Developmental coordination disorder (DCD), also known as dyspraxia is a well-recognised childhood health condition. The two terms are used interchangeably. The profile of this condition in adolescence is less well known. This study examined the performance difficulties, activity limitations and participation restrictions experience of adolescents aged 16–19 years with developmental coordination disorder and identified what health services are required and/or accessed by these individuals.
Method
Secondary analysis of service need and use data were analysed for 141 adolescents with a diagnosis of dyspraxia registered on an Irish national database. The experience of disability was analysed for 40 individuals who completed the optional measure of activity and participation section, including the World Health Organization Disability Assessment Schedule II.
Results
Adolescents experience cognitive rather than physical impairments evolving from executive functioning and social skills. These impact on participation restrictions in academic, vocational, recreation and family life areas. Adolescents required access to the specific health services of occupational therapy and psychology. The health service needs of these adolescents were not adequately met.
Conclusion
Adolescents with developmental coordination disorder present with a complex array of difficulties that require specific health services. Future research needs to examine effective interventions, so that health service provision and policy can reflect the needs of these individuals.
American Psychiatric Association (2000) (2000) Diagnostic and Statistical Manual of Mental Disorder: DSM-IV-TR, Washington, DC: APA.
2.
BarreraTLNortonPJ (2009) Quality of life impairments in generalized anxiety disorder, social phobia, and panic disorder. Journal of Anxiety Disorders23(8): 1086–1090.
3.
Center on the Developing Child at Harvard University (2011) Building the brain’s ‘air traffic control’ system: How experiences shape the development of executive function. Working paper No.11. Available at: www.developingchild.harvard.edu (accessed 17 January 2016).
4.
CorbettBAConstantineLJHendrenR (2009) Examining executive functioning in children with autism spectrum disorder, attention deficit hyperactivity disorder and typical development. Psychiatry Research166(23): 210–222.
5.
DawsonPGuareR (2010) Executive Skills in Children and Adolescents: A Practical Guide to Assessment and Intervention, 2nd ed. New York: Guilford Press.
DunfordCMissiunaCStreetE (2005) Children’s perceptions of the impact of developmental coordination disorder on activities of daily living. British Journal of Occupational Therapy68(5): 207–214.
8.
FedericiSMeloniF (2010) A note on the theoretical framework of World Health Organization Disability Assessment Schedule II. Disability and Rehabilitation32(8): 687–691.
9.
FusterJM (2002) Frontal lobe and cognitive development. Journal of Neurocytology31(3): 373–385.
10.
GreenDBairdGSugdenD (2006) A pilot study of psychopathology in developmental coordination disorder. Child: Care, Health and Development32(6): 741–750.
11.
GreenDLingamRMattocksC (2009) The risk of reduced physical activity in children with probable developmental coordination disorder: A prospective longitudinal study. Research in Developmental Disabilities32(4): 1332–1342.
12.
HendersonSEGeuzeRH (2015) Ten conferences on developmental coordination disorder (DCD): A brief commentary on 20 years of research. Physical and Occupational Therapy in Pediatrics35(2): 97–102.
13.
HillELBrownDSorgardtS (2011) A preliminary investigation of quality of life satisfaction reports in emerging adults with and without developmental coordination disorder. Journal of Adult Development18(3): 130–134.
14.
JarusTAnabyDBartO (2010) Childhood participation in after-school activities: What is to be expected?British Journal of Occupational Therapy73(8): 344–350.
15.
JarusTLourie-GelbergYEngel-YegerB (2011) Participation patterns of school-aged children with and without DCD. Research in Developmental Disabilities32(4): 1323–1331.
16.
KirbyAEdwardsLSugdenD (2011) Emerging adulthood in developmental coordination disorder: Parent and young adult perspectives. Research in Developmental Disabilities32(4): 1351–1360.
17.
LeonardHCBernardiMHillEL (2015) Executive functioning, motor difficulties, and developmental coordination disorder. Developmental Neuropsychology40(4): 201–215.
18.
LingamRHuntLGoldingJ (2009) Prevalence of developmental coordination disorder using the DSM-IV at 7 years of age: A UK population based study. Pediatrics123(4): 693–700.
19.
MadansJHLoebM (2013) Methods to improve international comparability of census and survey measures of disability. Disability and Rehabilitation35(13): 1070–1073.
20.
MagalhaesLCCardosoAAMissiunaC (2011) Activities and participation in children with developmental coordination disorder: A systematic review. Research in Developmental Disabilities32(4): 1309–1316.
21.
MissiunaCMollSKingS (2007) A trajectory of troubles: Parents’ impressions of the impact of developmental coordination disorder. Physical and Occupational Therapy in Pediatrics27(1): 81–101.
22.
MiyaharaMBaxterGD (2011) Children with ‘dyspraxia’: A survey of diagnostic heterogeneity, use and perceived effectiveness of interventions. Journal of Developmental and Physical Disabilities23(5): 439–458.
PayneSWardGTurnerA (2013) The social impact of living with developmental coordination disorder as a 13-year-old. British Journal of Occupational Therapy76(8): 362–369.
25.
PrattMLHillEL (2011) Anxiety profiles in children with and without developmental coordination disorder. Research in Developmental Disabilities32(4): 1253–1259.
26.
Ruckser-ScherbRRothRLothallerH (2013) Motor abilities and coping in children with and without developmental coordination disorder. British Journal of Occupational Therapy76(12): 548–555.
27.
SmythMMAndersonHI (2000) Coping with clumsiness in the school playground: Social and physical play in children with coordination impairments. British Journal of Developmental Psychology18(3): 389–413.
28.
SorianoCAHillELCraneL (2015) Surveying parental experiences of receiving a diagnosis of developmental coordination disorder (DCD). Research in Developmental Disabilities43–44: 11–20.
29.
StephensonEAChessonRA (2008) Always the guiding hand: Parents’ accounts of the long-term implications of developmental co-ordination disorder for their children and families. Child: Care, Health and Development34(3): 335–343.
30.
SugdenDA (2006) Leeds Consensus Statement: Developmental Coordination Disorder as a Specific Learning Difficulty, Leeds: DCD-UK/Dyscovery Centre.
31.
Tal-SabanMZarkaSGrottoI (2012) The functional profile of young adults with suspected developmental coordination disorder. Research in Developmental Disabilities33(6): 2193–2202.
World Health Organization (WHO) (2004) (2004) WHODAS II - Disability Assessment Schedule Training Manual: A guide to administration, Geneva: WHO. Available at: www.who.int/icidh/whodas/training_man.pdf (accessed 3 June 2010).
34.
ZwickerJGHarrisSRKlassenAF (2012a) Quality of life domains affected in children with developmental coordination disorder: A systematic review. Child: Care, Health & Development39(4): 562–80.
35.
ZwickerJGMissiunaCHarrisS (2012b) Developmental coordination disorder: A review and update. European Journal of Paediatric Neurology16(6): 573–581.
36.
ZhuSTangGShiJ (2012) Cross-sectional study of executive functioning in children with DCD. Shanghai Archives of Psychiatry24(4): 217–221.
