Feedforward motor control in developmental dyslexia and developmental coordination disorder: Does comorbidity matter?
Kids with both dyslexia and DCD need anticipatory motor drills because their brains release the brake too late.
01Research in Context
What this study did
Cignetti et al. (2018) watched how kids prepare to move. They compared four groups: kids with both dyslexia and coordination disorder, kids with only dyslexia, kids with only coordination disorder, and typically developing peers.
Each child sat in a chair with a hidden motor that suddenly dropped their forearm. Sensors tracked muscle timing. The task shows how well the brain plans the move before it happens.
What they found
Only the comorbid group showed a clear lag. Their flexor muscles shut off late, so the arm dropped faster and they had to catch up. Kids with just one diagnosis looked like typical kids.
The delay points to a feedforward glitch: the brain sends the "get ready" signal too slowly when both conditions are present.
How this fits with other research
Schott et al. (2016) saw that DCD kids slow down when they walk while counting. Fabien shows the slowdown starts before the step: the plan itself is late. Together they map a timeline—poor anticipation first, then extra effort online.
Smits-Engelsman et al. (2023) later found that active video games boost balance in DCD. Their positive result seems opposite, but the kids trained anticipatory moves in fun drills—exactly what Fabien says the comorbid group lacks. The studies align: target the planning stage and gains follow.
Kaltner et al. (2014) linked dyslexia to slow mental rotation. Fabien extends that motor-cognitive overlap into real-time muscle control, showing the problem is not just in the mind—it reaches the arm.
Why it matters
If a child has both dyslexia and clumsiness, screen for feedforward gaps. Add quick, predictable unload games—dropping a light ball into their hand, catching falling beanbags—so they practice turning muscles off at the right moment. Five minutes at the start of sessions can sharpen the timing that paper worksheets miss.
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02At a glance
03Original abstract
BACKGROUND AND AIM: Feedforward and online controls are two facets of predictive motor control from internal models, which is suspected to be impaired in learning disorders. We examined whether the feedforward component is affected in children (8-12 years) with developmental dyslexia (DD) and/or with developmental coordination disorder (DCD) compared to typically developing (TD) children. METHODS: Children underwent a bimanual unloading paradigm during which a load supported to one arm, the postural arm, was either unexpectedly unloaded by a computer or voluntary unloaded by the subject with the other arm. RESULTS: All children showed a better stabilization (lower flexion) of the postural arm and an earlier inhibition of the arm flexors during voluntary unloading, indicating anticipation of unloading. Between-group comparisons of kinematics and electromyographic activity of the postural arm revealed that the difference during voluntary unloading was between DD-DCD children and the other groups, with the former showing a delayed inhibition of the flexor muscles. CONCLUSION: Deficit of the feedforward component of motor control may particularly apply to comorbid subtypes, here the DD-DCD subtype. The development of a comprehensive framework for motor performance deficits in children with learning disorders will be achieved only by dissociating key components of motor prediction and focusing on subtypes and comorbidities.
Research in developmental disabilities, 2018 · doi:10.1016/j.ridd.2018.03.001