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Identifying developmental coordination disorder: consistency between tests.

S G Crawford¹, B N Wilson, D Dewey

¹Behavioural Research Unit, Alberta Children's Hospital, Calgary, Canada.

Physical & Occupational Therapy in Pediatrics

|May 10, 2001

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Diagnosing developmental coordination disorder (DCD) is challenging. This study found that common motor skill tests show less than 80% agreement, highlighting the need for careful clinical reasoning.

Area of Science:

Pediatric physical therapy
Occupational therapy assessment
Childhood developmental disorders

Background:

Developmental Coordination Disorder (DCD) lacks a definitive diagnostic standard.
Accurate identification of DCD is crucial for timely intervention in children.
Variability in motor skill assessment tools may impact diagnostic consistency.

Purpose of the Study:

To evaluate the inter-rater reliability and consistency of three common motor skill assessments for DCD.
To determine if the Bruininks Oseretsky Test of Motor Proficiency (BOT), Movement Assessment Battery for Children (M-ABC), and Developmental Coordination Disorder Questionnaire (DCDQ) identify the same children with DCD.
To inform clinical practice regarding the selection and interpretation of motor skill assessments.

Main Methods:

Related Experiment Videos

A cross-sectional study involving 379 children aged 8-17 years.
Matched samples of 101 children diagnosed with DCD and 101 without DCD were analyzed.
Comparison of results from the BOT, M-ABC, and DCDQ to assess agreement.

Main Results:

Overall agreement between the BOT, M-ABC, and DCDQ was below 80%.
Significant discrepancies were observed in the identification of children with DCD across the different measures.
Differences in test structure and administration likely contribute to varied identification outcomes.

Conclusions:

Current motor skill assessments demonstrate limited consistency in identifying children with DCD.
Therapists must employ critical clinical reasoning and integrate findings from multiple assessment sources.
Further research may be needed to refine diagnostic criteria and assessment tools for DCD.