Developmental Coordination Disorder
DYSENS
1 other identifier
interventional
280
1 country
1
Brief Summary
Developmental Coordination Disorder (DCD) corresponds to a clumsiness, a slowness and an inaccuracy of motor performance. This neurodevelopmental disorder affects 6% of school-aged children, and disturbs daily life activities and academic performances. The etiology of DCD is still unknown. An understanding of this disorder is necessary to improve interventions and therefore quality of life of these people. A deficit of the so-called internal models is the most commonly described hypothesis of DCD. Indeed, children with DCD exhibit difficulties in predictive control. Internal models, useful for motor control, are closely related to the sensory system, as they are elaborated on and constantly fed by sensory feedback. Deficits in sensory performance are described in DCD, mostly in the visual system, which could in turn partly explain poor motor performance. However, visuo-perceptual deficits cannot explain the entire motor difficulties because some activities in daily life, as buttoning a shirt, are often performed without visual control. Although the integrity of proprioceptive and tactile systems is necessary for the building of internal models, and therefore for a stable motor control, these sensory systems have been very little investigated in DCD. Moreover, using a tool is often disturbed in children with DCD. In neurotypical subjects, tool use induces a plasticity of body representation, as reflected by modifications of movement kinematics after tool use. Proprioceptive abilities are necessary for this update of the body schema. Thus, potential deficits of the proprioceptive system in children with DCD could impair the plastic modification of the body schema, and hence of motor performance, when using a tool. The aim of this study is to identify the main cause of the DCD, both by evaluating the tactile and proprioceptive abilities and by assessing the body schema updating abilities in children with DCD. While some daily life activities improve with age, some motor difficulties persist in adults with DCD. To our knowledge, perceptual abilities have never been investigated in adults with DCD and it is thus unknown whether perceptual deficits are still present in adulthood. This information could allow us to understand if motor difficulties in adult DCD are caused by enduring perceptual deficits and/or impaired plasticity of body schema. The second aim of this study is to evaluate abilities of perception and of body schema plasticity in adults with DCD.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2021
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 8, 2021
CompletedFirst Posted
Study publicly available on registry
December 13, 2021
CompletedStudy Start
First participant enrolled
December 21, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 21, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 21, 2027
January 16, 2026
January 1, 2026
5.1 years
July 8, 2021
January 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Localization error distance
Difference in localization error distance between manual response and ocular response: measure in mm between the target and the response of the subject. Task 1 : proprioceptive localization with manual response Task 2 : proprioceptive localization with ocular response Task 3: tactile localization with manual response Task 4: tactile localization with ocular response In the 4 tests, we will measure the deviation (in mm) between the localization response of the subject and the reference point. For tasks 1 and 2, the reference point is the position of the hidden index finger of the subject. For tasks 3 and 4, the reference point is the position of the tactile stimulation applied to the hidden arm of the subject. For the manual response, the subject must designate with his other index finger where he considers the target to be. For the ocular saccadic response, the subject must shift his gaze and look where he considers the target to be.
At day 1
Secondary Outcomes (5)
Reaction time of motor localization response
At day 1
change related to tool-use of amplitude of velocity peak and the peak opening of the thumb-index grip of free reach-to-grasp limb movements
At day 1
change related to tool-use of latency of velocity peak and the peak opening of the thumb-index grip of free reach-to-grasp limb movements
At day 1
change related to tool-use of acceleration peak of the upper limb of free reach-to-grasp limb movements
At day 1
change related to tool-use of deceleration peak of the upper limb of free reach-to-grasp limb movements
At day 1
Study Arms (4)
Dyspraxic children
EXPERIMENTALChildren with Developmental coordination disorder
Control children
EXPERIMENTALHealthy children
Dyspraxic adults
EXPERIMENTALAdults with with Developmental coordination disorder
Control adults
EXPERIMENTALControl adults
Interventions
In the first part of the study, the subject must designate a target in 2 ways: manual pointing or ocular saccadic response. In the second part of the study the subject will have to reach and grasp a rectangular block of wood placed on the table at a distance of 35 cm. He will have to catch the wooden block, lift it a few centimeters and put it back on the table. Tool use and control phases: the subject grasps the wooden block with a tool or without the tool but with a weighted bracelet loading his wrist by the same amount as the tool.
Eligibility Criteria
You may qualify if:
- Male or female
- Aged 9 to 11 or 18 to 40
- Affiliated to a health care organism
- Signed written informed consent (adult subjects)
- One of the legal guardians of children subjects providing their free, informed and written consent to participate in the study; With the child also giving orally his consent to participate.
- For participants with Developmental coordination disorder:
- Subjects fulfilling the diagnostic criteria for dyspraxia of DSM-5 (these criteria will be verified by the principal investigator)
- Total MABC-2 score below the 15th percentile (if this MABC-2 assessment is already available).
You may not qualify if:
- Prematurity
- Known neurological pathology (other than dyspraxia)
- Intellectual disability
- Visual impairment
- Surgery or trauma to the upper limbs that has occurred too recently to allow proper testing
- Subject under tutorship or curatorship
- Subject deprived of liberty by a judicial or administrative decision
- For healthy volunteers only:
- \- History of developmental coordination disorder in close relatives (parents, children, siblings).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Equipe IMPACT du CRNL INSERM U1028, CNRS UMR 5292
Bron, Auvergne-Rhône-Alpes, 69676, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Denis PELISSON, Dr
Centre de Recherche en Neurosciences de Lyon
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2021
First Posted
December 13, 2021
Study Start
December 21, 2021
Primary Completion (Estimated)
January 21, 2027
Study Completion (Estimated)
January 21, 2027
Last Updated
January 16, 2026
Record last verified: 2026-01