Autism Therapy: developmental coordination disorder (DCD)

definition of developmental coordination disorder (DCD): Also called dyspraxia. Disorder resulting in problems with planning and motor coordination.

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Developmental Medicine & Child Neurology, by Wann, J., published in 2007, summarized Aug 15, 2007

There is a lot of research going on right now on how and why children move the way they do.

In this article the author comments on the review by Sugden. He notes that developmental coordination disorder (DCD), which looks like clumsiness, is very common in school-aged children. DCD also often occurs with other problems, such as autism. He states that therapists still don't truly understand how DCD looks in children with autism versus how DCD looks in children with attention deficit disorder. The review focuses on how to help these children by targeting therapies at the tasks the children want to learn to do (riding a bike). Motor control research shows that in many cases the problems come when a child cannot switch his gaze from one part of the task to the next part of the task.


Developmental Medicine and Child Neurology, by Sugden, D., published in 2007, summarized Aug 14, 2007

Movement coaches can help focus their different therapies on teaching a child how to move better through space.

Some children with autism are clumsy (development coordination disorder (DCD)). There are not many therapies that have been shown to help children who are clumsy. This review article describes how sensory integration therapy can be one tool. In order for the therapy to work, the child has to be an active part of the therapy. Therapy should focus on tasks that have meaning for the child (e.g., riding a bicycle, drawing, and writing). Parents can also learn how they can help to change the task so that it is easier for the child.


Pediatrics, by Richardson, AJ, and Montgomery P., published in 2005, summarized Nov 14, 2006

This article reports on the results of a well-controlled study showing that supplementation with essential fatty acids (EFAs) improves the reading, spelling, and behavior of children with dyspraxia (developmental coordination disorder or DCD).

Dyspraxia (DCD) is a disorder in which children have difficulty making normal movements. Children with DCD also have difficulty with learning, social interaction, and appropriate behavior. Children with autism are more likely than those in the general population to have DCD. It is already known that deficiencies in EFAs can produce problems in attention and behavior; this article tested whether supplementation with EFAs could improve the symptoms of children with DCD (ages 5-12). Children were randomly divided into two groups: 55 received EFA supplements, and 55 received placebo for three months. EFA supplements consisted of a daily dose of 80% fish oil and 20% evening primrose oil. This supplementation resulted in doses of 558 mg EPA and 174 mg DHA (both omega-3 fatty acids), as well as 60 mg alpha-linoleic acid (an omega-6 fatty acid), and 9.6 mg vitamin E (alpha-tocopherol). Each child's motor skills, reading, spelling, and behavior were rated by people who were blind to whether the child was receiving EFAs or placebo. There were no significant improvements in the motor skills of children receiving EFA treatment, but the reading, spelling, and behavior of these children did improve by the end of the three months as compared to children who had been receiving placebo. After the three-month period, children who had been receiving placebo began the same EFA supplementation treatment, and similar improvements were then seen in these children.


Int Rev Psychiatry., by Richardson, AJ, published in 2006, summarized Nov 14, 2006

This article reviews the research on the involvement of omega-3 essential fatty acids (EFAs) in ADHD and several others disorders of brain development. The author concludes that it may be possible to improve these conditions with omega-3 supplementation.

The author describes the symptoms of ADHD (inattention and/or hyperactivity impulsivity) and the links between ADHD and dyslexia, antisocial behavior, developmental coordination disorder, mood disorders, and schizophrenia. The author suggests that these disorders may be the result of a lack of omega-3 in the diet. She describes research showing that omega-3 supplementation can improve the symptoms of these disorders. It is not known; however, what dose of omega-3 supplement is most effective. Most studies used 300-700 mg of the two omega-3 EFAs (EPA and DHA). This level of omega-3 should be safe, but may not be high enough to treat some disorders.


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  • Synonyms for developmental coordination disorder (DCD) include: DCD, developmental coordination disorder
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