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Early identification of children with/at risk of developmental coordination disorder: a scoping review
Emily J Lee1,2, Jill G Zwicker3,4,5,6,7
1Rehabilitation Science Online Programs, University of British Columbia, Vancouver, British Columbia, Canada.
Insights
Early identification of developmental coordination disorder (DCD) in young children is possible. Earlier identification and intervention can improve developmental outcomes and prevent secondary issues for children at risk of DCD.
Area of Science:
- Pediatrics
- Developmental Psychology
- Occupational Therapy
Background:
- Developmental Coordination Disorder (DCD) affects motor skills in children.
- Early identification and intervention are crucial for managing DCD.
- Evidence for early identification and intervention in preschool-aged children is evolving.
Purpose of the Study:
- To review current evidence on early identification of DCD in children aged 5 and under.
- To summarize findings on motor-based interventions for children at risk of DCD.
- To inform healthcare providers on identifying and supporting children with DCD.
Main Methods:
- A comprehensive scoping review of peer-reviewed articles and grey literature was conducted.
- 11,115 articles were screened, with data from 103 included records extracted and synthesized.
- Literature was categorized into assessments for diagnostic criteria and motor-based interventions.
Main Results:
- Most literature focused on early identification (78 studies) rather than intervention (22 studies).
- Assessments for diagnostic criteria A and B were a primary focus.
- Emerging evidence supports identifying children at risk of DCD before school entry.
Conclusions:
- Children at risk of DCD can be identified before formal schooling.
- Early identification enables timely intervention, potentially improving developmental trajectories.
- Healthcare providers should use the term 'at risk of DCD' explicitly.
Aim:
To summarize current evidence for early identification and motor-based intervention for children aged 5 years and younger with/at risk of developmental coordination disorder (DCD).
Method:
Using scoping review methodology and after duplicates were removed, 11 115 peer-reviewed articles and grey literature were independently screened by two authors. Data from 103 included records were extracted and synthesized by both assessors. One author entered the relevant data into tables, while the other author double-checked the entries.
Results:
Records included peer-reviewed studies, guidelines, conference presentations, and theses/dissertations. Most literature pertained to early identification (n=78), with fewer studies targeting intervention (n=22) or covering both topics (n=3). Literature was summarized in two main categories: (1) assessments for diagnostic criteria A and B; and (2) motor-based interventions for young children with/at risk of DCD. This article highlights the findings related to assessments, while a companion article summarizes the intervention literature.
Interpretation:
Emerging evidence shows that children, especially those at greatest risk of DCD, may be identified before formal school entry. Earlier identification will allow for earlier intervention, which may help to improve the developmental trajectories of children with/at risk of DCD and prevent secondary consequences of the disorder. It is recommended that health care providers explicitly use the term 'at risk of DCD'.
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