Developmental Coordination Disorder Flashcards Preview

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Flashcards in Developmental Coordination Disorder Deck (24):
1

Developmental Coordination Disorder also known as...

  • Developmental Clumsiness
  • In-coordination
  • Minimal Minimal Brain Dysfunction
  • Clumsy Child (1930)
  • Dyspraxia (1962)
  • Developmental Dyspraxia (1970)
  • Developmental Coordination Disorder (!990)

2

  • Developmental Clumsiness
  • In-coordination
  • Minimal Minimal Brain Dysfunction

AKA

Developmental Coordination Disorder
 

3

DCD Definition by DSM-5 is classified as a discrete motor disorder under the broader heading of
_____________ disorders 

neurodevelopmental

4

The motor skills deficit in Criterion A significantly and persistently interferes with activities of daily living appropriate to chronological age (e.g., self-care and self-maintenance) and impacts academic/school productivity, prevocational and vocational activities, leisure, and play.
 

Developmental Coordination Disorder as defined by the DMS-5

5

Onset of symptoms is in the early developmental period. The motor skills deficits are not better explained by intellectual disability (intellectual developmental disorder) or visual impairment and are not attributable to a neurological condition affecting movement (e.g., cerebral palsy, muscular dystrophy, degenerative disorder).

Developmental Coordination Disorder 

by DSM-5

6

Incidence of DCD:

  • Estimated at 5-10% (6-13%)of all school age-children have DCD
  • Greater in boys than girls:  4:1 Ratio  (1.7:1 UK)
     

7

Risks (incidence) of Developmental Coordination Disorder:

  • ↑ in pre-terms infants
  • In-utero exposure to alcohol and drugs
  • Genetics may contribute

8

Disorders associated with Developmental Coordination Disorder

  • Speaking problems
    • expressive and phonological
  • Learning disorders
  • Sensory Processing Disorders  (praxis)
  • ADD/ADHD

9

4 processes of praxis 

  1. Interpreting sensory input
  2. Choosing a motor action
  3. Choosing a proper SEQUENCE
  4. Choosing an specific force, speed, direction and distance.

10

Apraxia Vs. Dyspraxia

  • Apraxia: loss of praxis, no somatosensory dysfunction, shows in MRI
  • Dyspraxia: dysfunctional praxis, tactile and propriceptive dysfunction, no show in MRI 

11

Motor problems in DCD:

  • Total FLX and EXT patterns
  • Toe walkers
  • Slap foot, high stepping, shuffling (for sensory input)

12

Fine motor skills problems in DCD:

  • Pinching instead of squeezing 
  • Breaks objects 

13

Most common test for DCD

movement ABC

14

Levels of adaptive response:

  1. Response to passive stimuli 
  2. Hold and stay
  3. Alt contraction/relax of muscles
  4. Uses in a familiar way
  5. Uses in an unfamiliar way
  6. Complicated adaptation 

15

Treatment session of DCD should be rich in 

tactile and vestibular input

16

Premack principle

Intersperse things that you like with things you don't 

17

Therapist responsibility in a DCD session

  1. Choose a skill
  2. Modify the envrionment
  3. Provide feedback 

18

Initial activities with children with DCD should be 

VESTIBULAR

19

To increase proprioceptive input

  • weighted vest, shoes, pencils
  • neoprene suits
  • Theraband around the chair

20

To increase tactile input

  • pacifiers
  • texture surfaces, chewing gum

21

To decreased tactile input:

  • pressure on head during combing
  • pressure on hands during nail clipping

22

To increase and decrease visual input:

  • Increase: mirrors, modeling, set boundaries 
  • Decrease: dim lights, restrict visual area

23

To increase and decrease auditory input:

  • increase: headphone, metronome, clapping, 
  • decrease: headphones, earplugs, give one direction at the time

24

Use of total body patterns with children with DCD

  • Flexion
  • Extension: all 4s and rocking, prone on swing, scooter, ball
  • Rotation: on ball, all 4s to sit.