Body schema plasticity is altered in Developmental Coordination Disorder. (10th February 2022)

• Record Type: Journal Article
• Authors: Martel, Marie; Boulenger, Véronique; Koun, Eric; Finos, Livio; Farnè, Alessandro; Roy, Alice Catherine
• Is Part Of: Neuropsychologia. Number 166(2022)
• Publication Date: 2022-02-10
• Subjects: Body representation -- Body schema -- Internal model -- Tool use -- Motor control -- Body image; Neuropsychology -- Periodicals; Neurology -- Periodicals; Psychophysiology -- Periodicals; Neuropsychologie -- Périodiques; Neuropsychology; Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.neuropsychologia.2021.108136
• Languages: English
• ISSNs: 0028-3932

Abstract

Abstract: Developmental Coordination Disorder (DCD) is a pathological condition characterized by impaired motor skills. Current theories advance that a deficit of the internal models is mainly responsible for DCD children's altered behavior. Yet, accurate movement execution requires not only correct movement planning, but also integration of sensory feedback into body representation for action (Body Schema) to update the state of the body. Here we advance and test the hypothesis that the plasticity of this body representation is altered in DCD. To probe Body Schema (BS) plasticity, we submitted a well-established tool-use paradigm to seventeen DCD children, required to reach for an object with their hand before and after tool use, and compared their movement kinematics to that of a control group of Typically Developing (TD) peers. We also asked both groups to provide explicit estimates of their arm length to probe plasticity of their Body Image (BI). Results revealed that DCD children explicitly judged their arm shorter after tool use, showing changes in their BI comparable to their TD peers. Unlike them, though, DCD did not update their implicit BS estimate: kinematics showed that tool use affected their peak amplitudes, but not their latencies. Remarkably, the kinematics of tool use showed that the motor control of the tool was comparable between groups, both improving with practice, confirming that motor learning abilities are preserved in DCD. This study thus brings evidence in favor of an alternative theoretical account of the DCD etiology. Our findings point to a deficit in the plasticity of the body representation used to plan and execute movements. Though not mutually exclusive, this widens the theoretical perspective under which DCD should be considered: DCD may not be limited to a problem affecting the internal models and their motor functions, but may concern the state of the effector they have to use. Highlights: Plasticity of the body representation used for action is impaired in DCD. Plasticity of the explicit metrics of the body is preserved in DCD. Motor learning of tool use is preserved in Developmental Coordination Disorder. Children with DCD rely on vision to control their hands or tools. There is a need to rethink the theoretical account of the DCD etiology.