Neuromuscular processes in the control of posture in children with developmental coordination disorder: Current evidence and future research directions

Shirley Siu Ming FONG, Ming Yan CHUNG, Young-Hyeon BAE, Dana VACKOVA, Wai Wing Ada MA, Karen P. Y. LIU

Research output: Contribution to journalArticle

Abstract

Purpose of Review: The ability to control body position in space is fundamental to all daily activities. This review article summarizes the neurological and muscular deficits that are associated with poor postural control in children with developmental coordination disorder (DCD) and includes suggestions for future research work.
Recent Findings: The atypical neuromuscular processes in the control of posture in children with DCD include abnormal structures and functions of the central nervous system, sensory organization disorders, abnormal recruitment of postural muscles, slow muscle contraction, and lower maximum muscle strength of the legs. Inattention can further compromise neuromuscular processes and postural control performance in these children.
Summary: Atypical neuromuscular processes in static, reactive, and anticipatory postural control have been reported in children with DCD. These include atypical structures and functions of the central nervous system, sensory organization disorders, abnormal recruitment pattern of postural muscles, slow muscle contraction speed, and lower maximum muscle strength of the legs. Functional movement-power training is a recommended treatment strategy as it can address both the neuromuscular deficits (lower peak force and longer time to reach peak force in the knee muscles) and atypical standing balance responses of children with DCD. Future studies could explore the neuromuscular processes associated with adaptive postural control, an under-examined area, and effective rehabilitation interventions to improve functional balance control and the associated impairments in children with DCD. Copyright © 2018 Springer International Publishing AG, part of Springer Nature.
Original languageEnglish
Pages (from-to)43-48
JournalCurrent Developmental Disorders Reports
Volume5
Issue number1
Early online dateJan 2018
DOIs
Publication statusPublished - 2018

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Motor Skills Disorders
Posture
Sensation Disorders
Muscle Strength
Muscle Contraction
Muscles
Leg
Central Nervous System
Aptitude
Direction compound
Knee
Rehabilitation

Bibliographical note

Fong, S. S. M., Chung, L. M. Y., Bae, Y.-H., Vackova, D., Ma, A. W. W., & Liu, K. P. Y. (2018). Neuromuscular processes in the control of posture in children with developmental coordination disorder: Current evidence and future research directions. Current Developmental Disorders Reports, 5(1), 43-48. doi: 10.1007/s40474-018-0130-9

Keywords

  • Developmental disorder
  • Motor deficit
  • Neurological deficit
  • Body balance
  • Future research
  • Review