DCD Flashcards
Who can diagnoses DCD?
physician or psychologist
What are the 4 diagnostic criteria for developmental coordination disorder?
- learning and execution of coordinated motor skills is below age level
- motor difficulties significantly interfere with ADLs
- Onset is early developmental period
- motor difficulties are not better explained by intellectual delay, visual impairment, or other neurological conditions that affect movement
Prevalence percentage
boys or girls
other factors
5-10%
about 2:1 boys vs girls
more prevalent in low birth weight premature infants
Is medication effective for DCD?
NO medical management
some medical management for co existing conditions such as ADD
Common body function and structure impairments with children who have DCD
poor strength
poor coordination
joint laxity
poor visual perception
poor or slower processing
poor sequencing
poor feedback
Common activity limitations in children with DCD
awkward gait
delayed or poor quality of movement
Common participation limitations in children with DCD
difficulties at school and home
long term social emotional and fitness consequences
5 characteristics of DCD
- gross motor delay
- ADL limitations
- School challenges
- social implications
- communication issues
What gross motor tasks are most difficult with children who have DCD?
bike riding
jumping jacks
What do you think may bee a challenging task for a teen to learn with DCD?
driving
Prognosis for DCD and functional consequences
individuals dont grow out of DCD just adapt
poor fitness
obesity
decreased physical activity
poor self esteem and self worth
emotional and behavioral problems
impaired academic achievement
at risk for being bullied
Observe a few basic tasks such as _____, _____ and _____.
ball throwing
going up and down stairs
Children with DCD present with a variety of co-morbitites and body structure and function impairments so _____ is important to hypothesize about other tests and measures to consider
observation
Participation and outcomes for DCD
CAPE children assessment of participation and enjoyment
Canadian occupational performance measure (COPM)
Goal attainment Scale (GAS
Activity limitation test and measure for DCD
BOT- 2
DCD diagnosis specific tests
DCD-Q 07 questionaire
Movement assessment battery for children 2
DCD-Q is a screening of _____ and ___ for children aged 5 to ___.
participation and ADLs
ages 5-15
DCD questionaire has 15 questions name 5
throw
catch ball
hit ball
jump over
run and stop
plan activity
writing speed
writing legibly
pencil pressure
cutting
team sports
learns skills
quick compentent with ADLS
clumsy
Fatigues easily
Movement assessment battery for children is an examination that has 3 sections 8 items
what are the 3 sections
- manual dexterity
- ball skills
- static and dynamic balance
Possible other impairments to examine driven by observational movement analysis
strength
balance
joint laxity
posture
timing and sequencing
feedback and feed forward motor control
cardiopulmonary fitness
Task/activity oriented approaches and body function/ structure interventions are ____-
most effective
group PT could be beneficial for ages ___ and above if they have the ability to follow directions
6
what 3 interventions should be used for DCD
- neuromotor task training
- cognitive orientation to daily performance
- motor imagery
Client chosen goals
Dynamic performance analysis
Cognitive Strategies Use
Guided discovery
Enabling principles
Parent involvement
Structured intervention Format
are the 7 key features of what
Cognitive orientation to daily occupational performance
examples of body structure and function interventions
trunk strengthening
endurance exercises
coordination exercise
taekwondo
How should you dose for DCD
High frequency practice schedule of 2-5 times per week should be distributed among physical therapy sessions
Children with DCD may qualify for a 504 plan or an ____
IEP
Children with DCD may need these changes in the school setting
more time to complete assignments
less handwriting and more keyboard
more time testing
auditory or visual recordings of stories
adaptive PE or modifications
school counciling
assistance with organizational issues
