Developmental Coordination Disorder: Understanding and Supporting Children with DCD
As parents, educators, or caregivers, we often observe children displaying varying degrees of coordination skills. Some kids seem to be born athletes, while others may appear more clumsy than their peers. However, for some children, difficulties in coordinating movements go beyond the typical variability seen in childhood development. They may have Developmental Coordination Disorder (DCD), a condition that affects as many as 6% of school-aged children.
What is DCD?
DCD is a neurodevelopmental disorder also known as dyspraxia. It is characterized by significant challenges in motor coordination and control that impact daily activities and negatively affect academic performance and social interaction. These difficulties are not due to medical conditions such as cerebral palsy or muscular dystrophy but result from differences in brain development.
Children with DCD typically struggle with basic motor skills such as running, jumping, hopping, throwing or catching objects accurately. They also find it challenging to perform fine motor tasks such as tying shoelaces or using scissors properly. Additionally, they may experience difficulty with balance and spatial awareness leading to falls and accidents.
The severity of DCD varies widely among individuals from mild impairments to severe disabilities affecting all aspects of life functioning. As a result, diagnosis can be complex because the symptoms show up differently depending on age level and individual circumstances.
Diagnosing DCD
The diagnosis process for DCD involves several steps:
1) A referral – usually initiated by parents/caregivers or pediatricians who notice concerns related to coordination skills.
2) Assessment – completed by health professionals like an occupational therapist (OT) who specializes in developmental disorders.
3) Screening tests – conducted through observation-based tools that assess various aspects of movement abilities
4) Diagnosis confirmation – based on clinical history review along with test results verifying that the child meets diagnostic criteria according to DSM-5 guidelines.
It’s important to note that DCD is a diagnosis of exclusion, meaning that other medical conditions must be ruled out before making the final diagnosis. Therefore, it’s essential to involve a range of professionals, including pediatricians and occupational therapists, in the assessment process.
Supporting Children with DCD
While there is no cure for DCD, children with this condition can benefit greatly from early intervention and support. The following are some strategies that parents/caregivers and educators can use to help children with DCD:
1) Physical therapy: Occupational or physical therapy focused on improving motor coordination skills through exercises targeting specific areas of weakness.
2) Assistive technology: Tools such as pencil grips, weighted pencils/pens or scissors designed to improve fine motor control.
3) Multisensory teaching approaches: Teaching methods that incorporate visual aids like pictures or videos along with auditory cues can help reinforce learning for children with coordination challenges.
4) Classroom accommodations: Providing extra time for tasks requiring fine motor control (e.g., drawing), allowing alternative modes of assignment completion (e.g., typing instead of handwriting), or providing preferential seating near teachers can go a long way towards supporting academic success.
Teaching Strategies for Educators
Educators play a critical role in supporting students diagnosed with DCD. Here are some key strategies they can implement:
1) Break down complex movements into smaller steps – This approach helps students focus on one aspect at a time and practice gradually building up their skills over time.
2) Use simple language when giving instructions – Too many words may confuse students who have trouble processing information quickly.
3) Incorporate movement breaks – Short activity breaks throughout the day provide an opportunity for kids to move around and release excess energy while also helping them maintain focus during class instruction periods.
4) Provide visual cues- Using picture charts or diagrams alongside verbal instructions helps students better understand expectations and follow directions.
Parents/Caregivers Role
Parents/caregivers are critical in providing support and encouragement for children with DCD. Here are some tips:
1) Celebrate small achievements – Children with DCD may struggle to develop motor skills, but they benefit from positive reinforcement when completing tasks successfully.
2) Encourage physical activity – Regular exercise can help improve coordination skills as well as boost self-esteem and confidence.
3) Provide opportunities for practice- The more children practice new skills, the better they will become at them.
4) Find ways to make learning fun – Incorporating games or other interactive activities into skill-building exercises can help keep kids engaged and motivated.
Final Thoughts
Developmental Coordination Disorder is a complex condition that requires a team approach to diagnose and manage effectively. Early intervention is essential, so parents/caregivers should seek professional guidance if they suspect their child has coordination difficulties. With appropriate support from educators, health professionals, and caregivers, children with DCD can overcome challenges related to motor control and achieve academic success along with fulfilling social lives.

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