Early identification and intervention in developmental coordination disorder: lessons for and from cerebral palsy

Author(s):  
Diane L. Damiano
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Alretha Du Plessis ◽  
Monique De Milander ◽  
Frederik F. Coetzee ◽  
Mariette Nel

Background: Early identification of learners in low socio-economic environments with possible developmental coordination disorder (DCD) is important. Although various screening tools are available, it is unclear whether teachers can use the movement assessment battery for children - second edition checklist (MABC-2 checklist) to identify learners with possible DCD.Aim: To establish teachers’ ability to identify Grade 1 learners in low socio-economic environments with possible DCD.Setting: The study was conducted in the Mangaung Metro, Motheo District of the Free State Province, South Africa. Grade 1 learners aged 6–8 years (n = 200) from a low socio-economic environment attending quintile one to three schools were randomly selected for assessment. Twenty-nine teachers participated in the study.Methods: Kinderkineticists identified learners with possible DCD (displaying motor skills far below the child’s age) by means of the MABC-2 performance test. The teachers used the MABC-2 checklist to identify possible DCD. The convergent validity of the MABC-2 performance test and checklist was compared.Results: The convergent validity between the MABC-2 performance test and the MABC-2 checklist indicated a kappa (k) coefficient of 0.17, indicating a slight agreement between the performance test and the checklist. Overall, the specificity was 58% (105/180), and the sensitivity was 85% (17/20).Conclusion: Teachers could effectively identify learners with possible DCD. However, they demonstrated a low ability to identify learners without possible DCD when using the MABC-2 checklist. It is therefore recommended that the performance test should be used in conjunction with the checklist to obtain the most reliable results.


NeoReviews ◽  
2016 ◽  
Vol 17 (6) ◽  
pp. e325-e333 ◽  
Author(s):  
Krishna Acharya ◽  
Matthew Pellerite ◽  
Joanne Lagatta ◽  
Bree Andrews ◽  
Michael E. Msall

2001 ◽  
Vol 8 (1-2) ◽  
pp. 31-49 ◽  
Author(s):  
Mijna Hadders-Algra

The Neuronal Group Selection Theory (NGST) could offer new insights into the mechanisms directing motor disorders, such as cerebral palsy and developmental coordination disorder. According to NGST, normal motor development is characterized by two phases of variability. Variation is not at random but determined by criteria set by genetic information. Development starts with the phase of primary variability,during which variation in motor behavior is not geared to external conditions. At function-specific ages secondary variability starts, during which motor performance can be adapted to specific situations. In both forms, of variability, selection on the basis of afferent information plays a significant role. From the NGST point of view, children with pre- or perinatally acquired brain damage, such as children with cerebral palsy and part of the children with developmental coordination disorder, suffer from stereotyped motor behavior, produced by a limited repertoire or primary (sub)cortical neuronal networks. These children also have roblems in selecting the most efficient neuronal activity, due to deficits in the processing of sensory information. Therefore, NGST suggests that intervention in these children at early age should aim at an enlargement of the primary neuronal networks. With increasing age, the emphasis of intervention could shift to the provision of ample opportunities for active practice, which might form a compensation for the impaired selection.


2010 ◽  
Vol 29 (5) ◽  
pp. 787-798 ◽  
Author(s):  
Jillian G. Pearsall-Jones ◽  
Jan P. Piek ◽  
Florence Levy

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