L12: Developmental Coordination Disorder Flashcards
1
Q
What is DCD?
A
- Marked impair in development of motor, postural and/or fine motor coordination that interferes w/ academic achieve. or ADLs
2
Q
DSM-V Criteria for DCD
KEY WORDS: Interferes with, NOT explained by another condition**
A
- Execution of motor skills is substantially BELOW expected (clumsy, slow, inacc.) and interferes w/ ADLs, productivity, play
- Onset is EARLY in dev. and are NOT explained by known neuro/visual/intellectual condition
3
Q
DCD Etiology
A
Unknown;
ASD and ADHD may have genetic link
4
Q
Genetic links to DCD
A
ASD and ADHD
5
Q
Etiology DCD:
Speculated possible causes:
A
- abnorm NT/receptors
- CB or BG probs
- Mild CP
- natal insult
-
Impaired feed-forward mech.
- This is like reaching up high in cabinet and setting feet so you don’t fall
- Or setting body posture before a dynamic task
6
Q
DCD Incidence
A
- Bw 6-12; 2:1 boys:girls
- Found w/ more complicated pre and post-natal courses
7
Q
DCD Co-Existing disorders:
A
- ASD, ADHD
- Dyslexia, speech/lang impairment, benign epilepsy***, jt hypERmobility syndrome
8
Q
Prognosis:
W/OUT interventions
A
- Diffs in adulthood→ incd risk for:
- poor social, academic, physical competence as well as behavioral, dec self-esteem, mental health
- inactive→ obesity, CV probs
- poor social, academic, physical competence as well as behavioral, dec self-esteem, mental health
9
Q
Clinical Characteristics:
BSF
A
- HypOtonia
- Primitive reflex persist.
- Immature balance rxns
- Dec proprio
- Diff w/ 2-3step commands
- Dec energy, strength, endurance
- Behavioral probs (class clown/aggressive)
- Slow rxn times
- Variability doing same activity
- Dec motor plan/coord
- Inc attn during motor tasks
- Awkard mvmts
- Poor memory
- Dec handwriting/drawing
- Diff dressing, gripping
10
Q
Clinical Characteristics:
Psychosocial
A
- Learning disability
- lower intelligence risk
- reading probs
11
Q
Clinical Characteristics:
Activity Limits:
A
- Selfcare/ADLs
- Fine/Gross motor
- handwriting
- bike, jumping J’s, throw/kick
- grasp
- time mgmt
12
Q
Clinical Characteristics:
Participation
A
- Sports
- Gym
- Playground
13
Q
Clinical Characteristics:
Personal Factors
A
- Self-imposed restrictions***
- dec activity lvls
- depression/isolation
14
Q
Clinical Characteristics:
Environmental Factors
A
- Performance gym/sports
- parental limits 2* fear of injury
15
Q
PT’s Role in DCD
A
- R/O motor diff’s caused by other dx’s (CP, MD, BI, FAS, etc.)
-
TEST
- tone, strength, coord, balance, endurance, object manip, ROM, posture, functional mobility
- Clinical observation of mvmt and motor planning is KEY
- tone, strength, coord, balance, endurance, object manip, ROM, posture, functional mobility
-
Childs self perception/QoL + Parents perception of Diff’s
- BOTH esp important in DCD****
