Clumsy child syndrome
Sensory integrative dysfunction
Disorder of attention, motor, and perception
Minor coordination dysfunction
PREFERRED PRACTICE PATTERN
A 5-year-old male is referred for outpatient physical therapy for frequent falling. The parents report he takes Strattera for attention deficit hyperactivity disorder (ADHD) and gets frustrated when trying to play with his 4-year-old sister. Upon examination, the therapist notes the child has mild hypotonia especially in his trunk, has difficulty balancing on one leg, and has poor coordination with kicking or catching a ball. He has fair abdominal strength and descends stairs in a step-to-step pattern.
Difficulty performing age-appropriate motor skills
Child has had sufficient opportunity to attain motor skills
No medical reason for motor difficulty
Difficulties impact academics or ADLs
Fifty percent of children with developmental coordination disorder (DCD) also have ADHD2, 3
Affects 5% to 6% of all children4
Affects twice as many males as females4
Possible Contributing Causes
MEANS OF CONFIRMATION OR DIAGNOSIS
Upper motor neuron pathways. Tracts at bottom left are shown outside the cord for clarity only. (From McPhee SJ, Hammer GD. Pathophysiology of Disease: An Introduction to Clinical Medicine. 6th ed. New York, NY:2009, McGraw Hill.)
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