Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds Neuro > Developmental Coordination Disorder > Flashcards

Developmental Coordination Disorder Flashcards

1
Q

what was DCD previously called?

A

clumsy child, development clumsiness, developmental apraxia, motor coordination problem, dyspraxia, perceptual motor dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Prevalence of development coordination disorder

A

3-5%
- 5-6% of school age children
- M:F ratio is 2:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who has a higher risk of development coordination disorder?

A

children born weighting less than 3.3lbs or before 32 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pathophysiology of DCD

A
  • dysfunction of cortical networks
  • changes in white matter
  • less activation in areas associated with timing, motor control, spatial. and error processing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

DCD and coexisting conditions

A
  • LD: learning disabilities
  • ADHD: attention deficit hyperactivity disorder
  • Sensory integration/ Sensory motor disorder
  • Autism spectrum disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Percent of children with DCD who have epilepsy

A

25%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is DCD diagnosed?

A

through classification in the Diagnostic and Statistical Manual of Mental Disorders - 5th Edition
- Neurodevelopmental Disorder
- Subcategory: motor disorder
- 4 criteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

DSM-V Diagnostic Category

A
  • Acquisition and execution of coordinated motor skill are substantially below what is expected for age
  • Motor skill deficit interferes with academic achievement, ADL, leisure and play
  • Onset of symptoms is in early development
  • Deficits are not better explained by intellectual disability, visual impairment, or a neuron condition such as CP, MD, or a degenerative disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Common characteristics of DCD

A
  • delayed motor development
  • clumsiness
  • balance and coordination problems
  • handwriting problems
  • hypotonia/joint laxity
  • overweight or obese
  • low fitness level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

multi-system involvement

A

motor –> information processing –> psychosocial –> repeat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

DCD involves…

A

social, concentration, organization, fine motor, communication, gross motor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Difficulties with motor skills

A
  • Difficulty with ADLs (utensils for eating, dressing)
  • Difficulty with handwriting or drawing
  • Difficulties with balance and coordination
  • Poor praxis
  • Low muscle tone
  • lower level of fitness than age-matched peers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Information processing/sensory issues

A
  • impaired ability to judge distance
  • poor body awareness
  • poor timing
  • short and long term memory issues related to sequencing motor tasks
  • perceptual deficits
  • slower response times
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

psychosocial difficulties

A
  • learning difficulties
  • reading problems
  • behavior problems
  • poor interactive play skills
  • lower self esteem
  • lower self worth
  • increased anxiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Standards for Screening and Examination of DCD

A
  • European Academy of Childhood Disability Guidelines
  • Academy of Pediatric PT CPG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Screening and Exam for DCD includes…

A
  • history and systems review
  • screening
  • appropriate referrals for red flags that indicate concerns for medical, development, or other exclusionary conditions
17
Q

Possible Coexisting Conditions

A
  • ASD
  • Attention Hyperactivity Disorder
  • Learning Disability
  • Communication Disorder
18
Q

Differential Diagnosis

A
  • CP
  • Genetic Disorders
  • Visual Impairments
  • Neurodegenerative disorders
  • TBI
19
Q

Development Coordination Disorder Questionnaire

A
  • screening tool for DCD
  • Parent questionnaire
  • age rage expanded: 5 years to 15 years
  • high sensitivity and specificity
20
Q

comprehensive examination DCD

A
  • participation and quality of life
  • movement analysis and observation
  • activity limitations
  • motor performance
  • body structures and function
21
Q

Assessment of participation

A
  • COPM
  • CAPE/PAC
    -PEGs
  • PEM-CY
  • PODCI (does not include child preference)
22
Q

Standardized tests for Assessment of Motor Performance

A
  • M-ABC2: screening tools, identification of motor impairment
  • BOT-2: identification, more in depth diagnostics, and qualification for school services
23
Q

Movement ABC-2

A
  • Age range: 3-16 yo
  • Time to administer: 15-20 mins
  • 3 age bands (3-6, 7-10, 11-16)
  • 8 items in 3 categories: manual dexterity (3), aiming and catching (2), balance (3)
24
Q

MABC-2 Categorization of children with DCD

A
  • 5th percentile > significant movement difficulty = probably DCD
  • 5th to 15th percentiles at risk of having movement difficulty = at risk for DCD
  • no difference in literature on the treatment of these different groups
25
Q

BOT-2

A
  • evaluates higher level motor skills
  • age range: 4 years - 21yo,11mo
  • norm referenced
  • sex specific or combined norms
26
Q

BOT-2 subscales bs subtests

A
  • fine motor control: fine motor precision, fine motor integration
  • manual coordination: manual dexterity, upper limb coordination
  • body coordination: bilateral coordination, balance
  • strength and agility: running speed and agility, strength
27
Q

Goal setting

A
  • Should be established with child priorities in mind
  • PEGS
  • COPM
  • GAS
28
Q

Task oriented interventions

A
  • neuromotor task training
  • cognitive orientation to daily performance
  • Wii Fit training
29
Q

Body oriented interventions

A
  • strengthening exercises
  • endurance exercises
  • coordination exercises
30
Q

Individual or group therapy?

A
  • Individual for children < 5-6 years
  • Group for > 6 years based on ability to attend and follow directions
31
Q

what are the most effective approach for interventions?

A

body oriented and task oriented

32
Q

neuromotor task training

A
  • based on motor control and motor learning principles
  • considered motor teaching and motivation principles
  • Addresses how to instruct child, hot to practice skill and how to provide feedback
33
Q

Cognitive orientation to daily performance

A
  • client centered, performance based, problem solving approach
  • enables skill acquisition through a process of strategy use and guided discovery
  • focused on only 3 motor skills during 10 intervention sessions
  • parent involvement - celebrate success, support
34
Q

fitness, recreation and physical activity recommendations

A
  • incorporate child and family priorities and participation
  • focus on individual activities where child can be successful and develop life long habits (swimming, skiing, bicycling, hiking, skating, yoga, etc)
  • include aerobic exercise
  • provide HEP: strengthening, balance, endurance
35
Q

What od children with DCD have?

A

altered white matter

36
Q

what are essential for success?

A

child goals

Peds Neuro (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions