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Published on: September 27, 2020
Subtypes of developmental coordination disorder: research on their nature and etiology
Laurence Vaivre-Douret1, Christophe Lalanne, Isabelle Ingster-Moati
1University of Paris Descartes, Paris, France. laurence.vaivre-douret@inserm.fr
Insights
This study identifies distinct subtypes of Developmental Coordination Disorder (DCD), differentiating between pure developmental dyspraxia patterns and mixed forms with comorbidities.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Neuroscience
Background:
- Developmental Coordination Disorder (DCD) affects children's motor skills, often presenting as clumsiness or developmental dyspraxia.
- Understanding DCD's subtypes is crucial for targeted interventions and research into its neurological underpinnings.
Purpose of the Study:
- To enhance the understanding of DCD's nature and etiology.
- To identify distinct subtypes of developmental dyspraxia within the DCD population.
- To establish specific clinical criteria for these subtypes.
Main Methods:
- Enrolled 43 children aged 5-15 years diagnosed with DCD according to DSM-IV-TR criteria.
- Conducted extensive standardized evaluations to assess motor and cognitive functions.
- Utilized diagnostic criteria to differentiate between subtypes of dyspraxia.
Main Results:
- Distinguished two patterns of "pure" developmental dyspraxia: ideomotor and visual-spatial/visual-constructional.
- Identified a "mixed" dyspraxia subtype characterized by more comorbidities.
- Provided a clearer classification of DCD subtypes based on clinical presentation.
Conclusions:
- The study offers a refined understanding of DCD, differentiating specific subtypes of developmental dyspraxia.
- Findings contribute to understanding DCD etiology and potential brain dysfunction patterns.
- Identified subtypes can guide more precise clinical diagnosis and therapeutic approaches for children with DCD.
Abstract:
Children with Developmental Coordination Disorder (DCD) are a group embracing clumsiness and developmental dyspraxia. Our study provides a better understanding of the nature of DCD and its etiology, and identifies subtypes of dyspraxia. Forty-three children with DCD (5-15 years) were enrolled on the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV-TR]; American Psychiatric Association, 2000) criteria. Extensive standardized evaluations were conducted. We distinguished from two patterns of "pure" developmental dyspraxia: ideomotor and visual-spatial/visual-constructional, and mix dyspraxia with more co-morbidities. Our study provides a better understanding of the nature of DCD, and sheds light on its etiology and brain dysfunction, so as to identify subtypes of developmental DCD/dyspraxia with specific clinical criteria.
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