DCD Flashcards
DCD dx based on
- motor impairments/delay impacting ability to perform age appropriate complex motor activities
- adequate opportunities for experience an practice have been provided
- no other explanation can be offered for motor impairment
DCD w/out intervention
- poor social, academic, physical competence
- social isolation
- poor behavior
- low self esteem
- decreased physical activity
DCD sensory/perceptual deficits
- visual spatial processing and memory
- visual feedback processed more slowly
- deficient kinesthetic processing
- poor proprioceptive function
- strong reliance on visual feedback to guide task performance
CDC motor deficits
- awkward and slow w/ rigid, jerky
- bump into objects/ people
- trip and fall
- poor balance, especially w/ SLS
- decreased muscle tone
- neuro soft signs
DCD motor control deficits
ineffective neuromuscular strategies (sequencing and activation)
stabilizing at joints
DCD motor learning deficits
- limited movement repertoires
- poor adaptability
- unable to correct movement patterns through error detection or feedback
- difficultly adapting to situation demands
DCD secondary physical impairments
fatigue
decrease strength and power
obesity
DCD secondary social impairmets
quiet/withdrawn at school avoidance of school work acting out in class low frustration tolerance decreased motivation poor self esteem poor task imitation and completion
DCD pathophys cerebellum -
studies show lack of automatization of motor tasks when attentional demands increase
poor adaptations of motor performance to changes in environmental context
DCD pathophys posterior parietal cortex
impaired feed forward mechanism and motor imagery deficits
DCD activity limitations
self care handwriting delays in riding a tricycleor bicylce poorly coordinated running, skipping, hopping jumping difficulty negotaintg stairs
developmental coordination disorder questionnaire
measures functional impact of motor coordination difficulties
DCDQ age
5-15yo
little DCDQ-CA
assessing motor skills in home and preach enviro as well as during play
little DCDQCA age
3-4yo
MABCC
movement analysis battery for children checklist
children checklist
CSAPPA
children self perceptions of adequacy in and predilection for physical activity scale
SCAPPA age
9-16yo
eval of motor impairment in young children w/ DCD
PDMS2
diagnostic and evaluative measure
eval of motor impairment in older children w/ DCD
bot 2 (doesn't assess handwriting) MABC2 (original version shown to ID more than w/ BOT_
DCD bottom up intervention
addressing foundational skills
SI and NDT
DCD top down intervention
emphasizing development of a specific skill rather than underlying skill components alone
- task specific interventions
- cog approaches
- techniques for ousting motor learning
techniques for fostering motor learning DCD
- providing verbal instructions, positioning, handling and opportunities for visual/observational learning
- physically demonstrating or modeling movements
- practice opportunities in a variety of enviro
DCD task specific approaches
child encouraged to try a variety of solutions to the motor problem
-pt helps guide child in experiencing the result and in choosing which way represents the most efficient, optimal way in that specific enviro
DCD cognitive approaches
child w/ DCD may lack knowledge of how to approach a task, what is required for the task and how to develop strategies to use when learning and performing the motor task
MATCH strategy
M: modify the taslk A: alter their expectations T: teach strategies C: change the enviro H: help by understanding
DCD and swimming, cycling, skating
- challenging to obtain initial skill required
- individualized attention and encouragement needed
- once learned they are very repetitive
DCD ball sports, hockey
high level unpredictability
difficult for children to adapt to enviro changes even if basic skill can be learned
