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ArticlePediatric research2026

Motor-cognitive integrated training improves executive function and gross motor skills in children with developmental coordination disorder: a pilot RCT.

Ji-Wei Chen, Guan-Li Ma, Wen-Qian Du, Xu Zhang, Bo Sun, Bin Zhang, Kun Zhu

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Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07486856 (A School-based Motor-cognitive Integrated Training Programme Improves Executive Function and Motor Competence in Children With Developmental Coordination Disorder), which is not on this map. Not yet cited in PubMed.

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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NCT07486856 nacompletednot on this map

A School-based Motor-cognitive Integrated Training Programme Improves Executive Function and Motor Competence in Children With Developmental Coordination Disorder

TypeinterventionalSponsorShanghai University of SportRan2025 to 2025Enrolled20ConditionsDevelopmental Coordination DisorderArmsAction Observation and Motor Imagery (AOMI) Training, Fundamental Movement Skills (FMS) Training, General Physical Activities
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ji-Wei Chen *School of Physical Education, Shanghai University of Sport, Shanghai, China.
Guan-Li Ma *School of Psychology, Shanghai University of Sport, Shanghai, China.
Wen-Qian DuSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Xu ZhangSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Bo SunSchool of Athletic Performance, Shanghai University of Sport, Shanghai, China.
Bin ZhangSchool of Psychology, Shanghai University of Sport, Shanghai, China. zhangbin@sus.edu.cn.
Kun ZhuSchool of Physical Education, Shanghai University of Sport, Shanghai, China. zhukun@sus.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate a school-based pilot intervention combining fundamental movement skills (FMS) training and action observation and motor imagery (AOMI) for gross motor skills and executive function in developmental coordination disorder (DCD).

methodsIn this pilot randomized controlled trial, 20 children with DCD were randomized to an experimental group (FMS plus AOMI, n = 10) or an active control group (FMS plus video-based physical activity education). Both groups completed sessions three times per week for 10 weeks. Gross motor skills were assessed using the Test of Gross Motor Development-3. Executive function was evaluated using the More-Odd Shifting, Stroop, and Spatial Working Memory tasks.

resultsMotor skills improved in both groups, with larger gains observed in the experimental group. For executive function, the experimental group showed greater improvements mainly in reaction time and inverse efficiency scores, whereas accuracy improvements were limited and significant only in selected conditions.

conclusionCompared with FMS combined with video-based physical activity education, FMS combined with AOMI may be associated with additional improvements in motor skills and executive function-related behavioural performance in children with DCD. Given the small pilot sample, these findings should be interpreted as preliminary rather than definitive evidence of efficacy or superiority. CLINICAL

trial registrationTrial registration: ClinicalTrials.gov, NCT07486856. IMPACT: Children with developmental coordination disorder (DCD) commonly present with both motor coordination deficits and executive function difficulties. Existing interventions mainly focus on motor skills, whereas motor-cognitive integrated approaches remain insufficiently tested in school settings. This pilot randomized controlled trial provides preliminary evidence that a school-based programme combining fundamental movement skills training with action observation and motor imagery may be associated with larger improvements than an attention-matched active control condition involving fundamental movement skills training and video-based physical activity education.

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