The aim of this study was to examine the performance of children with visual impairments (VI) aged 7 to 10 years on different types of motor skills. Furthermore, the association between the degree of the VI and motor performance was examined. The motor performance of 48 children with VI (32 males, 16 females; mean age 8y 10mo [SD 1y 1mo]) was assessed using the Movement Assessment Battery for Children (MABC). Their performance was compared with 48 children without VI (33 males, 15 females; mean age 8y 9mo [SD 1y 1mo]). Children with VI showed the poorest performance compared with peers without VI on unimanual speed, eye-hand coordination, catching, static balance, and dynamic balance while moving slowly. There was no significant difference between children with moderate and severe VI, except for bimanual coordination in 7-to 8-yearolds and eye-hand coordination in both the 7-to 8-year-olds and 9-to 10-year-olds, favouring the children with moderate VI. The poor performance compared with children without VI is related to vision, but the degree of the VI does not appear to relate to motor performance, except when associated with bimanual and eye-hand coordination. For children with VI, it seems very important to adjust the environmental context and task to enhance motor performance.Motor skill performance can be seen as the interaction between a child's characteristics and capabilities with environmental and task characteristics. 1-3 For children with visual impairments (VI; best corrected visual acuity ≤ 6/18 [0.3] in the better eye), 4 their visual impairment may act as a constraint, slowing down motor skill acquisition or leading to qualitatively different motor skills. 5,6 Earlier studies have shown that children with VI generally have lower motor performance than their peers without VI, but also that some motor tasks are a more difficult than others. 7-9 However, as previous studies have either focused on a subset of motor skills 8,9 (e.g. manual dexterity) or have compared motor skill areas 7 (e.g. gross motor skills vs fine motor skills) without focusing on specific motor skills, the question remains whether all motor skills cause difficulty for children with VI or only more visually demanding motor skills.That some motor tasks lead to more problems for children with VI may be related to the extent to which visual information is necessary for successful performance. 10 This depends on the environmental context and type of task. Children with VI may be more adversely affected in environments with changing conditions, as visual information is important for updating representations of body, motion, location, and orientation. 10,11 Similarly, the demands of the task may increase or decrease the need for visual information for successful performance. 12 If children cannot accurately use visual information, intuitively one might expect the greater the VI the worse the motor performance. The association between the degree of VI and motor performance is, however, not clear. 13 Although studies showed primarily that...