Clumsy Child

Taft, L. T.; Barowsky, Ellis I.

doi:10.1542/pir.10-8-247

Cited by 10 publications

(7 citation statements)

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“…There is, however, broad agreement on certain management principles, including active involvement of the child, prioritizing functional activities that are important for the child, teaching specific skills that can later be generalized, supporting the child at the level of their ability at home and school, and involvement of a multidisciplinary team 26 . Supportive strategies include educating the child, parents, and teachers, ensuring that the child is not blamed or described as ‘lazy’, and building the child’s self‐esteem by encouraging successes in his or her own areas of competence 27 . Specific strategies for which there is some evidence of effect include occupational therapy to develop specific functional motor skills 25 and omega‐3 and omega‐6 fatty acid supplementation to improve comorbidities 28 …”

Section: Discussionmentioning

confidence: 99%

Developmental coordination disorder in geographic cohorts of 8-year-old children born extremely preterm or extremely low birthweight in the 1990s

Roberts

Anderson

Davis

et al. 2010

Developmental Medicine &Amp; Child Neurology

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ABBREVIATIONS CHQChild Health Questionnaire DCD Developmental coordination disorder EP ⁄ ELBW Extremely preterm ⁄ extremely low birthweight Movement-ABC Movement Assessment Battery for Children AIM The aim of the study was to examine the prevalence of developmental coordination disorder (DCD) at the age of 8 years in a geographic cohort of extremely preterm or extremely-low-birthweight (EP ⁄ ELBW) children and a term-born comparison group, as well as associated academic outcomes, parents' perceptions of motor performance, and changes in prevalence during the 1990s.METHOD Moderate DCD was defined as a score below the 5th centile on the Movement Assessment Battery for Children in children without cerebral palsy or intellectual impairment. DCD rates were compared in a group of 132 8-year-old children born in 1997 at 22 to 27 weeks' gestation or birthweight of less than 1000g (49% male, 51% female) and a comparison group of 154 term-born children (55% male, 45% female). The Wechsler Intelligence Scale for Children -4th edition and the Wide Range Achievement Test -3rd edition were used to measure academic and cognitive outcomes. Parental perceptions of motor performance were measured using the physical function scale of the Child Health Questionnaire, parent-report form (CHQ PF50). The results for children with and without DCD were then compared. To assess changes in prevalence throughout the 1990s, DCD rates were compared with those found in children from the same region born in 1991 to 92. RESULTSThe mean number of completed weeks of gestation in the EP ⁄ ELBW children and in the comparison group of term-born children for whom data were available for analysis was 26.5 (SD 1.9) and 39.2 (SD 1.1) respectively, and the mean birthweight was 830g (SD 163) and 3511g (SD 462) respectively. Almost one in two children who are born extremely preterm or with an extremely low birthweight (EP ⁄ ELBW; <28 completed weeks' gestation ⁄ birthweight <1000 g) experience academic and behavioural difficulties at school age; 1 in contrast only 10 to 15% experience severe neurosensory difficulties. 2,3 EP ⁄ ELBW children are also known to have multiple areas of developmental vulnerability. 1,4 The cumulative effect of these multiple areas of vulnerability is adverse long-term outcomes, such as poor academic functioning. 4,5 Research on functional outcomes has resulted in an improved understanding that success at school has multiple determinants and relies on competence in several developmental domains, including physical function, social ⁄ emotional skills, cognitive and executive function abilities, and communication. 6,7 The proportion of the most preterm and lowest birthweight EP ⁄ ELBW children who survive is continuing to rise. 8 Within this high-risk group, adverse developmental outcomes increase in prevalence as gestational age and birthweight decrease. 4,9 Motor difficulties, such as developmental coordination disorder (DCD), are particularly prevalent and are associated with a high incidence of comorbidities, including academic ...

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Section: Discussionmentioning

confidence: 99%

Developmental coordination disorder in geographic cohorts of 8-year-old children born extremely preterm or extremely low birthweight in the 1990s

Roberts

Anderson

Davis

et al. 2010

Developmental Medicine &Amp; Child Neurology

View full text Add to dashboard Cite

show abstract

“…Dyspraxia, problems with the execution of motor tasks, proprioception, sensory integration and visual processing have all been theorized as possible causative factors . The difference in theories may be explained by the fact that the group of children with DCD is a heterogeneous group; therefore, each theory may explain the problems of different children in this population . Lichtenstein et al .…”

Section: Introductionmentioning

confidence: 99%

Developmental coordination disorder and overweight and obesity in children: a systematic review

2014

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Children with developmental coordination disorder (DCD) find themselves less competent than typically developing children with regard to their physical abilities and often experience failure. They are therefore likely to avoid physical activity. Physical inactivity is considered an important risk factor for developing overweight and obesity. The aim of this study is to assess the association between DCD and overweight and obesity in children and whether this association is influenced by age and/or gender. Six electronic databases were systematically searched. Titles and abstracts were screened for relevance. Remaining studies were subjected to full paper review. The quality of the included articles was assessed and relevant data were extracted for comparison. The search yielded 273 results. Twenty-one studies, based on 10 cohorts, were included. Participants' ages ranged from 4 to 14 years. In all cohorts, children with DCD had higher body mass index scores, larger waist circumference and greater percentage body fat compared with controls. Seven studies assessed the effect of gender and four studies provided information on the effect of age. Children with DCD seem to be at greater risk for overweight and obesity. This risk may be higher for boys and seems to increase with age and with the severity of motor impairment.

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“…Clumsiness refers to a developmental delay of motor locomotion and posture that causes functional impairment in the areas of adaptive or academic performance and output (Taft andBarowsky 1989, Blondis 2000). Motor clumsiness is non-specific and does not represent a specific neurological disease or physical impairment (Blondis 1999).…”

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confidence: 99%

Children with ADHD and motor dysfunction compared with children with ADHD only

Tervo¹,

Azuma²,

Fogas³

et al. 2002

Develop Med Child Neuro

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The purpose of this study was to identify group differences in children with attention-deficit-hyperactivity disorder and motor dysfunction (ADHD-MD) and ADHD only, and to evaluate the medication responsiveness of ADHD-MD. Sixtythree children (49 males and 14 females; mean age 9 years 10 months, SD 2 years 10 months) underwent a triple blind, placebo-controlled crossover study evaluating two dose levels of methylphenidate (0.3 mg/kg and 0.05 mg/kg, twice daily) and placebo. Forty-nine trials were completed. Nineteen were children with ADHD-MD, 44 had ADHD only. Behavior and functioning were assessed at home and at school. Treatment effects were assessed using the Abbreviated Symptom Questionnaire for Parents and Teachers. Children with ADHD-MD were more likely to have severe ADHD-combined type and other neurodevelopmental and behavioral problems. Both groups of children had a linear dose response to medication (placebo, low, high) and there was no evidence of a group by dose interaction or an overall group effect at home or school. The lack of group effect suggests that these children responded to medication like the other subgroups.

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Clumsy Child

Cited by 10 publications

References 0 publications

Developmental coordination disorder in geographic cohorts of 8-year-old children born extremely preterm or extremely low birthweight in the 1990s

Developmental coordination disorder in geographic cohorts of 8-year-old children born extremely preterm or extremely low birthweight in the 1990s

Developmental coordination disorder and overweight and obesity in children: a systematic review

Children with ADHD and motor dysfunction compared with children with ADHD only

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