Activity participation intensity is associated with skeletal development in pre-pubertal children with developmental coordination disorder
Related Experiment Video
Updated: May 21, 2026

Physical Activity Measurement in Children Accepting Table Tennis Training
Published on: July 27, 2022
William W N Tsang1, X Guo, Shirley S M Fong
1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Insights
Children with developmental coordination disorder (DCD) show delayed skeletal development and reduced physical activity participation. Lower intensity in activity participation is linked to this skeletal delay in children with DCD.
Area of Science:
- Pediatric Development
- Motor Control
- Growth and Maturation
Background:
- Developmental Coordination Disorder (DCD) affects motor skills in children.
- Skeletal maturity and physical activity participation are crucial for child development.
- Understanding the interplay between DCD, skeletal development, and activity is important.
Purpose of the Study:
- Compare skeletal maturity and activity patterns in children with and without DCD.
- Investigate the association between activity participation and skeletal development in children with DCD.
Main Methods:
- Recruited 33 children with DCD and 30 typically developing children.
- Assessed skeletal maturity using the Sunlight BonAge system.
- Evaluated motor ability with the Movement Assessment Battery for Children-2 (MABC-2) and participation using the Children Assessment of Participation and Enjoyment.
Main Results:
- Children with DCD exhibited delayed skeletal development and lower motor ability scores.
- DCD group showed less intense participation in physical activities compared to controls.
- Activity participation intensity significantly correlated with delayed skeletal development in children with DCD, explaining 28% of the variance.
Conclusions:
- Pre-pubertal children with DCD experience delayed skeletal development.
- Limited intensity of physical activity participation is a potential contributing factor to skeletal development delay in DCD.
Purpose:
This study aimed (1) to compare the skeletal maturity and activity participation pattern between children with and without developmental coordination disorder (DCD); and (2) to determine whether activity participation pattern was associated with the skeletal development among children with DCD.
Materials And Methods:
Thirty-three children with DCD (mean age: 7.76 years) and 30 typically developing children (mean age: 7.60 years) were recruited. Skeletal maturity was assessed with the Sunlight BonAge system. Motor ability was evaluated by the Movement assessment battery for Children-2 (MABC-2). Participation patterns were evaluated using the Children Assessment of Participation and Enjoyment assessment. Analysis of variance was used to compare the outcome variables between the two groups. Multiple regression analysis was performed to examine the relationship between skeletal development, motor performance and activity participation intensity in children with DCD.
Results:
The DCD group had significantly delayed skeletal development, lower MABC-2 derived scores, and participated less intensely in various types of physical activities than their typically developing peers. After accounting for the effects of age and sex, activity participation intensity score remained significantly associated with delay in skeletal development, explaining 28.0% of the variance (F(change1, 29)=11.341, p=0.002).
Conclusion:
Skeletal development is delayed in pre-pubertal children with DCD. Limited activity participation intensity appears to be one of the contributing factors.
Related Concept Videos
Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Disorders of the Skeletal Muscle
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Conduct Disorder
The Functions of the Skeletal System
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
