Motorische Ungeschicklichkeit
Abstract
Zusammenfassung. Das Kind mit koordinativen Problemen in der Motorik benötigt spezielle Aufmerksamkeit im frühen Kindesalter. Rechtzeitige Diagnose und konsequente Intervention der motorischen Ungeschicklichkeit (DCD) wirken sich positiv auf die weitere motorische Entwicklung aus. Darüber hinaus lässt sich durch eine frühe Intervention das psycho-soziale Stigma, das durch ungeschickte Bewegungen sowie dem Problem in Sport und Spiel mit anderen Kindern mitzuhalten, begegnen. Die Möglichkeit für diese Kinder, am Sport mit Gleichaltrigen teilzuhaben, hilft ihnen in ihrer Sozialisation. Das Ziel dieses Überblicksbeitrages ist es, motorische Ungeschicklichkeit zu definieren, typische Erscheinungsformen, Diagnosekriterien sowie bestehende Therapien vorzustellen.
Abstract. The child with coordinative motor problems requires special attention in the early infancy. Timely diagnosis and consistent intervention of developmental coordination disorder (DCD) can positively affect further motor development. With early intervention, we are able to influence the psychosocial stigma caused by awkward movements, which can result in exclusion in sport and play activities. The possibility for these children to participate in sports activities with others helps them in their socialization. The aim of this overview is it to define motor awkwardness and to present typical manifestations, diagnostic criteria, as well as existing therapies.
References
Ahern, K. (2002). Developmental coordination disorder: Validation of a qualitative analysis using statistical factor analysis. Article 5. Retrieved DATE from www.ualberta.ca/~ijqm International Journal of Qualitative Methods, 1(3),Arnheim, D. , Sinclair, W. A. (1979). The clumsy child: A program of motor therapy . (2nd ed.). St. Louis, MO: MosbyAyres, A. (1972). Sensory integration and learning disorders. . Los Angeles, CA: Western Psychological ServicesAyres, A. (1980). Southern California Sensory Integration Test - revised. . Los Angeles, CA: Western Psychological ServicesAyres, A. (1985). Developmental dyspraxia and adult-onset apraxia. . Torrance, CA: Sensory Integration InternationalAyres, A. (1989). Sensory integration and praxis test. . Los Angeles, CA: Western Psychological ServicesBarnhart, R. , Davenport, M. , Epps, S. , Nordquist, V. (2003). Update: Developmental Coordination Disorder. Physical Therapy, 83, 722– 731Beery, K. E. (2004). The Beery-Buktenica Developmental Test of Visual-Motor Integration with supplemental developmental tests of visual perception and motor coordination . (5th Ed.). Parsippany, NJ: Modern Curriculum PressBruininks, R. H. (1978). Bruininks-Oseretzky Test for Motor Proficiency. . Circle Pines, MN: American Guidance ServiceBurton, A. , Miller, D. E. (1998). Movement skill assessment. . Champaign, IL: Human KineticsCamp, B. , Blom, G. , Herbert, F. , Vandoorwick, W. (1976). Think aloud: A program for developing self-control in young aggressive boys. . Unpublished manuscript, University of Colorado School of MedicineCantell, M. , Kooistra, L. , Huovinen, T. , Männistö, J.-P. , Larkin, D. (2001). School-based intervention program for 5 to 8 year old children with developmental coordination disorder. . 6th Biennial Motor Control and Human Skill Workshop. Western Australia: Research Centre for Applied Psychology, Curtin University of TechnologyCermak, S. A. , Gubbay, S. S. , Larkin, D. (2002). What is Developmental Coordination Disorder?. In S. A. Cermak & D. Larkin (Eds.), Developmental Coordination Disorder (pp. 2-22). Albany NY: DelmarChia, C. , Watter, P. (1996). Length of muscles around the hip in minimal cerebral dysfunction and normal children. . Brisbane, AUS: Proceedings of the National Congress of Australian Physiotherapy AssociationChow, S. M. K. , Chan, L.-L. , Chan, C. P. S. , Lau, C. H. Y. (2002). Reliability of the experimental version of the Movement ABC. British Journal of Therapy and Rehabilitation, 9, 404– 407Crawford, S. G. , Wilson, B. N. , Dewey, D. (2001). Identifying developmental coordination disorder: Consistency between tests. Physical and Occupational Therapy in Pediatrics, 20, 29– 50Dewey, D. (2002). Subtypes of developmental coordination disorder. In S. A. Cermak & D. Larkin (Eds.), Developmental Coordination Disorder (pp. 40-53). Albany, NY: DelmarDewey, D. , Wilson, B. N. (2001). Developmental coordination disorder: What is it?. Physical and Occupational Therapy in Pediatrics, 20, 5– 27Dunford, C. , Richards, S. (2003). Doubly disadvantaged: Report of a survey on waiting lists and waiting times for occupational therapy services for children with developmental coordination disorder. . London: College of Occupational TherapistsEggert, D. (1974). Lincoln-Oseretzky-Skala Kurzform (LOS KF-18). . Weinheim: BeltzEggert, D. (1995). Theorie und Praxis der psychomotorischen Förderung, Textband. . Dortmund: BorgmannEVS/ASE ErgotherapeutInnen-Verband Schweiz (2003). Vertrieb eines Score-Blattes zur Erfassung motorischer Ungeschicklichkeit. Verfügbar unter: www.saez.ch/pdf/2001/2001-34/2001-34-549.PDF[28.1.2003]
Fischer, K. (2001). Einführung in die Psychomotorik. . München: ReinhardtGentile, A. M. (1987). Skill acquisition: Action, movement, and neuromotor processes. In J. H. Carr, R. B. Shepard, J. Gordon, A. M. Gentile & J. M. Held (Eds.), Movement science: Foundations for physical therapy in rehabilitation (pp. 93-154). Rockville, MD: AspenGentile, A. M. (1998). Implicit and explicit processes during acquisition of functional skills. Scandinavian Journal of Occupational Therapy, 5, 7– 16Geuze, R. H. , Jongmans, M. J. , Schoemaker, M. M. , Smits-Engelsman, B. C. M (2001). Clinical and research diagnostic criteria for developmental coordination disorder: A review and discussion. Human Movement Science, 20, 7– 47Gubbay, S. S. (1973). A standardized test battery for the assessment of clumsy children. Proceedings of the Australian Association of Neurologists, 10, 19– 25Gubbay, S. S. (1975). The clumsy child: A study of developmental apraxic and agnostic ataxia. . London: SaundersHadders-Algra, M. (2000a). The neuronal group selection theory: A framework to explain variation in normal motor development. Developmental Medicine and Child Neurology, 42, 566– 573Hadders-Algra, M. (2000b). The neuronal group selection theory: Promising principles for understanding and treating developmental coordination disorders. Developmental Medicine and Child Neurology, 42, 707– 715Hadders-Algra, M. (2001). Early brain damage and the development of motor behavior in children: Clues for therapeutic intervention?. Neural Plasticity, 8, 31– 49Hamill, D. D. , Pearson, N. A. , Voress, J. K. (1993). Developmental Test of Visual Perception . (2nd ed.). Austin, TX: Pro-EdHenderson, S. E. , May, D. S. , Umney, M. (1989). An exploratory study of goalsetting behaviour, self-concept and locus of control in children with movement difficulties. European Journal of Special Needs Education, 4, 1– 14Henderson, S. , Sugden, D. A. (1992). Movement Assessment Battery for Children: Manual . London: Psychological CorporationHilbers, M. (2000). Zwischen Irritation und Transformation: Der Paradigmenwechsel und die Psychomotorik. Motorik, 23, 27– 33Hoare, D. , Larkin, D. (1991). Kinaesthetic abilities in clumsy children. Developmental Medicine and Child Neurology, 33, 671– 678Holsti, L. , Grunau, R. V. , Whitfield, M. F. (2002). Developmental coordination disorder in extremely low birth weight children at nine years. Journal of Developmental and Behavioral Pediatrics, 23, 9– 15Hünnekens, H. , Kiphard, E. J. (1960). Bewegung heilt - Psychomotorische Übungsbehandlung bei entwicklungsrückständigen Kindern. . Gütersloh: FlöttmannJarosch, B. , Göbel, H. , Panten, D. (1994). Von der Psychomotorischen Übungsbehandlung zur Klinischen Psychomotorischen Therapie. In T. Irmischer & K. Fischer (Hrsg.), Psychomotorik in der Entwicklung (S. 147-161). Schorndorf: HofmannKadesjo, B. , Gillberg, C. (1998). Attention deficits and clumsiness in Swedish 7-year-old children. Developmental Medicine and Child Neurology, 40, 796– 804Karch, D. , Groß-Selbeck, G. , Pietz, J. , Schlack, H. G. (2002). Sensorische Integrationstherapie nach Jean Ayres. In F. Aksu (Hrsg.), Aktuelle Neuropädiatrie (S. 742-760). Nürnberg: Novartis Pharma VerlagKephart, N. (1960). The slow learner in the classroom. . Columbus, OH: MerrillKesper, G. , Hottinger, C. (1992). Mototherapie bei Sensorischen Integrationsstörungen. Eine Anleitung zur Praxis. . München: ReinhardtKimball, G. K. (2002). Developmental coordination disorder from a sensory intergration perspective. In S. A. Cermak & D. Larkin (Eds.), Developmental Coordination Disorder (pp. 210-220). Albany, NY: DelmarLarkin, D. , Parker, H. (2002). Task specific intervention for children with DCD: A systems view. In S. A. Cermak & D. Larkin (Eds.), Developmental Coordination Disorder (pp. 234-247). Albany, NY: DelmarLaszlo, J. , Bairstow, P. J. (1985). Perceptual-motor-behavior: Developmental assessment and therapy. . Eastbourne, UK: Holt, Rinehart and WinstonLosse, A. , Henderson, S. E. , Elliman, D. , Hall, D. , Knight, E. , Jongmans, M. (1991). Clumsiness in children - do they grow out of it? A 10-year follow-up study. Developmental Medicine and Child Neurology, 33, 55– 68Macnab, J. J. , Miller, L. T. , Polatajko, H. J. (2001). The search for subtypes of DCD: Is cluster analysis the answer?. Human Movement Science, 20, 49– 72Maeland, A. F. (1992). Identification of children with motor co-ordination problems. Adapted Physical Activity Quarterly, 9, 330– 342McCarron, L. T. (1982). MAND McCarron Assessment of Neuromuscular Development: Fine and grosssmotor abilities . (rev. ed.). Dallas, TX: Common Market PressMiller, L. T. , Polatajko, H. J. , Missiuna, C. A. , Mandich, A. D. , Macnab, J. J. (2001). A pilot trial of a cognitive treatment for children with developmental coordination disorder. Human Movement Science, 20, 183– 210Missiuna, C. A. (1990). Teacher identification of children with movement skill problems. (Unpublished instrument, translated in french with permission of the author). Department of Occupational Therapy, University of Toronto, TorontoMissiuna, C. , Mandich, A. D. (2002). Integrating motor learning theories into practice. In S. A. Cermak & D. Larkin (Eds.), Developmental Coordination Disorder (pp. 221-233). Albany, NY: DelmarMissiuna, C. A. , Mandich, A. D. , Polatajko, H. J. , Malloy-Miller, T. (2001). Cognitive Orientation to Daily Occupational Performance (CO-OP): Part 1: Theoretical foundations. Physical and Occupational Therapy in Pediatrics, 20, 69– 81Pless, M. (2001). Developmental Coordination Disorder in pre-school children. Effects of motor skill intervention, parents descriptions and short-term follow-up of motor status. . Acta Universitatis Upsaliensis. Uppsala dissertations from the faculty of Medicine 1010, UppsalaPless, M. , Persson, K. , Sunderlin, C. , Carlsson, M. (2001). Children with developmental co-ordination disorder: A qualitative study of parents’ descriptions. Advances in Physiotherapy, 3, 128– 135Polatajko, H. J. , Macnab, J. J. , Anstett, B. , Malloy-Miller, T. , Murphy, K. , Noh, S. (1995). A clinical trial of the process-oriented treatment approach for children with developmental co-ordination disorder. Developmental Medicine and Child Neurology, 37, 310– 319Polatajko, H. J. , Mandich, A. D. , Miller, L. T. , Macnab, J. J. (2001a). Cognitive Orientation to Daily Occupational Performance (CO-OP): Part II - The evidence. Physical and Occupational Therapy in Pediatrics, 20, 83– 106Polatajko, H. J. , Mandich, A. D. , Missiuna, C. A. , Miller, L. T. , Macnab, J. J. , Malloy-Miller, T. , Kinsella, E. A. (2001b). Cognitive Orientation to Daily Occupational Performance (CO-OP): Part III - The protocol in brief. Physical and Occupational Therapy in Pediatrics, 20, 107– 123Portney, L. , Watkins, M. P. (2000). Foundations of clinical research: Applications to practice . (2nd ed.). Upper Saddle River, NJ: Prentice-Hall HealthRevie, G. , Larkin, D. (1993). Task-specific intervention with children reduces movement problems. Adapted Physical Activity Quarterly, 10, 29– 41Riggen, K. J. , Ulrich, D. , Ozman, J. C. (1990). Reliability and concurrent validity of the Test of Motor Impairment - Henderson Revision. Adapted Physical Activity Quarterly, 7, 249– 258Schilling, F. (1996). Motologie - das Marburger Konzept. In J. Werle (Hrsg.), Forschung im Sport mit Sondergruppen. Heidelberger Fachgespräche zur Sportwissenschaft, Bd. 7 (S. 59-88). Heidelberg: Institut für SportwissenschaftSchilling, F. , Kiphard, E. J. (1974). Körperkoordinationstest für Kinder KTK. Testmanual. . Weinheim: BeltzSchoemaker, M. , Kalverboer, A. F. (1994). Social and affective problems of children who are clumsy: How early do they begin?. Adapted Physical Activity Quarterly, 11, 130– 140Schoemaker, M. M. , Smits-Engelsman, B. C. M. , Jongmans, M. J. (2003). Psychometric properties of the Movement Assessment Battery for Children - Checklist as a screening instrument for children with a developmental co-ordination disorder. British Journal of Educational Psychology, 73, 425– 441Sigmundsson, H. , Hansen, P. , Talcott, J. (2003). Do ”clumsy” children have visual deficits?. Behavioural Brain Research, 139, 123– 129Sigmundsson, H. , Pedersen, A. V. , Whiting, H. T. A. , Ingvaldsen, R. P. (1998). We can cure your child’s clumsiness! A review of intervention methods. Scandinavian Journal of Rehabilitation Medicine, 30, 101– 106Sims, K. , Hendersen, S. E. , Morton, J. , Hulme, C. (1996). The remediation of clumsiness, II: Is kinaesthesis the answer?. Developmental Medicine and Child Neurology, 38, 988– 997Skinner, R. A. , Piek, J. P. (2001). Psychosocial implications of poor motor coordination in children and adolescents. Human Movement Science, 20, 73– 94Smits-Engelsman, B. C. M. , Galen, G. P. van , Michels, C. G. J (1995). De leerkracht beoordeelt: Inschatting van schrijfvaardigheidsproblemen en motorische achterstand bij basisschoolleerlingen (Lehrer-Assessment der motorischen Leistungsfähigkeit und der motorischen Schreibfertigkeiten bei Grundschülern). Tijdschrift voor Onderwijsresearch, 20, 285– 299Smits-Engelsman, B. C. M. , Henderson, S. E. , Michels, C. G. J (1998). The assessment of children with developmental coordination disorder in the Netherlands: The relationship between Movement Assessment Battery for Children and the Körperkoordinationstest für Kinder. Human Movement Science, 17, 699– 709Smits-Engelsman, B. C. M. , Niemeijer, A. S. , Galen, G. P. van (2001). Fine motor deficiencies in children diagnosed as DCD based on poor grapho-motor ability. Human Movement Science, 20, 161– 182Smyth, T. R. (1992). Impaired motor skill (clumsiness) in otherwise normal children: A review. Child: Care, Health, and Development, 18, 283– 300Stott, D. H. , Moyes, F. A. , Henderson, S. E. (1984). Test of Motor Impairment. . Guelph: Brook Educational PublishingSugden, D. , Chambers, M. E. (1998). Intervention approaches and children with developmental coordination disorder. Pediatric Rehabilitation, 2, 139– 147Tan, S. K. , Parker, H. , Larkin, D. (2001). Concurrent validity of motor tests used to identify children with motor impairment. Adapted Physical Activity Quarterly, 18, 168– 182Thelen, E. (1995). Motor development. A new synthesis. American Psychologist, 50, 79– 95Ulrich, D. A. (2000). TGMD-2 Test of Gross Motor Development: examiner’s manual . (2nd ed). Austin, TX: Pro-EdVolkamer, M. , Zimmer, R. (1986). Kindzentrierte Mototherapie. Motorik, 9, 49– 58Whitmont, S. , Clarke, C. (1996). Kinaesthetic acuity and fine motor skills in children with Attention Deficit Hyperactivity Disorder: A preliminary report. Developmental Medicine and Child Neurology, 38, 1091– 1098WHO (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. . Genf: World Health OrganizationWilliams, H. G. , Woollacott, M. H. , Ivry, R. (1992). Timing and motor control in children. Journal of Motor Behavior, 24, 165– 172Wilson, P. H. , Maruff, P. , Ives, S. , Currie, J. (2001). Abnormalities of motor and praxis imagery in children with DCD. Human Movement Science, 20, 135– 159Wilson, P. H. , Thomas, P. R. , Maruff, P. (2002). Motor imagery training ameliorates motor clumsiness in children. Journal of Child Neurology, 17, 491– 498Zimmer, R. (1999). Handbuch der Psychomotorik. . Freiburg: HerderZimmer, R. , Volkamer, M. (1984). Motoriktest für vier- bis sechsjährige Kinder (MOT 4-6). . Weinheim: Beltz