Bruininks-Oseretsky Test Of Motor Proficiency Research Articles

AS CONTRIBUIÇÕES DA EDUCAÇÃO FÍSICA ESCOLAR NO DESEMPENHO MOTOR DE CRIANÇAS COM DEFICIÊNCIA: UMA REVISÃO DE ESCOPO

Sports activities have proven to be an important tool for the inclusion of children with disabilities. However, few studies highlight how the motor skills of children with disabilities develop. This study aimed to identify, through an scoping review, the contributions of Physical Education in schools towards the development of motor skills in children with disabilities. The study was conducted as an scoping review. The following criteria were used during the search process: a) databases: Scielo, Lilacs, and Google Scholar, b) keywords: physical education, motor skills, motor development, children with disabilities, c) publications between 2010 and 2024, d) studies focusing on children up to 12 years old. After applying these criteria, five articles were selected for full analysis. All selected studies were conducted in public schools in Brazil and involved children with conditions such as ASD (Autism Spectrum Disorder), Down Syndrome, cerebral palsy, spina bifida, blindness, dwarfism, and global developmental delay. The main tests used were: the Motor Development Scale, Portage Operationalized Inventory, Self-Perception of Competence Test, Bruininks-Oseretsky Test of Motor Proficiency, and the Test of Gross Motor Development (TGMD-2). Pre- and post-tests were used in four studies, which implemented intervention plans through case studies. The results indicated positive correlations, showing that multidisciplinary interventions addressing the diverse needs of children with disabilities could improve their motor domains. In conclusion, Physical Education in schools is an important tool that can contribute to the improvement of motor skills in children with disabilities. Received: 2024/09/04 Reformulated: 2024/10/11 Accepted: 2024/10/11

Vestibular Function and Postural Control in Children with Autism Spectrum Disorder.

Background: Postural control deficits have been documented in children with autism spectrum disorder (ASD), yet vestibular system contributions to postural control have not been widely considered. The purpose of this study is to explore the relationship between functional balance, postural sway, and vestibular function in children with ASD. Methods: Ten children with a confirmed diagnosis of ASD according to DSM-V guidelines along with ten children with no known neurodevelopmental or motor delays participated in the study. Bruininks-Oseretsky Test of Motor Proficiency and the Paediatric Balance Scale measured functional balance ability, and postural sway was measured using static posturography with modified sensory inputs. Peripheral vestibular function was measured using cervical vestibular evoked myogenic potentials and video head impulse testing. Correlations between measures were performed. Results: When visual cues were removed, children with ASD demonstrated larger path velocities indicative of reduced postural control, and different patterns of postural sway. Functional balance was correlated with path velocities for conditions where sensory information was modified. No differences in peripheral vestibular function were noted between groups, and functional balance was not correlated with vestibular function. Conclusions: Findings suggest that while peripheral vestibular function is similar between groups, postural control differences in children with ASD remain, particularly for conditions where sensory information is modified. Furthermore, demonstrated patterns of postural sway suggest sensory system integration is less developed in children with ASD. These findings highlight the importance of utilising a range of clinical tools to quantify balance ability and consideration of postural control measures to inform intervention.

235 Diagnostic Qualities of the Short Form of the Bruininks-Oseretsky Test of Motor Proficiency for Low Motor Competence

Abstract Purpose The Bruninks Oseretsky Test of Motor Proficiency, 2nd Edition (BOT 2) diagnostic tool with 53 test tasks is used for objective assessment of motor proficiency with regard to the diagnosis of motor deficits in motor control. The normative criteria are initially validated on the US population ages 4 - 21. An adaptation for the European setting exists for German-speaking countries ages 4 - 14. There are short versions of the BOT 2 with self-selected items for screening purposes. The aim of our study was to evaluate the diagnostic quality of a German short version of BOT 2 for low motor competence and for the risk of developmental coordination disorder. Methods The motor competence level in n = 637 Czech children aged 6.0-11.0 years (46.6% girls) was evaluated using Total motor composite and subcategories of fine and gross motor skills: Fine manual control, Manual coordination, Body coordination and Strength and agility. We used the following variables to describe the diagnostic validity: Sensitivity, Specificity, Accuracy, Positive and Negative Predictive Values, the Receiver Operating Characteristic, and the Area Under the Curve. Results The short version of the BOT 2 shows a sensitivity for low motor competence of 77%, specificity of 86% and validity of 83%. For the risk of developmental coordination disorder, sensitivity is 77%, specificity is 94%, and validity is 93%. However, there is a lower positive predictive value of 49%. Conclusions The German short version of BOT 2 is an alternative test to the BOT 2 complete form, which is a suitable diagnostic tool for assessing low motor competence, including the diagnosis of risk for DCD. Overall, the BOT 2 short form provides a lower Total motor composite score than the BOT 2 complete form and places significantly more children in the well-below-average category. This is reflected in the low predictive value of a positive test. Funding Source This work was supported by the Technology Agency of the Czech Republic under Grant TA ČR Éta 3 TL03000221.

Consequences of vestibular hypofunction in children with ADHD/DCD

BackgroundChildren with Attention Deficit Hyperactivity Disorder (ADHD) demonstrate a heterogeneous sensorimotor, emotional, and cognitive profile. Comorbid sensorimotor imbalance, anxiety, and spatial disorientation are particularly prevalent among their non-core symptoms. Studies in other populations presented these three comorbid dysfunctions in the context of vestibular hypofunction. ObjectiveTo test whether there is a subgroup of children with ADHD who have vestibular hypofunction presenting with concomitant imbalance, anxiety, and spatial disorientation. MethodsChildren with ADHD-only (n = 28), ADHD + Developmental Coordination Disorder (ADHD + DCD; n = 38), and Typical Development (TD; n = 19) were evaluated for vestibular function by the Dynamic Visual Acuity test (DVA-t), balance by the Bruininks-Oseretsky Test of motor proficiency (BOT-2), panic anxiety by the Screen for Child Anxiety Related Emotional Disorders questionnaire-Child version (SCARED-C), and spatial navigation by the Triangular Completion test (TC-t). ResultsChildren with ADHD vs. TD presented with a high rate of vestibular hypofunction (65 vs. 0 %), imbalance (42 vs. 0 %), panic anxiety (27 vs. 11 %), and spatial disorientation (30 vs. 5 %). Children with ADHD + DCD contributed more frequent and severe vestibular hypofunction and imbalance than children with ADHD-only (74 vs. 54 %; 58 vs. 21 %, respectively). A concomitant presence of imbalance, anxiety, and spatial disorientation was observed in 33 % of children with ADHD, all sharing vestibular hypofunction. ConclusionsVestibular hypofunction may be the common pathophysiology of imbalance, anxiety, and spatial disorientation in children. These comorbidities are preferentially present in children with ADHD + DCD rather than ADHD-only, thus likely related to DCD rather than to ADHD disorder. Children with this profile may benefit from a vestibular rehabilitation intervention.

Implementation and outcomes of a quality improvement project to systematically assess the gross motor skills in school-aged children with cystic fibrosis.

Limited data exist on the gross motor abilities of children with cystic fibrosis (CF). The objective of this research project was to implement a systematic gross motor assessment in children with CF ages 4-12 years. Secondarily, we aimed to assess demographic characteristics associated with gross motor delays. Physical therapists aimed to evaluate at least 50% of eligible children (4-12 years) at our CF Center over 1 year using the Bruininks-Oseretsky Test of motor Proficiency, second edition (BOT-2). Delays are defined by scores less than 18th percentile. Demographic and clinical data included body mass index, hospitalizations, genotype, and comorbidities. Basic descriptive statistics summarized patient information. Parametric and nonparametric methods compared groups of interest. Linear regression assessed associations between BOT-2 measures and clinical characteristics. The BOT-2 evaluation was successfully implemented with 69% of eligible patients being evaluated. Forty-five (62.5%) scored below average. Impaired strength (22.2%) was most common, followed by impaired balance (16.7%), running speed and agility (15.3%), and bilateral coordination (8.3%). 15.5% scored below average on their total motor composite score (TMC). Increased age, comorbidities and hospitalizations were associated with a lower TMC. The BOT-2 was successfully implemented as part of routine CF care to screen for gross motor delays in children. Results suggest that a high percentage of children with CF, especially older children with comorbid conditions or a history of hospitalization, have impaired gross motor function. These findings support the need for routine gross motor evaluations and physical therapy interventions within pediatric CF clinics.

The effect of eight weeks of central stability exercises on sensory-motor development of children with high-functioning autism spectrum disorder

Introduction: Sensory-motor problems are among the outstanding characteristics of autism spectrum disorders (ASD). Aim: The present research was conducted aiming to assess the effectiveness of eight weeks of central stability exercises on the sensory-motor development of children with high-functioning ASD. Method: The research method was semi-experimental with a pretest-posttest design with a control group. The statistical population consisted of all 6-10-year-old children with ASD referring to autism rehabilitation centers in Tehran in 2023. Twenty-four high-functioning ASD children were selected by the convenience sampling method and evaluated by the Sensory Profile-2 tests and the Bruininks-Oseretsky Test of Motor Proficiency after eight sessions of central stability exercises. The results were analyzed using univariate and multivariate analysis of covariance (ANCOVA) and SPSS version 22. Results: The results of univariate ANCOVA indicated that eight weeks of central stability exercises culminated in promoting sensory development in children with high-functioning ASD (P<0.01). The results of multivariate ANCOVA indicated that the F value obtained for all three dimensions of motor development, including gross motor skill, fine motor skill, and upper limb coordination, was significant (P<0.01). Conclusion: According to the results, it can be concluded that central stability exercises are among the efficient methods for the development of sensory-motor skills in children with high-functioning ASD, which can be used in special education and rehabilitation centers for these children.

Motor proficiency of persons with attention deficit hyperactivity disorder or autism spectrum disorder diagnosed in adulthood

Purpose To compare (1) motor proficiency of persons diagnosed in adulthood with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) with normative values of motor proficiency, and (2) motor proficiency between persons with ADHD and those with ASD diagnosed in adulthood. Methods A total of 153 adults (median age 32 years, 36% women) participated in this cross-sectional study. Fifty-three persons with predominately inattentive presentation (ADHD-I), 67 persons with combined presentation (ADHD-C), and 33 persons with ASD performed the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). One-sample binominal tests were used to compare motor proficiency against standardized norms of BOT-2 for young adults. One-way ANOVAs and Kruskal-Wallis tests were used to compare test outcomes between the groups. Results The total sample showed significantly impaired motor proficiency in comparison to norms in all test domains (p < 0.001–0.006), except for fine motor skills. The ASD group showed significantly poorer body coordination compared with the ADHD-I and ADHD-C groups, with a moderate effect size (p = 0.003–0.02, η2 = 0.061). Conclusions Motor proficiency is impaired in most persons with ADHD or ASD diagnosed in adulthood, suggesting that motor assessment should be included in clinical examinations of adults with suspected neurodevelopment disorders.

How Does a 12-Week Physical Exercise Program Affect the Motor Proficiency and Cognitive Abilities of Overweight and Normal-Weight Preschool Children?

The objective of this research was to examine a 12-week exercise program and its impact on the motor proficiency and cognitive abilities of preschool children with overweight and normal weight. The study involved a total of 71 participants who were preschool children enrolled in a longitudinal study. Body mass index (BMI) was determined by measuring body height and weight, and the nutritional status of the children was assessed using the World Health Organization's (WHO) criteria. Motor proficiency encompasses both motor abilities and motor skills, and the assessment of motor abilities was conducted using subtests from the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). These subtests measured fine motor integration, manual dexterity, balance, and bilateral coordination. The evaluation of motor skills involved the utilization of the Test of Gross Motor Development (TGMD-2), which examines both locomotor skills and manipulative skills. Cognitive abilities were assessed using the School Maturity Test (TZS). All participants, regardless of weight status, took part in a 12-week physical exercise program. According to the World Health Organization's criteria, 52 children (73.2%) were categorized as having a normal weight, while 19 children (26.8%) were classified as overweight. These findings indicate that every fourth child in the study was overweight. Using a statistical analysis called SPANOVA (2 × 2, group × time), differences were observed in three out of eleven variables. Specifically, there were significant differences in two motor skill variables: manipulative skills (p = 0.006) and total movement skills (p = 0.014). Additionally, there was a significant difference in one cognitive ability variable: visual memory (p = 0.010). No significant differences were found in the remaining variables. The findings of this study aimed to contribute to the understanding of the potential benefits of regular exercise on motor and cognitive development in preschool children, specifically examining the differences between overweight and normal-weight children. By investigating these effects, the study could provide valuable insights for educators, parents, and health professionals involved in promoting the overall well-being of preschool-aged children. Regular physical exercise has been found to have positive effects on motor and cognitive abilities in both overweight and normal-weight preschool children.

An Examination of the Effectiveness of Ballet on Gross Motor Function in Children with Intellectual Developmental Disabilities

The purpose of this study was to examine how ballet could be used as a form of therapy to improve gross motor function in children with intellectual developmental disabilities (IDDs). Fourteen participants (ages 4-12, 10 males, 4 females) who were enrolled in Monday and Friday camp days at ABC Educational Services, Inc. Stimulation School Summer Camp were included in the study. Participants completed the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2) during the first week of the intervention. For the following six weeks, participants engaged in thirty-minute ballet classes twice a week. During week eight of the intervention participants completed the BOT-2 test a second time. The results indicated that children with a suspected IDD did not consistently score below average on the BOT-2. Additionally, statistically significant correlations between ballet instruction and gross motor proficiency were not found. Further studies should be done to continue to examine the relationship between ballet and gross motor function.

Nature-Based or Traditional Kindergarten to Develop Fundamental Motor Skills? A Pilot Study

Environmental characteristics of kindergartens are important for the development of kindergarten-aged children. However, knowledge of the role of kindergarten play environments in developing children’s fundamental movement skills is limited. A pilot study was carried out to compare the fundamental movement skills of 3.5- to 5-year-old children in two kindergarten groups. One group had access to a traditional playground, an indoor room for active play, and had weekly trips. The other group had access to a nature-based playground. Fundamental movement skills were measured using the short form of the Bruininks-Oseretsky Test of Motor Proficiency, second edition test. In total, 28 children participated—11 children attended the kindergarten group with the traditional playground, and 17 children attended the kindergarten group with the nature-based playground. The total test score was 14.64 for children with access to a traditional playground and 16.71 for children with access to a nature-based playground. However, no statistically significant difference between the groups in total test score and the individual tests was found. It might be that space and diversity of features are more important than exposure to nature. In future research, more robust longitudinal studies with larger samples are required to investigate different kindergarten playground designs and environmental features related to motor skill development.

How do gene mutation diversity and disease severity scoring affect physical capacity and quality of life in children/adolescents with Familial Mediterranean Fever?

ObjectivesThe aim of this study is to examine how gene mutation diversity and disease severity affect physical capacity and quality of life in children/adolescents with Familial Mediterranean Fever (FMF). MethodsEighty children/adolescents (42 female, 38 male) diagnosed with FMF according to Tell-Hashomer diagnostic criteria were included in this study. Disease severity score (PRAS), running speed and agility and strength subtests of Bruininks-Oseretsky Test of Motor Proficiency Second Edition Short Form (BOT-2 SF), Physical Activity Questionnaire, Pediatric Quality of Life Inventory 3.0 Arthritis Module (PedsQL) was used for evaluation. Participants were divided into 2 groups as M694V and other mutations according to MEFV gene mutation and were divided into 3 groups as mild, moderate and severe according to PRAS. ResultsWhen the data were compared between groups; in terms of gene mutation, a significant difference was observed in treatment subtest of PedsQL-parent form in favor of the M694V gene mutation group (p<0.05). In terms of PRAS, significant difference was seen in the pain, treatment subtests and total score of the PedsQL-child form, and in the pain, treatment, worry subtests and total score of the PedsQL-parent form in favor of the mild group (p<0.05). ConclusionsMEFV gene mutations in children and adolescents with FMF did not differ on physical capacity and quality of life. PRAS was not effective on physical parameters, but quality of life decreased as the severity score increased. Encouraging children/adolescents with FMF to participate in physical activity and to support them psychosocially can be important to improve their quality of life.

Motor proficiency of learners with moderate to severe intellectual disabilities.

Intellectual disabilities refer to a permanent brain condition that interferes with a learner's ability to perform basic living tasks, academic tasks and social interactions. By observing the motor proficiency levels of these learners, one can determine the extent of a learner's possible physical motor proficiency barriers. To determine the motor proficiency levels of learners with moderate to severe intellectual disabilities using the Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2) Brief Form. This quantitative descriptive study included 46 learners (17 girls and 29 boys) from a Mangaung school for learners with special needs between the ages of 15 and 17 years. Indicated that 31 learners (67.4%) out of 46 learners identified with moderate to severe intellectual disabilities had a well-below average; 11 learners (23.9%) had a below average and only 4 learners (8.7%) had average motor proficiency levels. Alarmingly, this indicates that the majority of learners have severe motor difficulties that may reduce these learners' abilities to perform tasks using gross and fine motor skills. Reported motor proficiency levels can be used as a guide to direct future motor intervention programmes. Timely interventions are central to improving learners' motor difficulties. This study focused on providing information regarding the motor proficiency levels of South African learners with ID that was not previously explored. This was an attempt to bridge the gap in knowledge pertaining to the use of standardised motor proficiency tests for South African learners with ID.

Assessing the Fundamental Movement Skills of Children With Intellectual Disabilities in the Special Olympics Young Athletes Program.

Mastering the ability to move proficiently from a young age is an important contributor to lifelong physical activity participation. This study examined fundamental movement skill (FMS) proficiency in children with intellectual disabilities (n = 96, 60% boys, age 5-12years) and typically developing children (n = 96, 60% boys, age 5-12years). Participants were assessed using the Test of Gross Motor Development-3rd edition and balance subtest from the Bruininks-Oseretsky Test of Motor Proficiency 2. The FMS proficiency of typically developing children including mastery/near mastery level (combined variable representing mastery, which is achieving all criteria for the skill, over both trials and near mastery, wherein a participant performs all but one of the components of the skill correctly) was significantly higher than for children with intellectual disabilities. A similar observation was made with multiple linear regression analysis testing the interaction effect of participant group and age/gender on all three FMS subcomponents. The results presented will help establish a baseline of FMS proficiency and guidelines for future intervention for children with intellectual disabilities.

Assessing coordination abilities in Romanian water polo players aged 10-12 using the Bruininks-Oseretsky test battery

The main purpose of the study is to assess the development level of coordination abilities in 61 water polo players aged 10-12 years using the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). This test battery was designed for specialists, providing them with an effective and reliable tool to measure fine and gross motor skills. After analysing the test battery, we applied only five out of the eight subtests (the other three were considered irrelevant for the game of water polo). The tests used in our study aimed at measuring: fine motor precision (FMP), fine motor integration (FMI), bilateral coordination (BC), balance (BAL), upper limb coordination (ULC). The results were statistically interpreted using IBM SPSS v. 12, SmartPLS and Microsoft Excel. We chose these programs for their accurate calculation of mean differences between the obtained scores but also for their interpretations of the t-Test at the significance thresholds required for each subtest. Most of the selected athletes achieved below-average scores for: FMI (score = 2.54), BC (score = 2.85), BAL (score = 2.84), FMP (score = 3.07), ULC (score = 3.23). In order to achieve superior performance, athletes whose scale score is 20-24 and ideally over 25 should be selected. In conclusion, the testing provided essential and relevant information on the level of manifestation of coordination abilities in athletes, allowing specialists to implement specific exercises for the development of coordination abilities in the training process.

Differences in motor abilities between blind students and students without visual impairment

The purpose of this study was to determine the level of motor abilities development in blind students and students without visual impairments, as well as to examine whether there are differences in motor abilities development between these two groups of participants. The research included 22 blind student (11 girls and 11 boys) and 22 students without visual impairments, aged 11-17 years. The Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) was used to assess motor abilities. The analysis of the results revealed that the motor abilities development of blind students was significantly below average, while students without visual impairments showed an average level of motor abilities development. When comparing the achievements of blind students and students without visual impairments, it was observed that blind students had poorer performance on both the overall motor test and the subtests of bilateral coordination, upper limb coordination, and balance. On the other hand, students without visual impairments achieved good results on all tested subtests.

Does body mass index distinguish motor proficiency, social and emotional maturity among adolescent girls?

BackgroundThe objective of this study was to investigate whether different body mass index (BMI) groups could serve as a distinguishing factor for assessing motor proficiency and social and emotional maturity in adolescent girls.Methods140 girls ranging from 12 to 14.5 years old were selected from the schools of Tabriz city, Iran. After their height and weight were measured to calculate body mass index, they completed the following questionnaires: Bruininks-Oseretsky Test of motor proficiency, Second Edition,Vineland Social Maturity Scale, and Emotional Maturity scale.Resultsnormal-weight girls had a meaningful advantage against overweight and underweight participants in the gross motor factor of motor proficiency (p = 0.004), but there wasn’t a meaningful difference in the fine motor p = 0.196) and coordination factors (p = 0.417). Also, social maturity showed an advantage of normal and underweight adolescent girls in the self-help dressing factor (p = 0.018), while the locomotion skills (p = 0.010) factor revealed a better performance of normal weight and overweight groups over underweight adolescents. No significant differences were observed in the emotional maturity subscales (p = 0.63) between the groups.ConclusionsThe present study demonstrates that BMI has a direct influence on adolescents’ gross motor proficiency and social maturity.

Exploring the motor skill proficiency barrier among children with intellectual disabilities: Analysis at a behavioural component level.

Models of childhood motor development began to emerge in the 1960's. Since then, numerous models have proposed the importance of obtaining a proficient level of fundamental movement skill (FMS) competence during childhood and deemed it to be critical for participation in lifelong sports and physical activity. This study examined FMS at the behavioural component level in children with intellectual disabilities (CwID) (n = 100, 60% boys, aged 5-12 years). Participants were assessed using the Test of Gross Motor Development 3rd edition (TGMD-3) and the balance subtest from Bruininks-Oseretsky Test of Motor Proficiency 2 (BOT-2). For the whole sample, 0% participants mastered all 10 FMS, 1% (n = 1) participants mastered all 4 locomotor skills while 0% (n = 100) participants mastered all ball skills. A multiple regression was carried out to investigate whether the interaction of gender and age was a predictor of FMS proficiency. Linear regressions were also carried out to investigate whether gender or age was a predictor of FMS proficiency. The results presented will help to identify weaknesses in skills at the behavioural component level and will enable researchers and practitioners to address low levels of motor skill proficiency among CwID.

Serious Game for Fine Motor Control Rehabilitation for Children With Epileptic Encephalopathy: Development and Usability Study.

Epileptic encephalopathy (EE) is defined as the presence of frequent epileptiform activity that adversely impacts development, typically causing the slowing or regression of developmental skills, and is usually associated with frequent seizures. One of the main disturbances in EE is in the coordination of the upper extremities and hands. Traditional rehabilitation for this type of pathology focuses on the alleviation of gross or fine motor disability. In the last few years, the use of low-cost devices together with customized serious games has shown improvements in motor disorders and enrichments in activities of daily living. This study aims to explore the feasibility of a new serious game for improving fine motor control in children with EE. The participants were 4 children with EE (male: n=2, 50%; female: n=2, 50%) who were classified as belonging to level 1 in the Gross Motor Classification System. The children were tested over 10 sessions during the intervention period (before and after treatment). The clinical tests performed were the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition and Pittsburgh Rehabilitation Participation Scale. The subscales of the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition were fine motor precision, fine motor integration, manual dexterity, and upper-limb coordination. At the end of the first session, we used the User Satisfaction Evaluation Questionnaire to analyze user satisfaction. The significance outcomes for a Student t test (1-tailed) were as follows: P=.009 for fine motor precision, P=.002 for fine motor integration, P=.56 for manual dexterity, and P=.99 for upper-limb coordination. The participation rate as measured using the Pittsburgh Rehabilitation Participation Scale was between good and very good, which means that, based on the therapist's evaluation, interest, independence, and motivation were achieved by each participant. The mean User Satisfaction Evaluation Questionnaire score was close to 30, which is the maximum value. The results support the use of the proposed serious game as a complement in therapeutic sessions during the rehabilitation processes for children with EE. Significant improvements in fine motor control and activities of daily living revealed that the proposed serious game is beneficial for fine motor disorders of this pathology.

Associations of ADHD-Risk and Motor Competence With School Functioning

Objectives: This study investigated the unique associations of motor competence and ADHD risk status on school functioning. Additionally, this study examined the factor structure of the Bruininks-Oseretsky Test of Motor Proficiency, Short Form (BOT2-SF). Methods: Participants included early elementary school children (N = 202, Mage = 6.83, SD = 0.96, Male = 53.5%, ADHD-risk = 46.5%). Child assessments of motor competence and teacher and parent reports of school functioning were used. Results: A two-factor model of the BOT2-SF with correlated fine and gross motor factors and correlated residuals best fit the data. Fine and gross motor competence were unique positive predictors of academic performance, after accounting for the effects of ADHD-risk on academic performance. ADHD-risk was the only unique predictor of adaptive school behavior. Conclusion: Findings suggest that assessing for ADHD and motor competence in children demonstrating school functioning problems may better allow for targeted intervention in school.

COMPARISON OF MOTOR PERFORMANCE BETWEEN CHILDREN WITH MULTIPLE DISABILITIES AND TYPICAL DEVELOPMENT

Purpose: Individuals with multiple disabilities have two or more disabilities at the same time, and these impairments can cause qualitatively and quantitatively insufficient motor performance. This study aimed to compare the motor performance of children with multiple disabilities to children with typical development.&#x0D; Methods: This prospective study included 26 children with multiple disabilities who had visual impairment according to the International Statistical Classification of Diseases and Related Health Problems: 11th Revision, and 20 children with typical development. The Bruininks-Oseretsky Test of Motor Proficiency Second Edition Short Form was used to examine motor proficiency. A standard hand dynamometer and pinchmeter were used to assess hand and finger grip strength. The Nine-Hole Peg Test was used to evaluate performance-based hand functions.&#x0D; Results: Children with multiple disabilities had lower scores for balance control (p