Developmental coordination disorder: Management and outcome
- S Sutton Hamilton, MD
S Sutton Hamilton, MD
- Assistant Director
- Underwood Family Medicine Residency
- Section Editors
- Teresa K Duryea, MD
Teresa K Duryea, MD
- Section Editor — General Pediatrics
- Associate Professor of Pediatrics
- Baylor College of Medicine
- Carolyn Bridgemohan, MD
Carolyn Bridgemohan, MD
- Section Editor — Developmental and Behavioral Pediatrics
- Assistant Professor of Pediatrics
- Harvard Medical School
Motor skills are typically acquired in a continuous, progressive, orderly process . Normal motor function requires the coordination of neurologic, physiologic, and biologic processes including proprioception, vestibular integration, strength, balance, coordination, dexterity, visual-motor ability, and visual ability. Individual and environmental factors, such as motivation, perseverance, opportunity for practice, and encouragement, also play a role. Problems in any of these areas can result in lack of motor skills, or clumsiness.
Developmental coordination disorder (DCD) is characterized by problems with motor coordination that interfere with academic performance and social integration in otherwise healthy children [2-4]. These motor problems typically present in the early school years with difficulty performing simple motor tasks (eg, running, buttoning, or using scissors) and usually persist into adolescence and adulthood [5-7].
The management and outcome of DCD will be discussed in this topic review. The clinical features and diagnosis of DCD are discussed separately. (See "Developmental coordination disorder: Clinical features and diagnosis".)
In this topic, we will use the term "developmental coordination disorder" (DCD) to describe problems in motor coordination that interfere with academic performance and/or socialization. DCD is the preferred term in countries that use the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification . Specific developmental disorder of motor functions (SDDMF) is preferred in countries in which the International Classification of Diseases, 10th revision (ICD-10) has legal status.
The DSM-5 criteria for DCD include :
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- General principles
- Supportive care
- - Education
- - School supports
- - Organized physical education
- - Sports participation
- Treatment of associated conditions
- Occupational and physical therapy
- - Bike riding
- Fatty acid supplementation
- ADHD pharmacotherapy
- SUMMARY AND RECOMMENDATIONS