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Developmental Coordination Disorder (developmental + coordination_disorder)
Selected AbstractsPractitioner Review: Approaches to assessment and treatment of children with DCD: an evaluative reviewTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 8 2005Peter H. Wilson Background:, Movement clumsiness (or Developmental Coordination Disorder , DCD) has gained increasing recognition as a significant condition of childhood. However, some uncertainty still exists about diagnosis. Accordingly, approaches to assessment and treatment are varied, each drawing on distinct theoretical assumptions about the aetiology of the condition and its developmental course. Method:, This review evaluates the current status of different approaches to motor assessment and treatment for children with DCD. These approaches are divided according to their broad conceptual origin (or explanatory framework): Normative Functional Skill Approach, General Abilities Approach, Neurodevelopmental Theory, Dynamical Systems Theory, and the Cognitive Neuroscientific Approach. Conclusions:, Each conceptual framework is shown to support assessment and treatment methods with varying degrees of conceptual and psychometric integrity. The normative functional skill approach supports the major screening devices for DCD and cognitive (or top-down) approaches to intervention. The general abilities approach and traditional neurodevelopmental theory are not well supported by recent research. The dynamical systems approach supports promising trends in biomechanical or kinematic analysis of movement, ecological task analysis, and task-specific intervention. Finally, and more recently, the cognitive neuroscientific approach has generated some examples of process-oriented assessment and treatment based on validated (brain,behaviour) models of motor control and learning. A multi-level approach to movement assessment and treatment is recommended for DCD, providing a more complete representation of motor development at different levels of function , behavioural, neurocognitive, and emotional. [source] Developmental Coordination Disorder and Joint Hypermobility Syndrome , overlapping disorders?CHILD: CARE, HEALTH AND DEVELOPMENT, Issue 5 2007Implications for research, clinical practice Abstract Background, Joint Hypermobility Syndrome (JHS) and Developmental Coordination Disorder (DCD) are two childhood disorders usually identified separately. DCD is a heterogeneous condition with little known of the underlying aetiology of the disorder. This paper examines the potential overlap between DCD and JHS and examines children with DCD for symptoms which may be consistent with a diagnosis of JHS. Implications for research and clinical practice are considered. Methods, A questionnaire covering a range of symptoms consistent with a diagnosis of JHS and related autonomic nervous systemic symptoms was completed by parents from 27 children with DCD and compared with responses from parents of 27 typically developing children. Results, Children with DCD showed a significant difference from the group of typically developing children on questions regarding hypermobility, pain and autonomic nervous system symptoms, typifying JHS. Conclusions, This study has shown a similarity in symptoms seen in some DCD children to those with a diagnosis of JHS. In addition, children are also presenting with multi-system symptomatology including those involving the autonomic nervous system. This study reinforces other recent work showing the reverse pattern of JHS children showing similar functional similarities to DCD children. This has implications for future research in DCD in order to understand the underlying aetiology of this complex disorder. In addition, it is important for clinicians to be aware of these findings in order to provide appropriate and tailored support and treatment for children presenting with differing patterns of co-ordination difficulties. Children with DCD and JHS may require appropriate podiatry as well as recognition of their symptoms of pain and how this may affect participation in physical activity. [source] The development and standardization of the Children Activity Scales (ChAS-P/T) for the early identification of children with Developmental Coordination DisordersCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 6 2006S. Rosenblum Abstract Background Previous studies have emphasized the importance of early identification of children with Developmental Coordination Disorder (DCD) to prevent the development of secondary academic, emotional and social manifestations of the disorder. The aim of this study was to develop a valid parent and teacher questionnaire , the Children Activity Scales for parents (ChAS-P) and for teachers (ChAS-T) , to identify children aged 4,8 years at risk for DCD and to examine the reliability and validity of these questionnaires. Methods The questionnaires' content and face validity were established, and then cut-off scores were determined based on responses of 355 teachers and 216 parents. Internal consistencies were also calculated. Factor analyses were performed, and construct validity was determined by examining the questionnaires' ability to discriminate between 30 children aged 5,6.5 years diagnosed with DCD and 30 typically developing children. Concurrent validity was examined by comparing questionnaire scores with those of the Movement Assessment Battery for Children (M-ABC). Results High values were obtained for internal consistency (0.96,0.94) for the ChAS-T and the ChAS-P respectively. Factor analysis revealed four distinct factors within the ChAS-P and three within the ChAS-T, reinforcing the theoretical validity of the items selected and appropriateness for identifying DCD. Construct validity was indicated by finding significant differences between the groups' scores on the ChAS-T and the ChAS-P. Significant correlations between the children's scores on the questionnaires and those of the M-ABC confirmed their concurrent validity. Conclusions Initial results suggest that the ChAS-T and Chas-P are reliable tools to identify children at risk for DCD. [source] A pilot study of psychopathology in Developmental Coordination DisorderCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 6 2006D. Green Abstract Background This paper explores the prevalence of emotional and behavioural disorders in children referred to a Community Paediatric Occupational Therapy service for assessment and treatment of problems with development of motor skills. Methods Parents of 47 children from a clinical sample of children who had been identified with Developmental Coordination Disorder (DCD) returned the Strengths and Difficulties Questionnaire (SDQ) , a brief measure of the pro-social behaviour and psychopathology that can be completed by parents, teachers or youths. Results Significant emotional and behavioural problems were reported by 29 parents (62%) with a further six (13%) reporting problems in the borderline range. Seven children (15%) were without significant problems in one or more area although only four of these (9%) were outside the borderline range for all of the sub-domains of the SDQ. Discussion A significant proportion of children with DCD were reported by their parents to be at risk of psychopathology. Further research is needed to understand the relationship between motor difficulties and emotional and behavioural symptoms; however, it is recommended that interventions for children with DCD should support mental health and behavioural problems as well as motor development. [source] Developmental coordination disorder in children with ADHD and physical therapy interventionDEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 3 2010DIDO GREEN No abstract is available for this article. [source] Developmental coordination disorder in children with attention-deficit,hyperactivity disorder and physical therapy interventionDEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 12 2007Nathan Watemberg MD Although physical therapy (PT) is effective in improving motor function in children with developmental coordination disorder (DCD), insufficient data are available on the impact of this intervention in children with combined attention-deficit,hyperactivity disorder (ADHD) and DCD. This prospective study aimed to establish the prevalence of DCD among a cohort of patients with ADHD, characterize the motor impairment, identify additional comorbidities, and determine the role of PT intervention on these patients. DCD was detected in 55.2% of 96 consecutive children with ADHD (81 males, 15 females), mostly among patients with the inattentive type (64.3% compared with 11% of those with the hyperactive/impulsive type, p<0.05). Mean age was 8 years 4 months (SD 2y). Individuals with both ADHD and DCD more often had specific learning disabilities (p=0.05) and expressive language deficits (p=0.03) than children with ADHD only. Twenty-eight patients with ADHD and DCD randomly received either intensive group PT (group A, mean age 9y 3mo, SD 2y 3mo) or no intervention (group B, mean age 9y 3mo, SD 2y 2mo). PT significantly improved motor performance (assessed by the Movement Assessment Battery for Children; p=0.001). In conclusion, DCD is common in children with ADHD, particularly of the inattentive type. Patients with both ADHD and DCD are more likely to exhibit specific learning disabilities and phonological (pronunciation) deficits. Intensive PT intervention has a marked impact on the motor performance of these children. [source] Working memory, processing speed, and set-shifting in children with developmental coordination disorder and attention-deficit,hyperactivity disorderDEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 9 2007Jan P Piek BSc (Hons) PhD It has been suggested that the high levels of comorbidity between attention-deficit-hyperactivity disorder (ADHD) and developmental coordination disorder (DCD) may be attributed to a common underlying neurocognitive mechanism. This study assessed whether children with DCD and ADHD share deficits on tasks measuring working memory, set-shifting, and processing speed. A total of 195 children aged between 6 years 6 months and 14 years 1 month (mean 10y 4mo [SD 2y 2mo]) were included in this study. A control group (59 males, 79 females), a DCD group (12 males, six females), an ADHD-predominantly inattentive group (16 males, four females), and an ADHD-combined group (15 males, four females), were tested on three executive functioning tasks. Children with DCD were significantly slower on all tasks, supporting past evidence of a timing deficit in these children. With few exceptions, children with ADHD did not perform more poorly than control children. These findings demonstrate the importance of identifying children with motor deficits when examining tasks involving a timing component. [source] Bilateral coordination and motor sequencing in Brazilian children: preliminary construct validity and reliability analysisOCCUPATIONAL THERAPY INTERNATIONAL, Issue 2 2009Ana Amélia Cardoso Abstract This study examined aspects of reliability and validity of the bilateral coordination and motor sequencing items of the Assessment of Motor Coordination and Dexterity (AMCD) for Brazilian children ages 4, 6 and 8 years old. The AMCD aims to identify children with developmental coordination disorder (DCD). A total of 84 children were evaluated. Among the 35 items piloted, all but one presented interrater reliability above 0.80 and 16 (45.7%) items presented intraclass correlation coefficient over 0.60 for test,retest reliability. Most items were sensitive to age difference and only items involving ball handling exhibited significant gender differences. As a result, this section of the AMCD could be reduced to the 20 items that were found to be reliable and more discriminative for age-related differences. This study advances on the development of the AMCD, but a limitation was the noninclusion of children with DCD. Future research should investigate whether the selected items are useful in differentiating the motor skills of children with and without coordination problems. Copyright © 2009 John Wiley & Sons, Ltd. [source] A comparison of working memory skills and learning in children with developmental coordination disorder and moderate learning difficultiesAPPLIED COGNITIVE PSYCHOLOGY, Issue 4 2007Tracy Packiam Alloway The present study compared 6,11 years old with developmental coordination disorder (DCD) and those with moderate learning difficulties (MLD) on measures of memory (verbal short-term and working memory, visuo-spatial short-term and working memory), literacy and numeracy, and IQ. The findings indicate that children with DCD appear to be impaired in all four areas of memory function; in particular they performed at significantly lower levels than children with MLD in measures of verbal short-term memory, visuo-spatial short-term and working memory. In contrast, performance of children with MLD in the memory measures was within age-expected levels, with deficits observed only in verbal working memory tasks. There were also differential links between memory and attainment between the two groups, and these were significant even after statistically accounting for the contribution of IQ. Reasons for why working memory contributes to learning in these two developmental groups are discussed. Copyright © 2006 John Wiley & Sons, Ltd. [source] | |||||||||||||