Developmental Coordination Disorder

Question 1

What is diagnostic criteria for DCD?

Answer 1

1. learning and execution of coordinated motor skills is below age level
2. motor difficulties significantly interfere with ADL’s, academics and play
3. onset in early developmental period
4. motor coordination difficulty can’t be explained by other diagnosis

Question 2

What is demographic of children with DC?

Answer 2

6-13% school aged, 2:1 boys to girls ratio, overlap with ADHD

Question 3

When is DCD usually recognized?

Answer 3

school age, due to requirement of tasks increase-speed,force, skill

Question 4

What do you need to rule out if you suspect DCD?

Answer 4

other neuro dz, autism, regression of skill, ortho issues, sensory impairments

Question 5

What is the etiology of DCD?

Answer 5

unknown, possibly neurotransmitters, receptor site, neuroanatomical culprit?

Question 6

What are major body structures and impairments?

Answer 6

decreased strength, impaired coordination, poor spatial organization, poor STM/LTM, low tone, slowed reaction time, rely a lot on vision, use same pattern even if not effective

Question 7

What activity limitations do children with DCD have?

Answer 7

awkward, slow gait, decreased balance, delayed and poor gross motor skills, poor handwriting, poor ADL’s

Question 8

What emotional issues can children with DCD have?

Answer 8

depression, unmotivated, low self esteem, anxiety

Question 9

What is prognosis for DCD?

Answer 9

will not outgrow this, correlated to poor academics, poor social and physical competence, antisocial

Question 10

What can PT do for DCD pts?

Answer 10

early detection although tough to diagnose before age 5

Question 11

What is a commonly used screening tool for DCD?

Answer 11

DCD questionnaire, for parents of children 5-15

screen motor coordination in kids

Question 12

What is a good motor scale for young DCD pts?

Answer 12

PDMS 2- peabody developmental motor scales ages birth - 5 for fine and gross motor skills

Question 13

What is a good motor scale for older children with DCD?

Answer 13

Motor Assessment Battery for children (M-ABC-2)

3-16 year olds, behavioral check list

Question 14

What is a secondary scale that can be used for both young and older DCD pts?

Answer 14

EACD/consensus Doc

Question 15

What is another test used for 4-21 years olds with DCD?

Answer 15

BOT- 2, Bruininks Oseretsky Test of motor proficiency

Question 16

What interventions can PT provide for activity and participation?

Answer 16

task specific training, motor learning problem solving strategies