Review Article

Effects of Physical Activity on Children’s Motor Skill Development: A Systematic Review of Randomized Controlled Trials

Table 1

Characteristics of individual studies included in the review.

StudySampleDesign/settingOutcome/instrumentExposureDoseFindings

Barnett et al. [30]; AustraliaChildren aged 4-8 years; RCT
School
Object control skills; perceived object control skillsIntervention children played exergaming (Wii), while control children have no treatment1 hour per week for 6 weeksObject control improved overtime, but there was no significant group difference; notably, intervention children found exergaming sessions were more enjoyable
McGann et al. [31]; USChildren aged 5-7 years; RCT
School
Locomotor skills
Measured by TGMD-2
Intervention children participated in a purpose-built exergame, while control children participated a commercial exergame3-minute high intensity gameplay each day, 5 days a week, for 8 weeksIntervention children showed significant improvement for each locomotor skill (run, hop, skip, and slide), while the control group intervention had significant improvement in only one locomotor skill (the slide)
Chan et al. [37]; ChinaPrimary school children, mean age 8.4 years; Cluster RCT
School
FMS competence, perceptions of physical and movement skill competence, teacher support, and enjoyment
FMS was measured by TGMD-3
The athletic competence subscale of the Self-Perception Profile for Children (SPPC–6 items) was used to assess children’ subjective evaluation of their athletic ability
Intervention children received an assessment-based teacher-led FMS intervention, while control children remain in their usual PE lessonsA total of 550 minutes, for a period of 13 weeksSignificant intervention effects were found for locomotor skills and perceived teacher support. However, there was a group-by-time effect for perceived physical competence in favour of the control group
Lee et al. [38]; USChildren aged 5-8 years; RCT
School
FMS competence and MVPA
FMS was measured by TGMD-2
MVPA was measured by accelerometers
Intervention children participated in FMS-based need supportive afterschool program, while control children participated in a regular unsupervised afterschool program60 min per session, 3 times per week, for 8 weeksIntervention children had significant improvement in FMS competence and MVPA compared to control children; there was no gender difference regarding the FMS competence and MVPA
Cohen et al. [39]; USPrimary school children aged 7-10 years; Cluster RCT
School
MVPA, cardiovascular fitness, FMS competence, perceived sport competence
MVPA was measured by accelerometer
FMS competence was measured by TGMD-2
Perceived sport competence was assessed using the perceived competence sub-scale from Harter’s Self-Perception Profile
Intervention children participated in a multicomponent PA and FMS intervention, while control children remained in their usual PE and school program12 monthsChanges in MVPA were associated with changes in object control skills, overall FMSs, and perceived competence
Overall FMSs had a significant mediating effect on MVPA. In addition, overall FMSs and locomotor skills had a significant mediating effect on cardiovascular fitness
Laukkanen et al. [40]; UKChildren aged 4-7 years; RCT
Home-based
PA and motor competence
PA was measured by accelerometer
Motor competence was measured by KTK (Körperkoordinations für Kinder) and throwing and catching a ball (TCB) protocols
Parents in the intervention group families received a tailored counseling to increase children’s PA, while control group families did not receive any counselingOne-year interventionThe results showed significant decrease of MVPA in the intervention group when compared to the control group (). The TCB showed a nearly significant improvement at six months in the intervention group compared to the controls (), but not at 12 months. The intervention group had a steadier development of the KTK when the interaction of season was taken into account
Bonvin et al. [41]; SwitzerlandChildcare center children with mean age 3.3 years; Cluster RCT
Childcare center
Motor skills
BMI, PA, and quality of life
Motor skill measures were adapted from the Zurich Neuromotor Assessment (ZNA) test
PA was measured by accelerometer
Quality of life of the participating children was assessed using the parent report for children of PedsQL 4.0
The intervention included training of the educators, adaptation of the childcare built environment, parental involvement, and daily physical activity, while the control group had no treatment9 monthsThere was no significant improvement in motor skills compared to the control group; notably, not all childcare centers implemented all the intervention components
Vernadakis et al. [32]; GreeceElementary school children aged 6-7 years; RCT
School
Object control skills
The object control skills were measured by TGMD-2
Two intervention groups: (1) exergame-based training program and (2) traditional training program
The control group did not receive any treatment
8 weeks; 2 times per week; 30 minutes per sessionSignificant improvement in object control skills in both intervention groups, but not in the control group. There was no significant difference regarding the improvements between two intervention groups
Costello and Warne [42]; Ireland3rd and 4th grade school children aged 8-9 years; RCT
School
Motor skills
Measured by fundamental motor skill quotient
Intervention children received FMS lessons, while control group children did not receive any treatment4 weeks; 2 times per week; 30 minutes per sessionIntervention children had significant improvements in FMSs, but not in control group
Johnson et al. [33]; AustraliaChildren aged 6-10 years; RCT
School
Object control skills and competence
Object control skills were measured by TGMD-3; perceived object control skill was measured by the Pictorial Scale of Perceived Competence for Young Children
Intervention children received weekly exergaming intervention, while control group children did not receive any treatment6 weeks; 50 min per weekNo significant differences between the control and intervention groups were observed for both outcomes
Foweather et al. [43]; UKChildren aged 8-9 years; RCT
School
FMS
Skills were measured by process-oriented measures with video analysis
Intervention children participated in an after-school FMS training program, while control group children remain normal routine9 weeks; one hour per session; 2 times per weekSignificant improvement in static balance, but no significant improvements in other skills
Sit et al. [44]; ChinaChildren aged 6-10 years; RCT
School
FMS proficiency, PA, self-perceived competence
FMS was measured by TGMD-2, PA was measured by accelerometer (GT3X+), and self-perceived competence was measured by Physical Self-Descriptive Questionnaire (PSDQ)
The experimental group received a training program focusing on the practice of five specific FMS skills (running, jumping, catching, kicking, and throwing)
Control group children received regular PE lessons
8 weeks; 40 minutes per weekFMS training resulted in significantly improved FMS proficiency and increased PA and enjoyment of activity participation in children
Lander et al. [45]; AustraliaYear 7 girls aged 11-13 years; Cluster RCT
School
FMS
Skills were measured by Victorian FMS assessment instrument
Intervention children received teacher-led FMS-focused training, while control group children remained normal PE12 weeks; 90 minutes per weekSignificant improvements in object control skills and total skill compared to the control group
Lander et al. [46]; AustraliaYear 7 girls aged 11-13 years; Cluster RCT
School
FMS
Skills were measured by Victorian FMS assessment instrument
Intervention children received teacher-led FMS-focused training; while control group children remained normal PE12 weeks; 90 minutes per weekSignificant improvements in perceived motor skill competence and actual motor skills
Johnstone et al. [47]; UKElementary school children; Cluster RCT
School
FMS, PA, inhibition, and math fluency
FMS was measured by TGMD-2, PA was measured by accelerometer, inhibition was measured by Flanker Test, and math fluency was measured by One Minute Basic Facts Test
Intervention children received outdoor PA session, while control group had no treatment10 weeks; one hour per weekActive play sessions were shorter than planned on average by 10 min, and participants spent a mean of 39.4% (14.2) of the session time in MVPA. There was preliminary evidence of a small intervention effect on MVPA (), FMS score, inhibition, and math fluency
Karabourniotis et al. [48]; GreeceChildren aged 5-7 years; RCT
School
FMS, content areas of PE courses
FMS was measured by TGMD, PE content was measured by the Academic Learning Time-Physical Education
Intervention children received a skill-oriented program, while control children received regular school PE12 weeksIntervention children had significant FMS improvements compared to the control group
Mombarg et al. [34]; NetherlandsChildren aged 7-12 years; RCT
School
Balance skills
Measured by M-ABC-2 and the Bruininks-Oseretsky test of motor proficiency (BOT-2)
Intervention children received Wii exergaming, while control children did not receive any treatment6 weeks; 30 minutes per session; 3 times per weekIntervention children had significant improvements in balance skills compared to the control group
Aadland et al. [49]; NorwayChildren aged 10 years; Cluster RCT
School
Executive function
FMS was measured by TGMD-2
The intervention constituted three PA elements: PA educational lessons, PA breaks, and PA homework, adding 165 minutes of PA to the mandatory 135 minutes of PA and physical education7 monthsThere was no effect of the intervention on executive functions in the intention-to-treat analyses. Per protocol analyses revealed small effects of the intervention on the composite score of executive functions, cognitive flexibility, and motor skills
Cliff et al. [50]; AustraliaChildren aged 5-9 years; RCT with 6- and 12-month follow-up
Community-based
FMS, perceived athletic competence, PA, screen behaviors
FMS was measured by TGMD-2, perceived competence was measured by Self-Perception Profile for Children, PA was measured by accelerometer, and screen behaviors were measured by the Children’s Leisure Activities Study Survey
Children were randomly assigned to three groups: (1) a child-centered physical activity skill development program (Activity), (2) a parent-centered dietary modification program (Diet), and (3) a combination of both programs (Activity+Diet)6 months;
10 2 h weekly group sessions (~90 min of physical activity per session) and weekly “home challenge” activities
The findings indicated that the PA and PA+Diet groups had significant improvements in FMS
Pan et al. [51]; ChinaChildren aged 7-12 years; RCT
Clinic
FMS, executive function
FMS was measured by TGMD-2, and executive function was measured by Stroop Color and Word Test and Wisconsin Card Sorting Test
Intervention children received table tennis and physical and cognitive training, while control group did not receive treatment12 weeks; 70 minutes per weekTraining group had significant improvements in both locomotor and object control skills compared to the control group
Piazza et al. [52]; ItalyFemale rhythmic gymnasts, aged between 10 to 13 years, RCT
Field-based
Squat jump test, counter movement jump test, hopping test, flexibility of the hipParticipants were randomly assigned to the unspecific resistance training group or specific resistance training group6 weeks
2 days per week (nonconsecutive days)
The main result was that both unspecific resistance training and specific resistance training protocols positively affected the jumping performance, with an increase of the lower limb explosive strength of 6-7%, with no side effects
No significant differences were detected among groups for flexibility, body mass, calf, and thigh circumferences
Salmon et al. [53]; AustraliaSchool children aged 10-11 years; RCT
School
BMI, PA, screen behaviors, PA enjoyment, FMS
PA was measured by accelerometers, screening behaviors were assessed by the self-reported screen behaviors questionnaire, and FMS was measured by TGMD
Children were randomized by class to one of the four conditions: a behavioral modification group (BM); a fundamental movement skill group (FMS); a combined BM/FMS group (BM/FMS); and a control (usual curriculum) groupOne school year
Each of the intervention conditions consisted of 19 lessons (40–50 minutes each)
There was a significant intervention effect from baseline to post intervention on age- and sex-adjusted BMI in the BM/FMS group compared with controls, which was maintained at 6- and 12-month follow-up periods. Compared with controls, FMS group children recorded higher levels and greater enjoyment of PA
Sheehan and Katz [36]; CanadaChildren aged 6-10 years; RCT
School
BalanceIntervention children participated in a Wii Fit exergaming program, while control group children participated in traditional PA6 weeks; 3 days per weekThe intervention children had significant improvements in postural stability compared to the control group
Sheehan and Katz [35]; CanadaFourth grade children; RCT
School
BalanceIntervention children participated in a iDance exergaming program, two control groups were used: (1) a physical education (PE) class geared toward agility, balance, and coordination (ABC) improvement and (2) a typical PE curriculum class6 weeks; 34 min per day; 4-5 days per weekExergaming students improved their postural stability significantly over a 6-week period compared to those in the typical PE class
van der Fels et al. [54]; NetherlandsChildren aged 7-10 years (grades 3-4); Cluster RCT
School
Gross motor skills were assessed using the Körperkoordinations für Kinder test
Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2), was used to include a measure for ball skills
Intervention children participatedIntervention groups received aerobic or cognitively engaging exercise (14 weeks, four lessons per week). Control groups followed their regular physical education programNo main effects of the aerobic intervention and the cognitively engaging intervention on cardiorespiratory fitness and motor skills in primary school children in grades three and four