DEVELOPMENTAL COORDINATION DISORDER IN CHILDREN AND ADOLESCENTS
Authors: Andreas D. Flouris
Abstract: Developmental Coordination Disorder (DCD) is a term used to describe a condition of motor incoordination found in children. Prevalence estimates for DCD obtained internationally indicate that about 6 to 10% of the school-aged population may be affected. Despite the high prevalence rates, a systematic review of the literature reveals that data have been mainly reported for north America and northern Europe. Recent evidence shows that DCD has a significant physiological impact on children’s health and well-being. Specifically, it has been found that children with DCD are at increased risk for developing coronary artery disease at a later age. This has been attributed to the fact that children with DCD systematically avoid being active. Thus participation in physical activity has been suggested as a significant mediator in the relationship between clumsiness and coronary artery disease. These findings underline the necessity to identify individuals with DCD early in life, in order to prevent many of the secondary problems that may arise in later years. The factor contributing the most to the scarcity of DCD data is the challenge of screening/identification of children with this disorder. To date, no gold-standard has been universally recognized. Furthermore, widely accepted screening methods such as the Bruininks Oseretsky Test of Motor Proficiency, or the Movement Assessment Battery for Children, are neither practical nor cost-effective. A solution to this problem may be found in the Children’s Self-Perceptions of Adequacy in and Predilection for Physical Activity (CSAPPA) scale. However, further investigation of the validity and precision of the CSAPPA scale in different populations is required.