Journal of Rehabilitation Medicine 51-3 | Page 74

220 F.-C. Chen et al. arm configuration and make LT contact with the centre spot of the touch plate (Fig. 2, right). Participants also had to maintain the force exerted on the touch plate at less than 1 N (for detailed touch force data, see Table I). If the peak contact force was greater than the threshold value and/or apparent fingertip movement (i.e. glide, roll, and spin) observed by an experimenter using a video camera, the trial was stopped and repeated. The sensitivity to LT test was also conducted at baseline (Test 1), between the NT and LT conditions (Test 2), and between the NT/LT and LTAS conditions (Test 3). A previous study demonstrated that immersing a finger in a 2% solution of so- dium dodecyl sulphate can significantly increase touch-related sensitivity (14). Thus, Test 3 was performed immediately after finger soaking, in which participants immersed their dominant index finger up to the proximal interphalangeal joint in a 2% solution of sodium dodecyl sulphate (SDS 98%; Aldrich Che- mical Company Inc., Milwaukee, WI, USA) for 5 min. The time interval between blocks was 10 min, during which the children remained seated to avoid fatigue. A complete experiment lasted approximately 40–45 min for each participant. and a lower value of this measure represents greater postural stability and vice versa (24). Group (2 levels: DCD and TDC) × Sensitivity Assessment (3 levels: Tests 1, 2 and 3) repeated-measure ANOVAs were used to analyse sensitivity to LT. Group (2 levels: DCD and TDC) × Touch Condition (3 levels: NT, LT and LTAS) repeated-measure ANOVAs were conducted for dominant upper limb movement and body sway. A p-value < 0.05 was considered significant, with Tukey post-hoc comparisons performed when necessary. Estimates of effect sizes were made for significant main or interaction effects using partial eta squared (η 2 ). All statistics were calculated with SPSS 17.0 (SPSS Inc., Chicago, IL, USA). RESULTS Upper limb movement No statistically significant effects on upper limb movement were detected. Detailed descriptive and inferential data are presented in Appendices 1 and 2. Data analysis A total sample size of 48 was used, with a power of 0.8 and an α level of 0.05. There were 52 participants in this study (26 in the DCD group and 26 in the TDC group), such that the actual power level was 0.84. Furthermore, the assumptions of normality of variance were assessed and confirmed for all data using Kolmogorov–Smirnov tests. Statistical analysis Movement of the dominant upper limb was represented by mean displacement (in anterior-posterior (AP), medial-lateral (ML) and vertical (VL) directions), as well as rotation (pitch, roll and yaw) in the index finger, palm, forearm and upper arm. Sensitivity to LT was measured in terms of individual minimum detectable stimulus, expressed as a logarithm of 10 times the force in mg (23). The spatial amplitude of body sway was quantified by the standard deviation of the COP trajectories in the AP and ML axes. The standard deviation of the COP trajectories was employed because it is a reliable measure (19) Fig. 2. Experimental set-up. www.medicaljournals.se/jrm Sensitivity to light touch Fig. 3 depicts sensitivity to LT (mean log of force) in Tests 1, 2 and 3 for the children with DCD and TDC. For the DCD group, the mean sensitivity to LT was 2.77 (standard deviation (SD) 0.29) in Test 1, 2.71 (SD 0.29) in Test 2, and 2.38 (SD 0.33) in Test 3; for the TDC group, sensitivity to LT was 2.46 (SD 0.28) in Test 1, 2.43 (SD 0.29) in Test 2, and 2.13 (SD 0.35) in Test 3. The ANOVAs identified a main effect of Group (F(2, 50) = 26.64, p < 0.05, η 2  = 0.52), showing that children with DCD had significantly greater sensitivity to LT than did TDC. In addition, the results revealed a main effect of Sensitivity Assessment (F(2, 50) = 18.85, p < 0.05, η 2  = 0.27), showing that sensitivity to LT diffe- red significantly among Tests 1, 2 and 3. Post-hoc tests Fig. 3. Light touch sensitivity (mean log of force) in Tests 1, 2 and 3 for children with developmental coordination disorder (DCD) (black triangles) and typically developing children (TDC) (grey squares). Bars represent standard errors. Daggers denote a significant difference between experimental conditions. Asterisks denote a significance difference between children with DCD and TDC.