Assessment & Research

Timing abilities among children with developmental coordination disorders (DCD) in comparison to children with typical development.

Rosenblum et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

Kids with DCD lag behind beats and pause longer between pen strokes—two quick timing checks can catch the problem early.

✓ Read this if BCBAs who assess or treat late-elementary kids with motor or handwriting concerns.
✗ Skip if Clinicians working only with adults or purely social-skills cases.

01Research in Context

01

What this study did

Rosenblum et al. (2013) compared timing skills in two groups of elementary-age kids. One group had developmental coordination disorder (DCD). The other group had typical development.

Each child tapped along with an Interactive Metronome beat. They also copied a short sentence while a digitizer pen tracked every stroke. The team looked at how long kids paused the pen in mid-air between letters.

02

What they found

Kids with DCD tapped far behind the metronome clicks. Their average lag was large enough to spot without a stopwatch.

They also froze the pen in the air about twice as long as peers between strokes. A quick score that mixed tapping lag plus pause time correctly flagged 81 % of the children.

03

How this fits with other research

Bartov et al. (2024) used the same digitizer setup and again found big DCD deficits. They added grip-force data and showed that weak, shaky grip explains part of the slow, messy writing. The 2024 paper extends Sara’s timing work by telling us why the pen slows down.

Rosenblum et al. (2013) also published a sister paper the same year that used teacher ratings and legibility scores. Both studies landed on the same clear split between DCD and typical writers, so the timing result is not a one-off.

de Castro Ferracioli et al. (2014) looked at jump-and-clap timing variability in DCD and found the same story: these kids drift off the beat in gross motor tasks too. Together the papers show that poor timing shows up everywhere—fingers, feet, and pencil pauses.

04

Why it matters

If a child struggles to keep a beat or hovers the pen too long, you have a fast, cheap red flag for DCD. Run a 5-minute Interactive Metronome trial or count air-pauses with a stopwatch during writing. When both scores are high, refer for full motor testing and add timing drills to the skill plan.

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Time a client’s air-pauses during one sentence copy; if most pauses exceed one second, pair handwriting practice with Interactive Metronome tapping drills.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
42
Population
developmental delay, neurotypical
Finding
negative
Magnitude
large

03Original abstract

Timing ability is essential for common everyday performance. The aim of the study was to compare timing abilities and temporal aspects of handwriting performance and relationships between these two components among children with Developmental Coordination Disorders (DCD) and a control group. Forty two children, 21 diagnosed as DCD and 21 with typical development, aged 7-12, were matched for age, gender and school performed 14 tasks of the interactive metronome (IM) and three functional handwriting tasks on an electronic tablet that was part of a computerized system (ComPET--computerized penmanship evaluation tool). The IM supplies response time, while on-paper and in-air time per written stroke is received from the ComPET. Results indicated significant differences between the groups for both IM and handwriting tasks (ComPET). Linear regression indicated that the mean IM response time explained 37% of variance of the in-air time per stroke during a paragraph-copying task. Furthermore, based on one discriminate function including two measures reflected timing ability, 81% of all participants were correctly classified into groups. Study results strongly recommend consideration of the IM as an evaluation and intervention tool for children with DCD who are faced with timing deficits in their everyday functioning.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2012.07.011