Motor imagery as a cognitive mechanism in interventions for children with developmental coordination disorder: a narrative review - Report - MDSpire

Motor imagery as a cognitive mechanism in interventions for children with developmental coordination disorder: a narrative review

  • By

  • Yiheng Chi

  • Li Ke

  • Tanghai Cheng

  • Xinrui Ma

  • May 18, 2026

  • 0 min

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Cognitive Mechanisms of Motor Imagery in Therapeutic Approaches for DCD

Overview

This narrative review explores the role of Motor Imagery (MI) as a cognitive mechanism in interventions for children with Developmental Coordination Disorder (DCD). It highlights the potential of MI to improve motor performance and daily living activities by addressing cognitive deficits associated with DCD.

Background

Developmental Coordination Disorder (DCD) affects 5% to 20% of children, leading to significant motor impairments and impacting self-esteem and social participation. Traditionally viewed as a motor execution deficit, recent evidence suggests that cognitive processes such as internal modeling and motor planning are also disrupted in DCD. This shift in understanding necessitates new intervention strategies that engage cognitive mechanisms to enhance motor learning.

Data Highlights

No specific numerical data or trial results were provided in the article.

Key Findings

  • Children with DCD exhibit impairments in motor imagery ability, indicating disruptions in internal modeling processes.
  • Structured MI-based interventions, especially when combined with action observation, show promising effects on motor performance.
  • MI engages neural networks involved in motor execution, potentially promoting neuroplasticity.
  • Targeting impaired internal models through MI may lead to functional improvements in children with DCD.
  • Future research should focus on standardized methodologies and larger-scale trials to validate MI interventions.

Clinical Implications

Clinicians should consider incorporating Motor Imagery techniques into rehabilitation programs for children with DCD to address cognitive deficits and enhance motor learning. A focus on cognitive-oriented approaches may lead to more effective interventions compared to traditional motor training methods.

Conclusion

Motor Imagery represents a promising therapeutic approach for children with DCD, offering insights into the cognitive mechanisms underlying motor control. Continued research is essential to establish its efficacy and optimize intervention strategies.

Related Resources & Content

  1. APTA Academy of Pediatric Physical Therapy, APTA, 2026 -- Physical Therapy Management of Children With Developmental Coordination Disorder: A 2026 Evidence-Based Clinical Practice Guideline
  2. Sports Medicine - Open, Springer Nature, 2025 -- Motor-Based Interventions in Children with Developmental Coordination Disorder: A Systematic Review and Meta-analysis of Randomised Controlled Trials
  3. Frontiers in Medicine, 2026 -- Theoretical framework of the neuro and psychomotor therapist for developmental age: an Italian perspective for paediatric rehabilitation of neurodevelopmental disabilities
  4. DIGITAL HEALTH — Unilateral and bilateral digital mirror visual feedback with different movement types modulate mu oscillations in individuals with stroke
  5. Brain — Exploring a New Circuit in the Primary Motor Cortex as a Potential Focus for Neuromodulation Therapy
  6. Frontiers in Psychiatry — Objective Evaluation of Attention-Deficit/Hyperactivity Disorder Using POV Glasses and Machine Learning Techniques
  7. Physical Therapy Management of Children With Developmental Coordination Disorder: A 2026 Evidence-Based Clinical Practice Guideline from the American Physical Therapy Association Academy of Pediatric Physical Therapy | APTA
  8. Motor-Based Interventions in Children with Developmental Coordination Disorder: A Systematic Review and Meta-analysis of Randomised Controlled Trials | Sports Medicine - Open | Springer Nature Link

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