Is My Little one Clumsy or Might it’s Developmental Coordination Dysfunction?



I’ve to confess, I’m not probably the most coordinated particular person.  You will have seen the identical about your self or your youngster.  

The large query mother and father usually ask me is whether or not their youngster is on the clumsy finish or is there one other clarification for it.  

The most important query to ask your self is whether or not your youngster’s clumsiness is impacting their on a regular basis life.  Is it making them a wallflower on the playground?  Is it making it troublesome to make it via a meal with out spilling or dropping one thing?  Is the kid tripping often or bumping into issues?  

Partially as a result of clumsiness has been the butt of so many jokes in media, its usually not taken critically.  The reality is that clumsiness doesn’t naturally enhance and might have a very large affect on a baby’s confidence and vanity.  

Plus, remedy may also help!  So if there’s a giant drawback impacting a baby’s on a regular basis life that’s making them really feel dangerous and now we have the facility to enhance it, we will’t overlook it!  

Let’s check out 2 totally different folks with Developmental Coordination Dysfunction (DCD), the way it impacts their lives, after which we will discuss extra about easy methods to know when to hunt assist.

Meet Jane

Jane is a really heat and pleasant seven-year-old woman recognized with developmental coordination dysfunction and dyspraxia. She has by no means had success with tutorial, gross motor or wonderful motor actions, and prefers to speak her approach out of challenges. Speaking she is nice at, however solely with adults. She has struggled to make and hold mates. 

Jane began a PT program at Child PT and after two months of taking part in a program engaged on her visual-motor and rhythmic motion abilities, her mother reported that not solely was she transferring higher, however she was having a lot extra success socially.. Mother mentioned, “I can think about that for those who can’t sustain with the youngsters on the playground, that’s going to have an effect on your confidence enjoying with the opposite youngsters.”

Mother’s commentary was so true and impacts so many youngsters on a regular basis. Our innate sense of rhythm runs within the background of every little thing we do. It impacts how we work together with others and the way we multitask emptying a backpack in school whereas saying hiya to a buddy whereas smiling and remembering every little thing you want for the day. The constant and dependable rhythm of our mind and physique helps all of those seemingly mundane duties that may be overwhelming if you need to take into consideration them each step of the best way!

Meet the Professor

I had the chance to satisfy a superb 55-year-old professor a couple of years in the past who had struggled along with his physique his total life. As an grownup, he acquired the analysis of Developmental Coordination Dysfunction. 

He talked about years of trauma that occurred in health club class all through his faculty years and the way writing and driving have been nonetheless subsequent to unimaginable for him. This man, a PhD and professor, was making an attempt to make wholesome modifications in his life to handle his total well being. He knew train was vital, however might by no means entry it due to his lack of coordination. He discovered swimming to be his private reply, however wished further assist to make swimming extra profitable.

Throughout his analysis, I recognized many sensory and motor deficits that have been tremendously impacting all of his motion abilities.   His vestibular operate (internal ear) was impaired, significantly the vestibular ocular reflex, which retains imaginative and prescient regular as we transfer via area. His imaginative and prescient was working too onerous making an attempt to make up for vestibular impairments, so his stability was decreased at night time when imaginative and prescient couldn’t be relied on as a lot.

He additionally had postural asymmetries that he was doubtless counting on for years that have been inflicting musculoskeletal points, along with affecting physique consciousness.His motion system had by no means gone on autopilot. He had restricted capability to make use of his palms and ft concurrently, particularly when he couldn’t depend on imaginative and prescient for suggestions.

“For the primary time in 55 years I believe I discovered somebody who really understands my coordination points. I’ve spent plenty of money and time getting nowhere.” Collectively, we had discovered the explanations behind his signs, and have been capable of transfer ahead with constructing a stronger basis.

Understanding the constructing blocks of growth of the motion system for an grownup, who has solely skilled failure with the observe, observe, observe strategy, can change one’s perspective dramatically.

 As an alternative of blaming your self for not making an attempt tougher, you possibly can personal your challenges, empower your strengths, and start to maneuver ahead. Consciousness of his challenges didn’t change his physique instantly, nevertheless it did change his notion of himself.

What’s Developmental Coordination Dysfunction?

Kids with Developmental Coordination Dysfunction (DCD) should not merely clumsy. DCD is a motor abilities dysfunction that impacts roughly 5 to 6 % of all school-aged youngsters. DCD has been described in some ways through the years, together with dyspraxia, minimal mind dysfunction, and clumsy youngster syndrome. The medical neighborhood has chosen to make use of the time period DCD as the popular diagnostic time period. DCD happens when a delay within the growth of motor abilities, or problem coordinating actions, leads to a baby being unable to carry out widespread on a regular basis duties. They usually have problem maintaining with their friends throughout gross motor play, have frequent falls, and have a tough time doing every day abilities, comparable to zipping and tying shoe laces.

The most important problem is commonly with studying a brand new movement-based ability, which is a problem that’s skilled all through childhood. These youngsters are sometimes labeled as lazy (read more about how NOT lazy these kids are here!). They’re usually advised that if they might simply attempt tougher they might do it. Previously, it was usually assumed that youngsters would outgrow these challenges, however analysis has demonstrated that youngsters with coordination issues don’t merely outgrow these issues. In actual fact, these youngsters are at higher danger for being sedentary and fewer wholesome as adults than their friends. These youngsters are additionally at higher danger for psychological well being issues. We can not danger overlooking the struggles of those youngsters. There’s an excessive amount of in danger for his or her futures!

Kids with DCD are fixed victims of imperfect observe. These youngsters mix in with their friends effectively and are sometimes not even recognized. Aim-oriented strategies assist with the observe element, however this isn’t sufficient. Life will always current new abilities, so this creates a continuing problem, particularly all through childhood. Along with working in direction of particular abilities, we will work on growing a baby’s constructing blocks of motion as a way to additionally “educate the kid easy methods to fish.” Constructing the foundations of motion, slightly than simply instructing gross or wonderful motor splinter abilities, improves the kid’s studying skills and reduces their reliance on others.

Kids with DCD usually have low tone, as effectively. As a result of low tone, it’s typically assumed that these youngsters are versatile in every single place. Nevertheless, while you look carefully at their core, the other is commonly found. Kids with low tone sometimes don’t develop ample three-dimensional management of their core. With out the event of core management, asymmetries usually stay and restrict the event of core management. Usually mother and father will inform us their youngsters will simply randomly fall out of their seats in school (be taught extra about why right here!).

Kids with coordination problems can differ of their vestibular responses. The vestibular system could be underactive, limiting the kid’s capability to develop a powerful sense of the place they’re in area, or the vestibular system could be oversensitive, resulting in concern of motion. Low tone and hypermobility can result in much less info going from the joints and muscle groups (proprioception) and touring to the mind to inform us the place we’re in area. Generally, the visible system will work onerous to make up for much less teammates within the stability workforce.

Many youngsters with coordination problems could have problem getting their our bodies stacked up with good alignment as a way to flip their energy on. These youngsters will usually maintain their our bodies in an alignment that feeds into chest respiration, with their chest shifted up and their again showing to be arched. This place and respiration sample feeds into the kid’s fight-or-flight system, or sympathetic nervous system, and provides them much less capability to make use of their calming parasympathetic nervous system.

Kids with coordination problems battle to place the entire items of their motion abilities and sensory suggestions collectively to have the ability to mix it with timing, sequencing, and multitasking. Having the ability to do that is demanded from a pupil, even in kindergarten! Due to this, starting faculty is commonly the turning level for fogeys to hunt out further assist for his or her youngster.

We transfer via every day life with out consciously fascinated with how we’re transferring our our bodies. We are able to stroll whereas daydreaming with out bumping right into a avenue signal, and we will sit in a chair with out falling off whereas studying and writing. This may occasionally sound pure for many people, however youngsters with postural deficits use extreme vitality, consideration, and focus to satisfy the entire expectations they face every day. When our gears are synchronized, motion is automated and youngsters can concentrate on greater degree abilities, whether or not it’s transferring via the classroom with out bumping into issues or studying algebra. Filling in or strengthening these lacking constructing blocks to develop a baby’s sensory-motor system can construct automaticity as a way to multitask and to free the kid up for greater cognitive abilities. That’s the place we may also help!

Kids with coordination problems are sometimes referred to as lazy and advised they’re not assembly their potential. Folks assume issues will get higher because the youngster will get older and that these are delays that can “catch up.” Within the meantime, the kid struggles with their self-worth, vanity, and psychological well being. As we mentioned earlier than, analysis helps that youngsters don’t develop out of those struggles, and that youngsters with coordination challenges are sometimes extra sedentary adults with elevated danger of cardiovascular and psychological well being issues. 

Supporting a baby’s capability to be taught the talents they want in every day life is vital, however we can not fall into the work tougher and check out tougher pit, with out additionally working in direction of long-lasting change. We may also help these youngsters fill in these lacking and weakened foundational abilities. There are such a lot of methods we may also help these youngsters meet their private potential and shield their psychological well being, all on the identical time. They’re working so onerous, day in and day out- let’s acknowledge that, help their efforts, and enhance their constructing blocks in order that they’re constructing their homes with the strongest basis as could be.

High 10 Suggestions for Mother and father of Kids with DCD

  1. Martial arts and swimming are particular person sports activities that assist enhance physique consciousness, sensory processing, and stability. They’re sensory wealthy and could be modified for particular person variations.
  2. Discover motion in enjoyable, social, and noncompetitive methods, comparable to mountain climbing, yoga, and inventive motion.
  3. Determine postural imbalances which may be limiting the event of core energy and be taught methods to enhance postural symmetry..
  4. Present helps for sitting if the kid has problem sitting upright, comparable to a yoga wedge or a towel roll.
  5. Encourage the event of timing utilizing music and motion alternatives.
  6. Adapt the surroundings for achievement. Some variations embrace image schedules, written lists, and typing as an alternative of writing.
  7. Apply listening, trying, and transferring on the identical time. Play strolling and searching video games, comparable to “I spy,” whereas going for a stroll.
  8. Mannequin using suggestions throughout play. For instance, for those who throw a ball and it lands wanting the basketball hoop, say “I threw it too gentle.” Focus on what you might do otherwise, attempt it and focus on whether or not it was profitable. Carry consciousness to this course of.
  9. Backward chaining is a option to discover ways to full a process by working backwards from completion. The kid first does the final step to finish the duty. Subsequent, they might attempt the final two steps. The kid can construct this till they’re impartial with your entire process.
  10. Crew up with a PT or OT specialist to work on the foundations of motion in order that observe is more practical and profitable!

Getting Assist

In the event you see your youngster is working tougher than different youngsters to get via their every day actions, don’t wait to search for assist. You additionally don’t want an official analysis to get assist. Attain out to us at KidPT and are available for a Discovery Go to. We’ll hearken to your considerations, do a screening of your youngster and their motion abilities, and allow you to make a plan. We’re right here for you!


  1. Zwicker JG, Suto M, Harris SR, Vlasakova N, Missiuna C. Developmental coordination dysfunction is greater than a motor drawback: youngsters describe the affect of every day struggles on their high quality of life. Brit J Occup Ther. 2017:030802261773504. 10.1177/0308022617735046.
  2. Sugden, D A, Chambers, M, & Utley, A. Leeds Consensus Assertion 2006.
  3. Cousins M, Smyth MM. Developmental coordination impairments in maturity. Hum Transfer Sci. 2003;22(4):433–459. doi: 10.1016/j.humov.2003.09.003.
  4. Wilmut Okay, Du W, Barnett AL. Navigating via apertures: perceptual judgements and actions of kids with developmental coordination dysfunction. Dev Sci. 2017:20(6). doi: 10.1111/desc.12462.
  5. Missiuna C, Moll S, King G, Stewart D, Macdonald Okay. Life experiences of younger adults who’ve coordination difficulties. Can J Occup Ther. 2008;75(3):157–166. doi: 10.1177/000841740807500307.
  6. Fitzpatrick DA, Watkinson EJ. The lived expertise of bodily awkwardness: adults’ retrospective views. Adapt Phys Act Q. 2003;20(3):279–297. doi: 10.1123/apaq.20.3.279.
  7. Lingam R, Jongmans MJ, Ellis M, Hunt LP, Golding J, Emond A. Psychological well being difficulties in youngsters with developmental coordination dysfunction. Pediatrics. 2012;129: E882–91.
  8. Hill EL, Brown D. Temper impairments in adults beforehand recognized with developmental coordination dysfunction. J Ment Well being. 2013;22:334–40.
  9. Harrowell I, Hollén L, Lingam R, Emond A. Psychological well being outcomes of developmental coordination dysfunction in late adolescence. Dev Med Little one Neurol. 2017;59(9):973‐979. doi:10.1111/dmcn.13469.
  10. Cairney J, Hay J, Veldhuizen S, et al. Trajectories of cardiorespiratory health in youngsters with and with out developmental coordination dysfunction: a longitudinal evaluation. Brit J Sport Med. 2011;45:1196-1201. 406/mojsm.2018.02.00054.



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