Developmental Coordination Disorder Flashcards Preview

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Flashcards in Developmental Coordination Disorder Deck (26)
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1
Q

DSM 5- Difficulty with activities that require

A

motor coordination

2
Q

DSM 5- what does DCD impacts

A

Impacts Academic achievement or activities of daily living

3
Q

DSM 5- DCD has to be diagnosed when what is ruled out?

A

Other medical conditions like neurological brain bleed or genetic disorder

4
Q

Prevalence and Associated Ages

A

5-8% at school age (5-11 years) for general population due to kids at that age historically given challenges like handwriting, socializing and playing with other kids.

5
Q

DCD occur with other other disorders (3)

A
  • ADHD
  • ASD
  • RD (reading disability)
6
Q

Etiology

A

• Multiple brain regions and neural networks implicated
– Cerebellum
– Different activation and more activation (FMRI studies on DCD kids have regions lit up that TD kids do not That means they have a hard time from explicit to implicit, making them seem like they are staring over again in a complex motor skill.)

7
Q

Clinical presentation of DCD: development to adulthood

A

Decreased participation in motor play, leading to depression as adults and cardiovascular problems. They have attention system deficits like for dual tasking

8
Q

Clinical presentation of DCD: Handwriting and how you can improve patients

A

DCD patient’s handwriting are cramped together and their “in air transitions” are all over the place. AS a PT, you can improve handwriting by improving their UE strength/proximal stability, fine motor skills.

9
Q

Clinical presentation of DCD: Playing skills

A

• Limited ball playing skills

• Poor targeting skill associated with less moderate to vigorous activity
less running so they get picked to play with less

10
Q

Clinical presentation of DCD: Other areas of difficulty

A

• Performance IQ (i.e. Block Design) < verbal IQ

• Executive function deficits
– Specific difficulties with reaction time
• Slow, less accurate performance
( messy eating)

11
Q

DCD Individuals’ performance with

intra-task variability

A

DCD kids don’t get consistent with more practice

12
Q

Children with DCD engage in less moderate-vigorous physical activity (MVPA), results to…

A

higher BMIs, less strength

– Parental activity patterns and parental perception of child’s motor abilities associated with less MVPA in DCD
– When parents perceived their child’s motor abilities as inferior, children with DCD were less likely to participate in MVPA

13
Q

Impact of coordination difficulties on Life Domains

A

Coordination differences leads to play differences, leading to difficulty in self care activity, then less peer relations leading to negative self perception, then to negative emotional health

14
Q

Diagnostic measures and their ages (2)

A

• Movement Assessment Battery for Children – 2nd Edition
(MABC-2)
– 3 years to 16 years

• Bruininks-Oseretzky Test of Motor Proficiency, 2nd version
(BOTMP2)
– 4 years to 21 years

15
Q

Developmental Coordination Disorder Questionnaire (DCDQ): age and things they look for

A

– 5-15 years

– Your child throws a ball in a controlled and accurate fashion.
– Your child catches a small ball (e.g., tennis ball size) thrown from a distance of 6 to 8 feet (1.8 to
2.4 meters).
– Your child hits an approaching ball or birdie with a bat or racquet accurately.
– Your child jumps easily over obstacles found in garden or play environment.

16
Q

Children Participation Questionnaire (CPQ): age and things they look for

A

– 4 to 6 years
– education, social participation, play, leisure, activities of daily living and
instrumental activities of daily living
– frequency of participation, degree of assistance required, child’s pleasure
in participating, and parental satisfaction from child’s participation

17
Q

DCDDaily: Age and what they look for

A

– 5 to 8 years

– Self care and self-maintenance, productivity and school, leisure and play

18
Q

DCD child’s gait vs TD (typically developed) child’s

A

DCD child have more hip flexion and knee flexion to adapt to decreased balance and strength.
DCD child have greater reliance on visual feedback with gait as they walk much slower with no vision
TD child more plantarflexion during toe off

19
Q

DCD children’s attention system

A

Lack ability to do dual tasks . They cannot drive as adults

20
Q

DCD children’s posture and muscle tone

A

Usually more flexed forward posture

Low muscle tone

21
Q

DCD children’s cardiovascular endurance

A

Needing a long break

22
Q

PT intervention: Task training (2)

A

• Task Specific Training
– Neuromotor Task Training
• Dual Task – consider attentional requirements in all
interventions

23
Q

PT intervention: Cognitive Orientation to Daily Occupational Performance (CO-OP), what does it based on, how to help child problem solve.

A
  • Based on model of learning
  • Explicit problem solving (give child internal cues to many ways to slave the task.
  • Goal–Plan—Do—Check (access the problem solving, if goal achieved, then make new goal)
24
Q

PT intervention: Group vs. Individual Sports

A

Individual sport will last longer as not everyone will have time to play with you and helps child to engage at that as adults.
In group sport, it is better for kid to participate in positions of least attentional demand like being a soccer goalie.

25
Q

PT intervention: what other trainings to consider (2)

A
  • Fitness Training

* Gait Training

26
Q

Samantha is a 7-year-old girl with a diagnosis of DCD. She has a hard time playing group sports during recess and is feeling left out.
STG?

A

In 3 months, Sam will be able to pass the ball with her teammates with accuracy ten out of ten times to participate with her classmates.