Early Identification and Risk Management of Children with Developmental Coordination Disorder

Cheryl A. Missiuna · Lisa M. Rivard · Doreen J. Bartlett

104 citations0/0 files storedPediatric Physical Therapy

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Children's Physical and Motor Development Motor Control and Adaptation Cerebral Palsy and Movement Disorders

Abstract

PURPOSE: The purpose of this study was to determine the motor control issues, motor learning differences, and secondary impairments of children with developmental coordination disorder (DCD) and to explore physical therapists' contribution to their early management. SUMMARY OF KEY POINTS: DCD is a condition involving limitations in gross motor, postural, and/or fine motor performance that is not attributable to other neurological disorders. Manifestation is varied across children and depends, in part, on their level of anticipatory motor control, response to specific task demands, and ability to attend to feedback to obtain flexible, adaptive movement solutions. Children with DCD rely primarily on vision for feedback, frequently use "fixing" strategies, and exhibit limited motor repertoires. As a result of their movement problems, they tend to avoid physical activity and are prone to secondary impairments, including decreased strength and power. CLINICAL IMPLICATIONS AND RECOMMENDATIONS: Physical therapists can 1) use their keen observational skills to identify children with DCD earlier in life and 2) use their knowledge of the secondary impairments and movement difficulties to work with families to engage children in continuous movement activities to maintain strength and power and thus obtain the physical, social, and psychosocial benefits of physical activity.

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References

1995Motor development: A new synthesis.1991Clumsiness in Children‐Do they Grow out Of It? A 10‐Year Follow‐Up Study 2001Non‐specific nature of specific language impairment: a review of the literature with regard to concomitant motor impairments 1998DCD may not be a discrete disorder 1994Clumsiness in Adolescence: Educational, Motor, and Social Outcomes of Motor Delay Detected at 5 Years 1994Social and Affective Problems of Children Who Are Clumsy: How Early Do They Begin?1996A Test of the Activity Deficit Hypothesis with Children With Movement Difficulties 1982Concomitants of Clumsiness in Young Schoolchildren

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2005Motor coordination difficulties in a municipality group and in a clinical sample of poor readers 2006The development and standardization of the Children Activity Scales (ChAS‐P/T) for the early identification of children with Developmental Coordination Disorders 2011Development of the Little Developmental Coordination Disorder Questionnaire for preschoolers and preliminary evidence of its psychometric properties in Israel 2006Exploring Assessment Tools and the Target of Intervention for Children with Developmental Coordination Disorder

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