Reliability of the Test of Gross Motor Development Third Edition Among Children with Developmental Coordination Disorder

Phys Occup Ther Pediatr. 2025;45(1):41-54. doi: 10.1080/01942638.2024.2378050. Epub 2024 Jul 15.

Abstract

Aim: The Test of Gross Motor Development Third Edition (TGMD-3) is used to assess the development of fundamental movement skills in children from 3 to 10 years old. This study aimed to evaluate the intra-rater, inter-rater, and test-retest reliability and to determine the minimal detectable change (MDC) value of the TGMD-3 in children with developmental coordination disorder (DCD).

Methods: The TGMD-3 was administered to 20 children with DCD. The child's fundamental movement skills were recorded using a digital video camera. Reliability was assessed at two occasions by three raters using the generalizability theory.

Results: The TGMD-3 demonstrates good inter-rater reliability for the locomotor skills subscale, the ball skills subscale, and the total score (φ = 0.77 - 0.91), while the intra-rater reliability was even higher (φ = 0.94 - 0.97). Test-retest reliability was also shown to be good (φ = 0.79-0.93). The MDC95 was determined to be 10 points.

Conclusion: This study provides evidence that the TGMD-3 is a reliable test when used to evaluate fundamental movement skills in children with DCD and suggests that an increase of 10 points represents a significant change in the motor function of a child with DCD.

Keywords: Developmental coordination disorder; Test of Gross Motor Development (TGMD); fundamental movement skills; generalizability theory; inter-rater reliability; intra-rater reliability; motor skill assessment; test-retest reliability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Preschool
  • Disability Evaluation
  • Female
  • Humans
  • Male
  • Motor Skills Disorders* / diagnosis
  • Motor Skills Disorders* / physiopathology
  • Motor Skills* / physiology
  • Observer Variation
  • Reproducibility of Results