Effectiveness of Multisport Play-Based Practice on Motor Coordination in Children: A Cross-Sectional Study Using the KTK Test
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
- Multisport Group (MG; n = 162): children enrolled in the structured play-based multisport program. These children took part in a 2 h weekly program, split into two 60 min sessions (Table 1). The program was designed to develop coordinative abilities through a diverse set of motor games and sport-based activities. The project required that each child be exposed to and actively practice at least three different sports other than their primary sport of choice. Table 1 provides a monthly overview of the planned activities, including examples of specific exercises such as ball circuits, balance games, and cooperative challenges designed to progressively enhance coordination.
2.3. Measurements
2.3.1. Anthropometry
2.3.2. Motor Coordination—KTK Test
2.4. Statistical Analysis
- Descriptive statistics (mean, standard deviation, and frequencies) for all variables.
- Pearson correlation coefficients between each KTK subtest and the total MQ score.
- Eta squared (η2) effect sizes for between-group comparisons (Multisport vs. Curricular), interpreted according to Cohen’s criteria (η2 ≥ 0.01 = small; ≥0.06 = medium; ≥0.14 = large).
- Binary logistic regression to assess the association between high BMI and the likelihood of impaired motor coordination (MQ < 86).
- Multiple linear regression including interaction terms (BMI × Age, BMI × Sex, Age × Sex, BMI × Age × Sex) to explore potential combined influences on MQ. Multicollinearity was checked, and non-significant interaction terms were excluded from the final model.
- No group × age interaction was tested via ANOVA, as MQ scores are already standardized for age and sex.
- Bonferroni post hoc tests were used for exploratory comparisons between age subgroups (descriptive only).
2.5. Statistical Power Analysis
3. Results
4. Discussion
4.1. Practical and Educational Implications
- For educators and teachers, the evidence supports the adoption of didactic approaches that go beyond traditional physical education. Multilateral models emphasizing stimulus variety and progression should be prioritized. The program analyzed—comprising movement games, motor circuits, ball activities, and balance exercises—proved effective in enhancing children’s motor coordination. Integrating such models into school curricula, in collaboration with professionals in motor sciences, is highly recommended.
- For policymakers, the results underscore the effectiveness of the multisport model as both an educational and preventive tool. Investing in school- and community-based physical activity programs—coordinated by trained personnel—represents a tangible strategy for combating sedentary lifestyles, preventing childhood overweight, and fostering holistic child development. The “Centri CONI” model represents a replicable and adaptable initiative for other regions and educational systems.
- For health professionals, early motor activity plays a pivotal role in children’s psycho-physical development. Physical activity promotion should be integrated into health prevention strategies and educational campaigns targeting families. Motor coordination is not only an indicator of motor efficiency but also a predictor of active lifestyles, mental well-being, and social adaptation.
- For researchers, this study opens promising avenues for longitudinal investigations into the long-term effects of multisport programs on motor, cognitive, and socio-emotional development. Incorporating psychological and motivational variables will be essential to gain a more comprehensive understanding of the educational benefits of this approach.
4.2. Limitations
- Cross-sectional design: This observational design limits causal inference. While associations were found, it is not possible to confirm whether the observed improvements were solely due to the program or influenced by external factors.
- Geographic limitation: The study was conducted exclusively in the Apulia region (southern Italy) among primary school children, limiting generalizability to other regions or cultural contexts.
- Partial control of confounders: Factors such as undeclared extracurricular physical activity, family socioeconomic status, or the quality of educational environments were not fully controlled.
- Exclusive use of the KTK test: Although validated and widely used, the KTK assesses coordination only and does not cover other motor skills (e.g., strength, endurance). A broader assessment would provide a more comprehensive motor profile.
- Potential bias from instructors: Despite the use of trained staff and blinded data analysis, potential observer or expectancy bias in educational settings cannot be entirely ruled out.
- Observer variability: The KTK test requires direct observation and may be subject to inter-rater variability. However, this was minimized by using trained and experienced evaluators.
4.3. Future Directions
- Longitudinal designs: needed to assess developmental trajectories and causal relationships between program participation and motor coordination.
- Broader sample diversity: Inclusion of schools from other regions and countries would enhance generalizability.
- Integration of psychological variables: Motivation, self-efficacy, and cognitive aspects should be included to better understand the holistic impact of multisport education.
- Comparative effectiveness analysis: Future studies could compare the multisport model to other approaches (e.g., early specialization, free play, integrated models).
- Combined motor and health monitoring: Future studies should integrate motor skills and health indicators (e.g., daily activity, nutrition, body composition) for a comprehensive view of child well-being.
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Type of Activity | Description | Weekly Hours | Frequency | Program Duration |
---|---|---|---|---|
Movement Games | Warm-up exercises and play-based activities to improve general coordination and body awareness. | ~0.4 h | 2 sessions/week | 8 months |
Balance Exercises | Activities on different surfaces (e.g., balance beams, elastic mats) aimed at developing static and dynamic balance. | ~0.4 h | 2 sessions/week | 8 months |
Ball Activities | Ball games and drills to develop hand–eye coordination, reaction speed, and precision. | ~0.4 h | 2 sessions/week | 8 months |
Motor Circuits | Obstacle courses with varied equipment (e.g., cones, hoops, ladders) to develop agility, speed, and spatio-temporal coordination. | ~0.4 h | 2 sessions/week | 8 months |
Expressive Movement Activities | Activities including imitation, dance, and improvisation to stimulate creativity, emotional expression, and rhythmic coordination. | ~0.4 h | 2 sessions/week | 8 months |
KTK Subtest | MG (Mean ± SD) | CG (Mean ± SD) | p-Value | η2 (Eta Squared) |
---|---|---|---|---|
Balance Beam (KTKBEAM) | 29.8 ± 5.2 | 26.4 ± 5.9 | <0.001 | 0.083 |
Lateral Jump (KTKJUMP) | 58.1 ± 10.4 | 52.9 ± 11.2 | <0.001 | 0.072 |
Single-Leg Hopping (KTKHOP) | 42.5 ± 6.8 | 40.2 ± 7.3 | <0.012 | 0.022 |
Lateral Shuttle Movement (KTKBOARD) | 39.6 ± 5.9 | 35.1 ± 6.2 | <0.001 | 0.091 |
MQ Total | 108.3 ± 12.5 | 101.2 ± 13.4 | <0.001 | 0.103 |
Group | N | Boys (%) | Mean Age (Years) | Height (cm) | Weight (kg) | BMI (kg/m2) | MQ Mean ± SD |
---|---|---|---|---|---|---|---|
MG | 162 | 53% | 8.0 ± 1.3 | 129.5 ± 6.1 | 26.4 ± 4.2 | 15.7 | 108.3 ± 12.5 |
CG | 158 | 51% | 8.1 ± 1.5 | 128.8 ± 6.4 | 27.0 ± 4.7 | 16.2 | 101.2 ± 13.4 |
MQ Category | Description | Total (%) | MG (%) | CG (%) |
---|---|---|---|---|
<70 | Severely impaired | 1.6 | 0.0 | 3.2 |
71–85 | Impaired | 8.1 | 3.7 | 12.6 |
86–115 | Normal | 59.1 | 57.4 | 60.8 |
116–130 | Good | 24.1 | 27.8 | 20.2 |
>130 | Very good | 7.2 | 11.1 | 3.2 |
KTK Subtest | Correlation with Total MQ (r) |
---|---|
Balance Beam (KTKBEAM) | 0.71 ** |
Lateral Jumps (KTKJUMP) | 0.75 ** |
Single-Leg Hopping (KTKHOP) | 0.68 ** |
Lateral Shuttle Movement (KTKBOARD) | 0.76 ** |
Predictor | β | Standard Error | t | p |
---|---|---|---|---|
BMI | −2.50 | 0.80 | −3.13 | 0.002 |
Age | 3.20 | 0.90 | 3.56 | <0.001 |
Sex (Female) | 1.80 | 1.10 | 1.64 | 0.102 |
BMI × Age | −0.75 | 0.25 | −3.00 | 0.003 |
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Mancini, N.; Polito, R.; Colecchia, F.P.; Colella, D.; Messina, G.; Grosu, V.T.; Messina, A.; Mancini, S.; Monda, A.; Ruberto, M.; et al. Effectiveness of Multisport Play-Based Practice on Motor Coordination in Children: A Cross-Sectional Study Using the KTK Test. J. Funct. Morphol. Kinesiol. 2025, 10, 199. https://doi.org/10.3390/jfmk10020199
Mancini N, Polito R, Colecchia FP, Colella D, Messina G, Grosu VT, Messina A, Mancini S, Monda A, Ruberto M, et al. Effectiveness of Multisport Play-Based Practice on Motor Coordination in Children: A Cross-Sectional Study Using the KTK Test. Journal of Functional Morphology and Kinesiology. 2025; 10(2):199. https://doi.org/10.3390/jfmk10020199
Chicago/Turabian StyleMancini, Nicola, Rita Polito, Francesco Paolo Colecchia, Dario Colella, Giovanni Messina, Vlad Teodor Grosu, Antonietta Messina, Siria Mancini, Antonietta Monda, Maria Ruberto, and et al. 2025. "Effectiveness of Multisport Play-Based Practice on Motor Coordination in Children: A Cross-Sectional Study Using the KTK Test" Journal of Functional Morphology and Kinesiology 10, no. 2: 199. https://doi.org/10.3390/jfmk10020199
APA StyleMancini, N., Polito, R., Colecchia, F. P., Colella, D., Messina, G., Grosu, V. T., Messina, A., Mancini, S., Monda, A., Ruberto, M., & Moscatelli, F. (2025). Effectiveness of Multisport Play-Based Practice on Motor Coordination in Children: A Cross-Sectional Study Using the KTK Test. Journal of Functional Morphology and Kinesiology, 10(2), 199. https://doi.org/10.3390/jfmk10020199