Fundamental movement skill proficiency and objectively measured physical activity in children with bronchiectasis: a cross-sectional study

Background Bronchiectasis is a major contributor to respiratory morbidity and healthcare utilization in children. Children with bronchiectasis exhibit low levels of physical activity (PA) and poor fundamental movement skills (FMS) may be a contributing factor. However, there are no data on FMS’s in this population. The current study assessed FMS proficiency in children with bronchiectasis and examined associations with objectively measured PA. Methods Forty-six children with bronchiectasis (mean age 7.5 ± 2.6 year, 63% Male) were recruited from the Queensland Children’s Hospital, Brisbane. PA was measured using the ActiGraph GT3X + accelerometer. Raw accelerometer data were processed into daily time spent in sedentary activities, light-intensity activities and games, walking, running, and moderate-to-vigorous activities and games using a random forest (RF) PA classification algorithm specifically developed for children. Daily MVPA was calculated by summing time spent in walking, running, and moderate-to-vigorous activities and games. FMS were assessed using the Test of Gross Motor Development 2nd Edition (TGMD-2). Results Fewer than 5% of children demonstrated mastery in the run, gallop, hop, and leap; while fewer than 10% demonstrated mastery for the two-handed strike, overarm throw, and underarm throw. Only eight of the 46 children (17.4%) achieved their age equivalency for locomotor skills, while just four (8.7%) achieved their age equivalency for object control skills. One-way ANCOVA revealed that children achieving their age equivalency for FMS had significantly higher levels of MVPA than children not achieving their age equivalency (51.7 vs 36.7 min/day). When examined by the five activity classes predicted by the RF algorithm, children achieving their age equivalency exhibited significantly greater participation moderate-to-vigorous intensity activities and games (22.1 vs 10.7 min/day). No significant differences were observed for sedentary activities, light-intensity activities and games, walking, and running. Conclusion Children with bronchiectasis exhibit significant delays in their FMS development. However, those who meet their age equivalency for FMS proficiency participate in significantly more daily MVPA than children who do not meet their age-equivalency. Therapeutic exercise programs designed to improve FMS proficiency are thus likely to be beneficial in this population.

The Influence of a Table Tennis Physical Activity Program on the Gross Motor Development of Chinese Preschoolers of Different Sexes

Gross motor locomotion is the basis of various sensory motor locomotion. Interventions helping preschoolers develop gross motor skills (GMS) could provide a solid foundation for complex motor skills. This study analyzed a table tennis physical activity program’s influence on preschoolers’ GMS development with 104 preschoolers (experimental group (EG): N = 52, 25 boys, 27 girls; control group (CG): N = 52, 25 boys, 27 girls). The EG conducted table tennis physical activities three times per week for 12 weeks. Preschoolers’ GMSs were assessed using the Test of Gross Motor Development (second edition). After 12 weeks, both the male and female EGs had significantly improved scores for GMS, locomotor subtest, gallop, hop, leap, slide, object control subtest, strike a stationary ball, stationary dribble, catch, overarm throw, and underhand roll (p < 0.05, p < 0.01, p < 0.001). The female EG also showed significant improvement for the run, horizontal jump, and catch in the post-test. Both the male and female EGs significantly outperformed the control group in their post-test scores for GMS, locomotor subtest, object control subtest, strike a stationary ball, overarm throw, and underhand roll (p < 0.05). The female EG also showed significant differences in slide scores (p < 0.05). Therefore, table tennis physical activities can promote preschoolers’ GMS development, especially object control skills. The research results provide an empirical basis for preschoolers’ physical education. Meanwhile, our findings have important implications for preschoolers’ GMS development and table tennis’ popularization in Chinese kindergartens.

Qualitative and Quantitative Assessment of Overarm Throwing in Children With and Without Developmental Coordination Disorder

Background: Children with developmental coordination disorder (DCD) frequently have difficulties performing gross motor skills such as the overarm throw. Our study examines the differences in both qualitative and quantitative characteristics of overarm throwing for accuracy between typically developing (TD) and children with DCD. Methods: A total of 74 children (36 females/38 males) aged between 7 and 11 years, participated in this study. The authors used the Movement Assessment Battery for Children—second edition to assess motor impairment. In total, 37 (50%) met the criteria for DCD. Each participant completed 10 overarm throws for accuracy at a target. The authors assessed movement quality using the component approach (Roberton & Halverson, 1984) and quantity using target accuracy. Results: The analyses revealed significantly lower throwing accuracy in DCD versus TD children. Children with DCD also demonstrated fewer component combinations and lower developmental levels than their TD peers. Finally, product scores tracked with process scores. Discussion: Both qualitative and quantitative measures clearly showed that children with DCD are at a disadvantage in controlling a ball during overarm throwing. They used stability profiles that limited coordination variability. TD participants performed more combinations of higher developmental levels to achieve more accurate throws, suggesting they controlled variability to optimize the accuracy of their throws.

Validation of a Backswing Developmental Sequence for the Overarm Throw for Force

Background: Roberton’s movement components are used to assess fundamental motor skills as segmental developmental sequences. In 1991, Haywood, Williams and VanSant determined that original developmental sequences proposed for the backswing levels of the overarm throw did not encompass all ages. Their study of older throwers identified two new qualitatively different levels, with half the participants categorized at two new levels. This investigation extended the initial validation across a wider age range. Method: Two hundred and twenty-eight primary, high school, university students, and adults were instructed to make five throws for maximum force using their dominant hand. Throws were recorded with side and rear cameras synchronized for analysis. Prelongitudinal screening was used to analyze the Haywood et al. revisions of the Langendorfer developmental sequence. Results: Five of the six levels of Haywood’s sequence were suitable for assessing throwers 8 years of age through to adulthood. More study is needed of one less advanced pattern. Lower level throws corresponded to lower velocities; higher level throws were faster, suggesting the sequence was properly ordered. More males than females were classified at higher levels, demonstrating typical gender differences. Discussion: The categories hypothesized for the backswing action of the overarm throw were valid descriptors of differences observed across ages, from childhood to adulthood. Additional study of Levels 3 and 4 is warranted to clarify their order.