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Developmental Coordination Disorder and Joint Hypermobility Syndrome--overlapping disorders? Implications for
Insights
Children with Developmental Coordination Disorder (DCD) often exhibit symptoms similar to Joint Hypermobility Syndrome (JHS), including pain and autonomic nervous system issues. This highlights a significant overlap between these childhood conditions.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Clinical Psychology
Background:
- Joint Hypermobility Syndrome (JHS) and Developmental Coordination Disorder (DCD) are typically diagnosed independently in children.
- The etiology of DCD remains largely unknown, despite its heterogeneous nature.
- This study investigates the potential overlap between DCD and JHS, examining DCD patients for JHS-consistent symptoms.
Purpose of the Study:
- To explore the symptomatic overlap between Developmental Coordination Disorder (DCD) and Joint Hypermobility Syndrome (JHS) in children.
- To identify JHS-related symptoms within a cohort of children diagnosed with DCD.
- To consider the implications of these findings for future research and clinical practice.
Main Methods:
- A questionnaire assessing JHS and autonomic nervous system symptoms was administered to parents of 27 children with DCD.
- Parental responses from the DCD group were compared to those from 27 typically developing children.
- The study focused on symptom presentation indicative of JHS in children with DCD.
Main Results:
- Children with DCD demonstrated significant differences in reported hypermobility, pain, and autonomic nervous system symptoms compared to controls.
- These symptom patterns were consistent with those typically observed in Joint Hypermobility Syndrome (JHS).
- A notable similarity in symptoms was found between children with DCD and those diagnosed with JHS.
Conclusions:
- A significant overlap exists between the symptoms of DCD and JHS in pediatric populations.
- Children with DCD may present with multi-system issues, including autonomic nervous system dysfunction.
- Findings suggest a need for increased clinical awareness and tailored support for children with co-occurring DCD and JHS, potentially involving podiatry and pain management strategies.
Background:
Joint Hypermobility Syndrome (JHS) and Developmental Coordination Disorder (DCD) are two childhood disorders usually identified separately. DCD is a heterogeneous condition with little known of the underlying aetiology of the disorder. This paper examines the potential overlap between DCD and JHS and examines children with DCD for symptoms which may be consistent with a diagnosis of JHS. Implications for research and clinical practice are considered.
Methods:
A questionnaire covering a range of symptoms consistent with a diagnosis of JHS and related autonomic nervous systemic symptoms was completed by parents from 27 children with DCD and compared with responses from parents of 27 typically developing children.
Results:
Children with DCD showed a significant difference from the group of typically developing children on questions regarding hypermobility, pain and autonomic nervous system symptoms, typifying JHS.
Conclusions:
This study has shown a similarity in symptoms seen in some DCD children to those with a diagnosis of JHS. In addition, children are also presenting with multi-system symptomatology including those involving the autonomic nervous system. This study reinforces other recent work showing the reverse pattern of JHS children showing similar functional similarities to DCD children. This has implications for future research in DCD in order to understand the underlying aetiology of this complex disorder. In addition, it is important for clinicians to be aware of these findings in order to provide appropriate and tailored support and treatment for children presenting with differing patterns of co-ordination difficulties. Children with DCD and JHS may require appropriate podiatry as well as recognition of their symptoms of pain and how this may affect participation in physical activity.
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