Assessment & Research

Motor and cognitive dual-task performance under low and high task complexity in children with and without developmental coordination disorder.

Krajenbrink et al. (2023) · Research in developmental disabilities 2023
★ The Verdict

Kids with DCD can keep up in dual tasks but burn extra mental fuel, so lower the load and insert rests before fatigue hits.

✓ Read this if BCBAs writing motor-plus-language or motor-plus-math programs for grade-school clients with DCD.
✗ Skip if Clinicians working only on single-skill drills or with adult populations.

01Research in Context

01

What this study did

Hilde and colleagues asked kids with and without developmental coordination disorder to do two things at once. One task was easy, the other was hard. They watched how well each group did and asked how tired their brains felt.

The kids walked while naming animals or doing math. The team compared steps, answers, and self-rated effort between the two groups.

02

What they found

Both groups slowed down a little when the tasks got harder. The size of the slow-down was the same for kids with and without DCD.

The big difference was inside: children with DCD said the dual tasks felt much harder, even though their scores matched their peers.

03

How this fits with other research

Asonitou et al. (2012) saw large gaps between the same two groups on single motor and single thinking tests. Hilde’s team now shows those gaps disappear when the tasks are combined, hinting that dual-task settings hide real problems.

Schaaf et al. (2015) also used low- and high-demand jobs. They found smaller heart-rate changes in at-risk kids, pointing to a quieter stress system. Hilde adds the mental side: the system still feels the load, it just doesn’t show it in the body.

Robertson et al. (2013) watched kids with DCD burn more oxygen while biking. Higher fuel use plus higher mental effort paints one picture: everything costs more for these kids, even when we can’t see it right away.

04

Why it matters

You can’t trust equal scores to mean equal ease. Plan short bursts, give brain breaks, and ask clients how hard it feels. Drop complexity before performance crashes, not after.

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After every five dual-task trials, ask the client to rate effort 1-5; if the answer is 4 or 5, cut the task difficulty in half.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
64
Population
developmental delay, neurotypical
Finding
null

03Original abstract

BACKGROUND: In everyday life, tasks are often performed simultaneously, which may be more difficult for children with developmental coordination disorder (DCD) than their peers. AIMS: To examine (1) the effects of task complexity and type of concurrent task on dual-task performance in children with and without DCD; and (2) if the amount of effort that children put into the task performance differs between the groups. METHODS: Participants were 64 children with and without DCD (aged 7-14 years). The dual-task paradigm consisted of a manual dexterity task of relatively low complexity (box and block test) or relatively high complexity (pegboard task), and a concurrent motor task (cycling task) or a concurrent cognitive task (word-listening task). To assess mental effort, children were asked how tired they felt before and after the experiment. RESULTS: Dual-task interference was highest when the manual dexterity task of relatively high complexity was combined with the concurrent motor task. There were no group differences in dual-task interference, but children with DCD reported a larger increase in the level of tiredness after the experiment indicative of greater mental effort. CONCLUSIONS: Depending on task demands, children with DCD are able to perform dual-tasks at the same level as their peers, but performance may take children with DCD more mental effort.

Research in developmental disabilities, 2023 · doi:10.1016/j.ridd.2023.104453