Evidence mapPaperPMID 41750234Full record

ReviewBrain sciences2026

Action Observation and Motor Imagery in Children with Developmental Coordination Disorder: A Systematic Review.

Elisa De Masi, Giovanni Morone, Giorgia Bruschi, Maria Paola Colatei, Martina D'Arienzo, Giulia Pezzetta, Irene Ciancarelli, Alex Martino Cinnera

Abstract readReview
In one paragraph

Review in Brain sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elisa De MasiScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, 00179 Rome, Italy.
Giovanni MoroneScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, 00179 Rome, Italy.ORCID 0000-0003-3602-4197
Giorgia BruschiNeuro-and-Psychomotor Therapy for Developmental Age, University of L'Aquila, 67100 Aquila, Italy.
Maria Paola ColateiDepartment of Life, Health and Environmental Sciences, University of L'Aquila, 67100 Aquila, Italy.
Martina D'ArienzoScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, 00179 Rome, Italy.
Giulia PezzettaNeuro-and-Psychomotor Therapy for Developmental Age, University of L'Aquila, 67100 Aquila, Italy.
Irene CiancarelliDepartment of Life, Health and Environmental Sciences, University of L'Aquila, 67100 Aquila, Italy.ORCID 0000-0001-6666-0245
Alex Martino CinneraScientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, 00179 Rome, Italy.ORCID 0000-0001-7267-3253

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesChildren with Developmental Coordination Disorder (DCD) show substantial motor and balance difficulties that affect daily activities. Although action observation (AO) and motor imagery (MI) are effective in other neurological conditions, their impact in DCD remains underinvestigated. This review explores the preliminary evidence of AO- and MI-based interventions for improving motor and functional outcomes in children with DCD.

methodsA systematic search of PubMed, Scopus, and Web of Science identified randomized controlled trials and controlled trials published in the last 15 years evaluating AO and MI interventions in children with DCD. Two independent reviewers conducted the screening of the studies, data extraction, and the risk-of-bias assessment using RoB2 and ROBINS-I. The review followed PRISMA reporting guidelines and was pre-registered on the PROSPERO database (CRD420251084196).

resultsOf 320 records initially identified, seven studies, involving 199 children with DCD (aged 5-12 years), were included. Interventions varied from single-session to multi-session protocols (1-16 sessions) and included AO, MI, or a combination of both (AO + MI), with heterogeneous control conditions. Within these studies, the outcomes were primarily assessed using standardized motor coordination measures (MABC/MABC-2, DCDQ), planning tasks, and performance-based activities of daily living (ADLs) measures. Improvements were reported in motor imagery tasks, planning, and functional task performance. However, RCTs and CTs were identified to have a moderate and high risk of bias, respectively.

conclusionsThe present review suggests that AO and MI, either alone or in combination, may enhance motor planning, coordination, and daily functional skills in children with DCD, supporting internal motor representations and predictive motor control, reflecting functional gain in motor skills and ADL performance. Interestingly, these mental training approaches can be applied in clinical and everyday settings and are suitable for supporting these processes, with VR-based combinations representing a promising, but exploratory, approach. Although critical heterogeneity and a moderate risk of bias remain, the findings need to be interpreted with caution and require further investigation.

Indexed as

children with disabilitiesinternal modeling deficitmental trainingmotor planningmotor simulation techniquesmotor skill disorders

Identifiers

PMID41750234
PMCPMC12938530

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.