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Updated: May 14, 2026

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Healthy and dystonic children compensate for changes in motor variability
Virginia Way Tong Chu1, Dagmar Sternad, Terence David Sanger
1Rehabilitation Institute of Chicago, 345 E Superior St., Rm. 1406, Chicago, IL 60611, USA. vchu@ric.org
Children with dystonia and healthy children adapt their movement strategies when motor variability changes. Dystonic children improved performance when variability decreased, showing effective compensation.
Area of Science:
- Neuroscience
- Motor Control
- Developmental Pediatrics
Background:
- Successful reaching relies on planning movements to account for motor output variability.
- Healthy adults optimally adjust reaching based on motor variability estimates.
- Children with dystonia exhibit greater motor variability than healthy children, but their compensatory abilities are unclear.
Purpose of the Study:
- To investigate if children with dystonia can appropriately compensate for increased motor variability.
- To determine if compensation for motor variability impacts reaching behavior in dystonic children.
- To compare the adaptive strategies of healthy children and those with dystonia when motor variability is manipulated.
Main Methods:
- A virtual reality task was used to manipulate movement variability.
- Healthy children and children with secondary dystonia performed the motor task.
- Movement strategies and performance were analyzed in response to altered motor variability.
Main Results:
- Both healthy and dystonic children modified their movement strategies based on perceived motor variability.
- Both groups adjusted their strategies to enhance performance relative to the perceived variability.
- Dystonic children improved their performance and mimicked healthy children's strategies when motor variability was reduced.
Conclusions:
- Healthy and dystonic children demonstrate the capacity to perceive and adapt to changes in motor variability.
- Children with dystonia can alter their movement strategies to improve motor task performance.
- These findings highlight the adaptive motor learning capabilities in children with dystonia.
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