Developmental coordination disorder (dyspraxia): an overview of the state of the art
Helene J Polatajko1, Noemi Cantin
1Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. h.polatajko@utoronto.ca
Insights
Developmental coordination disorder (DCD) affects children's daily activities. Task-oriented interventions show more promise than deficit-oriented ones for improving motor skills in children with DCD.
Area of Science:
- Pediatric neurology
- Occupational therapy
- Developmental psychology
Background:
- Motor-based performance problems significantly impact school-aged children's daily lives.
- Developmental Coordination Disorder (DCD) is a neurodevelopmental disorder affecting motor skills.
- Children with DCD often seek professional help for diagnosis and intervention.
Purpose of the Study:
- To provide an overview of intervention approaches for DCD.
- To review the evidence supporting different therapeutic strategies for DCD.
- To suggest a shift in intervention perspective for DCD.
Main Methods:
- Literature review of intervention approaches for DCD.
- Analysis of evidence supporting deficit-oriented interventions.
- Analysis of evidence supporting task-oriented interventions.
Main Results:
- Evidence for deficit-oriented approaches in DCD is inconclusive.
- Task-oriented approaches for DCD appear to have stronger supporting evidence.
- Current evidence suggests task-oriented interventions may be more effective.
Conclusions:
- A shift from deficit-oriented to task-oriented intervention strategies is recommended for DCD.
- Further research is needed to fully validate task-oriented approaches.
- Task-oriented interventions show promise for improving functional outcomes in children with DCD.
Abstract:
A large number of school-aged children present with motor-based performance problems that have significant negative effects on their ability to participate fully in the daily activities of home, school, and play. These children have a neurodevelopmental disorder most commonly known as developmental coordination disorder (DCD). These children are frequently brought to the attention of the family doctor and referred to health care professionals in search of answers and services. Therapists treating these children have a large number of intervention approaches at their disposal. This paper presents an overview of these approaches and a review of the available evidence. The evidence for the older, deficit-oriented approaches remains inconclusive, at best; whereas the task-oriented approaches, seem to be better supported. While more work is needed to validate the use of the task-oriented approaches, the results suggest that a shift in perspective from a deficit-oriented to a task-oriented perspective would be appropriate.
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