affordances in the home environment for infants. However, daily activities, which represent an aspect of the environment that is highly dependent on parental generation of situations that are conducive to motor skill development, are independent of family SES.
Keywords	socioeconomic status ; environment ; psychomotor performance ; infant development ; physical therapy ; family ; Therapeutics. Pharmacology ; RM1-950 ; Medicine ; R
Subject code	796
Language	Portuguese
Publishing date	2013-08-01T00:00:00Z
Publisher	Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: RECONSIDERING THE USE OF CUT-OFF SCORES

Luciana Ferreira / Carl Gabbard / José Luiz Lopes Vieira / Pâmela Norraila da Silva / Francielle Cheuczuk / Francielli Ferreira da Rocha / Vânia de Fátima Matias de Souza / Priscila Caçola

Revista Brasileira de Medicina do Esporte, Vol 25, Iss 4, Pp 344-348

DCDQ - BRAZIL

Abstract: ABSTRACT Introduction: The DCDQ is a parental report designed to assess daily living activities of children, and serves as a useful questionnaire to aid in the diagnostic criteria of Developmental Coordination Disorder (DCD). It is divided into three ... ...

Abstract	ABSTRACT Introduction: The DCDQ is a parental report designed to assess daily living activities of children, and serves as a useful questionnaire to aid in the diagnostic criteria of Developmental Coordination Disorder (DCD). It is divided into three components: control during movement, fine motor/handwriting, and general coordination. The results categorize children in two groups: “Indication of DCD/suspect DCD”, and “probably not DCD”. Objective: The objective of this study was to determine appropriate cut-off scores for the Developmental Coordination Disorder Questionnaire - Brazil (DCDQ-BR) for use with Brazilian children employing a large sample. Methods: Seven hundred and seven children ages 6-10 were assessed with the DCDQ-BR and the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). Descriptive statistics was used to characterize the sample, and concurrent validity was assessed using Pearson's Correlation Coefficient. Predictive validity was determined through values of sensitivity (S) and specificity (E), while ROC curves were used to determine the optimal cut-off score for the DCDQ-BR. Results: Pearson's correlation coefficient analysis revealed a significant correlation between total scores of the DCDQ-BR and BOT-2 (r= 0.55 (p=0.00). Cut-off scores for the DCDQ-BR based on the BOT-2 17th percentile (relating to below average descriptive category) were established as ≤40, ≤46 and ≤51 for ages 6-7 years and 11 months; 8-9 years and 11 months; and 10-10 years and 11 months, respectively. Conclusion: Based on the results of this study and previous literature suggesting the need for a reevaluation of cut-off scores for the Brazilian population with a larger sample, we recommend that the cut-off scores of the DCDQ-BR are adjusted to the values found with our sample. Level of evidence II; Diagnostic studies – Investigating a diagnostic test.
Keywords	Transtornos das Habilidades Motoras ; Habilidades Motoras ; Criança ; Desenvolvimento Infantil ; Sports medicine ; RC1200-1245
Subject code	310
Language	English
Publisher	Sociedade Brasileira de Medicina do Esporte
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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