Identifying Developmental Motor Difficulties: A Review of Tests to Assess Motor Coordination in Children

Alice Cancer1, Rebecca Minoliti1, Maura Crepaldi2

  • 1Department of Psychology, Catholic University of the Sacred Heart, 20123 Milan, Italy.

Insights

Early identification of motor impairments in children is crucial. This review compares 14 tools for assessing developmental coordination disorder (DCD), emphasizing the need for culturally valid assessments.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Motor Control

Background:

  • Motor coordination difficulties are increasingly recognized in children.
  • Developmental Coordination Disorder (DCD) impacts motor proficiency.
  • Standardized, norm-referenced tests are recommended for early identification.

Purpose of the Study:

  • To review and compare 14 international motor assessment tools for children and adolescents.
  • To evaluate motor tests based on task nature, psychometric properties, and cultural adaptation.
  • To discuss implications for DCD diagnosis and clinical practice.

Main Methods:

  • Systematic review of 14 motor performance assessment tools.
  • Comparison based on task types (questionnaire, clinical examination).
  • Evaluation of psychometric properties and cultural adaptations.

Main Results:

  • Motor proficiency assessment varies with task nature.
  • Psychometric properties and cultural validity differ across tools.
  • Need for culturally adapted and validated assessments is highlighted.

Conclusions:

  • Selecting appropriate DCD assessment tools requires careful consideration of reliability and validity across cultures.
  • Further research is needed to compare validation studies and guide clinical practice.
  • Standardized, culturally sensitive assessments are key for accurate DCD diagnosis.

Related Concept Videos

Principles of Development01:31

Principles of Development

Physical development during the prenatal period and early childhood follows two major directional principles: cephalocaudal and proximodistal development. These general patterns happen simultaneously and help explain changes in body proportions and the gradual development of motor skills.Cephalocaudal DevelopmentThe cephalocaudal principle describes development from the head downward toward the lower body. During prenatal development, the head and brain structures develop rapidly before many...
Hand Control During Infancy and Toddlerhood01:31

Hand Control During Infancy and Toddlerhood

Hand movements during infancy and toddlerhood develop from broad, relatively uncontrolled actions into increasingly precise fine motor skills. This progression depends on nervous system maturation, improved muscle control, and repeated interaction with objects. Early reflexive movements gradually give way to intentional reaching, grasping, object manipulation, and tool use.Early Grasping SkillsNewborns show a strong palmar grasp reflex, automatically closing their fingers when the palm is...
Locomotion During Infancy and Toddlerhood01:29

Locomotion During Infancy and Toddlerhood

Children develop a wide range of gross motor skills during the first three years, as increasing muscle strength, balance, coordination, and nervous system maturation allow greater control over body movements. Development generally progresses from basic postural control to independent movement and later to activities such as jumping, climbing, and pedaling.Motor Development During the First YearMost infants begin rolling during the first several months, although the timing and direction can vary.
Psychometric Approach of Cognitive Development01:28

Psychometric Approach of Cognitive Development

The psychometric approach examines cognitive development by measuring individual differences in abilities that contribute to intelligence. Intelligence includes the capacity to learn, remember, apply knowledge, understand relationships among concepts, and solve everyday problems. Intelligent behavior is generally goal-directed and adaptive because it helps individuals achieve objectives and adjust to changing situations.Intelligence Testing in ChildrenIn school-age children, intelligence is...
Motor Skills Development During Early Childhood01:30

Motor Skills Development During Early Childhood

Early childhood is a period of rapid motor development in which children refine gross and fine motor skills. These abilities increase independence and support social interaction, play, and learning.Gross Motor SkillsGross motor skills involve coordinated movements of large muscle groups, including running, jumping, and climbing. By about 2.5 years, most children can jump with both feet. Hopping, which requires greater balance and strength, usually emerges around age 4.Stair climbing also...