Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ DCDClumsy child syndromeMotor dyspraxiaDevelopmental dyspraxiaSensory integrative dysfunctionDisorder of attention, motor and perceptionMinor coordination dysfunction ++ 315.4 Developmental coordination disorder ++ F82 Specific developmental disorder of motor function ++ Pattern 5C: Impaired motor function and sensory integrity associated with nonprogressive disorders of the central nervous system—congenital origin or acquired in infancy or childhood1 +++ Description ++ Difficulty performing complex gross or fine-motor coordination tasks +++ Essentials of Diagnosis ++ No cognitive or neurological dysfunction +++ General Considerations ++ Four criteriaDifficulty performing age-appropriate motor skillsChild has had sufficient opportunity to attain motor skillsNo medical reason for motor difficultyDifficulties impact academics or ADLs +++ Demographics ++ Fifty percent of children with developmental coordination disorder (DCD) also have attention deficit hyperactivity disorder (ADHD)2,3Affects 5% to 6% of all children4Affects twice as many males as females4 +++ Signs and Symptoms ++ Decreased strengthDifficulty with coordinationBall skillsCatchingThrowingKickingSingle-limb stanceJumpingHopping on one footSkippingLigamentous laxityHypotonia5Soft neurological signs6Atypical gait pattern +++ Functional Implications ++ Falls or trips oftenBumps into objects, other peopleDifficulty using motor skills in new settings +++ Possible Contributing Causes ++ Premature birth4 +++ Differential Diagnosis ++ Head injuryProgressive neurological disorderBrain tumorAutismPervasive developmental disorder7Cerebral palsy8,9Visual disturbances +++ Diagnostic Procedures ++ Parent teacher questionnaires: Connors, BurksPsychological testingIQ testingDevelopmental and psychosocial evaluation +++ Medication ++ None for DCDMedications available for ADHDMethylphenidate drugsAmphetaminesDexmethylphenidateDextroamphetamineLisdexamfetamine ++ School psychologist for behavior therapyNeurologistOccupational therapistSpeech therapist ++ Difficulty climbing stairs without holding railingPoor abdominal strengthInability to balance on one legInability to hop on one footInability to kick a rolling ballInability to catch a ball ++ Bruininks Oseretsky Test of Motor ProficiencyPeabody Development Motor Scales-2School function assessment (SFA)10Vineland Adaptive Behavior Scales, 2nd edition11Developmental Coordination Disorder Questionnaire12Movement Assessment Battery for Children, 2nd edition13 ++ StrengtheningBalance trainingCoordination tasksSensory integrationMotor learningTask-specific intervention ++ Patient will be able toComplete 10 sit-ups with hands behind head within 3 months to increase abdominal strengthStand on one leg independently for 5 seconds to improve balanceJump with both feet off the floor in 6 months to increase quadricep strength, gluteal strength, coordinationCatch a medium-sized ball from 5 feet away with 75% accuracy in ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.