Dx of DCD
What are the characteristics of DCD?
poor motor coordination and delayed development of motor skills- not explained by other conditions
What is included in diagnostic criteria A?
Execution of coordinated motor skills are substantially below that expected given individuals chronological age and opportunity for skill learning and use.
May be seen as clumsiness, slowness and inaccuracy in performing motor skills
Canadian Occupational Performance Measure (COPM)
Goal attainment scale (GAS)
Perceived efficacy and goal setting program
CAPE and PAC
Core stability training, soccer training, cardiorespiratory training and taekwondo are examples of which type of intervention?
Body functions and structures intervention
When is a diagnosis of DCD usually made and who is it more likely seen in?
Dx usually made at or after 5 yrs old
Seen in boys > girls
Born weighing less than 1500 g OR less than 32 wks gestation (2x more likely to have this Dx)
What is included in diagnostic criteria B?
Along with criterion A; significantly interferes with ADLs appropriate to chronological age and affects academics, leisure and play
What are some activity limitation outcome measure questionnaires for DCD?
DCDQ07
MABC2
What is the recommended dosage for interventions for children with DCD
Should have opportunities to practice in the home and school environment
Ex. High frequency 2-5x/week of physical activity for 9 weeks
Name some associated conditions to DCD.
Neuromaturational dysfunction, hypotonia, joint laxity, balance deficits, overweight/obese
What is included in diagnostic criteria C?
What are some activity limitation outcome measure interviews use for DCD?
MABC2- preferred for this disorder
BOT2- may be outdated
What tool can help us with screening, examination, evaluation, interventions and discharge recommendations for children with DCD?
DCD CPG
What are other names that DCD are commonly known by?
Clumsy child syndrome
Developmental Dyspraxia
Sensory Integration Disorder
Perceptual-motor difficulties
Minor neurological dysfunction
What is included in diagnostic criteria D?
Along with all other criteria; motor skill deficits are NOT better explained by intellectual disability or visual impairment or neurological condition that affects movement
What kinds of tests/examination pieces would you look at for DCD?
Strength, power, balance, cardioresp. fitness
6MWT, 20mSRT, PACER, FSM, dynamometer, MPST, Sensory Organization Test
Part-to-whole practice, multiple repetitions, motor skill training, motor imagery and feedback provision are examples of which type of intervention?
Task oriented interventions
Out of the 4 criteria, how many need to be met for a diagnosis of DCD?
ALL 4 (A,B,C,D)
T/F: ADD, ADHD, Autism, sensory differences, learning disabilities, anxiety/depression are coexisting conditions with DCD.
True
What should interventions be focused on for a child with a diagnosis of DCD?
Combo of task oriented and body structure and function
Small groups or 1on1
Education and Supplemental Activities
T/F: Children with DCD are NOT likely to have dysfunction of cortical networks compared to peers without DCD.
False