ABSTRACT:
This research aims to study the effect of Bodypercussion exercises on balance and executive functions of children with DCD. Thirty children with DCD between seven and nine years of age were selected from girls' elementary schools. The subjects were randomly divided into two groups: experimental and control (15 subjects in each group). For eight weeks, the experimental group participated in group BAPNE neuromotor sessions. Data were analyzed with descriptive statistics and mixed ANOVA test with repeated measures and Bonferroni's post hoc test. The results showed that the result of BAPNE body percussion exercises on static balance (P=0.001), dynamic balance (P=0.001), sustained attention (P=0.001) and response inhibition (P=0.001) is significant and participants in the experimental group performed better at post-test (P=0.001) and follow-up (P=0.001) than the control group.
KEYWORDS:
Body percussion; BAPNE; Neuromotricity; Balance; Executive functions; DCD
RESUMO:
Esta pesquisa tem como objetivo estudar o efeito dos exercícios de percussão corporal no equilíbrio e nas funções executivas de crianças com DCD. Trinta crianças com DCD com idades entre sete e nove anos foram selecionadas em escolas primárias femininas. Os sujeitos foram divididos aleatoriamente em dois grupos: experimental e controle (15 pessoas em cada grupo). Durante oito semanas, o grupo experimental participou de sessões neuromotoras do BAPNE em grupo. Os dados foram analisados usando estatísticas descritivas e o teste ANOVA misto com medidas repetidas e o teste post hoc de Bonferroni. Os resultados mostraram que o resultado dos exercícios de percussão corporal do BAPNE no equilíbrio estático (P=0,001), equilíbrio dinâmico (P=0,001), atenção sustentada (P=0,001) e inibição de resposta (P=0,001) é significativo e os participantes do grupo experimental tiveram melhor desempenho no pós-teste (P=0,001) e no acompanhamento (P=0,001) do que o grupo de controle.
PALAVRAS-CHAVE:
Percussão corporal; BAPNE; Neuromotricidade; Equilíbrio; Funções executivas; DCD
1. Introduction
Developmental coordination disorder is a neurodevelopmental disorder (Smits-Engelsman et al. 2020) that affects almost five to six percent of primary school children (Cheng et al, 2018Cheng, Yoyo, Tsang, William, Schooling, Catherine, Mary, Fong, Shirley. 2018. “Reactive balance performance and neuromuscular and cognitive responses to unpredictable balance perturbations in children with developmental coordination disorder”. Gait & Posture, 62, 20-26.). Children suffering from DCD, may have difficulty in analyzing the received sensory data from the environment, processing information to choose the appropriate and desired action plan, arranging each movement, sending the correct message to produce a coordinated action or integrating all these actions (Mariën et al, 2010Mariën, Peter, Wackenier, Peggy, De Surgeloose, Didier, De Deyn, Peter, Verhoeven, Jo. 2010. Developmental coordination disorder: disruption of the cerebello-cerebral network evidenced by SPECT. The Cerebellum, 9, 405-410.). It is proved that these children, in addition to problems related to planning and coordination of movements, suffer from different types of fine and gross movement problems, disorders in posture control, balance and sensory-motor coordination weakness, and motor learning problems (Biotteau et al. 2020Biotteau, Mäelle, Albaret, Jean Michel , Chaix, Yves. 2020. Developmental coordination disorder. In Handbook of clinical neurology. Vol. 174, pp. 3-20. Elsevier.; Baron, 2018Baron, Ida Sue. 2018. Neuropsychological evaluation of the child: Domains, methods, & case studies. Oxford University Press.;Bernardi et al. 2018Bernardi, Marialivia, Leonard, Haley, Hill, Elisabeth, Botting, Nicola, Henry, Lucy. 2018. “Executive functions in children with developmental coordination disorder: a 2‐year follow‐up study”. Developmental Medicine & Child Neurology, 60(3), 306-313.).
The great concern of children suffering with DCD is balance problems because keeping balance is a combination of postural control and motor control and affects many activities of daily living (Lachambre et al. 2021Lachambre, Catherine, Proteau-Lemieux, Mélodie , Lepage, Jean Francois, Bussieres, Eve Line, Lippe, Sarah. 2021. Attentional and executive functions in children and adolescents with developmental coordination disorder and the influence of comorbid disorders: A systematic review of the literature. PloS one, 16(6), e0252043.;Tamplain et al. 2021Tamplain, Priscila, Sherrod, Gabriela, Fuchs, Chadwick, Miller, Haylie. 2021. Preliminary improvements in dynamic postural control after a group-based intervention program for children with developmental coordination disorder: a brief report. Developmental neurorehabilitation, 24(1), 63-67.). Studies on postural control have shown that there exist differences between children with and without DCD in static and dynamic balance tasks due to sensory-motor information disorder (Jelsma et al., 2016Jelsma, Dorothee, Smits-Engelsman, Bouwien, Krijnen, Wilhelmus Petrus, Geuze, Reint. 2016. Changes in dynamic balance control over time in children with and without Developmental Coordination Disorder. Human movement science, 49, 148-159.). Keeping balance control is the basis for the development of all skills, and any disturbance in keeping the balance may increase the risk of falling to the ground, restricting one’s activities, and affecting the development of motor skills (Mitsiou et al. 2016Mitsiou, Maria, Giagazoglou, Paraskevi, Sidiropoulou, Maria, Kotsikas, Georgios, Tsimaras, Vasileios, Fotiadou, Eleni. 2016. Static balance ability in children with developmental coordination disorder. European Journal of Physical Education and Sport, 11(1), 17-23.). Therefore, the ability to keep stability in children with DCD is a crucial field of study that should receive full attention.
In addition to balance and coordination problems, one of the fundamental problems of DCD children that hinders their learning in the early school years is the weakness in executive functions (Wilson et al., 2020Wilson, Peter, Ruddock, Scott, Rahimi‐Golkhandan, Shanin, Piek, Jan, Sugden, David, Green, Dido, Steenbergen, Bert. 2020. Cognitive and motor function in developmental coordination disorder. Developmental Medicine & Child Neurology, 62(11), 1317-1323.;Bernardi et al. 2018Bernardi, Marialivia, Leonard, Haley, Hill, Elisabeth, Botting, Nicola, Henry, Lucy. 2018. “Executive functions in children with developmental coordination disorder: a 2‐year follow‐up study”. Developmental Medicine & Child Neurology, 60(3), 306-313.; Sartori et al. 2020Sartori, Rodrigo Flores, Valentini, Nadia Cristina, Fonseca, Rochele Paz. 2020. Executive function in children with and without developmental coordination disorder: A comparative study. Child: care, health and development, 46(3), 294-302.; Fogel et al. 2021Fogel, Yael, Stuart, Nichola, Joyce, Teresa, Barnett, Anna. 2023. Relationships between motor skills and executive functions in developmental coordination disorder (DCD): A systematic review. Scandinavian Journal of Occupational Therapy, 30(3), 344-356.). Executive functions are defined as higher-level cognitive functions that are closely related to complex purposeful behaviors in all areas of life (Fogel et al., 2021Fogel, Yael, Stuart, Nichola, Joyce, Teresa, Barnett, Anna. 2023. Relationships between motor skills and executive functions in developmental coordination disorder (DCD): A systematic review. Scandinavian Journal of Occupational Therapy, 30(3), 344-356.). Recently, studies on neuroimaging have shown a reduction in the thickness of the right medial orbitofrontal cortex and the alteration of brain activation patterns across functional networks including prefrontal, parietal, and cerebellar regions in DCD children (Costa‐Giomi, 2005Costa‐Giomi, Eugenia. 2005. “Does music instruction improve fine motor abilities?”. Annals of the New York Academy of Sciences, 1060(1), 262-264.; Geuze et al. 2001Geuze, Reint, Jongmans, Marian, Schoemaker, Marina, Smits-Engelsman, Bouwien. 2001. Developmental coordination disorder. Human movement science, 20(1-2), 1-5.; Lazăr, 2018Lazăr, Andreea Gabriela. 2018. Improving the balance in children of 6-7 years in physical education lesson throught music movement games. The Annals of the “Ștefan cel Mare” University, 11(2), 60-67.; Wilson et al. 2017Wilson, Peter, Smits‐Engelsman, Bouwien, Caeyenberghs, Karen, Steenbergen, Bert, Sugden, David, Clark, Jane, Mumford, Nick, Blank, Rainer. 2017. Cognitive and neuroimaging findings in developmental coordination disorder: new insights from a systematic review of recent research. Developmental Medicine & Child Neurology, 59(11), 1117-1129.). Moreover, it is proved that DCD children are facing problems in the reticular activating system, basal ganglia and frontal and prefrontal cortices that play a crucial role in executive functions (Sartori et al. 2020Sartori, Rodrigo Flores, Valentini, Nadia Cristina, Fonseca, Rochele Paz. 2020. Executive function in children with and without developmental coordination disorder: A comparative study. Child: care, health and development, 46(3), 294-302.). A reference to abnormal brain structure and function in children with DCD indicates the pattern of executive function deficits that may be related to the delayed maturation of the frontoparietal and anterior cerebellar networks (Wilson et al. 2020Wilson, Peter, Ruddock, Scott, Rahimi‐Golkhandan, Shanin, Piek, Jan, Sugden, David, Green, Dido, Steenbergen, Bert. 2020. Cognitive and motor function in developmental coordination disorder. Developmental Medicine & Child Neurology, 62(11), 1317-1323.). Movement-based rehabilitation has recently been used since the development of the brain substrates responsible for motor coordination and cognitive function are highly related to each other and these movements are the easiest and fastest way for inner exploration and stimulation of brain potential (Leonard, 2016Leonard, Hayley. (2016). The impact of poor motor skills on perceptual, social and cognitive development: The case of developmental coordination disorder. Frontiers in psychology, 7, 311.; Diamond, 2000Diamond, Adele. 2000. “Close interrelation of motor development and cognitive development and of the cerebellum and prefrontal cortex”. Child development, 71(1), 44-56.;Bushnell & Boudreau, 1993Bushnell, Emily, Boudreau, Jean Paul. 1993. Motor development and the mind: The potential role of motor abilities as a determinant of aspects of perceptual development. Child development, 64(4), 1005-1021.). Though, definitive studies show that physical activity (PA) is related to improved cognitive function and academic performance (Mura et al. 2015Mura, Gioia, Vellante, Marcello, Egidio Nardi, Antonio, Machado, Sergio, Giovanni Carta, Mauro. 2015. Effects of school-based physical activity interventions on cognition and academic achievement: a systematic review. CNS & Neurological Disorders-Drug Targets (Formerly Current Drug Targets-CNS & Neurological Disorders), 14(9), 1194-1208.; Donnelly et al. 2016Donnelly, Joseph, Hillman, Charles, Castelli, Darla, Etnier, Jennifer, Lee, Sarah, Tomporowski, Phillip, Lambourne, Kate, Szabo-Reed, Amanda. 2016. Physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Medicine and science in sports and exercise, 48(6), 1197.), still it is suggested that not all forms of PA benefit equally from cognition (Vazou et al. 2020Vazou, Spyridoula, Klesel, Brenna, Lakes, Kimberley, Smiley, Ann. 2020. Rhythmic physical activity intervention: exploring feasibility and effectiveness in improving motor and executive function skills in children. Frontiers in Psychology, 11, 556249.). PA programs while accompanied by rhythmic or musical factors challenge both cognitive and motor systems (Diamond, 2013Diamond, Adele. 2013. “Want to optimize executive functions and academic outcomes? Simple, just nourish the human spirit”. In Minnesota Symposia on Child Psychology: Developing cognitive control processes: Mechanisms, implications, and interventions (Vol. 37, pp. 203-230). Hoboken, NJ, USA: John Wiley & Sons, Inc..). However, little research has focused on the cognitive benefits of combining music and PA in an integrated intervention (Vazou et al. 2020Vazou, Spyridoula, Klesel, Brenna, Lakes, Kimberley, Smiley, Ann. 2020. Rhythmic physical activity intervention: exploring feasibility and effectiveness in improving motor and executive function skills in children. Frontiers in Psychology, 11, 556249.).
2. BAPNE as neuromotor resource
Neuromotricity through the BAPNE method is possibly an excellent resource to be able to work cognitive and executive functions with different types of students. The methodology has moved away from the strict term "body percussion" due to the devaluation of the terminology and its poor projection through social networks. For this reason, the activities are not based on choreography or showmanship, because what matters is the possible work of cognitive and executive functions through very precise activities based on the 10 pillars of neuromotricity (Andreu-Cabrera & Romero-Naranjo, 2021Andreu-Cabrera, Eliseo, Romero-Naranjo, Francisco Javier. 2021. “Neuromotricidad, psicomotricidad y motricidad. Nuevas aproximaciones metodológicas”. Retos, 42, 924-938. https://doi.org/10.47197/retos.v42i0.89992
https://doi.org/https://doi.org/10.47197...
; Arnau-Mollá & Romero-Naranjo, 2022aArnau-Mollá, Antonio Francisco & Romero-Naranjo, Francisco Javier. 2022a. “A bibliometric study on body percussion based on high impact search engines”. Retos, 45, 679-692. https://doi.org/10.47197/retos.v45i0.92653
https://doi.org/https://doi.org/10.47197...
, 2022bArnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2022b. “Body percussion as a pedagogical resource. Bibliometric study on body percussion based exclusively on secondary search engines”. Retos, 46, 809-825. https://doi.org/10.47197/retos.v46.95178
https://doi.org/https://doi.org/10.47197...
, 2022cArnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2022c. Evolution of the BAPNE method as an innovation method based on its justification in scientific-academic publications. In M. d. M. Molero Jurado, A. B. Barragán Martín, M. d. M. Simón Márquez, & Á. Martos Martínez (Comps.), Innovación Docente e Investigación en Educación: Experiencias de Cambio en la Metodología Docente (pp. 485-496). Dykinson, S.L., 2022dArnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. (2022d). Urban rhythms and creativity: Proposals for didactic innovation from neuromotricity through the BAPNE method. In Á. Martos Martínez, A. B. Barragán Martín, M. d. C. Pérez Fuentes, M. d. M. Molero Jurado, M. d. M. Simón Márquez & M. Sisto (Comps.), Acercamiento Multidisciplinar Para la Investigación e Intervención en Contextos Educativos (pp. 463-474). Dykinson, S.L., 2023Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2023. “Bibliometric evolution of body percussion: Impact and gender in scientific-academic publications”. Retos, 51, 1025-1054. https://doi.org/10.47197/retos.v51.101450
https://doi.org/https://doi.org/10.47197...
; Mas-Mas et al. 2023Mas-Mas, Delfina, Arnau Mollá, Antonio Francisco, Romero Naranjo, Francisco Javier. 2023. Doble tarea y movimiento: estudio bibliométrico basado en motores búsqueda de alto impacto (Dual-task and movement: a bibliometric study based on high-impact search engines). Retos, 50, 995-1009. https://doi.org/10.47197/retos.v50.100176
https://doi.org/https://doi.org/10.47197...
; Romero-Naranjo & Andreu-Cabrera, 2023Romero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023d. Los Diez Pilares de la Neuromotricidad. Justificación teórico-práctica según el método BAPNE (The Ten Pillars of Neuromotricity. Theoretical-practical justification according to the BAPNE method). Retos, 50, 357-370. https://doi.org/10.47197/retos.v50.98333
https://doi.org/https://doi.org/10.47197...
, 2024Romero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo, Arnau-Mollá, Antonio Francisco. 2024. Neuromotricidad en educación infantil. Tablas de desarrollo como propuesta interdisciplinar según el método BAPNE (Neuromotricity in early childhood education. Development tables as an interdisciplinary proposal according to the BAPNE method). Retos, 53, 162-177. https://doi.org/10.47197/retos.v53.101080
https://doi.org/https://doi.org/10.47197...
).
There are numerous publications that justify the fundamentals of neuromotricity and its possible link with other areas. In physical activity and sport sciences the methodology provides resources and studies related to body schema, ergospirometry and biomechanical analysis (Alonso-Marco & Romero-Naranjo, 2022Alonso-Marco, Maria, Francisco Javier Romero-Naranjo. 2022. “Introducción al Análisis Cinemático de los Movimientos Básicos de la Percusión Corporal según El Método BAPNE.” Retos 46 (August): 950-971. https://doi.org/10.47197/retos.v46.94773
https://doi.org/https://doi.org/10.47197...
; Romero-Naranjo & Andreu-Cabrera & Arnau-Mollá, 2023Romero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto, Jiménez-Molina, Jesús. Baldomero, Arnau-Mollá, Antonio Francisco. 2023. Estudio piloto de la evaluación de la ansiedad y la atención a través de la percusión corporal y neuromotricidad en alumnado de secundaria en las clases de Educación Física, Música y Artes plásticas [Pilot study of the assessment of anxiety and attention through body percussion and neuromotricity in secondary school students in Physical Education, Music and Visual Arts classes]. Retos, 47, 573-588. https://doi.org/10.47197/retos.v47.95595
https://doi.org/https://doi.org/10.47197...
; Romero-Naranjo & Andreu-Cabrera, 2023aRomero-Naranjo, Francisco Javier, Llorca-Garnero, Jeroni. 2023a. Ergoespirometría & body percussion. Estudio de caso basado en el método BAPNE FIT (Ergospirometry & body percussion. Case study based on BAPNE FIT method). Retos, 48, 674-683. https://doi.org/10.47197/retos.v48.97928
https://doi.org/https://doi.org/10.47197...
, 2023bRomero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023b. Neuromotricidad como recurso interdisciplinar. Justificación teórico-práctica a través del método BAPNE (Neuromotricity as an interdisciplinary resource. Theoretical-practical justification through the BAPNE method). Retos, 49, 350-364. https://doi.org/10.47197/retos.v49.98903
https://doi.org/https://doi.org/10.47197...
, 2023cRomero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023c. Condición física y Neuromotricidad. Justificación teórico-práctica según el método BAPNE (Physical condition and neuromotricity. Theoretical-practical justification according to the BAPNE method). Retos, 50, 215-227. https://doi.org/10.47197/retos.v50.98712
https://doi.org/https://doi.org/10.47197...
, 2023dRomero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023d. Los Diez Pilares de la Neuromotricidad. Justificación teórico-práctica según el método BAPNE (The Ten Pillars of Neuromotricity. Theoretical-practical justification according to the BAPNE method). Retos, 50, 357-370. https://doi.org/10.47197/retos.v50.98333
https://doi.org/https://doi.org/10.47197...
).
Briefly we could cite publications in secondary education (Fabra-Brell & Romero-Naranjo, 2017Fabra-Brell, Eugenio, Romero-Naranjo, Francisco Javier. 2017. Social competence between equals through body percussion according to method BAPNE in secondary students. Procedia-Social and Behavioral Sciences, 237, 829-836. doi: 10.1016/j.sbspro.2017.02.179
https://doi.org/10.1016/j.sbspro.2017.02...
; Romero-Naranjo & Sayago et al. 2022Romero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto, Jiménez-Molina, Jesús. Baldomero, Arnau-Mollá, Antonio Francisco. 2023. Estudio piloto de la evaluación de la ansiedad y la atención a través de la percusión corporal y neuromotricidad en alumnado de secundaria en las clases de Educación Física, Música y Artes plásticas [Pilot study of the assessment of anxiety and attention through body percussion and neuromotricity in secondary school students in Physical Education, Music and Visual Arts classes]. Retos, 47, 573-588. https://doi.org/10.47197/retos.v47.95595
https://doi.org/https://doi.org/10.47197...
), research linked to music conservatories (Moral-Bofill et al., 2020; Ros-Silla et al., 2019) and in the elderly (González et al. 2019González de Benatuil, Maria Luisa Mercedes, Liendo Cárdenas, Andreina, Asurmendi Telleria, Estibaliz. & Romero-Naranjo, Francisco Javier. 2022. Bruno Mars and body percussion: Creative strategies from neuromotricity with the BAPNE method. In Á. Martos Martínez, A. B. Barragán Martín, M. d. C. Pérez Fuentes, M. d. M. Molero Jurado, M. d. M. Simón Márquez & M. Sisto (Comps.), Acercamiento Multidisciplinar Para la Investigación e Intervención en Contextos Educativos (pp. 449-461). Dykinson, S.L.), among others. The visual arts have also been the subject of study in methodology (Alonso-Sanz & Romero-Naranjo, 2015Alonso-Sanz, Amparo, Romero-Naranjo, Francisco Javier. 2015. “El círculo en la relación espacio y cuerpo. Foto-Ensayo a partir de Isidro Blasco y el método BAPNE”. Arte, Individuo y Sociedad, 27(3), 359-374. https://doi.org/10.5209/rev_ARIS.2015.v27.n3.41382
https://doi.org/https://doi.org/10.5209/...
), also in the learning of a foreign language (Fernández et al. 2021), the analysis of dances with body percussion in other cultures (Di Russo & Romero-Naranjo, 2021aDi Russo, Salvatore, Romero-Naranjo, Francisco Javier. 2021a. Body Percussion in Spanish Music: A Methodological Approximation [Article]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye., 2021bDi Russo, Salvatore, Romero-Naranjo, Francisco Javier. 2021b. Body Percussion In The Work Of Composer Oscar Navarro. *The Case Of “Libertadores [Article]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye., 2023Di Russo, Salvatore, Romero-Naranjo, Francisco Javier. 2023. “Body percussion and traditional dances. The case of Ball dels Moretons in Mallorca”. Retos, 49, 442-458. https://doi.org/10.47197/retos.v49.97609
https://doi.org/https://doi.org/10.47197...
; Romero-Naranjo, 2008; 2013b) as well as the creation of practical resources from an ethnomusicological perspective (González-Sánchez et al. 2021; Navarro-Maciá & Romero-Naranjo, 2024aNavarro Macia, Victor, Romero Naranjo, Francisco Javier. 2024. Jazz y percusión corporal. Propuesta de estrategias creativas con el método BAPNE (Jazz and body percussion. A proposal of creative strategies with the BAPNE method). Retos, 51, 509-518. https://doi.org/10.47197/retos.v51.100544
https://doi.org/https://doi.org/10.47197...
, 2024bNavarro Macia, Victor, Romero Naranjo, Francisco Javier. 2024. Percusión corporal y blues. Un acercamiento neuromotor a través del método BAPNE (Body percussion and blues. A neuromotor approach through BAPNE method). Retos, 51, 970-978. https://doi.org/10.47197/retos.v51.101238
https://doi.org/https://doi.org/10.47197...
; Romero-Naranjo, 2012, 2013a, 2020cRomero-Naranjo, Francisco Javier. 2020e. Percusión corporal y “Solfeo cognitivo”. Recursos pedagógicos según el método BAPNE [Body percussion and "Cognitive solfeggio". Pedagogical resources according to the BAPNE method]. Pensamiento Actual, 20(35), 105-121. https://doi.org/10.15517/PA.V20I35.44398
https://doi.org/https://doi.org/10.15517...
, 2020eRomero-Naranjo, Francisco Javier. 2020e. Percusión corporal y “Solfeo cognitivo”. Recursos pedagógicos según el método BAPNE [Body percussion and "Cognitive solfeggio". Pedagogical resources according to the BAPNE method]. Pensamiento Actual, 20(35), 105-121. https://doi.org/10.15517/PA.V20I35.44398
https://doi.org/https://doi.org/10.15517...
, 2022aRomero-Naranjo, Francisco Javier. 2022a. BAPNE Fit: Neuromotricity and body percussion in physical activity and sport sciences. The Educational Review, USA, 6(2), 37-44. http://doi.org/10.26855/er.2022.02.001
https://doi.org/http://doi.org/10.26855/...
, 2022bRomero-Naranjo, Francisco Javier. 2022b. Visuomotor skills and neuromotricity in the BAPNE method. Real-Time signaling as a learning resource. In M. A. de la Ossa Martínez (ed.). La educación y formación musical en el siglo XXI. ¿Somos competentes para el enfoque competencial? (pp. 303-325). Silex Ediciones.; Romero-Naranjo & González, 2022aRomero-Naranjo, Francisco Javier, González de Benatuil, Luisa Mercedes. 2022a. Body percussion and urban rhythms as an interdisciplinary resource. SHS Web of Conferences, 150, 1-7. https://doi.org/10.1051/shsconf/202215001005
https://doi.org/https://doi.org/10.1051/...
, 2022bRomero-Naranjo, Francisco Javier, González de Benatuil, Luisa Mercedes. 2022b. Practice of BAPNE FIT to Improve Cardiorespiratory Fitness. SHS Web of Conferences, 150, 1-8. https://doi.org/10.1051/shsconf/202215001006
https://doi.org/https://doi.org/10.1051/...
; Romero-Naranjo & Sayago-Martínez, 2021aRomero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto. 2021a. Music motor control and dual task. Handsball change as a musical-Motor paradigm [Written submission]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye., 2021bRomero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto. 2021b. Rhythm, cognitive solfege and body percussion. Proposal for educational [Written submission]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye.; Sayago-Martínez et al. 2021). It is important to highlight the contributions made in the field of musical language with specific resources on it (Carretero-Martínez et al. 2014Carretero-Martínez, Andrea, Romero-Naranjo, Francisco Javier, Pons-Terres, Jessica María, Crespo-Colomino, Natalia. 2014. “Cognitive, visual- Spatial and psychomotor development in students of Primary Education through the body percussion - BAPNE method”. Procedia - Social and Behavioral Sciences, 152 (Octuber 7, 2014), 1282-1287. https://doi.org/10.1016/j.sbspro.2014.09.363
https://doi.org/https://doi.org/10.1016/...
; Romero-Naranjo, 2013a, 2013b, 2013c, 2014, 2017, 2017, 2018, 2019, 2020, 2021, 2022Romero-Naranjo, Francisco Javier, Romero-Naranjo, Alejandro Antonio. 2022. Percusión corporal y salud. Una breve aproximación al estado de la cuestión [Body percussion and health. A brief approach to the state of the art]. Eufonía, 93, 16-23.).
BAPNE is a method to stimulate cognitive, social-emotional, psychomotor and neurological rehabilitation. The method was created by Francisco Javier Romero Naranjo and currently has nearly 200 scientific publications, more than 50 publications in Web of Science and nearly 3000 academic citations. The primary purpose of BAPNE is to improve the communication system between the organs and the brain so as to improve cognitive and motor skills (Romero Naranjo, 2020Romero-Naranjo, Francisco Javier. 2020e. Percusión corporal y “Solfeo cognitivo”. Recursos pedagógicos según el método BAPNE [Body percussion and "Cognitive solfeggio". Pedagogical resources according to the BAPNE method]. Pensamiento Actual, 20(35), 105-121. https://doi.org/10.15517/PA.V20I35.44398
https://doi.org/https://doi.org/10.15517...
). Moreover, other studies show that BAPNE exercises have a significant positive effect on balance and executive functions (Torró-Biosca et al. 2019Torró-Biosca, Ricardo, Aparici-Mínguez, Francisco, Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2019. Pilot study into the executive functions of children aged 8-9 BAPNE method. The European Proceedings of Social & Behavioural Sciences EpSBS, 60, Article 94. https://doi.org/10.15405/epsbs.2019.04.02.94
https://doi.org/https://doi.org/10.15405...
; Castelló-Juan et al. 2019Castelló-Juan, Beatriz, Antón-Suay, María Teresa, Flores-Morales, Noelia, Vicedo-Reche, Manoli & Romero-Naranjo, Francisco Javier. 2019. “Evaluating executive functions in primary school children in Alicante using body percussion”. The European Proceedings of Social & Behavioural Sciences EpSBS, 60, Article 70. https://dx.doi.org/10.15405/epsbs.2019.04.02.70
https://doi.org/https://dx.doi.org/10.15...
) investigated the effect of body percussion exercises on the executive functions of nine to ten-year-old elementary school children. They have proved that body percussion exercises have significantly improved cognitive skills besides attention and active memory. Also, Girgin et al. (2021Girgin, Nuray, Algun, Zeliha Candan. 2021. The effect of body percussion on balance and coordination in elderly people. Journal of Traditional Medical Complementary Therapies.) conducted a research on the effect of body percussion exercises on the balance and coordination of older people. They presented the results that body percussion significantly affects coordination and balance in the older people.Lotfi et al. (2018Lotfi, Salehe, Khalafbeigi, Mitra, Matin Sadr, Nader, Saneii, Seyed Hassan. 2018. The effectiveness of body percussion rhythmic exercises on motor skills in children with mild intellectual disability between 8-12 years old. Function and Disability Journal, 1(3), 40-47.) examined the effectiveness of rhythmic body percussion exercises on motor skills of eight to nine-year-old children with mild mental disabilities. The experimental group received body percussion exercises 12 weeks, 2 sessions per week and each session lasting for 30 minutes while the control group only received the usual school program. The results showed that body rhythmic exercises have a significant effect on some movement items including fine motor skills, bilateral coordination, upper limb coordination, visual-motor control, and speed and upper limb skill. However, these exercises never had a significant effect on the balance and response speed.
Although some researches have indicated the role of physical activities on improving balance and executive functions, it is recommended that for creating the desire and motivation to do sports programs, one should use appropriate movement protocols since DCD children are not highly tended to do traditional physical and movement activities. Body percussion exercises are of critical importance due to the lively and rhythmic aspects of the movements when accompanied with music. Since DCD children suffer from myasthenia, and defects in coordination, balance and cognitive functions, they have low self-confidence to participate in movement programs. As such, it is necessary to design targeted programs to improve the problems of these children.
Considering the lack of research conducted on this field and the fact that despite the need to investigate the long-term impact of interventions (efficiency), studies have mainly analyzed the immediate impact (effectiveness) of these programs while few studies have focused on the full training programs. Therefore, the purpose of this research is to investigate the impact of BAPNE neuromotricity exercises on the balance (static and dynamic) and executive functions (response inhibition and sustained attention) of DCD children within two months.
3. Method
The research has been semi-experimental and of an applied type including a control and an experimental group with a pre-test and post-test design within two-month period. The selected group included all the DCD children ranging from seven to nine-year-old in elementary schools in Mehriz which is a city in Yazd province, Iran. Thirty DCD children were selected as a sample using the accessible sampling method based on the Wilson DCD questionnaire and the Children's Movement Assessment Test (2-MABC) with a definitive diagnosis of developmental coordination disorder.
The criteria of selecting subjects include having average IQ, not having sensory damage (hearing damage and visual damage), not having cardiovascular disease, not having muscle damage and physical disability, not having obvious postural abnormalities and not suffering from other disorders, and the criteria of excluding subjects include unwillingness of the child/parents to cooperate during the sessions or being absent in the test session (Figure 1). Subjects were subjected to interventions for 24 sessions (two months and 3 sessions per week).
3.1 Instruments
1. Questionnaire of personal information: This questionnaire was created by the researcher and was handed to the subjects in order to collect general information (including age, height, weight, illness, physical problems, etc.).
2. Wilson's Developmental Coordination Disorder: This questionnaire was created by Wilson in 2009 to be used as a measurement of diagnosing developmental coordination abnormalities in children. This questionnaire contains fifteen questions, which are divided into three parts, including six questions related to motor control, four questions expressing the quantities of handwriting and excellent movement, and five questions related to general coordination.
3. Children's Movement Assessment Test (2-MABC): This test was designed by Henderson, Sugden & Barnett (2007Henderson, Sheila, Sugden, David, Barnett, Anna. 1992. Movement assessment battery for children-2. Research in Developmental Disabilities.) to identify the movement disorders especially in DCD children. The aforementioned test evaluates children's static and dynamic balance skills, aiming and receiving and also manual dexterity. According to the traffic light system proposed in this test, people who get a standard score of less than fifty-six in each of the mentioned sub-scales or in the total skill score, are considered below the five percent point and recognized as children with DCD.
4. Stroop test: Stroop test was first designed in 1935 by Ridley StroopStroop, John Ridley. 1992. Studies of interference in serial verbal reactions. Journal of Experimental Psychology: General, 121(1), 15.. This test is one of the most widely used tests of sustained attention or focused attention and response inhibition. In the present research, computer-based form of the test was used. In this test, the names of the four main colors, each with the same color (consonant words) and different from the color of their own ink (dissonant words) appear randomly on the monitor screen and the participant is asked to guess as quickly as possible based on color the word, press the corresponding key on the keyboard. The reliability of this valid test has been confirmed in previous studies (Baron, 2018Baron, Ida Sue. 2018. Neuropsychological evaluation of the child: Domains, methods, & case studies. Oxford University Press.; MacLeod & Gorfein, 2007Gorfein, David, MacLeod, Colin. 2007. Inhibition in cognition. pp. xvii-337. American Psychological Association.).
5. Continuous Performance Test (CPT): This computerized test evaluates the sustained attention, impulsivity, and alertness. In the form of this test, one hundred and fifty stimuli that include numbers or letters are displayed on the computer screen, and then the participant must choose 30 stimuli as the target stimuli. The validity and reliability of this test has been confirmed in various studies (Rosvold et al. 1956Rosvold, Enger, Mirsky, Allan, Sarason, Irving, Bransome Junior, Edwin, Beck, Lloyd. 1956. A continuous performance test of brain damage. Journal of consulting psychology, 20(5), 343.).
6. Stork balance test: The modified stork test of Johnson and Nelson (1979Johnson, Barry, Nelson, Jack. 1979. Practical measurements for evaluation in physical education. 4th Edit. Minneapolis: Burgess.) is used to measure the static balance of the dominant and non-dominant leg. Subjects should place their hands on their waist while the sole of the non-dominant foot is placed against the inner area of the dominant foot. Subjects stand on the sole of the superior foot as much as possible by keeping this position. Ghaeeni, Bahari & Khazaei (2015Ghaeeni, Saeed, Bahari, Zeynab, Khazaei, Ali Ashraf. 2015. Effect of core stability training on static balance of the children with Down syndrome. Physical Treatments-Specific Physical Therapy Journal, 5(1), 49-54.) reported the validity of the modified stork test to be 0.87 and its objectivity to be 0.99.
7. Tandem Gait (heel-to-toe) Test: The purpose of this test is to measure a person's ability to walk in a straight trail. In this test, it is requested from the person to walk with fourteen steps in a straight direction, heel to toe. If the subject leaves the direction before completing the fourteen steps (maximum score), the test is aborted and the number of steps taken by the subject is considered as his score. Moreover, the test is repeated again and the highest score of the subject is considered as his record. The reliability of this test has been confirmed by different researchers and in different groups (Giorgetti, Harris & Jette, 1998Giorgetti, Marie Magliozzi, Harris, Bette, Ann, Jette, Alan. 1998. Reliability of clinical balance outcome measures in the elderly. Physiotherapy Research International, 3(4), 274-283.).
3.2 Procedure
After selecting the target school, the Wilson questionnaire was given to the parents of the students, and by reviewing and examining the received questionnaires from the parents, suspected children of DCD were recognized. Then, thirty DCD children were selected using the second version of the Children's Motor Skills Assessment Test (2-MABC). After this stage, the children were grouped according to the variables of educational level, age and IQ into two experimental (15 people) and control groups (15 people). Then Continuous Performance Tests and Stroop Test to measure the sustained attention and the response inhibition; and Modified Stork and Heel-toe tests to measure the static and dynamic balance were performed and the results were recorded as pre-test scores. The process of research was fully explained to the families of these students and after obtaining their consent, the experimental group participated in the intervention program called body percussion based on the BAPNE model for three sessions of forty-five minutes each week (24 sessions) for 8 weeks still the control group did not receive any intervention. The experimental group received body percussion exercises in circles, concentric circles, pairs, in small groups or in two rows facing each other. These exercises included percussions such as clapping hands, clapping hands on the chest, clapping hands on thighs, clapping feet on the ground, and hitting the opponent's hand, etc. The exercises ranged from simple to complex, and their adaptation was done with the characteristics of DCD children. The exercises were performed by the researcher (sports teacher). After the last training session, the students participated in the post-test and two months after the post-test in the follow-up test.
Complying with the ethical considerations, the purpose and method of conducting the research were fully explained to the parents and all the participants in the study. They were assured about the confidentiality of the information and the right to withdraw from the study at any stage of the test. Then, consciously written consent was obtained from them.
The data were analyzed with descriptive statistics and the mixed ANOVA test with repeated measures and Bonferroni's post hoc test using SPSS 25 software. In all statistical tests, the significance level of α=0.05 was considered.
4. Results
The demographic information of the participants is presented in Table 1.
To determine the normality of the data distribution, the Shapiro-Wilk test was used, and the homogeneity of variance was used using the leven's test. The results showed that the distribution data was normal and the equality of variances was observed. In the following, in order to investigate the effectiveness of body percussion exercises on the static balance of children with DCD in the post-test and follow-up stages, the mixed ANOVA test with repeated measures was used. The results are shown in Table 2.
The results of the mixed ANOVA test with repeated measures to investigate the static balance in the different stages of the test
According to Table 2, the findings of the mixed ANOVA test with repeated measures showed that the main effect of stage (F=7.47, P=0.001, η=0.391) is significant. Also, the main effect of exercises (F=8.36, P=0.001, η=0.412) is significant. In addition, as shown in Table 2, the interaction of stage*exercise (F=11.18, P=0.001, η= 0.492) is also significant. Bonferroni’s post hoc test was used to determine the difference between groups and the intragroup difference. The results of which are presented in Table 3.
Also, to investigate the effect of body percussion exercises on the dynamic balance of children with DCD in the post-test and follow-up stages, the mixed ANOVA test with repeated measures was used, which the results are presented in Table 4.
The results of the mixed ANOVA test with repeated measures to investigate the dynamic balance in the different stages of the test
As can be seen in Table 4, the findings related to the mixed ANOVA test with repeated measures showed that the main effect of stage (F=12.62, P=0.001, η=0.483) is significant. Also, the main effect of exercises (F=10.35, P=0.001, η=0.423) is significant. In addition, the phase*exercise interaction (F=31.71, P=0.001, η=0.532) is also significant. In order to determine the difference between the groups and the intragroup difference, Bonferroni’s post hoc test was used, which the results are presented in Table 5.
Also, the mixed ANOVA test with repeated measures was used to investigate the effects of body percussion exercises on the sustained attention of children with DCD in the post-test and follow-up stages. The results are presented in Table 6.
The results of the mixed ANOVA test with repeated measures to investigate sustained attention in the different stages of the test
As can be seen in Table 6, the findings related to the mixed ANOVA test with repeated measures showed that the main effect of stage (F=11.39, P=0.001, η=0.402) is significant. Also, the main effect of exercises (F=8.79, P=0.001, η=0.362) is significant. In addition, as shown in Table 7, the interaction of stage*exercise (F=13.36, P=0.001, η=0.423) is also significant. Bonferroni’s post hoc test was used to determine the difference between groups and the intragroup difference. The results are presented in Table 7.
In order to investigate the effectiveness of body percussion exercises on the response inhibition of children with DCD in the post-test and follow-up stages, the mixed ANOVA test with repeated measures was used, which the results are presented in Table 8.
results of the mixed ANOVA test with repeated measures to investigate response inhibition in different stages of the test
As can be seen in Table 9, the results of the mixed ANOVA test with repeated measures showed that the main effect of stage (F=14.25, P=0.001, η=0.461) is significant. Also, the main effect of exercises (F=10.16, P=0.001, η=0.412) is significant. In addition, as it is clear in Table 16-4, the interaction stage*exercises (F=17.26, P=0.001, η=0.492) is also significant. Bonferroni’s post hoc test was used to determine the difference between groups and the intragroup difference, which the results are presented below.
5. Discussion
The aim of this research was the study of the effect of BAPNE neuromotricity exercises on the balance and executive functions of DCD children within two months. Based on the developed model of BAPNE, there are different types of protocols focusing on specific variables, and the effectiveness of each of these protocols needs to be investigated and reported in separate researches. The findings of the present study showed that BAPNE percussion exercises had a significant effect on executive functions (response inhibition and sustained attention) and static and dynamic balance of DCD children, and this effectiveness lasted for two months. The participants of the experimental group performed better in the post-test and follow-up phase than the pre-test that included the variables of false declaration and reaction time (sustained attention), response accuracy and response time (response inhibition); however, in the control group, there was no difference between the stages of the test. According to the BAPNE method, beats that lead to some stimulations in different cortical and subcortical areas on both hemispheres of the brain enable cognitive development (Trives-Martínez et al. 2014Trives-Martínez, Emiliano Antonio, Romero-Naranjo, Francisco Javier, Terrés Pons Jessica Maria, Romero-Naranjo, Alejandro Antonio, Crespo Colomino, Natalia, Liendo Cárdenas, Andreina, Tripovic, Ylenia. 2014. Los métodos didáctico musicales y la atención en relación al movimiento. In XII Jornadas de redes de investigación en docencia universitaria. El reconocimiento docente: Innovar e investigar con criterios de calidad. pp. 1066-1079. Instituto de Ciencias de la Educación.). In the BAPNE method, rhythm is a dynamic and important factor that directs the psycho-motor processes when hitting the body. The sounds produced by this form of percussion instruments interact with all the aforementioned brain areas through the auditory system. This auditory-motor feedback mechanism by which auditory information leads to motor action seems to engage executive functions and its components like sustained attention. Performing actions in harmony with music requires correct and quick responses to visual, auditory and movement stimuli. When producing sound with musical instruments, a person immediately receives continuous auditory feedback from his movements; therefore, he can improve the speed of responding to auditory stimuli or his performance quality (Costa-Giomi, 2005Costa‐Giomi, Eugenia. 2005. “Does music instruction improve fine motor abilities?”. Annals of the New York Academy of Sciences, 1060(1), 262-264.;Da Silva Borges et al. 2012Da Silva Borges, Eliane Gomes, Cader, Sámari Alo, de Souza Vale, Rodrigo Gomez, Cruz, Thales Henrique Pires., de Alencar, Mauro Cesar de Gurgel, Pinto, Francisco Miguel, & Dantas, Estélio. 2012. “The effect of ballroom dance on balance and functional autonomy among the isolated elderly”. Archives of gerontology and geriatrics, 55(2), 492-496.; Diamond, 2000Diamond, Adele. 2000. “Close interrelation of motor development and cognitive development and of the cerebellum and prefrontal cortex”. Child development, 71(1), 44-56.; 2013), and this leads to the development of excellent cognitive abilities, especially attention and response inhibition. The findings of this research show that performing movements with music stimulates different areas of the brain in both hemispheres related to motor aspects and cognitive functions like planning and attention. Moreover, an increase in physical-body balance provides the possibility of successive structural changes in the corpus callosum, cerebellum and prefrontal, auditory and premotor cortices, which also happens in the case of rhythmic movements and causes transformations in the structure of the brain in the hippocampus, the motor areas of the cerebral cortex, the parietal lobe, and the cerebellum (Díaz Pérez et al. 2016Díaz Pérez, Ariadna. 2016. Developmental coordination disorder. intervention program through music, dance and body percussion (BAPNE method). Tesis doctorado. Universidad de Murcia, Murcia.; 2021Díaz-Pérez, Ariadna, Vicente-Nicolás, Gregorio, & Valero-García, Ana Valero. 2021. Music, body movement, and dance intervention program for children with developmental coordination disorder. Psychology of music, 49(5), 1215-1225.).
With regard to the findings of the present research, we can refer to the results of neuroimaging and functional neuroimaging studies based on common neural structures for cognitive and motor actions or co-activation of these parts of brain (cerebellum and prefrontal cortex) during motor actions. Non-automated motor and cognitive exercises that require high attention and concentration rely more on the activation of the cerebellum and prefrontal cortex, and the basal ganglia while leading to appropriate motor activities, inhibiting to make extra and irrelevant movements (Timinkul et al. 2008Timinkul, Akkaranee, Kato, Morimasa, Omori, Takenori, Deocaris, Custer, Ito, Akira, Kizuka, Tomohiro, Soya, Hideaki. 2008. Enhancing effect of cerebral blood volume by mild exercise in healthy young men: a near-infrared spectroscopy study. Neuroscience research, 61(3), 242-248.). Therefore, it is likely that body percussion exercises cause more brain activity in these areas of children's brains and improve cognitive abilities such as inhibition and attention. Researchers have also indicated that when the environment of the movement is accompanied by music, neurotransmitter cycles are created between neurons that stimulate the higher parts of the nervous system that are related to memory and cognition (Huang et al., 2014Huang, Tao, Larsen, Kristian Traberg, Ried‐Larsen, Mathias, Møller, Niels Christian, Andersen, Lars Bo. 2014. The effects of physical activity and exercise on brain‐derived neurotrophic factor in healthy humans: A review. Scandinavian journal of medicine & science in sports, 24(1), 1-10.). As such, rhythmic-musical exercises cause neurotransmitters such as norepinephrine, epinephrine and dopamine to get balanced. Dopamine is the main neurotransmitter affecting executive functions (Arnsten & Li, 2005Arnsten, Amy, Li, Bao Ming. 2005. “Neurobiology of executive functions: catecholamine influences on prefrontal cortical functions”. Biological psychiatry, 57(11), 1377-1384.). It seems that body percussion exercises, not only correct the connections (integration) of the neural pathways between the parts of the brain, but also improve the learning and cognitive functions. In other words, these skills provide suitable possibilities to absorb the activities of different sensory inputs from the environment, moreover, they affect the improvement of the mutual function of the cerebral cortex and cerebellum and structural changes in the organization of connections between neurons that finally leads to the improvement of cognitive skills.
Also, it is shown that neuromotricity exercises had an effect on static and dynamic balance and this effect was maintained through the two-month period of the process of the research. Body posture control is a complex coordination between sensory and biomechanical connections and muscle activity against external forces, and the loss of any of these factors can lead to a decrease in the ability to maintain control of a part or the whole body during the movements. In fact, the sensory-physical, visual and vestibular systems as well as muscle activity play a role in maintaining the situational control and if any of the systems transmit incorrect data, the balance will be lost. Some previous studies also indicated that balanced movements increase balance, mobility and body posture control (Noopud et al. 2019Noopud, Penpak, Suputtitada, Areerat, Khongprasert, Surasa, Kanungsukkasem, Vijit. 2019. Effects of Thai traditional dance on balance performance in daily life among older women. Aging clinical and experimental research, 31, 961-967.). For example, Eyigor et al. (2009Eyigor, Sibel, Karapolat, Hale, Durmaz, Berrin, Ibisoglu, Ugur, Cakir, Serap. 2009. A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Archives of gerontology and geriatrics, 48(1), 84-88.) and Sofianidis et al. (2009Sofianidis, Giorgos, Hatzitaki, Vassilia, Douka, Stella, Grouios, Giorgos. 2009. Effect of a 10-week traditional dance program on static and dynamic balance control in elderly adults. Journal of aging and physical activity, 17(2), 167-180.) in separate studies have expressed that rhythmic movements may improve the control of static and dynamic balance in older women. Also, Borges et al. (2012) found that dance therapy was associated with a significant improvement in balance and functional skills in older people with a sedentary lifestyle. The findings of this section are also in consistent with the results of Girgin et al. (2021Girgin, Nuray, Algun, Zeliha Candan. 2021. The effect of body percussion on balance and coordination in elderly people. Journal of Traditional Medical Complementary Therapies.) and Lazar et al. (2018Lazăr, Andreea Gabriela. 2018. Improving the balance in children of 6-7 years in physical education lesson throught music movement games. The Annals of the “Ștefan cel Mare” University, 11(2), 60-67.) regarding the effectiveness of movement exercises with music.
In general, most researches proved that that BAPNE neuromotricity exercises can lead to improvement in physical fields (control of movements and muscle strength, body awareness, balance and coordination) (Romero Naranjo, 2020Romero-Naranjo, Francisco Javier. 2020e. Percusión corporal y “Solfeo cognitivo”. Recursos pedagógicos según el método BAPNE [Body percussion and "Cognitive solfeggio". Pedagogical resources according to the BAPNE method]. Pensamiento Actual, 20(35), 105-121. https://doi.org/10.15517/PA.V20I35.44398
https://doi.org/https://doi.org/10.15517...
). Concerning the problem of DCD children that require muscle weakness and weakness in performing movements necessary for balance; it can be stated that body percussion exercises with the combination of music and body movements create relaxation, reduce muscle tone, strengthen rhythmic movements of the body or parts, and increase effort and improve psychological components related to movement, which results in improving static and dynamic balance. Rhythmic movements are a set of exercises and movements that require the participation and integration of many body systems, including the sensory, musculoskeletal, and nervous. These interventions are inherently multimodal, as they involve not only physical activity, but also attention, rhythmic motor coordination, balance, and visuospatial ability (Clarke et al. 2019Clarke, Frances, Koutedakis, Yianis, Wilson, Margaret, Wyon, Matthew. 2019. “Associations between balance ability and dance performance using field balance tests”. Medical problems of performing artists, 34(3), 154-160.). Balanced movements consist of activities that provide possibilities for development in areas closely related to balance. Seemingly, body percussion exercises provide possibilities for participants to explore different movement patterns by themselves by combining movement elements (i.e. body, movement, space, time and force). The tasks of the current research included the quick change of the gravity of the core of the body during rotation so as to expand the range of motion with different parts of the body as these exercises have the potential to increase the balance. However, the findings are inconsistent with the results of Lotfi et al. (2018Lotfi, Salehe, Khalafbeigi, Mitra, Matin Sadr, Nader, Saneii, Seyed Hassan. 2018. The effectiveness of body percussion rhythmic exercises on motor skills in children with mild intellectual disability between 8-12 years old. Function and Disability Journal, 1(3), 40-47.) and Gallotta et al. (2017Gallotta, Maria Chiara, Baldari, Carlo, Guidetti, Laura. 2018. Motor proficiency and physical activity in preschool girls: a preliminary study. Early Child Development and Care, 188(10), 1381-1391.(. Galotta et al. (2017Gallotta, Maria Chiara, Baldari, Carlo, Guidetti, Laura. 2018. Motor proficiency and physical activity in preschool girls: a preliminary study. Early Child Development and Care, 188(10), 1381-1391.) stated that a creative dance program has did not significantly improve children's balance. Justifying the reason of this inconsistency, one can refer to the type and content of the provided training program, the quality of the program, the duration of the exercises and also the difference in the demographic features of the research sample. Moreover, this should be noted that the content of BAPNE exercises has been compiled on a detailed scientific model, which has not been found in previous researches with this exactness and completeness. This necessitates a better introduction of this method as well as further expansion of scientific findings.
6. Limitations and suggestions for further study
The current study has limitations that should be taken into account when focusing on the findings of this study. Considering the particular characteristics of the research samples and the age limit of the subjects, in general, one should be noted when generalizing the results to a more significant community of the society. The relatively small size of the sample and the use of the available sampling method were other constraints of the research. These results clearly need to be replicated with a more extensive and random selection. Furthermore, due to the limitations on time and the research resource, we only compared the balance and executive functions and assess these two factors in this study; therefore, one can have a better assessment of motor skills, including gross and fine motor skills in the future. To better understand the effectiveness of BAPNE percussion exercises, a methodology with more than fifty articles in Web of Science (Figure 2), it is suggested to compare these exercises with other protocols on other statistical communities. Finally, due to the effectiveness of body percussion exercises on the balance and the executive functions, it is suggested to specialists, therapists and parents of DCD children to include these exercises that are affordable, accessible and effective interventions in the program of these children in their physical and educational classes.
7. References
- Alonso-Marco, Maria, Francisco Javier Romero-Naranjo. 2022. “Introducción al Análisis Cinemático de los Movimientos Básicos de la Percusión Corporal según El Método BAPNE.” Retos 46 (August): 950-971. https://doi.org/10.47197/retos.v46.94773
» https://doi.org/https://doi.org/10.47197/retos.v46.94773 - Alonso-Sanz, Amparo, Romero-Naranjo, Francisco Javier. 2015. “El círculo en la relación espacio y cuerpo. Foto-Ensayo a partir de Isidro Blasco y el método BAPNE”. Arte, Individuo y Sociedad, 27(3), 359-374. https://doi.org/10.5209/rev_ARIS.2015.v27.n3.41382
» https://doi.org/https://doi.org/10.5209/rev_ARIS.2015.v27.n3.41382 - Álvarez-Morales, L.aureano José, Romero-Naranjo, Francisco Javier. 2019. “Pilot study into executive functions with muslim and christian pupils in the city of Ceuta using body percussion”. The European Proceedings of Social & Behavioural Sciences EpSBS, 60, Article 92. https://dx.doi.org/10.15405/epsbs.2019.04.02.92
» https://doi.org/https://dx.doi.org/10.15405/epsbs.2019.04.02.92 - Andreu-Cabrera, Eliseo, Romero-Naranjo, Francisco Javier. 2021. “Neuromotricidad, psicomotricidad y motricidad. Nuevas aproximaciones metodológicas”. Retos, 42, 924-938. https://doi.org/10.47197/retos.v42i0.89992
» https://doi.org/https://doi.org/10.47197/retos.v42i0.89992 - Arnau-Mollá, Antonio Francisco & Romero-Naranjo, Francisco Javier. 2022a. “A bibliometric study on body percussion based on high impact search engines”. Retos, 45, 679-692. https://doi.org/10.47197/retos.v45i0.92653
» https://doi.org/https://doi.org/10.47197/retos.v45i0.92653 - Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2022b. “Body percussion as a pedagogical resource. Bibliometric study on body percussion based exclusively on secondary search engines”. Retos, 46, 809-825. https://doi.org/10.47197/retos.v46.95178
» https://doi.org/https://doi.org/10.47197/retos.v46.95178 - Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2022c. Evolution of the BAPNE method as an innovation method based on its justification in scientific-academic publications. In M. d. M. Molero Jurado, A. B. Barragán Martín, M. d. M. Simón Márquez, & Á. Martos Martínez (Comps.), Innovación Docente e Investigación en Educación: Experiencias de Cambio en la Metodología Docente (pp. 485-496). Dykinson, S.L.
- Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. (2022d). Urban rhythms and creativity: Proposals for didactic innovation from neuromotricity through the BAPNE method. In Á. Martos Martínez, A. B. Barragán Martín, M. d. C. Pérez Fuentes, M. d. M. Molero Jurado, M. d. M. Simón Márquez & M. Sisto (Comps.), Acercamiento Multidisciplinar Para la Investigación e Intervención en Contextos Educativos (pp. 463-474). Dykinson, S.L.
- Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2023. “Bibliometric evolution of body percussion: Impact and gender in scientific-academic publications”. Retos, 51, 1025-1054. https://doi.org/10.47197/retos.v51.101450
» https://doi.org/https://doi.org/10.47197/retos.v51.101450 - Arnsten, Amy, Li, Bao Ming. 2005. “Neurobiology of executive functions: catecholamine influences on prefrontal cortical functions”. Biological psychiatry, 57(11), 1377-1384.
- Asurmendi Telleria, Estibaliz & Romero-Naranjo, Francisco Javier. 2022. How to teach body percussion through neuromotricity in the BAPNE method. In M. d. M. Molero Jurado, A. B. Barragán Martín, M. d. M. Simón Márquez, & Á. Martos Martínez (Comps.), Innovación Docente e Investigación en Educación: Experiencias de Cambio en la Metodología Docente pp. 767-774. Dykinson, S.L.
- Baron, Ida Sue. 2018. Neuropsychological evaluation of the child: Domains, methods, & case studies Oxford University Press.
- Bernardi, Marialivia, Leonard, Haley, Hill, Elisabeth, Botting, Nicola, Henry, Lucy. 2018. “Executive functions in children with developmental coordination disorder: a 2‐year follow‐up study”. Developmental Medicine & Child Neurology, 60(3), 306-313.
- Biotteau, Mäelle, Albaret, Jean Michel , Chaix, Yves. 2020. Developmental coordination disorder. In Handbook of clinical neurology Vol. 174, pp. 3-20. Elsevier.
- Bushnell, Emily, Boudreau, Jean Paul. 1993. Motor development and the mind: The potential role of motor abilities as a determinant of aspects of perceptual development. Child development, 64(4), 1005-1021.
- Carretero-Martínez, Andrea, Romero-Naranjo, Francisco Javier, Pons-Terres, Jessica María, Crespo-Colomino, Natalia. 2014. “Cognitive, visual- Spatial and psychomotor development in students of Primary Education through the body percussion - BAPNE method”. Procedia - Social and Behavioral Sciences, 152 (Octuber 7, 2014), 1282-1287. https://doi.org/10.1016/j.sbspro.2014.09.363
» https://doi.org/https://doi.org/10.1016/j.sbspro.2014.09.363 - Castelló-Juan, Beatriz, Antón-Suay, María Teresa, Flores-Morales, Noelia, Vicedo-Reche, Manoli & Romero-Naranjo, Francisco Javier. 2019. “Evaluating executive functions in primary school children in Alicante using body percussion”. The European Proceedings of Social & Behavioural Sciences EpSBS, 60, Article 70. https://dx.doi.org/10.15405/epsbs.2019.04.02.70
» https://doi.org/https://dx.doi.org/10.15405/epsbs.2019.04.02.70 - Cheng, Yoyo, Tsang, William, Schooling, Catherine, Mary, Fong, Shirley. 2018. “Reactive balance performance and neuromuscular and cognitive responses to unpredictable balance perturbations in children with developmental coordination disorder”. Gait & Posture, 62, 20-26.
- Clarke, Frances, Koutedakis, Yianis, Wilson, Margaret, Wyon, Matthew. 2019. “Associations between balance ability and dance performance using field balance tests”. Medical problems of performing artists, 34(3), 154-160.
- Costa‐Giomi, Eugenia. 2005. “Does music instruction improve fine motor abilities?”. Annals of the New York Academy of Sciences, 1060(1), 262-264.
- Da Silva Borges, Eliane Gomes, Cader, Sámari Alo, de Souza Vale, Rodrigo Gomez, Cruz, Thales Henrique Pires., de Alencar, Mauro Cesar de Gurgel, Pinto, Francisco Miguel, & Dantas, Estélio. 2012. “The effect of ballroom dance on balance and functional autonomy among the isolated elderly”. Archives of gerontology and geriatrics, 55(2), 492-496.
- Diamond, Adele. 2000. “Close interrelation of motor development and cognitive development and of the cerebellum and prefrontal cortex”. Child development, 71(1), 44-56.
- Diamond, Adele. 2013. “Want to optimize executive functions and academic outcomes? Simple, just nourish the human spirit”. In Minnesota Symposia on Child Psychology: Developing cognitive control processes: Mechanisms, implications, and interventions (Vol. 37, pp. 203-230). Hoboken, NJ, USA: John Wiley & Sons, Inc..
- Díaz Pérez, Ariadna. 2016. Developmental coordination disorder. intervention program through music, dance and body percussion (BAPNE method). Tesis doctorado. Universidad de Murcia, Murcia.
- Díaz-Pérez, Ariadna, Vicente-Nicolás, Gregorio, & Valero-García, Ana Valero. 2021. Music, body movement, and dance intervention program for children with developmental coordination disorder. Psychology of music, 49(5), 1215-1225.
- Di Russo, Salvatore, Romero-Naranjo, Francisco Javier. 2021a. Body Percussion in Spanish Music: A Methodological Approximation [Article]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye.
- Di Russo, Salvatore, Romero-Naranjo, Francisco Javier. 2021b. Body Percussion In The Work Of Composer Oscar Navarro. *The Case Of “Libertadores [Article]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye.
- Di Russo, Salvatore, Romero-Naranjo, Francisco Javier. 2023. “Body percussion and traditional dances. The case of Ball dels Moretons in Mallorca”. Retos, 49, 442-458. https://doi.org/10.47197/retos.v49.97609
» https://doi.org/https://doi.org/10.47197/retos.v49.97609 - Donnelly, Joseph, Hillman, Charles, Castelli, Darla, Etnier, Jennifer, Lee, Sarah, Tomporowski, Phillip, Lambourne, Kate, Szabo-Reed, Amanda. 2016. Physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Medicine and science in sports and exercise, 48(6), 1197.
- Eyigor, Sibel, Karapolat, Hale, Durmaz, Berrin, Ibisoglu, Ugur, Cakir, Serap. 2009. A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Archives of gerontology and geriatrics, 48(1), 84-88.
- Fabra-Brell, Eugenio, Romero-Naranjo, Francisco Javier. 2017. Social competence between equals through body percussion according to method BAPNE in secondary students. Procedia-Social and Behavioral Sciences, 237, 829-836. doi: 10.1016/j.sbspro.2017.02.179
» https://doi.org/10.1016/j.sbspro.2017.02.179 - Fogel, Yael, Stuart, Nichola, Joyce, Teresa, Barnett, Anna. 2023. Relationships between motor skills and executive functions in developmental coordination disorder (DCD): A systematic review. Scandinavian Journal of Occupational Therapy, 30(3), 344-356.
- Gallotta, Maria Chiara, Baldari, Carlo, Guidetti, Laura. 2018. Motor proficiency and physical activity in preschool girls: a preliminary study. Early Child Development and Care, 188(10), 1381-1391.
- Geuze, Reint, Jongmans, Marian, Schoemaker, Marina, Smits-Engelsman, Bouwien. 2001. Developmental coordination disorder. Human movement science, 20(1-2), 1-5.
- Ghaeeni, Saeed, Bahari, Zeynab, Khazaei, Ali Ashraf. 2015. Effect of core stability training on static balance of the children with Down syndrome. Physical Treatments-Specific Physical Therapy Journal, 5(1), 49-54.
- Giorgetti, Marie Magliozzi, Harris, Bette, Ann, Jette, Alan. 1998. Reliability of clinical balance outcome measures in the elderly. Physiotherapy Research International, 3(4), 274-283.
- Girgin, Nuray, Algun, Zeliha Candan. 2021. The effect of body percussion on balance and coordination in elderly people. Journal of Traditional Medical Complementary Therapies
- González de Benatuil, Maria Luisa Mercedes, Liendo Cárdenas, Andreina, Asurmendi Telleria, Estibaliz. & Romero-Naranjo, Francisco Javier. 2022. Bruno Mars and body percussion: Creative strategies from neuromotricity with the BAPNE method. In Á. Martos Martínez, A. B. Barragán Martín, M. d. C. Pérez Fuentes, M. d. M. Molero Jurado, M. d. M. Simón Márquez & M. Sisto (Comps.), Acercamiento Multidisciplinar Para la Investigación e Intervención en Contextos Educativos (pp. 449-461). Dykinson, S.L.
- Gorfein, David, MacLeod, Colin. 2007. Inhibition in cognition pp. xvii-337. American Psychological Association.
- Henderson, Sheila, Sugden, David, Barnett, Anna. 1992. Movement assessment battery for children-2. Research in Developmental Disabilities
- Huang, Tao, Larsen, Kristian Traberg, Ried‐Larsen, Mathias, Møller, Niels Christian, Andersen, Lars Bo. 2014. The effects of physical activity and exercise on brain‐derived neurotrophic factor in healthy humans: A review. Scandinavian journal of medicine & science in sports, 24(1), 1-10.
- Jelsma, Dorothee, Smits-Engelsman, Bouwien, Krijnen, Wilhelmus Petrus, Geuze, Reint. 2016. Changes in dynamic balance control over time in children with and without Developmental Coordination Disorder. Human movement science, 49, 148-159.
- Johnson, Barry, Nelson, Jack. 1979. Practical measurements for evaluation in physical education. 4th Edit. Minneapolis: Burgess.
- Lachambre, Catherine, Proteau-Lemieux, Mélodie , Lepage, Jean Francois, Bussieres, Eve Line, Lippe, Sarah. 2021. Attentional and executive functions in children and adolescents with developmental coordination disorder and the influence of comorbid disorders: A systematic review of the literature. PloS one, 16(6), e0252043.
- Lazăr, Andreea Gabriela. 2018. Improving the balance in children of 6-7 years in physical education lesson throught music movement games. The Annals of the “Ștefan cel Mare” University, 11(2), 60-67.
- Leonard, Hayley. (2016). The impact of poor motor skills on perceptual, social and cognitive development: The case of developmental coordination disorder. Frontiers in psychology, 7, 311.
- Lotfi, Salehe, Khalafbeigi, Mitra, Matin Sadr, Nader, Saneii, Seyed Hassan. 2018. The effectiveness of body percussion rhythmic exercises on motor skills in children with mild intellectual disability between 8-12 years old. Function and Disability Journal, 1(3), 40-47.
- Mariën, Peter, Wackenier, Peggy, De Surgeloose, Didier, De Deyn, Peter, Verhoeven, Jo. 2010. Developmental coordination disorder: disruption of the cerebello-cerebral network evidenced by SPECT. The Cerebellum, 9, 405-410.
- Mas-Mas, Delfina, Arnau Mollá, Antonio Francisco, Romero Naranjo, Francisco Javier. 2023. Doble tarea y movimiento: estudio bibliométrico basado en motores búsqueda de alto impacto (Dual-task and movement: a bibliometric study based on high-impact search engines). Retos, 50, 995-1009. https://doi.org/10.47197/retos.v50.100176
» https://doi.org/https://doi.org/10.47197/retos.v50.100176 - Mitsiou, Maria, Giagazoglou, Paraskevi, Sidiropoulou, Maria, Kotsikas, Georgios, Tsimaras, Vasileios, Fotiadou, Eleni. 2016. Static balance ability in children with developmental coordination disorder. European Journal of Physical Education and Sport, 11(1), 17-23.
- Mura, Gioia, Vellante, Marcello, Egidio Nardi, Antonio, Machado, Sergio, Giovanni Carta, Mauro. 2015. Effects of school-based physical activity interventions on cognition and academic achievement: a systematic review. CNS & Neurological Disorders-Drug Targets (Formerly Current Drug Targets-CNS & Neurological Disorders), 14(9), 1194-1208.
- Navarro Macia, Victor, Romero Naranjo, Francisco Javier. 2024. Jazz y percusión corporal. Propuesta de estrategias creativas con el método BAPNE (Jazz and body percussion. A proposal of creative strategies with the BAPNE method). Retos, 51, 509-518. https://doi.org/10.47197/retos.v51.100544
» https://doi.org/https://doi.org/10.47197/retos.v51.100544 - Navarro Macia, Victor, Romero Naranjo, Francisco Javier. 2024. Percusión corporal y blues. Un acercamiento neuromotor a través del método BAPNE (Body percussion and blues. A neuromotor approach through BAPNE method). Retos, 51, 970-978. https://doi.org/10.47197/retos.v51.101238
» https://doi.org/https://doi.org/10.47197/retos.v51.101238 - Noopud, Penpak, Suputtitada, Areerat, Khongprasert, Surasa, Kanungsukkasem, Vijit. 2019. Effects of Thai traditional dance on balance performance in daily life among older women. Aging clinical and experimental research, 31, 961-967.
- Romero-Naranjo, Francisco Javier. 2020e. Percusión corporal y “Solfeo cognitivo”. Recursos pedagógicos según el método BAPNE [Body percussion and "Cognitive solfeggio". Pedagogical resources according to the BAPNE method]. Pensamiento Actual, 20(35), 105-121. https://doi.org/10.15517/PA.V20I35.44398
» https://doi.org/https://doi.org/10.15517/PA.V20I35.44398 - Romero-Naranjo, Francisco Javier. 2022a. BAPNE Fit: Neuromotricity and body percussion in physical activity and sport sciences. The Educational Review, USA, 6(2), 37-44. http://doi.org/10.26855/er.2022.02.001
» https://doi.org/http://doi.org/10.26855/er.2022.02.001 - Romero-Naranjo, Francisco Javier. 2022b. Visuomotor skills and neuromotricity in the BAPNE method. Real-Time signaling as a learning resource. In M. A. de la Ossa Martínez (ed.). La educación y formación musical en el siglo XXI. ¿Somos competentes para el enfoque competencial? (pp. 303-325). Silex Ediciones.
- Romero-Naranjo, Francisco Javier, Andreu-Cabrera, Eliseo, Arnau-Mollá, Antonio Francisco. 2022. Neuromotricidad y esquema corporal. Bases para el uso de la percusión corporal en las ciencias de la educación física y el deporte [Neuromotricity and body schema. Bases for the use of body percussion in the sciences of physical education and sport]. Retos, 47, 615-627. https://doi.org/10.47197/retos.v47.95922
» https://doi.org/https://doi.org/10.47197/retos.v47.95922 - Romero-Naranjo, Francisco Javier, González de Benatuil, Luisa Mercedes. 2022a. Body percussion and urban rhythms as an interdisciplinary resource. SHS Web of Conferences, 150, 1-7. https://doi.org/10.1051/shsconf/202215001005
» https://doi.org/https://doi.org/10.1051/shsconf/202215001005 - Romero-Naranjo, Francisco Javier, González de Benatuil, Luisa Mercedes. 2022b. Practice of BAPNE FIT to Improve Cardiorespiratory Fitness. SHS Web of Conferences, 150, 1-8. https://doi.org/10.1051/shsconf/202215001006
» https://doi.org/https://doi.org/10.1051/shsconf/202215001006 - Romero-Naranjo, Francisco Javier, Romero-Naranjo, Alejandro Antonio. 2022. Percusión corporal y salud. Una breve aproximación al estado de la cuestión [Body percussion and health. A brief approach to the state of the art]. Eufonía, 93, 16-23.
- Romero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto. 2021a. Music motor control and dual task. Handsball change as a musical-Motor paradigm [Written submission]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye.
- Romero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto. 2021b. Rhythm, cognitive solfege and body percussion. Proposal for educational [Written submission]. ERPA 2021 International Congresses on Education, Sakarya, Turkiye.
- Romero-Naranjo, Francisco Javier, Sayago-Martínez, Roberto, Jiménez-Molina, Jesús. Baldomero, Arnau-Mollá, Antonio Francisco. 2023. Estudio piloto de la evaluación de la ansiedad y la atención a través de la percusión corporal y neuromotricidad en alumnado de secundaria en las clases de Educación Física, Música y Artes plásticas [Pilot study of the assessment of anxiety and attention through body percussion and neuromotricity in secondary school students in Physical Education, Music and Visual Arts classes]. Retos, 47, 573-588. https://doi.org/10.47197/retos.v47.95595
» https://doi.org/https://doi.org/10.47197/retos.v47.95595 - Romero-Naranjo, Francisco Javier, Arnau-Mollá, Antonio Francisco, González de Benatuil, Maria Luisa Mercedes, Liendo Cárdenas, Andreina, Di Russo, Salvatore, Salerno, Giulio, Asurmendi Telleria, Estibaliz, Sempere García, César. 2022. Neuromotricity and mathematics in children: Methodological approach based on rhythmic-Motor activities. In M. d. M. Molero Jurado, A. B. Barragán Martín, M. d. M. Simón Márquez, & Á. Martos Martínez (Comps.), Innovación Docente e Investigación en Educación: Experiencias de Cambio en la Metodología Docente (pp. 745-755). Dykinson, S.L.
- Romero-Naranjo, Francisco Javier, Arnau-Mollá, Antonio Francisco, González de Benatuil, Maria Luisa Mercedes, Salerno, Giulio, Liendo Cárdenas, Andreina, Asurmendi Telleria, Estibaliz, Di Russo, Salvatore, 2022. Chocolate: Body percussion and creativity from the BAPNE method. In Á. Martos Martínez, A. B. Barragán Martín, M. d. C. Pérez Fuentes, M. d. M. Molero Jurado, M. d. M. Simón Márquez & M. Sisto (Comps.), Acercamiento Multidisciplinar Para la Investigación e Intervención en Contextos Educativos (pp. 475-483). Dykinson, S.L.
- Romero-Naranjo, Francisco Javier, Arnau-Mollá, Antonio Francisco, Di Russo, Salvatore, Salerno, Giulio, Liendo Cárdenas, Andreina, Asurmendi Telleria, Estibaliz, González de Benatuil, Maria Luisa Mercedes. 2022. Bola cantabile: Creative strategies for the classroom from the BAPNE method. In Á. Martos Martínez, A. B. Barragán Martín, M. d. C. Pérez Fuentes, M. d. M. Molero Jurado, M. d. M. Simón Márquez & M. Sisto (Comps.), Acercamiento Multidisciplinar Para la Investigación e Intervención en Contextos Educativos (pp. 485-494). Dykinson, S.L.
- Romero-Naranjo, Francisco Javier, Llorca-Garnero, Jeroni. 2023a. Ergoespirometría & body percussion. Estudio de caso basado en el método BAPNE FIT (Ergospirometry & body percussion. Case study based on BAPNE FIT method). Retos, 48, 674-683. https://doi.org/10.47197/retos.v48.97928
» https://doi.org/https://doi.org/10.47197/retos.v48.97928 - Romero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023b. Neuromotricidad como recurso interdisciplinar. Justificación teórico-práctica a través del método BAPNE (Neuromotricity as an interdisciplinary resource. Theoretical-practical justification through the BAPNE method). Retos, 49, 350-364. https://doi.org/10.47197/retos.v49.98903
» https://doi.org/https://doi.org/10.47197/retos.v49.98903 - Romero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023c. Condición física y Neuromotricidad. Justificación teórico-práctica según el método BAPNE (Physical condition and neuromotricity. Theoretical-practical justification according to the BAPNE method). Retos, 50, 215-227. https://doi.org/10.47197/retos.v50.98712
» https://doi.org/https://doi.org/10.47197/retos.v50.98712 - Romero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo. 2023d. Los Diez Pilares de la Neuromotricidad. Justificación teórico-práctica según el método BAPNE (The Ten Pillars of Neuromotricity. Theoretical-practical justification according to the BAPNE method). Retos, 50, 357-370. https://doi.org/10.47197/retos.v50.98333
» https://doi.org/https://doi.org/10.47197/retos.v50.98333 - Romero-Naranjo, Francisco Javier, Andreu Cabrera, Eliseo, Arnau-Mollá, Antonio Francisco. 2024. Neuromotricidad en educación infantil. Tablas de desarrollo como propuesta interdisciplinar según el método BAPNE (Neuromotricity in early childhood education. Development tables as an interdisciplinary proposal according to the BAPNE method). Retos, 53, 162-177. https://doi.org/10.47197/retos.v53.101080
» https://doi.org/https://doi.org/10.47197/retos.v53.101080 - Rosvold, Enger, Mirsky, Allan, Sarason, Irving, Bransome Junior, Edwin, Beck, Lloyd. 1956. A continuous performance test of brain damage. Journal of consulting psychology, 20(5), 343.
- Sartori, Rodrigo Flores, Valentini, Nadia Cristina, Fonseca, Rochele Paz. 2020. Executive function in children with and without developmental coordination disorder: A comparative study. Child: care, health and development, 46(3), 294-302.
- Sofianidis, Giorgos, Hatzitaki, Vassilia, Douka, Stella, Grouios, Giorgos. 2009. Effect of a 10-week traditional dance program on static and dynamic balance control in elderly adults. Journal of aging and physical activity, 17(2), 167-180.
- Stroop, John Ridley. 1992. Studies of interference in serial verbal reactions. Journal of Experimental Psychology: General, 121(1), 15.
- Tamplain, Priscila, Sherrod, Gabriela, Fuchs, Chadwick, Miller, Haylie. 2021. Preliminary improvements in dynamic postural control after a group-based intervention program for children with developmental coordination disorder: a brief report. Developmental neurorehabilitation, 24(1), 63-67.
- Timinkul, Akkaranee, Kato, Morimasa, Omori, Takenori, Deocaris, Custer, Ito, Akira, Kizuka, Tomohiro, Soya, Hideaki. 2008. Enhancing effect of cerebral blood volume by mild exercise in healthy young men: a near-infrared spectroscopy study. Neuroscience research, 61(3), 242-248.
- Torró-Biosca, Ricardo, Aparici-Mínguez, Francisco, Arnau-Mollá, Antonio Francisco, Romero-Naranjo, Francisco Javier. 2019. Pilot study into the executive functions of children aged 8-9 BAPNE method. The European Proceedings of Social & Behavioural Sciences EpSBS, 60, Article 94. https://doi.org/10.15405/epsbs.2019.04.02.94
» https://doi.org/https://doi.org/10.15405/epsbs.2019.04.02.94 - Trives-Martínez, Emiliano Antonio, Romero-Naranjo, Francisco Javier, Terrés Pons Jessica Maria, Romero-Naranjo, Alejandro Antonio, Crespo Colomino, Natalia, Liendo Cárdenas, Andreina, Tripovic, Ylenia. 2014. Los métodos didáctico musicales y la atención en relación al movimiento. In XII Jornadas de redes de investigación en docencia universitaria. El reconocimiento docente: Innovar e investigar con criterios de calidad. pp. 1066-1079. Instituto de Ciencias de la Educación.
- Vazou, Spyridoula, Klesel, Brenna, Lakes, Kimberley, Smiley, Ann. 2020. Rhythmic physical activity intervention: exploring feasibility and effectiveness in improving motor and executive function skills in children. Frontiers in Psychology, 11, 556249.
- Wilson, Peter, Ruddock, Scott, Rahimi‐Golkhandan, Shanin, Piek, Jan, Sugden, David, Green, Dido, Steenbergen, Bert. 2020. Cognitive and motor function in developmental coordination disorder. Developmental Medicine & Child Neurology, 62(11), 1317-1323.
- Wilson, Brenda, Crawford, Susan, Green, Dido, Roberts, Gwen, Aylott, Alice, Kaplan, Bonnie. 2009. Psychometric properties of the revised developmental coordination disorder questionnaire. Physical & occupational therapy in pediatrics, 29(2), 182-202.
- Wilson, Peter, Smits‐Engelsman, Bouwien, Caeyenberghs, Karen, Steenbergen, Bert, Sugden, David, Clark, Jane, Mumford, Nick, Blank, Rainer. 2017. Cognitive and neuroimaging findings in developmental coordination disorder: new insights from a systematic review of recent research. Developmental Medicine & Child Neurology, 59(11), 1117-1129.
-
Section Editor:
Fernando Chaib -
Layout Editor:
Fernando Chaib
Publication Dates
-
Publication in this collection
22 Apr 2024 -
Date of issue
2024
History
-
Received
06 Dec 2023 -
Accepted
13 Feb 2024 -
Published
22 Mar 2024