Diagnosis Of Developmental Coordination Disorder Research Articles

Educational outreach and collaborative care enhances physician's perceived knowledge about Developmental Coordination Disorder

BackgroundDevelopmental Coordination Disorder (DCD) is a chronic neurodevelopmental condition that affects 5–6% of children. When not recognized and properly managed during the child's development, DCD can lead to academic failure, mental health problems and poor physical fitness. Physicians, working in collaboration with rehabilitation professionals, are in an excellent position to recognize and manage DCD. This study was designed to determine the feasibility and impact of an educational outreach and collaborative care model to improve chronic disease management of children with DCD.MethodsThe intervention included educational outreach and collaborative care for children with suspected DCD. Physicians were educated by and worked with rehabilitation professionals from February 2005 to April 2006. Mixed methods evaluation approach documented the process and impact of the intervention.ResultsPhysicians: 750 primary care physicians from one major urban area and outlying regions were invited to participate; 147 physicians enrolled in the project. Children: 125 children were identified and referred with suspected DCD. The main outcome was improvement in knowledge and perceived skill of physicians concerning their ability to screen, diagnose and manage DCD. At baseline 91.1% of physicians were unaware of the diagnosis of DCD, and only 1.6% could diagnose condition. Post-intervention, 91% of participating physicians reported greater knowledge about DCD and 29.2% were able to diagnose DCD compared to 0.5% of non-participating physicians. 100% of physicians who participated in collaborative care indicated they would continue to use the project materials and resources and 59.4% reported they would recommend or share the materials with medical colleagues. In addition, 17.6% of physicians not formally enrolled in the project reported an increase in knowledge of DCD.ConclusionPhysicians receiving educational outreach visits significantly improved their knowledge about DCD and their ability to identify and diagnose children with this condition. Physicians who collaborated with occupational therapists in providing care reported more confidence in diagnosing children with DCD and were more likely to continue to use screening measures and to provide educational materials to families.

Implementation of a Strength Training Program for a 5-Year-Old Child With Poor Body Awareness and Developmental Coordination Disorder

This case report describes how a strength (muscle force-generating capacity) training program was associated with changes in muscle strength, motor function, and proprioceptive position sense in a young child with poor body awareness and a diagnosis of developmental coordination disorder. Assessment of a prekindergarten child referred for physical therapy because of behaviors compatible with poor body awareness revealed muscle weakness, poor performance on the Bruininks-Oseretsky Test of Motor Proficiency, and poor proprioception. Physical therapy testing done when the child was 5 years of age contributed to a pediatrician-assigned diagnosis of developmental coordination disorder. A 12-week strength training program was initiated. Improvements were noted in muscle strength, gross motor function, and proprioception. Research indicates that muscles provide information about joint position. Evidence suggests that muscle strength gains seen in children are the result of neuromuscular learning and neural adaptations; therefore, a structured strength training program may have contributed to proprioceptive changes in this child.

Hypermobility syndrome and developmental coordination disorder: Similarities and features

Children with movement difficulties can follow a number of different pathways to reach a diagnosis. They may receive a diagnosis of developmental coordination disorder (DCD) after being referred to an occupational therapist or paediatrician via school or parents, because of functional difficulties that impact on activities of daily living, such as dressing and feeding, or because of an impact on education, such as writing and ball skills. In contrast, children may present to rheumatologists or physiotherapists for joint pain, dislocation or late developmental milestones. These children may subsequently be diagnosed as having benign joint hypermobility syndrome (BJHS). This article contrasts and compares functional difficulties between these two groups and considers whether BJHS could be associated with DCD. In addition, the article considers whether there is the potential for not diagnosing or misdiagnosing these children through lack of awareness by professionals and because of differing assessment routes. The data from this survey show that children with BJHS do have a range of functional difficulties similar to those with DCD, and discusses the implications of this for management by the different professionals involved, and the potential for further research.

Visuomotor Adaptation in Children with Developmental Coordination Disorder

Although one of the criteria for the diagnosis of developmental coordination disorder (DCD) suggests learning impairments, there is a lack of studies investigating motor adaptation in these children. This study examined the ability of 7 children with DCD to adapt to a novel visuomotor relationship by exposing them to a 45 degrees visual feedback rotation while they performed a center-out drawing task, and compared their performance with that of 7 normally developing children. The results show that the children with DCD were less affected by the feedback distortion than the control children, and did not show aftereffects, suggesting they had a less well-defined internal model. A principal component analysis of the performance variables during early and late exposure showed that the variables accounting for most of the variance in the trajectories are different between the 2 groups, suggesting that underlying control processes might operate differently in the 2 groups of children.

Are referrals to occupational therapy for developmental coordination disorder appropriate?

Aims: To assess children referred to the Occupational Therapy Service in Gwent with a presumptive diagnosis of developmental coordination disorder (DCD) in order to investigate the appropriateness of their referral....

Developmental Coordination Disorder in Swedish 7-Year-Old Children

To estimate the prevalence, comorbidity, and outcome in developmental coordination disorder (DCD). In this population study of 7-year-olds undergoing individual examination plus teacher and parent interviews, children were followed up at ages 8, 9, and 10 years. Severe DCD occurred in 4.9% and moderate DCD in another 8.6%. Boy-girl ratios ranged from 4:1 to 7:1. Children with severe and moderate DCD did not differ from each other on any measure, but both groups were clearly separated from children without DCD with respect to associated attention deficit symptoms. Asperger's disorder symptoms, school dysfunction scores, and outcome. Approximately half of all children with DCD had moderate to severe symptoms of attention-deficit/hyperactivity disorder (ADHD). DCD is a common problem, and it is strongly associated with ADHD symptoms. A diagnosis of DCD at age 7 years predicts DCD at age 8 years and restricted reading comprehension at age 10 years. Clinicians need to acquaint themselves with DCD and its comorbidity so that they can provide better services to affected children.

178 Can the diagnosis of developmental coordination disorder be improved by an extended motor proficiency test battery?

178 Can the diagnosis of developmental coordination disorder be improved by an extended motor proficiency test battery?

A dyspraxic deficit in specific language impairment and developmental coordination disorder? Evidence from hand and arm movements.

The extent to which children with either specific language impairment (SLI) or developmental coordination disorder (DCD) could be considered dyspraxic was examined using three tasks involving either familiar, or unfamiliar actions. SLI is diagnosed in children who fail to develop language in the normal fashion for no apparent reason, while the DCD diagnosis is applied to a child who experiences problems with movement in the absence of other difficulties. Seventy-two children aged between 5 and 13 years participated, falling into one of four groups: (1) children with specific language impairment (SLI), (2) children with developmental coordination disorder (DCD), (3) age-matched control children, and (4) younger control children. The performance of the clinical groups resembled that of younger normally developing children. Children with SLI, DCD, and the younger controls showed significant difficulty on the task requiring the production of familiar, but not unfamiliar postures. The deficit observed in the SLI group is particularly striking because it was seen both in those with and those without recognized motor difficulties.

Visual evoked potentials in children with developmental coordination disorder

SummaryChildren who demonstrate problems with skilled movement in the absence of physical handicap are formally designated as suffering from developmental coordination disorder (DCD). Diagnosis of DCD was confirmed by the ‘movement assessment battery for children’. Visually evoked potentials (VEPs) were recorded to evaluate the integrity of the visual pathway and to rule out the presence of any neurological lesions affecting visual input. Binocular, pattern onset VEPs were recorded in 14 children with DCD aged between five and seven years, and an age‐matched control group using pattern onset, high contrast, grating stimuli. Implicit times to the first and second peaks and troughs were measured, and results between the two groups were compared. Inattention and movement artefact meant that VEPs were more difficult to record within the DCD group, resulting in smaller amplitudes of the waveform, but no significant differences in the implicit times were observed between the DCD group and controls. Further research is required to determine the specific source of the neurological deficits in DCD but a problem with the integrity of the afferent visual pathway does not appear to be a causal factor.

Visual evoked potentials in children with developmental coordination disorder

Children who demonstrate problems with skilled movement in the absence of physical handicap are formally designated as suffering from developmental coordination disorder (DCD). Diagnosis of DCD was confirmed by the ‘movement assessment battery for children’. Visually evoked potentials (VEPs) were recorded to evaluate the integrity of the visual pathway and to rule out the presence of any neurological lesions affecting visual input. Binocular, pattern onset VEPs were recorded in 14 children with DCD aged between five and seven years, and an agematched control group using pattern onset, high contrast, grating stimuli. Implicit times to the first and second peaks and troughs were measured, and results between the two groups were compared. Inattention and movement artefact meant that VEPs were more difficult to record within the DCD group, resulting in smaller amplitudes of the waveform, but no significant differences in the implicit times were observed between the DCD group and controls. Further research is required to determine the specific source of the neurological deficits in DCD but a problem with the integrity of the afferent visual pathway does not appear to be a causal factor.

Developmental dyspraxia by any other name: are they all just clumsy children?

The recent introduction of the diagnostic category developmental coordination disorder (DCD) (American Psychiatric Association [APA], 1987, 1994), has generated confusion among researchers and clinicians in many fields, including occupational therapy. Although the diagnostic criteria appear to be similar to those used to define clumsy children, children with developmental dyspraxia, or children with sensory integrative dysfunction, we are left with the question: Are children who receive the diagnosis of DCD the same as those who receive the other diagnoses, a subgroup, or an entirely distinct group of children? This article will examine the theoretical and empirical literature and use the results to support the thesis that these terms are not interchangeable and yet are not being used in the literature in a way that clearly defines each subgroup of children. Clear definitions and characteristic features need to be identified and associated with each term to guide occupational therapy assessment and intervention and clinical research.

Ophthalmic Factors in Developmental Coordination Disorder

Developmental coordination disorder (DCD) occurs in a small number of children who present with impaired body/eye coordination. No study of ophthalmic function in DCD exists despite vision’s primary role in perception. Ocular performance was therefore assessed with a battery of tests. Five hundred children aged between 5 and 7 years were involved in the study. Diagnosis of DCD was confirmed for 29 children by the Movement Assessment Battery for Children (ABC); 29 control children were randomly selected. Comprehensive examination with a battery of ophthalmic tests did not reveal any significant difference in visual status between the two groups. Strabismus was found in 5 children from both groups. All 5 children with strabismus from the DCD group showed a similar movement profile with the Motor Competence Checklist. While a causal relationship cannot be discounted, the presence of strabismus appears more likely to be a “hard” neurological sign of central damage common to this group. The evidence seems to indicate that a simple ophthalmic difficulty does not explain problems with movement control.