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Journal of Learning Disabilities

Volume 41 Number 3
May/June 2008 251-262
© 2008 Hammill Institute on
Working Memory and Learning in Children Disabilities
10.1177/0022219408315815

With Developmental Coordination Disorder http://journaloflearningdisabilities


.sagepub.com
hosted at
and Specific Language Impairment http://online.sagepub.com

Tracy Packiam Alloway


Durham University
Lisa Archibald
University of Western Ontario

The authors compared 6- to 11-year-olds with developmental coordination disorder (DCD) and those with specific language
impairment (SLI) on measures of memory (verbal and visuospatial short-term and working memory) and learning (reading
and mathematics). Children with DCD with typical language skills were impaired in all four areas of memory function for
their age level, and this pattern was also found to be characteristic of a larger DCD group with varied language abilities.
SLI-group deficits in standard scores were observed for the verbal versions of the short-term and working memory tasks
only. There were also differential links between memory and attainment between the two groups, with visuospatial working
memory strongly related to numeracy in the SLI group and all of the memory measures correlated with at least one attain-
ment measure in the DCD group. Reasons for why working memory contributes to learning in these two developmental
groups are discussed.

Keywords: working memory; learning; developmental coordination disorder; specific language impairment

T he extent to which deficits in specific cognitive


mechanisms may underlie developmental disorders
is a matter of considerable interest in the fields of cogni-
abilities, sensory functions, and environmental exposure
to language. It is a relatively common developmental
condition, estimated to occur in approximately 7% of
tion and cognitive development. The functioning of the kindergarten children (Tomblin et al., 1997), and is more
working memory system has been implicated in groups prevalent in male than female children (e.g., Choudhury &
of children with marked learning difficulties, such as Benasich, 2003; Flax et al., 2003). Affected children have
learning disabilities (e.g., Alloway et al., 2005; Swanson the greatest problems in learning word forms and the
& Saez, 2003), reading impairments (Gathercole, grammatical structure of language, with the acquisition
Alloway, Willis & Adams, 2006), and specific language of semantics and pragmatics relatively spared (Leonard,
impairment (SLI; e.g., Archibald & Gathercole, 2006a). 1998). Although the difficulties disproportionately affect
To date, however, no studies have provided a comparison the verbal domain, deficits in more general skills such as
of working memory profiles in children with different processing speed (Miller, Kail, Leonard, & Tomblin,
developmental pathologies, and it was the purpose of the 2001) and hypothesis testing (e.g., Ellis Weismer, 1991;
present study to do so. The comparison groups repre- Nelson, Kamhi & Apel, 1987) have been reported. In
sented children with impairments predominantly affect- addition, it is widely acknowledged that individuals with
ing either language or motor skills: SLI, an impairment SLI commonly experience learning difficulties of a com-
disproportionately affecting language skills, and devel- parable magnitude across all scholastic domains, includ-
opmental coordination disorder (DCD; also known as ing mathematics (Arvedson, 2002; Donlan & Gourlay,
motor dyspraxia), characterized by difficulties with motor 1999; Fazio, 1996) and literacy (Bishop & Adams, 1990;
coordination. The extent to which deficits in subcompo- Catts, Fey, Tomblin, & Zhang, 2002; Flax et al., 2003).
nents of working memory may differentiate these groups
was explored by measuring skills systematically across
Authors’ Note: We would like to thank Susan Gathercole for valu-
the verbal and visuospatial domains. able comments made to an earlier version of this article. We also wish
SLI in children is an unexpected failure to develop lan- to extend our gratitude to the primary schools and children who par-
guage at the usual rate, despite normal general intellectual ticipated in this research.

251
252 Journal of Learning Disabilities

DCD is characterized by marked motor impairment In recent years, standard methods of assessing both
that affects functioning in daily activities in the absence verbal and visuospatial aspects of working memory have
of intellectual or neurological dysfunction (American been developed and validated. Two tests, the Working
Psychiatric Association, 1994). Observable behaviors in Memory Test Battery for Children (WMTB-C; Pickering
children with DCD include clumsiness, poor posture, & Gathercole, 2001) and the Automated Working
confusion about which hand to use, difficulties throwing Memory Assessment (AWMA; Alloway, 2007a), provide
or catching a ball, reading and writing difficulties, and an multiple measures of subcomponents of working mem-
inability to hold a pen or pencil properly. The estimated ory standardized for children ages 4 to 11 years. Tasks
prevalence of DCD in children ages 5 to 11 years is tapping the temporary storage of the phonological loop
about 6% (Mandich & Polatajko, 2003), with more male and visuospatial sketchpad require the serial retention
than female children being affected. As with SLI, sub- of either phonological information such as digits (e.g.,
stantial heterogeneity exists in the cognitive profiles of Conrad & Hull, 1964) or visuospatial material such as
children with DCD, with some researchers suggesting visual patterns (e.g., Smyth & Scholey, 1996). Working
that comorbidity is so widespread in DCD as to be the memory is typically assessed using complex memory
norm rather than the exception (Kaplan, Wilson, Dewey, & span paradigms that impose demands for both temporary
Crawford, 1998; Piek & Dyck, 2004; Wilson, 2005). The storage and significant processing activity with selected
common occurrence of concomitant language impair- task components varied across domains. An example of
ments with DCD (e.g., Hill, 2001; Visser, 2003) has led a verbal complex span task is reading span, in which a
to the suggestion that linguistic difficulties may underlie participant is asked to make a meaning-based judgment
some of the learning problems experienced by children about each of a series of sentences and then remember
with DCD (Visser, 2003). the last word of each sentence in sequence (Daneman &
Although these developmental disorders are distin- Carpenter, 1980). A corresponding visuospatial task is
guished by the domain of principal deficit, they are both spatial span, in which a participant is asked to judge the
associated with significant learning difficulties. A key orientation of a set of letters and then remember the
contributing factor in learning during development is sequence of degrees of rotation of the letters (Shah &
working memory abilities (e.g., Alloway, Gathercole, Miyake, 1996).
Adams, et al., 2005; Gathercole, et al., 2006; Swanson & Working memory skills can explain individual differ-
Sachse-Lee, 2001). Working memory is the capacity to ences in learning. Poor performance on working memory
store and manipulate information over brief periods of measures is characteristic of children failing to progress
time (Baddeley & Hitch, 1974; Just & Carpenter, 1992). normally in the areas of reading (e.g., De Jong, 1998;
Extensive research over the past three decades has estab- Swanson, 1994), mathematics (e.g., Bull & Scerif, 2001;
lished that working memory is not a single store but a Mayringer & Wimmer, 2000; Passolunghi & Siegel, 2001;
memory system composed of separable interacting com- Siegel & Ryan, 1989), and language comprehension
ponents. Functioning in concert, these components pro- (e.g., Nation, Adams, Bowyer-Crain, & Snowling, 1999;
vide a kind of flexible mental workspace that can be used Seigneuric, Ehrlich, Oakhill, & Yuill, 2000). There are
to maintain and transform information in the course of also links between performance on tasks measuring
demanding cognitive activities. phonological loop capacity of working memory and vocab-
There are several theoretical accounts of working mem- ulary acquisition (for a review, see Baddeley, Gathercole,
ory. In the present study, we used Baddeley and Hitch’s & Papagno, 1998). Associations have been reported as
(1974) model of working memory (see also Baddeley, well between measures of the visuospatial sketchpad
2000), which is widely used in both developmental and component of working memory and mental arithmetic
adult samples (e.g., Alloway, Gathercole, Willis & Adams, (Lee & Kang, 2002; McLean & Hitch, 1999).
2004; Baddeley, 1996). According to this model, there are Associations between working memory abilities and
separable components for the temporary storage of verbal learning have also been found in children with special
and visuospatial information: the phonological loop and educational needs. In particular, children experiencing
the visuospatial sketchpad, respectively. A centralized learning difficulties that are sufficiently severe to warrant
component is responsible for coordinating the flow of special education provision have been found to per-
information between these storage systems and the tem- form very poorly on measures of working memory
porary activation of long-term memory. The central exec- (Alloway, Gathercole, Willis, & Adams, 2005; Gathercole
utive also functions as a mental workspace involved in the & Pickering, 2001; Pickering & Gathercole, 2004). In a
temporary storage and manipulation of information recent study of children with deficits in literacy and
needed in the execution of complex cognitive tasks, such numeracy, Gathercole et al. (2006) found that perfor-
as learning, reasoning, and comprehension. mance on verbal working memory tasks is not mediated
Alloway, Archibald / DCD and SLI 253

by other associated cognitive skills and that it taps an into account (Alloway, 2007b). The unique link between
ability that is uniquely linked with learning abilities. This visuospatial memory skills and learning suggests that the
is consistent with the view that verbal working memory processing demands of the working memory tasks and
is not just a proxy for IQ and is supported by related the active motor component reflected in the visuospatial
research on learning disabilities, verbal working memory, memory tasks both play a crucial role in learning in
and IQ (e.g., Cain, Oakhill & Bryant, 2004; Siegel & children with DCD.
Ryan, 1989). The current work represents one of the first compar-
Working memory functioning has been investigated in isons of working memory and learning in children with
some detail in SLI. Deficits in phonological loop capac- DCD and those with SLI. Because one of the criteria for
ity in SLI have been widely reported in studies of non- DCD included in the fourth edition of the Diagnostic and
word repetition (e.g., Botting & Conti-Ramsden, 2001; Statistical Manual of Mental Disorders (DSM-IV) is “sig-
Dollaghan & Campbell, 1998; Edwards & Lahey, 1998; nificant difficulties with motor coordination, which affects
Ellis Weismer et al., 2000; Gathercole & Baddeley, 1990), their academic achievement” (American Psychiatric
as well as studies using more conventional verbal short- Association, 1994), these children often perform worse
term memory measures, such as serial recall of digits or than age-matched controls on measures of literacy, such as
words (Archibald & Gathercole, 2006a; Graham, 1980; reading, writing, and spelling (e.g., Dewey, Kaplan,
Wiig & Semel, 1976). Age-appropriate performance, on Crawford, & Wilson, 2002; Iversen, Berg, Ellertsen, &
the other hand, has been reported for SLI groups on visu- Tonnessen, 2005). A longitudinal study confirmed that
ospatial storage tasks (Archibald & Gathercole, 2006a, children who are diagnosed with DCD at 7 years of age
2006b). Children with SLI have also been found to be are limited in their reading and comprehension levels by
impaired on working memory tasks involving the storage the age of 10 (Kadesjo & Gillberg, 1999). As with other
and processing of verbal (e.g., Archibald & Gathercole; atypical populations, such as children with poor reading
2006a; Ellis Weismer, Evans, & Hesketh, 1999) but not comprehension (Swanson & Berninger, 1995) and
visuospatial information (e.g., Archibald & Gathercole, children with persistent learning difficulties (Gathercole
2006; Bavin, Wilson, Maruff, & Sleeman, 2005). This et al., 2006), it may be that the learning difficulties of
dissociation has been explained in light of evidence that children with DCD are associated with working memory
performance decrements occur only when the task addi- impairments. An alternative possibility is that deficits in
tionally taps the impaired phonological but not preserved comorbid cognitive or language skills account for the per-
visuospatial storage abilities (Archibald & Gathercole, formance levels of children with DCD.
2007). However children with SLI are slower than typi- In this study, measures of verbal and visuospatial short-
cally developing peers in completing the processing portion term memory and verbal or visuospatial working memory
of both verbal and visuospatial working memory tasks. were completed by three groups of children: children with
With respect to children with DCD, there is emerging SLI, an age-matched group of children with typically
evidence that they have a specific deficit in visuospatial developing language skills and DCD, and an unselected
memory (e.g., Alloway, 2006; Alloway & Temple, 2007). group of children with DCD that also included children
This deficit can be understood in light of research indi- with language impairments. Although the selection of a
cating that visuospatial skills are linked with movement DCD and typical language group provides an interesting
planning and control (e.g., Quinn, 1994; Smyth, Pearson, contrast to an SLI group, it was unknown whether a DCD
& Pendleton, 1988). For example, Smyth et al. (1988) and typical language group would perform differently
found that participants’ retention of simple movements than an unselected DCD group on the memory and learn-
in sequence was comparable with their retention of verbal ing measures included in the present study. One goal of
information, indicating that visuospatial memory paral- this study therefore was to compare the working memory
lels verbal memory. This is consistent with the view that profiles of the two DCD groups. A second goal was to
certain aspects of visuospatial working memory overlap compare the SLI and DCD and typical language groups.
with cognitive resources allocated to generating move- Similar working memory profiles across groups would
ment (e.g., Duff & Logie, 1999). Visuospatial memory favor an account emphasizing the commonalities between
skills in children with DCD have been linked to learning. these developmental disorders and suggesting that a gen-
A recent study comparing DCD children with high and eralized deficit may underlie both conditions (e.g., Hill,
low visuospatial memory skills found that children with 2001; Visser, 2003). Findings of differential working
low visuospatial memory skills performed significantly memory impairments would make an important contribu-
worse than children with high visuospatial memory tion to understanding the cognitive mechanisms that may
skills in literacy and numeracy, even when IQ was taken give rise to domain-specific deficits.
254 Journal of Learning Disabilities

Method 1992). The Movement Assessment Battery Teacher


Checklist (Henderson & Sugden, 1996), completed for
Participants each participating child at the time of the present
study, confirmed the severity of the child’s movement
Thirty-four children participated in three groups in the
difficulties.
present study: 11 children with SLI (7 boys, 4 girls), 11
All 23 participants with DCD completed the BPVS-II
chronologically age–matched children with DCD and
(Dunn et al., 1997) and the Recalling Sentences subtest
typical language skills (8 boys, 3 girls), and 12 additional,
of the CELF-3UK (Semel et al., 1995), and 19 com-
unselected children with DCD (8 boys, 4 girls) partici-
pleted Raven’s Coloured Matrices (Raven et al., 1986)
pated in the present study. The mean ages of the groups
and the TROG (Bishop, 1982). None of the children
were as follows: SLI: 8 years 10 months (SD = 1.41
experienced difficulty in performing these tasks as a
years, range = 6 years 9 months to 10 years 10 months);
function of their motor impairments. From these, a group
DCD and typical language: 8 years 11 months (SD = 1.43
of 11 children with DCD individually age matched with
years, range = 6 years 11 months to 11 years 0 months);
participants in the SLI group who had achieved standard
unselected DCD: 8 years 6 months (SD = 1.64 years,
scores of 85 or greater on Raven’s Coloured Matrices
range = 5 years 0 months to 11 years 8 months). All
and the BPVS-II were selected to form the DCD and typ-
participants were native English speakers. None of the
ical language group.
children were diagnosed with attention-deficit disorder
or attention-deficit/hyperactivity disorder, autism spec-
trum disorder, or hearing impairment. Procedure
SLI group. The children in the SLI group were recruited The measures reported here were completed in three or
from language units in urban areas of the Northeast of four individual half-hour sessions in a quiet room in the
England over a 4-month period. All of the children met children’s schools. Because the aim of the present study
SLI criteria consistent with those described by Records was to compare the performance of two groups, SLI and
and Tomblin (1994). They achieved standard scores of DCD, standardized measures were used in all instances.
85 or greater on a test of nonverbal reasoning (Raven’s In addition to the language screening measures and non-
Coloured Matrices; Raven, Court, & Raven, 1986). In verbal ability test listed above, each child was also tested
addition, they performed at least 1.25 standard devia- first on a working memory assessment battery, followed
tions below the mean on two of four language measures, by attainment measures. The SLI group completed the
including one receptive measure. The receptive measures WMTB-C (Pickering & Gathercole, 2001), as well as the
were the British Picture Vocabulary Scales, 2nd Edition visuospatial working memory measures of the AWMA
(BPVS-II; Dunn, Dunn, Whetton, & Burley, 1997) and (Alloway, 2007a), and the DCD groups completed the
the Test for Reception of Grammar (TROG; Bishop, 1982). AWMA. Additionally, both groups completed measures
The expressive measures were the Expressive Vocabulary of attainment in reading and mathematics. No more than
Test (Williams, 1997) and the Recalling Sentences subtest two standardized tests were completed in one session.
of Clinical Evaluation of Language Fundamentals–UK 3 The subtest order recommended by the standardized test
(CELF-UK3; Semel, Wiig, & Secord, 1995). It is worth was followed within each test.
noting that although some of the language tests may have The AWMA (Alloway, 2007a) was designed as an
minimal working memory demands, these tests are com- automated equivalent of the WMTB-C (Pickering &
monly used to identify language impairments and were Gathercole, 2001) (see Note 1). Both tests provide mul-
used for this purpose in the present study. None of tiple assessments of each of the three components of
the children had motor difficulties as identified by the Baddeley and Hitch’s (1974) working memory model,
Movement Assessment Battery Teacher Checklist using tasks that have been validated as measures of each
(Henderson & Sugden, 1996), completed by the partici- component. The batteries include three measures of
pants’ classroom teachers. verbal short-term memory (digit recall, word recall, and
nonword recall), three measures of visuospatial short-
DCD groups. The children with DCD also attended term memory (block recall, mazes memory, and dot
schools in the Northeast of England and were referred by matrix), and three verbal working memory measures
an occupational therapist who had identified them as (backward digit recall, listening recall, and counting
experiencing motor difficulties using the DSM-IV criteria recall), and the AWMA includes three visuospatial work-
for DCD (American Psychiatric Association, 1994) and ing memory measures (odd one out, Mr. X, and spatial
standardized motor assessments such as the Movement span). Both tests provide standardized scores, with a
Assessment Battery for Children (Henderson & Sugden, mean value of 100 and a standard deviation of 15, for 4- to
Alloway, Archibald / DCD and SLI 255

11-year-olds (AWMA: Alloway, 2007a; WMTB-C: asked to recall the path by drawing it on the maze. Each
Pickering & Gathercole, 2001). maze is presented for 3 seconds. Maze complexity is
increased by adding additional walls to the maze. In the
Verbal short-term memory. The digit recall, word dot matrix task, a sequence of red dots is presented on a
recall, and nonword recall tests involve the presentation 4 × 4 grid, and the child is required to point to the positions
of a sequence of digits, words, or nonwords that a child of each dot that had appeared in the sequence in the same
is required to recall in correct serial order. Digit lists are order. Each dot appears for 2 seconds. The sequences
random constructions without replacement from the dig- were random, with no location being highlighted more
its ranging from 1 to 9, spoken at a rate of one digit per than once within a trial.
second. The word lists are monosyllabic words with a
consonant-vowel-consonant structure, and no stimuli are Visuospatial working memory. In the odd one out task,
repeated. The nonwords have the same structure and a child is presented with a horizontal row of three boxes
were created using the same pool of phonemes as the in which three complex shapes are presented. The child
words used in the word recall subtest. The words and points to the shape that does not match the others and
nonwords, which are spoken at a rate of one syllable per remembers its location. At the end of the trial, a blank set
second, must be recalled with full accuracy (i.e., with all of three boxes appears on the screen. The child points to
three phonemes correct) and in the correct serial posi- the boxes in which the odd shapes had appeared in the
tion. Credit was given for phoneme substitutions when correct order. The boxes always appear centered hori-
the substitution constituted the child’s habitual articula- zontally on the screen, but at different positions along the
tion pattern for that phoneme. vertical axis to eliminate visual traces.
In the Mr. X task, a child is presented with a picture
Verbal working memory. In the backward digit recall of two Mr. X figures. The child identifies whether the
test, a child is required to recall a sequence of spoken dig- Mr. X with the blue hat is holding the ball in the same
its in reverse order. Test trials begin with two numbers and hand as the Mr. X with the yellow hat. The Mr. X with
increase by one number in each block until the child is the blue hat may also be rotated. At the end of each trial,
unable to recall four correct trials at a particular block. In the child has to recall the location of each ball in Mr. X’s
the listening recall task, a child is presented with a series of hand in sequence, by pointing to a picture with eight
spoken sentences (e.g., “Lions have four legs,” “Pineapples compass points. Both the Mr. X figures and the compass
play football”) and has to verify the sentence by stating points stayed on the computer screen until the child pro-
“true” or “false” and recall the final word for each sentence vided a response.
in sequence. Test trials begin with one sentence and con- In the spatial span task, a child views a picture of two
tinue with additional sentences in each block until the child identical shapes in which the shape on the right has a red
is unable to recall three correct trials at a block. In the dot on it. The child identifies whether the shape on the right
counting recall test, a child is presented with a visual array is the same or opposite of the shape on the left. The shape
of red circles and blue triangles. He or she is required to with the red dot may also be rotated. At the end of each trial,
count the number of circles in an array and then recall the the child has to recall the location of each red dot on the
tallies of circles in the arrays that were presented. The test shape in sequence, by pointing to a picture with three com-
trial begins with one visual array and increases by an addi- pass points. Both the shapes and the compass points stayed
tional visual array in each block until the child is unable to on the computer screen until the child provided a response.
correctly recall four trials. Each visual array stayed on the
computer screen until the child indicated that he or she had Attainment measures. Abilities in the areas of literacy
completed counting all the circles. The number of correct and numeracy were also tested. All participants completed
trials was scored for each child. the basic reading and spelling subtests of the Wechsler
Objective Reading Dimensions (Wechsler, 1993), and the
Visuospatial short-term memory. In the block recall numerical operations subtest of the Wechsler Objective
test, the presenter taps a sequence of cubes with a finger Numerical Dimensions (Wechsler, 1996).
on a specifically designed board that has nine randomly
located cubes. The child’s task is to repeat the sequence
in the same order. Testing begins with a single block tap Results
and increases by one additional block. In the mazes mem-
ory test, the child views a two-dimensional line maze
DCD Groups
with a path drawn through the maze. The same maze is Descriptive statistics for the DCD and typical language
then shown to the child without the path, and the child is and unselected DCD groups on the screening, attainment,
256 Journal of Learning Disabilities

and memory measures are shown in Table 1. Group mean memory measures was generally more than 1.25 standard
standard scores were within 1 standard deviation of the deviation below the standardized mean for both groups.
mean for both groups on Raven’s Coloured Matrices, the The DCD and typical language group achieved higher
BPVS-II, and the TROG, and for the DCD and typical scores on all of the language measures (BPVS, TROG,
language group on all of the attainment measures, and the and the Recalling Sentences subtest of the CELF-UK3), as
mazes memory subtest. Performance on the majority of the expected. The SLI group had slightly higher scores on the
memory measures was more than 1.25 standard deviations attainment and verbal short-term memory measures and
below the standardized mean for both DCD groups. considerably higher scores on the visuospatial short-term
Group means were remarkably similar across mea- and working memory tasks. Group means for the verbal
sures, with the greatest group differences occurring on working memory tests were similar. Consider first the
the receptive language measures (BPVS-II and TROG) screening and attainment measures. In independent t tests,
and visuospatial short-term and working memory mea- the only significant group effects were found for the lan-
sures (mazes memory, Mr. X, and spatial span). Consider guage measures: BPVS-II, t(20) = 6.04, p < .001; TROG,
first the screening and attainment measures. In indepen- t(20) = 5.14, p < .001; Recalling Sentences subtest of
dent t tests, the only significant group effect was found the CELF-UK3, t(20) = 4.24, p < .001. The remaining
for the BPVS-II, t(21) = 2.58, p = .02, as expected given comparisons were nonsignificant: t(20) < 1 for Raven’s
the selection criteria. The remaining comparisons were Coloured Matrices, numerical operations, reading, and
nonsignificant: Raven’s Coloured Matrices, t(17) < 1; spelling. These results indicate that although the two groups
TROG, t(21) = 1.79, p = .09; recalling sentences, t(21) differed in language skills, they performed at similar levels
< 1; numerical operations, t(21) < 1; reading, t(21) < 1; and on the cognitive and attainment measures.
spelling, t(21) = 1.11, p = .28. It is clear from these In the multivariate analysis of variance performed on the
results that although the DCD and typical language composite memory scores as a function of group, the over-
group had superior receptive vocabulary skills, their per- all Hotelling’s T was significant, F(4, 17) = 3.86, p = .02,
formance on a variety of cognitive, language, and attain- η2p = .48. Two of the univariate group comparisons were
ment measures was indistinguishable from that of other significant: visuospatial short-term memory, F(1, 20) =
children with DCD. 4.992, p = .035, η2p = .20, and visuospatial working mem-
To minimize the number of group comparisons on the ory, F(1, 20) = 11.91, p = .003, η2p = .37. The remaining
memory measures, a multivariate analysis of variance was comparisons were nonsignificant (p > .25 in both cases).
completed on the composite scores (verbal short-term Thus, the SLI group performed at superior levels on the
memory, verbal working memory, visuospatial short-term visuospatial memory measures but at a similar level to the
memory, and visuospatial working memory) as a function DCD and typical language group on the verbal memory
of group. The overall group Hotelling’s T was nonsignifi- measures.
cant, F(4, 18) = 0.65, p = .63, η2p = .13, and none of the To confirm that language skills were not mediating
univariate comparisons approached significance (p > .12 performance on memory measures between the two
in all cases). These results indicate that the working groups, a multivariate analysis of covariance was per-
memory profile of the DCD and typical language group formed on the four composite memory measures, with
was not significantly different from that of other children the receptive language measure (BPVS-II raw scores) as
with DCD. Also of interest is the fact that although the a covariate. The overall group term was no longer signif-
vocabulary skills of the groups differed, their performance icant, F = 1.52, p = .24, η2p = .28, although the DCD
on the verbal memory measures was not unduly influ- group still performed significantly worse compared with
enced by language level. the SLI children in visuospatial working memory, F(1,
19) = 4.20, p = .05, η2p = .18. These findings indicate that
DCD and Typical Language and SLI Groups even when the contribution of receptive language skills
was accounted for, the DCD group performed signifi-
Descriptive statistics for children with DCD and typical cantly worse on the visuospatial working memory mea-
language and SLI on the screening, memory, and attainment sures compared with the SLI group.
measures are shown in Table 1. Group mean standard
scores were within 1 standard deviation of the mean for
both groups on Raven’s Coloured Matrices and all of the
Group Membership
attainment measures, for the DCD and typical language As a test of the extent to which memory scores uniquely
group on the BPVS-II and TROG, and for the SLI group differentiated the two atypical groups, discriminant func-
on the visuospatial short-term and working memory mea- tion analyses were conducted for the two memory mea-
sures. Performance on the verbal short-term and working sures that produced significant group differences and
Table 1
Descriptive Statistics of Standard Scores for Language, Memory, and Attainment for the
DCD and Typical Language, Unselected DCD, and SLI Groups
DCD and Typical Language (n = 11) Unselected DCD (n = 12) SLI (n = 11)

Measure Minimum Maximum M SD Minimum Maximum M SD Minimum Maximum M SD

Screening measures
Raven’s Coloured Matrices 85 119 101.36 11.13 75 119 99.63 18.42 90 125 101.36 9.97
Receptive vocabulary (BPVS-II) 86 121 100.91 9.18 56 124 87.42 14.95 58 94 76.09 10.08
Receptive grammar (TROG) 86 114 97.55 10.03 57 103 87.00 15.70 63 91 77.36 8.31
Recalling Sentences subtest of 3 10 6.91 2.77 3 10 5.92 2.19 3 5 3.27 0.65
the CELF-UK3a
Verbal STM: composite score 61 90 79.67 8.77 61 103 79.03 13.55 72 98 83.94 8.95
Digit recall 42 102 79.18 17.84 55 109 78.42 14.07 69 104 85.64 10.48
Word recall 52 110 80.64 14.55 55 99 81.25 15.15 74 97 84.82 7.81
Nonword recall 63 98 79.18 10.53 41 114 77.42 20.62 59 101 81.36 14.40
Verbal WM: composite score 63 105 80.91 12.13 58 101 79.83 13.09 71 89 80.67 5.71
Listening recall 43 127 84.55 24.46 55 113 83.92 15.74 58 103 86.82 12.85
Counting recall 59 91 77.73 10.44 60 114 75.17 14.38 60 95 74.27 12.02
Backward digit recall 53 109 80.45 19.83 50 116 80.42 19.48 72 88 80.91 6.28
Visuospatial STM: composite score 56 95 81.58 11.61 63 100 77.64 11.40 69 113 93.09 12.55
Dot matrix 32 113 81.18 21.90 55 103 76.08 12.70 64 126 93.09 18.37
Mazes memory 68 107 87.55 14.59 65 104 77.67 11.06 67 130 92.45 14.86
Block recall 45 97 76.00 15.21 57 116 79.17 18.59 70 124 93.73 16.27
Visuospatial WM: composite score 59 106 77.48 11.75 54 88 69.83 10.91 79 108 92.30 8.05
Odd one out 47 118 79.64 17.53 68 96 79.67 9.88 76 130 98.55 16.19
Mr. X 61 93 79.73 9.60 48 90 68.75 13.02 68 102 90.18 10.25
Spatial span 54 111 73.09 17.14 40 81 61.08 16.27 79 96 88.18 6.18
Attainment measures
Numerical operations (WOND) 66 111 87.91 13.33 63 112 83.42 13.67 75 138 91.18 18.30
Reading (WORD) 71 118 85.45 13.49 65 102 81.00 11.93 71 119 89.91 15.17
Spelling (WORD) 72 118 85.82 13.31 66 105 80.00 11.82 72 119 90.36 14.49

Note: BPVS-II = British Picture Vocabulary Scales, 2nd Edition; CELF-UK3 = Clinical Evaluation of Language Fundamentals–UK 3; DCD = developmental coordination disorder;
SLI = specific language impairment; STM = short-term memory; TROG = Test for Reception of Grammar; WM = working memory; WOND = Wechsler Objective Numerical Dimensions;
WORD = Wechsler Objective Reading Dimensions.
a. Scaled scores (M = 10, SD = 3).

257
258 Journal of Learning Disabilities

Table 2 Table 3
Classification by Discriminant Function Analysis Pearson Correlations Between Composite Memory
for Memory and Language Measures and Attainment Measures for the SLI, DCD and
Correctly Classified as Typical Language, and Full DCD Groups
Composite Memory Measures
Variable Entered SLI DCD
Verbal Visuospatial
SLI (n = 11) vs. DCD and typical
language (n = 11) Attainment Measure STM WM STM WM
Visuospatial STM 7 (63.6%) 8(72.7%)
Visuospatial WM 9 (81.8%) 9 (81.8%) SLI (n = 11)
Visuospatial STM and WM 9 (81.8%) 10 (90.9%) Numeracy .47 .42 .31 .74**
BPVS-II standard score 9 (81.8%) 10 (90.9%) Reading .38 .41 –.09 .03
SLI (n = 11) vs. unselected DCD Spelling .38 .35 –.03 –.01
(n = 12) DCD and typical
Visuospatial WM 10 (83.8%) 10 (90.9%) language (n = 11)
Visuospatial and verbal WM 11 (100%) 10 (83.3%) Numeracy .72** .72** .69* .47
BPVS-II standard score 9 (81.8%) 10 (83.8%) Reading .52 .65** .50 .71**
Spelling .51 .58 .45 .71**
Note: BPVS-II = British Picture Vocabulary Scales, 2nd Edition; Full DCD (n = 23)
DCD = developmental coordination disorder; SLI = specific language Numeracy .60** .54** .62* .53**
impairment; STM = short-term memory; WM = working memory. Reading .54** .30 .27 .43*
Spelling .48* .33 .26 .39

BPVS-II standard scores for comparison. Table 2 pre- Note: DCD = developmental coordination disorder; SLI = specific
language impairment; STM = short-term memory; WM = working
sents the results of separate analyses for visuospatial
memory.
short-term memory, visuospatial working memory, and *p < .05. **p < .01.
BPVS-II standard score and an analysis with both visu-
ospatial composite memory measures entered. Wilks’s the SLI group and 83% of the DCD group were correctly
lambda was significant for each of these functions: visuo- classified. This proved more accurate than the BPVS-II
spatial short-term memory, λ(1) = .800, p = .037; visuo- alone, which correctly differentiated 82% of the SLI
spatial working memory, λ(2) = .627, p = .003; BPVS-II, group and 83% of the DCD group. It should be noted that
λ(1) = .354, p < .001; visuospatial short-term and work- in a corresponding discriminant function analysis com-
ing memory, λ(2) = .604, p = .008. BPVS-II was the best paring the SLI with the combined DCD groups (n = 23),
discriminator, as expected given that the groups were visuospatial working memory was the only significant
selected on the basis of this measure. Performance on the variable, with 91% of SLI children and 83% of DCD
visuospatial working memory task was sufficient to children correctly assigned.
correctly assign group membership for 82% of both the
SLI and DCD and typical language groups. This figure
rose to 91% for the DCD and typical language group
Working Memory Profiles and Learning
when the visuospatial short-term memory measure was The two clinical groups in the present study were char-
included. This outcome establishes that visuospatial acterized by different working memory profiles: SLI
memory scores were effective at discriminating children deficits were found for verbal but not visuospatial mea-
in the two atypical groups, with lower scores typically sures of short-term and working memory, whereas the
characterizing the children with DCD. DCD groups had across-the-board deficits in both verbal
To evaluate the extent to which the memory measures and visuospatial short-term and working memory. The
differentiated the SLI group from an unmatched DCD relationship between these working memory profiles and
group, a set of discriminant function analyses was con- measures of learning was evaluated in a series of correla-
ducted comparing the SLI group with the unselected DCD tions. These analyses must be considered exploratory and
group, with the results presented in Table 2. In a stepwise be interpreted with caution because of the small number
discriminant function analysis with all of the composite of participants and reduced score range typical of clinical
memory measures entered, there were two significant groups. Table 3 presents correlation coefficients between
functions: visuospatial working memory entered alone, the composite memory scores and attainment measures
λ(1, 1, 21) = .403, p < .001, and visuospatial and verbal for the SLI, DCD and typical language, and full DCD
working memory entered, λ(2, 1, 21) = .329, p < .001. (combined typical language and unselected, n = 23)
With both working memory measures entered, 100% of groups. There was a striking difference between groups:
Alloway, Archibald / DCD and SLI 259

Correlations were generally higher and significant for the numeracy and visuospatial working memory. One expla-
DCD groups than the SLI group, although this difference nation for the absence of stronger relationships between
was most notable between the DCD and typical language memory performance and attainment measures could be
and SLI groups. In addition, all of the memory measures that the range of scores for these atypical groups was
were significantly correlated with at least one attainment restricted. Their depressed scores, coupled with the small
measure for the DCD groups, whereas only the correlation sample sizes, could account for the absence of correlations
between visuospatial working memory composite and found by other authors. This possibility should be tested
numeracy reached significance for the SLI group. in future studies.
Consistent with their uniformly low working memory In addition to the language and motor differences that
profile, correlations for the DCD groups were similar across characterize children with DCD and SLI, the present
the cognitive measures, ranging from approximately 0.5 findings indicate that differences exist also in their imme-
to 0.7 for the DCD and typical language group and from diate memory profiles. The flat profile of DCD deficits in
0.3 to 0.6 for the full DCD groups for both the verbal and short-term and working memory across domains con-
visuospatial domains, short-term and working memory, trasted with the relatively domain-specific SLI impair-
and literacy and numeracy. There were indications of a ments in verbal short-term and working memory. Although
domain difference for the SLI group, but the relationship the groups achieved similar performance levels on mea-
appeared to be driven by areas of deficit rather than sures of literacy and numeracy, they exhibited different
strength: Low but uniform correlations were found between associations between the memory and attainment mea-
verbal memory and attainment measures (.35–.47), sures. Perhaps because of the uniformly low memory
whereas visuospatial memory was unrelated to two of the skills, short-term and working memory were moderately
attainment measures (reading and spelling, r = .01–.09) associated with attainment measures across domains in the
and slightly (visuospatial short-term memory) or strongly DCD group. The more interesting case was provided by
(visuospatial working memory) correlated with numeracy the SLI group. Despite strengths in visuospatial memory,
(r = .31 and .74, respectively). It appears that the SLI measures of visuospatial memory were not associated
group did not depend on their stronger visuospatial with any of the attainment measures except numeracy. In
memory skills in literacy learning. fact, short-term and working memory in the SLI group
showed little relationship to reading and literacy, and the
most consistent associations were with the poor verbal
Discussion memory skills. It may be that verbal working memory
measures are more closely associated with scholastic
In this study, we compared the performance on short- attainment than the visuospatial working memory mea-
term and working memory measures of children with sures included in the present study.
two different developmental pathologies, SLI and DCD. The verbal short-term and working memory tasks in the
Children with SLI showed marked impairments on ver- present study did not, however, act as additional language
bal but not visuospatial measures of short-term and measures, as has been suggested by some researchers
working memory, whereas children with DCD had gen- (MacDonald & Christiansen, 2002; Snowling, Chiat, &
eral deficits across verbal and visuospatial short-term Hulme, 1991). All of the groups performed at similarly
and working memory. Performance on the visuospatial low levels on these tasks, even though the groups differed
and verbal working memory measures successfully dis- widely in language status: the DCD and typical language
criminated 100% of SLI and 83% of an unselected DCD group had average language skills, the unselected DCD
group, a classification rate higher than a standard lan- group had low-normal language skills, and the SLI group
guage measure. Visuospatial working memory alone was had impaired language skills. These findings point to a
sufficient to classify at least 82% of a matched sample commonality in deficits in these clinical groups, which
of DCD and SLI groups. The pattern of correlations may account for their similar learning profiles to some
between the memory and learning measures also differed extent. Certainly, it is unclear from the present findings
between groups. Consistent with their uniformly low if the strengths in visuospatial memory in the SLI group
working memory profile, all of the memory measures place them at any noticeable advantage.
were correlated with at least one test of attainment for It is commonly held that there is considerable hetero-
the DCD group. The relationship between the memory geneity among children who present with either DCD or
and learning measures was less clear for the SLI group, SLI. In the present study, the children in the DCD group
with low correlations between the attainment measures exhibited the widest score range on all of the screening
and verbal memory and a high correlation between measures, with minimum scores on the language measures
260 Journal of Learning Disabilities

falling below those of the SLI group. The SLI group, on together, are excellent group discriminators. Children
the other hand, had no concomitant motor impairments. with DCD performed at low levels on both verbal and
Thus, the DCD group represented a more heterogeneous visuospatial measures of short-term and working mem-
group than the children with SLI in the present study. ory, whereas children with SLI exhibited deficits in ver-
Nevertheless, the substantial heterogeneity among the bal memory only. Despite different associations between
DCD groups did not drastically alter performance on a working memory and measures of attainment for the
variety of cognitive, memory, and attainment measures. children with DCD and those with SLI, the groups per-
A subset of children with DCD and typical language skills formed similarly in numeracy, reading, and spelling. It
and an unselected DCD group were found to perform at appeared that verbal memory measures were more closely
comparably low levels on verbal short-term and working related to learning outcomes for both atypical groups,
memory, visuospatial short-term and working memory, although visuospatial working memory was strongly
and reading, spelling and numeracy tasks (see also related to numeracy as well.
Alloway 2007; Alloway & Temple, 2007). These find-
ings suggest that the current focus on heterogeneity with Note
respect to memory skills and learning in developmental
pathologies may be misplaced. It may be possible to 1. The pattern of performance growth as a function of age, which
relax selection criteria to include larger sample groups plots the z scores for each year group from 4 to 11 years in the
AWMA sample, was compared with the WMTB-C sample. The tests
without introducing excessive variability.
indicate broadly similar developmental functions, with performance
Given the average language profile of the DCD and increasing across each year group.
typical language group, one possibility is that these
children may also be classified as having a nonverbal
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vidual differences approach. Journal of Experimental Psychology: Communication Sciences and Disorders at the University of
General, 125, 4–27. Western Ontario. She studies links between memory and lan-
Siegel, L. S., & Ryan, E. B. (1989). The development of working guage processes in individuals with communication disorders.
memory in normally achieving and subtypes of learning disabled In particular, she is interested in the extent to which limitations
children. Child Development, 60, 973–980. in working memory may impair language learning in children.

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