Bilateral Motor Coordination in 5- to 9-Year-Old Children: A Pilot Study Livia C. Magalhaes, Jane A, Koomar, Sharon A. Cermak Key Words: coordination evaluation. motor activity. sensory integration The purpose of this study was to collect normative data on and to assess the clinical usefulness of scales designed to measure the quality of children's ability to perform three bilateral motor coordina tion tasks: jumping jacks, symmetrical stride jumps) and reciprocal stride jumps. One hundred children) aged 5 to 9 years) were tested according to the scales developed for this study. Results indicated that scores tended to increase with age and that sex differences were not Significant. Jumping jacks were found to be the most reliable and the easiest of the three tasks. Reciprocal stride jumps were the most difficult. Quality ofperformance was assessed, and the number ofjumps in a JO-sec trial was recorded for each age The data from this study may be useful in comparing the performance of children with motor deficits to the performance of normal chil dren of the same age. Livia C. Magalhaes, MS, OT, is Instructor of Occupational Therapy, Federal University of Minas Gerais, Belo Hori zonte, Brazil. Jane A Koomar, MS, OTR, is Clinical Assistant Professor of Occupational Therapy, BostOn University, Sargent College, One University Road, Boston, Massachusetts 02215. She is also in private practice with Occupational Therapy Asso ciates, Watertown, Massachusetts. Sharon A. Cermak, EdD, OTR, FAOTA, is Associate Professor of Occupational Therapy, !3oston University, Sargent Col lege, Boston, Massachusetts. This article was accepted for publication October 18, 1988 T he purpose of this study was to answer the fol lOWing questions: Does the performance of normal children on bilateral motor coordina tion tasks, such as jumping jacks, improve with age:> Does sex affect performance:> Can raters be trained to reliably score a child's performance on these motor tasks:> Occupational therapists working with children are frequently involved in the evaluation and treat ment of sensory integrative deficits. Children with sensory integrative dysfunction often have motor per formance deficits that, in many cases, are secondary to poor bilateral motor coordination and dyspraXia (Ayres, 1972). The measurement of motor function is an important part of the evaluation of these children; therefore, the therapist must be able to assess motor function reliably and objectively. Therapists commonly use the Southern California Sensory Integration Tests (Ayres, 1980) and clinical observations together with the Bruininks-Oseretsky Test of Motor Proficiency (Bruin inks, 1978) to assess motor dysfunction in children. These tests are ex tremely useful for diagnostic evaluation. However, therapists working with large populations, such as the children in the public schools, need screening tools to determine who needs further assessment. Jumping jacks and similar motor tasks that in volve sequential and rhythmiC changes in limb pos ture require complex levels of bilateral motor coordi nJtion and motOr planning. Cratty (1980) suggested that jumping jacks, Jlong with some other motor tasks, can be used to assess motor functions. To assess per ceptualmotor dysfunction, Roach and Kephart (1966) had children lie on a mat while performing jumping jack-like movements. Bruininks (1978) and Hughes and Riley (1981) also used various jumping patterns, such as the stride jump, to assess bilateral motor coordination. The frequent inclusion of jumping jacks and simi lar patterns of movement in tests that measure bilat erJI motor function in children suggests that these movements can yield useful information on chil dren's motof status. None of the standardized tests, however, give normJtive data fOf jumping jacks or the stride jump, which makes it difficult for therapists to include these tasks in their clinical observations for screening Therefore, we decided to study the devel opmental components of these motor tasks and to explore their potential as assessment tools. Literature Review The ability to move and explore the surroundings is considered essential to a child's adaptation to the en vironment and to his or her overall development (G i1foyle, Grady, & Moore, 1981) Although many patterns of motor development have been studied and documented, the development of bilateral motor co The Americanjournal of Occupational fherap)' Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms 437 ordination has received little attention (WilJiams, 1983). Bilateral motor coordination refers to the abil· ity to use both sides of the body in an integrated and skillful manner (Williams). Ayres (1972) said that the process of integration of vestibu lar and propriocep· tive sensations and the efficiency of interhemispheral connections are the bases for good bilateral integra· tion of both sides of the body. The development of bilateral motor coordination begins early in life and is the basis for further motor development (Berk & DeGangi, 1983; Kauffman, 1983). Although there are differences among individ· uals, the acquisition of control over the use of the extremities follows a developmental sequence that usually starts with control over bilateral, symmetrical movements (e.g., pat·a·cake), then moves to homo· lateral or unilateral movements (e.g., unilateral reaching), and finally proceeds to reciprocal move· ments of the extremities and skilled bilateral function (e.g., crawling) (Williams, 1983). As the child's pas· tural abilities improve, elements of this developmen· tal sequence recur during the acquisition of new and more complex bilateral skills. Although Williams (1983) suggested that a 6· year·old child should show good mastery of all devel· opmental phases of bilateral motor coordination, there is some evidence that complete mastery of all phases is achieved at later ages. According to Kauff· man (1983), good performance on alternate foot tap· ping and on jumping jacks should be expected at the age of 7 years, and on alternate hops (two right, two left or two right, one left), at the age of 8 years. In a study in which 6· to 12·year·olds were tested on a variety of motor tasks (Hughes & Riley, 1981), a task requiring the children to perform sequential adduc tion and abduction of the lower limbs while jumping in place was dropped for 6·year·olds because it was found to be too difficult. However, for older children, the same task was found to be valuable in determining motor problems. These findings suggest that refine ments in some aspects of bilateral coordination occur after the age of 6 years. They also suggest that al· though simple motor tasks can be used to detect motor dysfunction in children, the tasks must be can· sidered within a developmental context. Activities such as those mentioned above, be· sides involVing bilateral motor coordination, require the ability to plan movements, especially while the tasks are being learned. Motor planning, or praxis, is the ability to plan and execute skilled or nonhabitual motor tasks (Ayres, 1972). Therapists assessing bilat· eral motor coordination in children can observe coor· dination as well as the strategies children use to learn the new movements. The developmental sequences of walking, run· ning, vertical jumping, skipping, and other gross 438 motor activities and exercises recommended for chil· dren have been described (Gesell, 1946; Williams, 1983). However, although the activity of jumping jacks is familiar to many children and is mentioned frequently in motor programs for children, the devel· opmental components of jumping jacks have not been studied. There are no references to age expectations for accurate performance of this motor task or to the factors that contribute to acqUisition of this skill. Age is eVidently a critical factor in the acquisition of motor skills in children. Some authors have also suggested there might be sex differences in the rate of motor maturation (Waber, 1979), but this idea has been contested (Thomas & French, 1985). Studies of motor control should address this question. Several studies have shown that children with de· velopmental delay tend to have difficulties on bilat· eral motor tasks. Ayres (1972, 1979) found that chilo dren with developmental dyspraXia and vestibular·bi· lateral integration disorders tend to present poor bilateral motor coordination. According to Cratty (1980), an inability to integrate body parts can be manifested by difficulties in performing jumping jacks. He stated that clumsy children tend to find jumping jacks particularly difficult because of their inability to coordinate the simultaneous movements of the arms and legs. Cratty recommended that the evaluation of these children not only depend on stan· dardized tests of upper body or lower body bilateral coordination but also include complex tasks like jumping jacks. Observation of children's performance on jump· ing jacks and two other jumping tasks, the symmetri· cal stride jump and the reciprocal stride jump, involv· ing respectively, homolateral and contralateral con trol of the arms and legs, could help therapists understand the development of praXis and bilateral motor coordination. Before these motor tasks can be used as assessment tools, it is necessary to determine how normal children perform at different ages and whether there are sex differences in performance. We therefore developed three scales to measure performance of jumping jacks, symmetrical stride jumps, and reciprocal stride jumps. On the basis of these scales, the follOWing hypotheses were tested: 1. There will not be a significant sex effect on any of the tasks. 2. There will be a significant age effect such that older children will have significantly higher scores than younger children on each of the three scales. 3 There will be a significant task effect such that the scores on the jumping·jacks scale will be significantly higher than the scores on the other two scales, and the scores on the sym· July 1989, Volume 43, Number 7 Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms metrical-stride-jump scale will be significantly higher than the scores on the reciprocal stride-jump scale. 4. There will be a significant age-task interaction such that older children will present signifi cantly fewer differences in scores between the three scales than will younger children. Method Subjects The subjects were 100 right-handed, normal boys and girls, with 20 subjects, 10 boys and 10 girls, at each of the following five age levels 5,6,7,8, and 9 years. All subjects were selected from two public elementary schools in the Boston area. This sample primarily rep resented the lower middle class socioeconomic level and consisted of 83% Caucasian children and 17% mi nority children. Information prOVided by the classroom teacher and school records was used to select the 6- to 9-year-old children according to the following criteria (a) no physical or motor deficits, (b) normal hearing and corrected vision, (c) no lan guage or learning disorders, (d) no illness lasting more than 3 months immediately before or during school attendance, (e) no acceleration or repetition of a grade, (f) no failure in a current subject, (g) normal intelligence as measured by a group intelli gence test, (h) right-handedness for writing, and (i) 5 Item no history of educational remediation Inclusion cri teria for 5-year-olds were the same with one excep tion: school achievement was measured by age-ap propriate performance on a preschool screening test, as reported by the teacher. Instrumentation To develop the scales to assess the three motor tasks, normal children of various ages were Videotaped per forming the tasks. The tape was shown to other expe rienced therapists and occupational therapy graduate students to determine what they considered to be the most important characteristics of the performances. These data were summarized and organized on three 5-point scales by the first author. These scales were then reviewed by experts, and a pilot study involVing 10 children, 5 to 10 years of age, was conducted to establish Content validity. The final format of the jumping-jacks scale is shown in Figure 1. The three scales were identical in format; differ ences in the scoring criteria reflected variations in motor competencies involved in each of the three tasks. For each task there were two phases: 1. Learning phase: The examiner explained and demonstrated the specific motor task. The three items in this phase-(a) response to in struction, (b) initiation of sequences, and (c) coordination of arms and legs-were de- Score 3 4 Spontaneous Needs second demonstration Needs verbal structure Needs verbal and physical structure Unable to periorm • Initiation of sequences Smooth and uninterrupted; able to do five in a row Does one to two false starts, but then is correct Hesitates or interrupts between sequences Performs only with examiner Is unable to periorm or initiates different movement pattern • Coordination of arms and legs Rhythmical, full pattern Is awkward, incomplete, or slow Reverses pattern after two or three jumps Coordinates only arms or only legs Jumps in place with no coordination • Number of full patterns in 10 sec ~10 9 to 7 6 to 4 3 to 1 <1 • Quality of performance Rhythmical, uninterrupted full pattern Is slightly awkward or has one interruption; loses or reverses pattern but corrects Has two or more interruptions or reverses after four to five jumps with no correction Is unable to keep pattern; tends to do incomplete jumps after two or three jumps Does only incomplete sequences (lJ (j) <1l -c n. 1 2 • Response to instruction 0) c c Iii (lJ ...J (lJ (j) <1l -c n. (lJ () c <1l E a 't: (lJ n. Learning phase score _ Periormance phase score _ Total score _ Figure 1. Jumping-jacks scale and score sheet. The Americanjournal of Occupational Therapy Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms 439 signed to evaluate aspects of the strategies a child uses to learn the task and the quality of initial performance. Each item was scored on a scale from 1 to 5 (with 1 being the lowest and 5 the highest score) and reflected the child's best performance. 2. Performance phase: The examiner asked the child to perform the task for 10 seconds. The number of repetitions and the quality of per formance were scored on two additional items: (a) number of full patterns in 10 sec· onds and (b) quality of performance. The per formance on each item was scored on a scale from 1 (lowest) to 5 (highest). For each scale, a total score was computed by adding the score obtained on each test item. Partial scores for the learning and performance phases were obtained in the same way. The examiner also counted the number of correct jumps completed during the performance phase. Interrater reliability was obtained for the three scales before the actual testing. A Videotape shOWing the performances of 5 normal children on the scales was used by the first author to teach the scoring crite ria to another rater, an occupational therapist who was a graduate student. After being trained, the two thera pists independently scored the actual performance of 5 other normal children,S to 9 years of age. The in traclass correlation (Francis, 1986) for the two raters was r == .99 for the jumping-jacks and symmetrical stride-jump scales and r == 1.00 (a perfect correlation) for the reciprocal-stride-jump scale. Test-retest reliability was established by twice testing a group of 10 children, aged 7 and 8 years, on all three measures, with 2 weeks between each test. The Pearson correlation coefficient for the total scores was r == .82 for the jumping-jacks scale, r == .65 for the symmetrical-stride-jump scale, and r == .73 for the reciprocal-stride-jump scale. Criterion-related va lidity and construct validity were not assessed. Procedure After obtaining parental consent, we tested each child indiVidually in the school gymnasium of their respec tive schools. Standard 19-mm masking tape was used to draw a 90 X 130 cm rectangle on the floor, which indicated where the test was going to take place. The center of the rectangle was marked by a 30 X 30 em cross, which indicated the starting position for each task. Of the 100 subjects, all but 3 jumped within the limit line. Because only 3 subjects stepped on the limit line, this scale item was considered nonSignifi cant and dropped from the scales. During test procedures the examiner stood ap proXimately 2 m away from and facing the child. From 440 this position the examiner gave instructions and re corded each child's performance on the test sheet. All children wore shoes during testing. Each child was given the tests in the follOWing order: 1. Jumping jacks: This task consisted of rhythmiC jumping jacks with simultaneous abduction of straight arms above the head and legs to the sides and return to initial position. 2. Symmetrical stride jump: Right arm and leg were placed forward; left arm and leg, back. This task consisted of jumping in place in a rhythmical pattern while reversing the pOSi tion of arms and legs for each jump. 3. Reciprocal stride jump: Right arm and left leg were placed forward; left arm and right leg, back. This task consisted of jumping in place in a rhythmical pattern while reversing the position of arms and legs for each jump. An electronic timer was used to measure the 10 second periods in the Performance phase. We found during the pilot study that this timer was more useful than a regular stopwatch because it featured a beep that allowed for more precise measurement. It also freed the tester to concentrate only on the child's performance. The whole procedure took about 5 to 10 minutes for each child, depending on the amount of instruc tion needed. Breaks were allowed between tasks ac cording to each child's needs. Younger children tended to show signs of fatigue, whereas most of the 8- and 9-year-old children performed the three tasks without intervals of rest. Results A 5 X 2 X 3 (Age X Sex X Task) repeated measures analysis of variance (ANOVA) was performed on the total score of the three jumping tasks. Results showed that, overall, sex was not significant, F(l, 90) == 2.85, P == .09; age was significant, F( 4, 90) == 17.66, P <001; task was significant, F(2, 180) == 115.76, P < .001; and none of the interactions were significant. With the use of the Duncan multiple comparison procedure, signif icant differences (p < .05) were found between 5 year-olds and 7-, 8-, and 9-year-olds, and between 6 year-olds and 8- and 9-year-olds. The same procedure also showed significant differences between the three tasks. Separate ANOVAs were also performed for the learning and performance phases. A 5 X 2 X 3 (Age X Sex X Task) repeated measures ANOVA on the learning phase scores indicated that sex was not significant, F(l, 90) == 1.64, P == .20; age was signifi cant, F(4, 90) == 18.51, P < .001; task was significant, F(2, 180) == 82.46, P < .001; and none of the age-task interactions were significant. July ]989, Volume 43, Number 7 Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms The Age X Sex repeated measures ANOVA on the performance phase scores indicated that sex was not significant, F(1, 90) = 1.80, P = .054; age was signifi <::ant, F(4, 90) = 13.23, P < .001; task was significant, F(2, 180) = 86.47, P < .001; and age-task interaction was significant, F(8, 180) = 3.70, P < .001. No other interaetions were significant. The Duncan multiple range test indicated that at each age there was a signif icant difference (p < .05) between reciprocal stride jumps and jumping jacks and between reciprocal stride jumps and symmetrical stride jumps. However, there was no significant difference between symmet rical stride jumps 3nd jumping jacks at any age. Because sex differences did not significantly af fect perform3nce, data for boys and girls were com bined. Table 1 presents the means and standard de viations for the total score and the learning, and per formance phase scores as a function of age for each of the three jumping tasks. Three 5 X 2 (Age X Sex) ANOVAs, one for each task, were conducted for the actual number of correct jumps completed in 10 seconds on the performance phase. Table 2 presents the means and standard de viations for the 3etU31 number of jumps in 10 seconds as a function of age and t3sk. For jumping jacks, sex W3S not signific3nt, F(1, 90) = 0.48,p = .491; age W3S significant, F(4, 90) = 20.55, P < .001; and age-task interaction was not significant. With the use of the Duncan multiple comparison procedure, differences (p < .05) in the number of jumping j;Jcks performed were found between the 5-year-olds and the 6·, 7-, 8-, and 9-year-olds, hetween the 6-year-olds anel the 7-, 8-, and 9-year-olds, and between the 7-yearoJds and Table 1 Means and Standard Deviations of Learning Phase, Performance Phase, and Total Score as a Function of Age and Task Task Jumping Jacks ---Age-' Phase x SD 5 Learning Performance Tm:i1 6 Le3rning 107 50 157 118 66 lil4 14.7 8.6 231 148 96 244 148 97 245 28 25 46 29 2.7 5.2 7 8 9 Performance Total Learning Performance TOlal Learning Performance Total Learning Performance Total 1.4 2.1 28 0.6 1.4 2.0 0.7 13 20 Symmetrical Jump --Reciprocal Jump --- x - -SD - - - _x. _ -SD 10.6 58 16.4 108 63 17 1 11.7 74 191 13.7 8.7 22.4 136 85 221 - _ . _ ~ . " rz = 20 for each age group. 2.2 2.1 33 28 19 4.4 22 22 38 1.5 13 2.7 1.4 15 2.8 7.4 35 109 75 4 1 11.6 90 52 142 11.5 52 167 11.9 4.0 159 38 23 58 4.1 2.6 6.4 38 3.0 65 2.1 32 4.9 31 28 49 Table 2 Means and Standard Deviations for Number of Jumps Performed in 10 Sec as a Function of Age and Task T~sk - Jumping Jacks --- Symmt:lrical Jump Age' x sn x Sf) 5 6 7 8 9 39 69 96 11.8 12.9 36 45 3.9 29 32 53 6.2 7.7 33 29 35 2.3 25 - , 1/ = 96 9.4 Reciproc:Il .lump x \f) 1.7 31 2 .'~ 3H ·j.1 :~8 4 I 2..i ,1. , ;Hi 20 for t:ach age group. the 9-ye:lr-olds. For symmctric;!l stridc Illmp~, sex \\':.1" significant, F(1, 90) = 5.78, P < .OS, with girls doing better than hoys; age was significant, F(4. 90) = 904, P < .001; and age-t:1sk interaction W:IS not signinC:lI1t The Du ncan procedure illli ic!ted t h:!t the source of difference in age (p < .05) W:IS hetween ')ve:lrolds and 7-, 8-, :l11d 9-year-olds Jnd between 6ve:lr·olds and 8- and 9-year-olds. The AN OVA performerl on the number of reciproGll jumps indicated th:lt sex \\'~I<; nm significant, F(1, 90) = .30, P = .586; :lge w:\S nor sign if icant, F(4, 90) = 1.57, P = .18; and age-t:lsk interaction WZIS not signific;Jnt Discussion According to the results, the three jumping usk..;, :1" measured by total scores, present increasing level, of difficulty, and the ability to learn the t:lsks improves wjth age. As hypothesized, jumping jacks \\':IS the e:1si est task, but consistent, spont:l11eous, correct perfor mance should not be expected before the :Igc of 7 YC:lrs. This finding is in agreement with K:Iuffm:m s (1983) expectations. The symmetriCll stride lump was the second most difficult task, in which rhE:' chil dren's performance was not consistent and SP1)nt:lIle· OUS until the age of 9 years, with only 50% of the 9-year-olds obtaining a perfect or near-perfect <;core (23 points or above). As expected, the reciprocll strielc lump "':1" the most difficult task, in which only 1S% of the 9·ve:lr· olels C3 chilclren) obtained J near-perfect score. The scores obtained on the reciprocal-srride·jump selle (see Table 1), show that in the le:lrning phase the scores increased consistently with age, inclic:tring rh:n the older chil.dren needed less instruction ro perf()rm the task correctly than did the younger children. AI· though the older children learned the tasks faster, their scores in the performance phase, and conse· quently, their total scores, did not improve with :1ge. An explanation for this lack of improvement mighr he the fact that during test procedures the ().~/carolds tended to get confused when being timed. During rhe The American.!ouma! oj Occupational Therapy Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms 441 performance phase, 40% of the 9-year-olds reversed the pattern on the first jump and did the easier sym metrical pattern instead of the reciprocal one These children did not seem to notice they were doing the wrong pattern and tended to perform a more auto matic pattern when under time constraints. The re sults obtained on the reciprocal·stride-jump scale suggest that the neuromotor mechanisms underlying the ability to do this type of motor task might still be under development at the age of 9 years. Sex differences in performance were not evi denced on any of the jumping tasks, except on the symmetrical-stride-jump scale, where girls were faster and therefore performed more jumps. This difference may be due to the small sample size or, perhaps, to the practice of bilateral motor tasks, such as clapping games or jump rope, which are more commonly played by girls. This finding is consistent with Thomas and French's (985) proposition that there are no biological gender differences on specific motor tasks before puberty, and that such differences, when they are observed, are thought to be induced by environmental expectations. The results of the present study indicate that the scales developed may be useful tools in assessing children's ability to perform jumping jacks, symmetri cal stride jumps, and reciprocal stride jumps. Test procedures can be administered in less than 10 min utes, the scoring criteria are easy to learn, and raters can be trained to score in a reliable way, as indicated by the high interrater reliability indexes. Although the scales present some characteristics that are highly desirable as screening assessments for motor dysfunction, their test-retest reliability and the age range to which they apply pose limitations on their use. The test-retest reliability coefficients for the symmetrical-stride-jump and reciprocal-stride jump scales indicate only a moderate degree of repro ducibility Two factors may have contributed to lower correlations. Some subjects, frustrated by their poor performance on the first test, and others, challenged to improve their performance, reported they had practiced the symmetrical and reciprocal stride jumps between the two test administrations. Although this practice effect may have lowered the test-retest reli ability on both symmetrical and reciprocal stride jumps, it is not clear why the test-retest reliability was even lower for the symmetrical-stride-jump scale. The scoring criteria on this scale may need minor revi sions. It is also reasonable to expect that some chil dren may have benefited from practice during the learning phase of testing and that they therefore re ceived higher overall scores when tested the second time. None of the children reported haVing practiced jumping jacks between test sessions, perhaps because 442 this was an activity more familiar to them than stride jumps. The test-retest reliability coefficient for the jumping-jacks scale was higher than for the other two tasks, thus indicating good reproducibility. Therefore, jumping jacks, as measured on this scale, may be the most useful tool for the assessment of bilateral motor coordination. Considering the age level at which groups of children gain proficiency in each of the three jumping tasks, it seems reasonable to use the jumping·jacks and symmetrical-stride-jump scales with children aged 5 years and older. The reciprocal-stride-jump scale does not seem appropriate for children younger than 7 years of age because approximately 50% of the 5- and 6-year-old children failed to learn the task. This task also proved to be difficult for 9·year-olds. There fore, the use of this scale as a screening meaSUre should be limited until further research is done to identify the age at which reciprocal stride jumps can be developed as a skill. It would be interesting to study further whether these scales can differentiate between children who have motor deficits (e.g., sensory integration dys function) and children who do not have these deficits Another component to investigate is the contribution of praxis to the performance of these tasks. Summary Normal children aged 5 to 9 years, 10 boys and 10 girls at each age level, were tested on their ability to do jumping jacks, symmetrical stride jumps, and recipro cal stride jumps. The children's performance on each of the three tasks was scored according to scales de veloped by the first author, and the use of these scales to assess motor skill development in children was discussed. There were no sex differences on the tasks. However, there were significant differences in the performance on each task according to the child's age level. Jumping jacks were shown to be the easiest task, performed well by children aged 7 years and older. The symmetrical stride jump was an interme diary task that most of the 9·year-old children per formed well. The children's performance on the re ciprocal-stride-jump scale was somewhat variable, and the task appeared to be too difficult for the major ity of the children tested. In conclusion it can be said that the jumping jacks scale is useful as a screening tool in the assess ment of bilateral motOr coordination in children. The symmetrical-stride-jump scale also is a useful mea sure; however, results indicate that it is not as reliable as the jumping-jacks scale. Acknowledgments We thank the administrators, teachers, and children at the ivlaplewood School, Malden, Massachusetts, and at the July 1989, Volume 43, Number 7 Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms Morse School, Cambridge, Massachusells, for lheir coopera lion and assislance, and Anne Fisher, SeD, OTR, for her assis lance in designing lhe scales. We also lhank lhe Coordenacao de Aperfeicoamemo de Pessoal de Nivel Superior (CAPES), Brazilian Minislry of Educalion and Cullure, who supponed lhis swdy and spon sored lhe firsl aUlhor's graduale educalion This slUdy was compleled by lhe firsl aUlhor in panial fulfillmem of lhe requiremems for lhe maSler of science degree from Boswn University. References Ayres, A. J. (1972). Sensory integration and learning disorders. Los Angeles: WeSlern Psychological Services. Ayres, A. J. (1979) Sensory integration and the child Los Angeles: Weslern Psychological Services. Ayres, A. J. (1980). Southern California Sensory Inte gration Tests manual (rev. ed). Los Angeles: \1(/ eslern Psy chological Services. Berk, R. A., & DeGangi, G. A. (1983) DeGangi-Berk Test of Sensory Integration manual. Los Angeles: Weslern Psychological Services Bruininks, R. H. (1978) Bruininks-Oseretsky Test of Motor Proficiency. Circle Pines, MN: American Guidance Service. CrallY, B. J. (1980). Adapted physical education for handicapped cbildren and youth. Denver: Love. Francis, K. (1986). Compliler communicalion. Physi cal Therapy, 66, 1140-1144. Gesell, A. (1946). Thefirst./ive years of Ilfe. New York: Harper & Row. Gilfoyle, E. M., Grady, A. P., & Moore, J. C. (1981) Children adapt. Thorofare, NJ: Slack. Hughes, J. E., & Riley, A. (1981). J3asic gross malar assessment. Physical Therapy, 61, 503-511. Kauffman, N. A. (1983) Occupalional lherapy Wilh children-The school selling. In H. L. Hopkins & H D. Smilh (Eds.), Willard and Spackman's occupational ther apy (6lh ed) (pp 683-719) Philadelphia J. B Lippincoll. Roach, E. G., & Kephan, N. C. (1966). The Purdue Perceptual-A10tor Survey. Columbus, OH: Charles E. Mer rill Thomas, J. R., & French, K. E. (1985) Gender differ ences across age in mowr performance: A mela-analysis. Psychological Bulletin, 98, 260-282. Waber, D. P (1979) Cognitive abilities and sex-relaled varia lions in lhe maluralion of cerebral conical funclions. In M. A. Willing & A. C. Pelerson (Eds), Sex-related dilfer ences in cognitive functioning: Developmental issues (pp. 236-257) New York: Academic Press Williams, H. G. (1983). Perceptual and motor devel opment. Englewood Cliffs, NJ: Premice-Hall The American.1oumat of Occupational Tberapy Downloaded From: http://ajot.aota.org/pdfaccess.ashx?url=/data/journals/ajot/930344/ on 06/17/2017 Terms of Use: http://AOTA.org/terms 443
© Copyright 2026 Paperzz