Diagnosis and management of developmental coordination disorder

Harris, Susanna; Mickelson, Elizabeth C. R.; Zwicker, Jill G.

doi:10.1503/cmaj.140994

Cited by 103 publications

(95 citation statements)

References 35 publications

(64 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reliable phenotypic recognition of early‐onset ataxia (EOA) among other developmental disorders with coordination impairment, such as developmental coordination disorder (DCD) and hypotonia of central nervous system origin, is important for selecting the correct diagnostic algorithm, predicting familial recurrence risk, and treating the child. However, in young children with motor coordination difficulties, clinical recognition of mild EOA features may be challenging.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Paediatric motor phenotypes in early‐onset ataxia, developmental coordination disorder, and central hypotonia

Lawerman

Brandsma

Maurits

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

AIMS To investigate the accuracy of phenotypic early-onset ataxia (EOA) recognition among developmental conditions, including developmental coordination disorder (DCD) and hypotonia of central nervous system origin, and the effect of scientifically validated EOA features on changing phenotypic consensus.METHOD We included 32 children (4-17y) diagnosed with EOA (n=11), DCD (n=10), and central hypotonia (n=11). Three paediatric neurologists independently assessed videotaped motor behaviour phenotypically and quantitatively (using the Scale for Assessment and Rating of Ataxia [SARA]). We determined: (1) phenotypic interobserver agreement and phenotypic homogeneity (percentage of phenotypes with full consensus by all three observers according to the underlying diagnosis); (2) SARA (sub)score profiles; and (3) the effect of three scientifically validated EOA features on phenotypic consensus. RESULTS Phenotypic homogeneity occurred in 8 out of 11, 2 out of 10, and 1 out of 11 patients with EOA, DCD, and central hypotonia respectively. Homogeneous phenotypic discrimination of EOA from DCD and central hypotonia occurred in 16 out of 21 and 22 out of 22 patients respectively. Inhomogeneously discriminated EOA and DCD phenotypes (5 out of 21) revealed overlapping SARA scores with different SARA subscore profiles. After phenotypic reassessment with scientifically validated EOA features, phenotypic homogeneity changed from 16 to 18 patients.

show abstract

mentioning

confidence: 99%

“…According to DSM‐5 criteria, DCD is a developmental motor disorder characterized by non‐progressive motor incoordination, which interferes with daily activities or academic achievement, that is not attributable to a neurological, intellectual, or visual condition . The descriptive diagnosis of the motor dysfunction is ‘motor dyspraxia’.…”

mentioning

confidence: 99%

Paediatric motor phenotypes in early‐onset ataxia, developmental coordination disorder, and central hypotonia

Lawerman

Brandsma

Maurits

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

“…Increasing DCD awareness could in turn increase access to services, an issue closely related to the top five priorities. Multiple calls in the scientific literature have been made to reorganize school and health services (Priority #4) in order to foster access to early intervention, and to implement response‐to‐intervention service delivery models and coordinated services . It is also accepted that interventions should be evidence‐informed, and anchored in functional approaches, which coincides with Priority #5.…”

Section: Discussionmentioning

confidence: 99%

“…These services are however required to address the issues these individuals face such as academic difficulties, lower quality of life and poor peer relationships . Best practices for DCD stress the need for collaborative work and capacity building to increase equitable access to services and raise community awareness . Community‐based research partnerships could thus well support the implementation of DCD best practices by bringing together different stakeholders to advocate and design interventions aiming at increasing community awareness and access to services.…”

Section: Introductionmentioning

confidence: 99%

“…It is well recognized that there is a general lack of awareness about the condition, 13,14 and that there is inequitable access to the services. 13 These services are however required to address the issues these individuals face such as academic difficulties, lower quality of life and poor peer relationships. 16,17 Best practices for DCD stress the need for collaborative work and capacity building to increase equitable access to services and raise community awareness.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Research and knowledge transfer priorities in developmental coordination disorder: Results from consultations with multiple stakeholders

Camden

Meziane

Maltais

et al. 2019

Health Expectations

View full text Add to dashboard Cite

BackgroundPriority‐setting is a way to focus research and knowledge translation (KT) efforts for community‐based research partnerships (CBRP).ObjectiveTo identify the developmental coordination disorder (DCD) research and KT priorities of stakeholders in Quebec, Canada, and their perceptions regarding the implementation of a CBRP.DesignAn advisory committee oversaw the research process including an online survey and four community forums.Setting and participantsThe survey was posted online and four community forums were organized. Participants included parents of children with DCD, adults with DCD, health professionals and school staff.Main variablesStakeholder generated research and KT priorities, and optimal CBPR conditions.Outcome measuresParticipants selected their top five priorities based on a predefined list of 16 research and 12 KT priorities determined in collaboration with the advisory committee. They also rated the importance of various CBRP conditions. Preliminary survey results were discussed during the forums.ResultsSurvey participants (n = 395) identified interwoven research and KT priorities where access to services was considered to be essential: supporting children at school; improving DCD identification and diagnosis; preventing secondary consequences; improving the organization of services and implementing effective services. Forum participants (n = 52) confirmed the relevance of these priorities and supported the establishment of a CBRP inclusive of all stakeholders to improve DCD services, research and KT.Discussion and conclusionsA general consensus emerged among all groups, but adults with DCD were more concerned with employment than were the other stakeholder groups. These findings are presently being used to shape an ongoing, online CBRP.

show abstract

Motor performance, praxis, and social skills in autism spectrum disorder and developmental coordination disorder

et al. 2022

View full text Add to dashboard Cite

Previous research has shown that individuals with autism spectrum disorder (ASD) and developmental coordination disorder (DCD) may have overlapping social and motor skill impairments. This study compares ASD, DCD, and typically developing (TD) youth on a range of social, praxis and motor skills, and investigates the relationship between these skills in each group. Data were collected on participants aged 8–17 (n = 33 ASD, n = 28 DCD, n = 35 TD). Overall, the clinical groups showed some similar patterns of social and motor impairments but diverged in praxis impairments, cognitive empathy, and Theory of Mind ability. When controlling for both social and motor performance impairments, the ASD group showed significantly lower accuracy on imitation of meaningful gestures and gesture to command, indicating a prominent deficit in these praxis skills in ASD. Lay Summary Individuals with autism spectrum disorder (ASD) and developmental coordination disorder (DCD) have social and motor skill impairments to varying degrees. This study compares ASD, DCD, and typically developing (TD) youth on a range of social, praxis, and motor skills. ASD and DCD shared similar patterns of gross and fine motor skills, but differed in skills related to making gestures. Specifically, our results also suggest that ASD has a prominent deficit in gesture performance and meaningful imitation compared to TD and DCD groups.

show abstract

Diagnosis and management of developmental coordination disorder

Cited by 103 publications

References 35 publications

Paediatric motor phenotypes in early‐onset ataxia, developmental coordination disorder, and central hypotonia

Paediatric motor phenotypes in early‐onset ataxia, developmental coordination disorder, and central hypotonia

Research and knowledge transfer priorities in developmental coordination disorder: Results from consultations with multiple stakeholders

Motor performance, praxis, and social skills in autism spectrum disorder and developmental coordination disorder

Contact Info

Product

Resources

About