Quiet eye training facilitates visuomotor coordination in children with developmental coordination disorder.

INTRODUCTION Quiet eye training (QET) has been shown to be more effective than traditional training (TT) methods for teaching a throw and catch task to typically developing 8-10 yr old children. The current study aimed to apply the technique to children with developmental coordination disorder (DCD). METHOD 30 children with DCD were randomly allocated into TT or QET intervention groups. The TT group were taught how to control their arm movements during the throw and catch phases, while the QET group were also taught to fixate a target location on the wall prior to the throw (quiet eye1; QE1), followed by tracking the ball prior to the catch (quiet eye2; QE2). Performance, gaze and motion analysis data were collected at pre/post-training and 6-week retention. RESULTS The QET group significantly increased QE durations from pre-training to delayed retention (QE1 = +247 ms, QE2 = +19%) whereas the TT group experienced a reduction (QE1 = -74 ms, QE2 = -4%). QET participants showed significant improvement in the quality of their catch attempts and increased elbow flexion at catch compared to the TT group (QET = -28°, TT = -1°). CONCLUSION QET changed DCD children's ability to focus on a target on the wall prior to the throw, followed by better anticipation and pursuit tracking on the ball, which in turn led to improved catching technique. QET may be an effective adjunct to traditional instructions, for therapists teaching visuomotor skills to children with DCD.

[1]  Mark R. Wilson,et al.  Quiet eye training: The acquisition, refinement and resilient performance of targeting skills , 2014, European journal of sport science.

[2]  J Duysens,et al.  Fine motor deficiencies in children with developmental coordination disorder and learning disabilities: an underlying open-loop control deficit. , 2003, Human movement science.

[3]  B. Maraj,et al.  Nature of spatial coupling in children with and without developmental coordination disorder in ball catching. , 2013, Adapted physical activity quarterly : APAQ.

[4]  Ball catching in children with developmental coordination disorder: control of degrees of freedom , 2006, Developmental medicine and child neurology.

[5]  Eliane Albuisson,et al.  Vertical and horizontal smooth pursuit eye movements in children with developmental coordination disorder , 2014, Developmental medicine and child neurology.

[6]  S. Astill Can children with developmental coordination disorder adapt to task constraints when catching two-handed? , 2007, Disability and rehabilitation.

[7]  Peter J. Beek,et al.  How position and motion of expert assistant referees in soccer relate to the quality of their offside judgements during actual match play , 2005 .

[8]  J. Piek,et al.  Sensory-motor deficits in children with developmental coordination disorder, attention deficit hyperactivity disorder and autistic disorder. , 2004, Human movement science.

[9]  B. Smits-Engelsman,et al.  Ball Catching Performance in Children With Developmental Coordination Disorder , 2004 .

[10]  H. Dekkers,et al.  Developmental coordination disorder and overweight and obesity in children: a systematic review , 2014, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[11]  Hui-ing Ma,et al.  Everyday memory in children with developmental coordination disorder. , 2013, Research in developmental disabilities.

[12]  B. Caravale,et al.  Cross-cultural adaptation, reliability and predictive validity of the Italian version of Developmental Coordination Disorder Questionnaire (DCDQ). , 2014, European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society.

[13]  J. Gibson The Ecological Approach to Visual Perception , 1979 .

[14]  P J Beek,et al.  Basketball jump shooting is controlled online by vision. , 2007, Experimental psychology.

[15]  C. Missiuna,et al.  Activities and participation in children with developmental coordination disorder: a systematic review. , 2011, Research in developmental disabilities.

[16]  C. Hsieh,et al.  Cooccurrence of problems in activity level, attention, psychosocial adjustment, reading and writing in children with developmental coordination disorder , 2007, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[17]  P. Morgan,et al.  Childhood motor skill proficiency as a predictor of adolescent physical activity. , 2009, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[18]  H. Heekeren,et al.  Provided for Non-commercial Research and Educational Use Only. Not for Reproduction, Distribution or Commercial Use. Advances in Coupling Perception and Action: the Quiet Eye as a Bidirectional Link between Gaze, Attention, and Action , 2022 .

[19]  P. Wilson,et al.  Dissecting online control in Developmental Coordination Disorder: A kinematic analysis of double-step reaching , 2011, Brain and Cognition.

[20]  J. Wann,et al.  The use of predictive information is impaired in the actions of children and young adults with Developmental Coordination Disorder , 2008, Experimental Brain Research.

[21]  J. Ryan,et al.  Impact of task difficulty and motor ability on visual-motor task performance of children with and without developmental coordination disorder. , 2014, Human movement science.

[22]  Mark R. Wilson,et al.  Quiet eye and choking: online control breaks down at the point of performance failure. , 2013, Medicine and science in sports and exercise.

[23]  R. Blank,et al.  Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta‐analysis , 2013, Developmental medicine and child neurology.

[24]  G. Vingerhoets,et al.  Neural underpinnings of impaired predictive motor timing in children with Developmental Coordination Disorder. , 2013, Research in developmental disabilities.

[25]  M. Audiffren,et al.  Age Differences in Using Precued Information to Preprogram Interception of a Ball , 1997, Perceptual and motor skills.

[26]  D. Dewey,et al.  Co-occurring disorders: a possible key to visual perceptual deficits in children with developmental coordination disorder? , 2008, Human movement science.

[27]  S. Cermak,et al.  Psychosocial adjustment and attention in children with developmental coordination disorder using different motor tests. , 2009, Research in developmental disabilities.

[28]  M. Land Vision, eye movements, and natural behavior , 2009, Visual Neuroscience.

[29]  M. Mak Reaching and Grasping a Moving Target Is Impaired in Children With Developmental Coordination Disorder , 2010, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[30]  Chia-Liang Tsai,et al.  Role of visual-perceptual skills (non-motor) in children with developmental coordination disorder. , 2008, Human movement science.

[31]  M. Corbetta,et al.  Control of goal-directed and stimulus-driven attention in the brain , 2002, Nature Reviews Neuroscience.

[32]  J. Vickers,et al.  Visual control when aiming at a far target. , 1996, Journal of experimental psychology. Human perception and performance.

[33]  Robert Reid,et al.  Parent Ratings of Attention-Deficit/Hyperactivity Disorder Symptoms: Factor Structure and Normative Data , 1998 .

[34]  Mark R. Wilson,et al.  Quiet eye training improves throw and catch performance in children , 2014 .

[35]  Mark R. Wilson,et al.  Quiet eye distinguishes children of high and low motor coordination abilities. , 2013, Medicine and science in sports and exercise.

[36]  Mark R. Wilson,et al.  Quiet eye training expedites motor learning and aids performance under heightened anxiety: the roles of response programming and external attention. , 2012, Psychophysiology.

[37]  B. McKenzie,et al.  Information processing deficits associated with developmental coordination disorder: a meta-analysis of research findings. , 1998, Journal of child psychology and psychiatry, and allied disciplines.

[38]  B. Maraj,et al.  Movement Coordination in Ball Catching , 2010, Research quarterly for exercise and sport.

[39]  H. Sigmundsson,et al.  Do ‘clumsy’ children have visual deficits , 2003, Behavioural Brain Research.

[40]  L. Vaivre-Douret Developmental coordination disorders: State of art , 2014, Neurophysiologie Clinique/Clinical Neurophysiology.

[41]  J. Cairney,et al.  Is developmental coordination disorder a fundamental cause of inactivity and poor health‐related fitness in children? , 2013, Developmental medicine and child neurology.

[42]  P. Morgan,et al.  Does childhood motor skill proficiency predict adolescent fitness? , 2008, Medicine and science in sports and exercise.

[43]  O. Bart,et al.  The profile of performance skills and emotional factors in the context of participation among young children with Developmental Coordination Disorder. , 2013, Research in developmental disabilities.

[44]  Mark R. Wilson,et al.  Quiet eye training: A means to implicit motor learning , 2013 .

[45]  Mark R. Wilson,et al.  The influence of quiet eye training and pressure on attention and visuo-motor control. , 2011, Acta psychologica.

[46]  C. Hyde,et al.  Online motor control in children with developmental coordination disorder: chronometric analysis of double-step reaching performance. , 2011, Child: care, health and development.

[47]  John G. Williams Effects of Instruction and Practice on Ball Catching Skill: Single-Subject Study of An 8-Year-Old , 1992, Perceptual and motor skills.

[48]  Joan N. Vickers,et al.  Training Quiet Eye Improves Accuracy in the Basketball Free Throw , 2001 .

[49]  Mark Mon-Williams,et al.  Eye movements, prematurity and developmental co-ordination disorder , 1998, Vision Research.

[50]  M. Mon-Williams,et al.  The Preparation of Reach-To-Grasp Movements in Adults, Children, and Children with Movement Problems , 2005, The Quarterly journal of experimental psychology. A, Human experimental psychology.