Developmental coordination disorder and dysgraphia: signs and symptoms, diagnosis, and rehabilitation

Maëlle Biotteau, Jérémy Danna, Éloïse Baudou, Frédéric Puyjarinet, Jean-Luc Velay, Jean-Michel Albaret, Yves Chaix, Maëlle Biotteau, Jérémy Danna, Éloïse Baudou, Frédéric Puyjarinet, Jean-Luc Velay, Jean-Michel Albaret, Yves Chaix

Abstract

Developmental coordination disorder (DCD) is a common and well-recognized neurodevelopmental disorder affecting approximately 5 in every 100 individuals worldwide. It has long been included in standard national and international classifications of disorders (especially the Diagnostic and Statistical Manual of Mental Disorders). Children and adults with DCD may come to medical or paramedical attention because of poor motor skills, poor motor coordination, and/or impaired procedural learning affecting activities of daily living. Studies show DCD persistence of 30-70% in adulthood for individuals who were diagnosed with DCD as children, with direct consequences in the academic realm and even beyond. In particular, individuals with DCD are at increased risk of impaired handwriting skills. Medium-term and long-term prognosis depends on the timing of the diagnosis, (possible) comorbid disorders (and their diagnosis), the variability of signs and symptoms (number and intensity), and the nature and frequency of the interventions individuals receive. We therefore chose to investigate the signs and symptoms, diagnosis, and rehabilitation of both DCD and developmental dysgraphia, which continues to receive far too little attention in its own right from researchers and clinicians.

Keywords: assessment tools; clinical expressions; developmental coordination disorder; developmental dysgraphia; diagnosis; therapy.

Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. American Psychiatric Association. DSM-5 – Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington (DC): American Psychiatric Association; 2013.
    1. Lingam R, Hunt L, Golding J, Jongmans M, Emond A. Prevalence of developmental coordination disorder using the DSM-IV at 7 years of age: a UK population-based study. Pediatrics. 2009;123:e693–e700. doi:10.1542/peds.2008-1770
    1. Asonitou K, Koutsouki D, Kourtessis T, Charitou S. Motor and cognitive performance differences between children with and without developmental coordination disorder (DCD). Res Dev Disabil. 2012;33:996–1005. doi:10.1016/j.ridd.2012.01.008
    1. Cardoso AA, Magalhães LC, Rezende MB. Motor skills in Brazilian children with developmental coordination disorder versus children with motor typical development. Occup Ther Int. 2014;21:176–185. doi:10.1002/oti.1376
    1. Kirby A, Sugden D, Beveridge S, et al. Developmental coordination disorder (DCD) in adolescents and adults in further and higher education. Jorsen. 2008;8:120–131.
    1. Geuze RH. Motor impairment in DCD and activities of daily living In: Sugden D, Chambers M, editors. Children with Developmental Coordination Disorder. London (UK): Whurr; 2005: 19–46.
    1. Foebo Larsen R, Mortensen LH, Martinussen T, et al. Determinants of developmental coordination disorder in 7-year-old children: a study of children in the Danish National Birth Cohort. Dev Med Child Neurol. 2013;55:1016–1022.
    1. Geuze RH, Jongmans MJ, Schoemaker MM, Smits-Engelsman BCM. Clinical and research diagnostic criteria for developmental coordination disorder: a review and discussion. Hum Mov Sci. 2001;20:7–47. doi:10.1016/S0167-9457(01)00027-6
    1. Wilson PH, Ruddock S, Smits-Engelsman B, Polatajko H, Blank R. Understanding performance deficits in developmental coordination disorder: a meta-analysis of recent research. Dev Med Child Neurol. 2013;55:217–228. doi:10.1111/dmcn.2013.55.issue-3
    1. Kirby A, Edwards L, Sugden D, Rosenblum S. The development and standardization of the adult developmental co-ordination disorders/dyspraxia checklist (ADC). Res Dev Disabil. 2010;31:131–139. doi:10.1016/j.ridd.2009.08.010
    1. Kirby A, Williams N, Thomas M, Hill EL. Self-reported mood, general health, wellbeing and employment status in adults with suspected DCD. Res Dev Disabil. 2013;34:1357–1364. doi:10.1016/j.ridd.2013.01.003
    1. Chen HF, Cohn ES. Social participation for children with developmental coordination disorder: conceptual, evaluation and intervention considerations. Phys Occup Ther Pediatr. 2003;23:61–78.
    1. Smyth MM, Anderson HI. Coping with clumsiness in the school playground: social and physical play in children with coordination impairments. Br J Dev Psychol. 2000;18:389–413. doi:10.1348/026151000165760
    1. de Oliveira RF, Wann JP. Driving skills of young adults with developmental coordination disorder: regulating speed and coping with distraction. Res Dev Disabil. 2011;32:1301–1308. doi:10.1016/j.ridd.2010.12.021
    1. Purcell C, Scott-Roberts S, Kirby A. Implications of DSM-5 for recognising adults with developmental coordination disorder (DCD). Brit J Occup Ther. 2015;78:295–302. doi:10.1177/0308022614565113
    1. Tal-Saban M, Ornoy A, Parush S. Executive function and attention in young adults with and without developmental coordination disorder: a comparative study. Res Dev Disabil. 2014;35:2644–2650. doi:10.1016/j.ridd.2014.07.002
    1. Magalhães LC, Cardoso AA, Missiuna C. Activities and participation in children with developmental coordination disorder: a systematic review. Res Dev Disabil. 2011;32:1309–1316. doi:10.1016/j.ridd.2011.01.029
    1. Cairney J, Kwan MYW, Hay JA, Faught BE. Developmental coordination disorder, gender, and body weight: examining the impact of participation in active play. Res Dev Disabil. 2012;33:1566–1573. doi:10.1016/j.ridd.2012.02.026
    1. Cantell M, Crawford SG, Doyle-Baker PK. Physical fitness and health indices in children, adolescents and adults with high or low motor competence. Hum Mov Sci. 2008;27:344–362. doi:10.1016/j.humov.2008.02.007
    1. Faught BE, Hay JA, Cairney J, et al. Increased risk for coronary vascular disease in children with developmental coordination disorder. J Adolesc Health. 2005;37:376–380. doi:10.1016/j.jadohealth.2004.08.025
    1. Wagner MO, Kastner J, Petermann F, Jekauc D, Worth A, Bös K. The impact of obesity on developmental coordination disorder in adolescence. Res Dev Disabil. 2011;32:1970–1976. doi:10.1016/j.ridd.2011.04.004
    1. Cousins M, Smyth MM. Developmental coordination impairments in adulthood. Hum Mov Sci. 2003;22:433–459. doi:10.1016/j.humov.2003.09.003
    1. Du W, Wilmut K, Barnett AL. Level walking in adults with and without developmental coordination disorder: an analysis of movement variability. Hum Mov Sci. 2015;43:9–14. doi:10.1016/j.humov.2015.06.010
    1. Noda W, Ito H, Fujita C, et al. Examining the relationships between attention deficit/hyperactivity disorder and developmental coordination disorder symptoms, and writing performance in Japanese second grade students. Res Dev Disabil. 2013;34:2909–2916. doi:10.1016/j.ridd.2013.05.023
    1. Emck C, Bosscher R, Beek P, Doreleijers T. Gross motor performance and self-perceived motor competence in children with emotional, behavioural, and pervasive developmental disorders: a review. Dev Med Child Neurol. 2009;51:501–517. doi:10.1111/dmcn.2009.51.issue-7
    1. Green D, Baird G, Sugden D. A pilot study of psychopathology in developmental coordination disorder. Child Care Health Dev. 2006;32:741–750. doi:10.1111/j.1365-2214.2006.00575.x
    1. Hill EL, Brown D. Mood impairments in adults previously diagnosed with developmental coordination disorder. J Ment Health. 2013;22:334–340. doi:10.3109/09638237.2012.745187
    1. Poulsen AA, Ziviani JM, Johnson H, Cuskelly M. Loneliness and life satisfaction of boys with developmental coordination disorder: the impact of leisure participation and perceived freedom in leisure. Hum Mov Sci. 2008;27:325–343. doi:10.1016/j.humov.2008.02.004
    1. Pratt ML, Hill EL. Anxiety profiles in children with and without developmental coordination disorder. Res Dev Disabil. 2011;32:1253–1259. doi:10.1016/j.ridd.2011.02.006
    1. Zwicker JG, Suto M, Harris SR, Vlasakova N, Missiuna C. Developmental coordination disorder is more than a motor problem: children describe the impact of daily struggles on their quality of life. Brit J Occup Ther. 2018;81:65–73. doi:10.1177/0308022617735046
    1. Mandich AD, Polatajko HJ, Rodger S. Rites of passage: understanding participation of children with developmental coordination disorder. Hum Mov Sci. 2003;22:583–595.
    1. Missiuna C, Moll S, Law M, King S, King G. Mysteries and mazes: parents’ experiences of children with developmental coordination disorder. Can J Occup Ther. 2006;73:7–17. doi:10.2182/cjot.05.0010
    1. Caçola P, Killian M. Health-related quality of life in children with developmental coordination disorder: association between the PedsQL and KIDSCREEN instruments and comparison with their normative samples. Res Dev Disabil. 2018;75:32–39. doi:10.1016/j.ridd.2018.02.009
    1. Karras HC, Morin DN, Gill K, Izadi-Najafabadi S, Zwicker JG. Health-related quality of life of children with developmental coordination disorder. Res Dev Disabil. 2019;84:85–95. doi:10.1016/j.ridd.2018.05.012
    1. Zwicker JG, Harris SR, Klassen AF. Quality of life domains affected in children with developmental coordination disorder: a systematic review. Child Care Health Dev. 2013;39:562–580. doi:10.1111/cch.12045
    1. Hamstra-Bletz L, Blöte AW. A longitudinal study on dysgraphic handwriting in primary school. J Learn Disabil. 1993;26:689–699. doi:10.1177/002221949302601007
    1. Feder KP, Majnemer A. Handwriting development, competency, and intervention. Dev Med Child Neurol. 2007;49:312–317. doi:10.1111/j.1469-8749.2007.00312.x
    1. Karlsdottir R, Stefansson T. Problems in developing functional handwriting. Percept Mot Skills. 2002;94:623–662.
    1. Rosenblum S, Weiss PL, Parush S. Product and process evaluation of handwriting difficulties: a review. Educ Psychol Rev. 2003;15:41–81. doi:10.1023/A:1021371425220
    1. Danna J, Paz-Villagrán V, Velay JL. Signal-to-noise velocity peak difference: a new method for evaluating the handwriting movement fluency in children with dysgraphia. Res Dev Disabil. 2013;34:4375–4384. doi:10.1016/j.ridd.2013.09.012
    1. van Galen GP, Portier SJ, Bcm S-E, et al. Neuromotor noise and poor handwriting in children. Acta Psychol. 1993;82:161–178. doi:10.1016/0001-6918(93)90010-O
    1. Paz-Villagrán V, Danna J, Velay JL. Lifts and stops in proficient and dysgraphic handwriting. Hum Mov Sci. 2014;33:381–394. doi:10.1016/j.humov.2013.11.005
    1. Feder K, Majnemer A, Synnes A. Handwriting: current trends in occupational therapy practice. Can J Occup Ther. 2000;67:197–204. doi:10.1177/000841740006700313
    1. Kushki A, Schwellnus H, Ilyas F, Chau T. Changes in kinetics and kinematics of handwriting during a prolonged writing task in children with and without dysgraphia. Res Dev Disabil. 2011;32:1058–1064. doi:10.1016/j.ridd.2011.01.026
    1. Smits-Engelsman B, Schoemaker M, Delabastita T, Hoskens J, Geuze R. Diagnostic criteria for DCD: past and future. Hum Mov Sci. 2015;42:293–306. doi:10.1016/j.humov.2015.03.010
    1. Henderson SE, Sugden DA, Barnett AL. Movement Assessment Battery for Children – 2nd Edition (MABC-2), Examiner’s Manual. London: Harcourt Assessment; 2007.
    1. Henderson SE, Sugden DA. The Movement Assessment Battery for Children. London: The Psychological Corporation; 1992.
    1. Ulrich DA. Test of Gross Motor Development: Examiner’s Manual, 2nd ed Austin (TX): Pro-Ed; 2000.
    1. Ulrich DA. Test of Gross Motor Development. Austin (TX): PRO-ED; 1985.
    1. Knight JA, Kapland E, Ireland LD. Survey findings of Rey-Osterrieth Complex Figure usage In: Knight JA, Kaplan EF, editors. Handbook of Rey–Osterrieth Complex Figure Usage: Clinical and Research Applications. Odessa (FL): Psychological Assessment Resources; 2003:45–56.
    1. Kaiser ML, Schoemaker MM, Albaret JM, et al. What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? Systematic review of the literature. Res Dev Disabil. 2015;36:338–357. doi:10.1016/j.ridd.2014.09.023
    1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, (4th Ed., Text Revision). Washington (DC): American Psychiatric Association; 2000.
    1. Hamstra-Bletz E, Bie JD, Brinker BPLMD. Beknopte Beoordelingsmethode Voor Kinderhandschriften [Rapid Method for Assessment of Children’s Handwriting]. Lisse: Swets & Zeitlinger; 1987.
    1. Reisman J. Development and reliability of the research version of the Minnesota Handwriting Test. Phys Occup Ther Pediatr. 1993;13(2):41–55. doi:10.1080/J006v13n02_03
    1. Reisman J. The Minnesota Handwriting Test: Research Edition. Minneapolis: University of Minneapolis; 1995.
    1. Amundson SJ. Evaluation Tool of Children’s Handwriting. Homer (AK): OT KIDS; 1995.
    1. Weil JM, Cunningham-Amundson SJ. Relationship between visuomotor and handwriting skills of children in kindergarten. Am J Occup Ther. 1994;48:982–988. doi:10.5014/ajot.48.11.982
    1. Barnett A, Henderson SE, Scheib B, et al. Detailed Assessment of Speed of Handwriting (DASH). London: Pearson Assessment; 2007.
    1. Barnett AL, Henderson SE, Scheib B, Schulz J. Handwriting difficulties and their assessment in young adults with DCD: extension of the DASH for 17-to 25-year-olds. J Adult Dev. 2011;18:114–121. doi:10.1007/s10804-011-9121-3
    1. Barnett AL, Henderson SE, Scheib B, Schulz J. Development and standardisation of a new handwriting speed test: the DASH. Br J Educ Psychol Monogr Series II. 2009;6:137–157. doi:10.1348/000709909X421937
    1. Chiappedi M, De Bernardi E, Togni R, et al. Developmental writing disorders: assess to rehabilitate. Minerva Pediatr. 2018;70:141–144. doi:10.23736/S0026-4946.16.04364-4
    1. Smits-Engelsman B, Vinçon S, Blank R, et al. Evaluating the evidence for motor-based interventions in developmental coordination disorder: a systematic review and meta-analysis. Res Dev Disabil. 2018;74:72–102. doi:10.1016/j.ridd.2018.01.002
    1. Miyahara M, Hillier SL, Pridham L, et al. Task-oriented interventions for children with developmental coordination disorder. Cochrane Database Syst Rev. 2017;7:CD010914. doi:10.1002/14651858.CD003881.pub4
    1. Pless M, Carlsson M. Effects of motor skill intervention on developmental coordination disorder: a meta-analysis. Adapt Phys Activ Q. 2000;17:381–401.
    1. Smits-Engelsman B, Blank R, Van Der Kaay AC, et al. Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis. Dev Med Child Neurol. 2013;55:229–237. doi:10.1111/dmcn.12008
    1. Preston N, Magallon S, Hill LJ, et al. A systematic review of high quality randomized controlled trials investigating motor skill programmes for children with developmental coordination disorder. Clin Rehabil. 2017;31:857–870. doi:10.1177/0269215516661014
    1. Blank R, Smits-Engelsman B, Polatajko H, et al. European Academy for Childhood Disability (EACD): recommendations on the definition, diagnosis and intervention of developmental coordination disorder (long version). Dev Med Child Neurol. 2012;54:54–93. doi:10.1111/j.1469-8749.2011.04171.x
    1. Polatajko HJ, Cantin N. Developmental coordination disorder (dyspraxia): an overview of the state of the art. Semin Pediatr Neurol. 2005;12:250–258. doi:10.1016/j.spen.2005.12.007
    1. Revie G, Larkin D. Task-specific intervention with children reduces movement problems. Adapt Phys Activ Q. 1993;10:29–41. doi:10.1123/apaq.10.1.29
    1. Yu JJ, Burnett AF, Sit CH. Motor skill interventions in children with developmental coordination disorder: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2018;99:2076–2099. doi:10.1016/j.apmr.2017.12.009
    1. Lucas BR, Elliott EJ, Coggan S, et al. Interventions to improve gross motor performance in children with neurodevelopmental disorders: a meta-analysis. BMC Pediatr. 2016;16:193. doi:10.1186/s12887-016-0731-6
    1. Offor N, Williamson PO, Caçola P. Effectiveness of interventions for children with developmental coordination disorder in physical therapy contexts: a systematic literature review and meta-analysis. J Mot Learn Dev. 2016;4:169–196. doi:10.1123/jmld.2015-0018
    1. Ferguson GD, Jelsma D, Jelsma J, Smits-Engelsman BCM. The efficacy of two task-orientated interventions for children with developmental coordination disorder: neuromotor task training and Nintendo wii fit training. Res Dev Disabil. 2013;34:2449–2461. doi:10.1016/j.ridd.2013.05.007
    1. Adams ILJ, Lust JM, Wilson PH, Steenbergen B. Compromised motor control in children with DCD: a deficit in the internal model? – a systematic review. Neurosci Biobehav Rev. 2014;47:225–244. doi:10.1016/j.neubiorev.2014.08.011
    1. Guillot A, Collet C, An Nguyen V, Malouin F, Richards C, Doyon J. Functional neuroanatomical networks associated with expertise in motor imagery. NeuroImage. 2008;41:1471–1483. doi:10.1016/j.neuroimage.2008.03.042
    1. Guillot A, Collet C. Construction of the motor imagery integrative model in sport: a review and theoretical investigation of motor imagery use. Int Rev Sport Exerc Psychol. 2008;1:31–44. doi:10.1080/17509840701823139
    1. Wilson PH, Thomas TR, Maruff P. Motor imagery training ameliorates motor clumsiness in children. J Child Neurol. 2002;17:491–498. doi:10.1177/088307380201700506
    1. Wilson PH, Adams ILJ, Caeyenberghs K, Thomas P, Smits-Engelsman B, Steenbergen B. Motor imagery training enhances motor skill in children with DCD: a replication study. Res Dev Disabil. 2016;57:54–62. doi:10.1016/j.ridd.2016.06.014
    1. Adams ILJ, Smits-Engelsman B, Lust JM, Wilson PH, Steenbergen B. Feasibility of motor imagery training for children with developmental coordination disorder – a pilot study. Front Psychol. 2017;8:1271. doi:10.3389/fpsyg.2017.01271
    1. Danna J, Velay JL, Albaret JM. Dysgraphies In: Pinto S, Sato M, editors. Traité De Neurolinguistique. Brussels: De Boeck; 2016:337–346.
    1. Berninger VW, Vaughan KB, Graham S, et al. Treatment of handwriting problems in beginning writers: transfer from handwriting to composition. J Educ Psychol. 1997;89:652–666. doi:10.1037/0022-0663.89.4.652
    1. Vinter A, Chartrel E. Effects of different types of learning on handwriting movements in young children. Learn Instr. 2010;20:476–486. doi:10.1016/j.learninstruc.2009.07.001
    1. Danna J, Velay JL. Basic and supplementary sensory feedback in handwriting. Front Psychol. 2015;6:169. doi:10.3389/fpsyg.2015.00169
    1. Bara F, Gentaz E. Haptics in teaching handwriting: the role of perceptual and visuo-motor skills. Hum Mov Sci. 2011;30:745–759. doi:10.1016/j.humov.2010.05.015
    1. Véron-Delor L, Velay J-L, Braibant I, et al. Qu’apporte la musique à l’apprentissage de l’écriture? Étude de cas auprès d’un enfant en grande difficulté d’écriture. ANAE. 2017;151:719–727.
    1. Ben-Pazi H, Kukke S, Sanger TD. Poor penmanship in children correlates with abnormal rhythmic tapping: a broad functional temporal impairment. J Child Neurol. 2007;22:543–549. doi:10.1177/0883073807302610
    1. Søvik N, Teulings HL. Real-time feedback of handwriting in a teaching program. Acta Psychol. 1983;54:285–291. doi:10.1016/0001-6918(83)90040-9
    1. Danna J, Velay JL. Handwriting movement sonification: why and how? IEEE Trans Human-Mach Syst. 2017;47:299–303. doi:10.1109/THMS.2016.2641397
    1. Loup-Escande E, Frenoy R, Poplimont R, et al. Contributions of mixed reality in a calligraphy learning task: effects of supplementary visual feedback and expertise on cognitive load, user experience and gestural performance. Comput Human Behav. 2017;75:42–49. doi:10.1016/j.chb.2017.05.006
    1. Asselborn T, Gargot T, Kidziński Ł, et al. Automated human-level diagnosis of dysgraphia using a consumer tablet. NPJ Digitl Med. 2018;1:42. doi:10.1038/s41746-018-0049-x
    1. Caçola P, Romero M, Ibana M, et al. Effects of two distinct group motor skill interventions in psychological and motor skills of children with developmental coordination disorder: a pilot study. Disabil Health J. 2016;9:172–178. doi:10.1016/j.dhjo.2015.07.007
    1. Zwicker JG, Rehal H, Sodhi S, et al. Effectiveness of a summer camp intervention for children with developmental coordination disorder. Phys Occup Ther Pedi. 2015;35:163–177.

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