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Dyspraxia (Developmental Coordination Disorder)

Dyspraxia, or developmental coordination disorder (DCD) affects a person's physical coordination of both fine and gross motor skills as well as balance. Coordinating your movements is a complex process that involves many different parts of the brain. When they are disrupted it can cause issues with the body's sense of time and space. 

It can impact everyday activities in children and young people, including:

  • Writing & drawing
  • Tying shoelaces
  • Eating food, drinking from a cup and using cutlery
  • Speech
  • Riding a bike
  • Playing sports

Dive Deeper

What is Dyspraxia (DCD)?

DCD is a co-ordination disorder which is more commonly known to affect physical coordination, making a child perform less well than expected in daily activities for their age or appear to move clumsily. 

In young children with DCD, developmental milestones such as crawling, walking and self-feeding may be delayed. Skills in drawing, writing and performance in sports are usually behind what is expected for their age. 

DCD can also cause information processing differences, which can lead to children and young people finding it difficult to concentrate, having difficulties keeping themselves organised and taking time to pick up new skills. 

How to Spot Dyspraxia (DCD)

Early Signs of DCD in Infants 

Delays in reaching normal developmental milestones can be an early sign of DCD in young children. For example, taking longer than expected to roll over, sit, crawl or walk. 

You may also notice:

  • Unusual body posture during their first year
  • Difficulty playing with toys that require coordination, like stacking bricks
  • Challenges learning to eat with cutlery
  • Difficulty drawing and writing

Signs of DCD in Older Children

As your child grows, they may develop more noticeable physical difficulties, plus issues in other areas. These include:

  • Playground activities such as hopping, jumping, running and kicking a ball
  • Walking up and down stairs
  • Getting dressed, doing up buttons and tying shoelaces
  • Keeping still, they may swing or move their legs a lot
  • Difficulty grasping small objects

Children with developmental coordination disorder (DCD) may appear clumsy or awkward which can affect their participation in sports, or other physical events. 

Issues with Information Processing

As well as differences related to movement and coordination, children and young people can have other issues related to how they process information. These include:

  • Difficulty following instructions and copying information
  • Finding it challenging to learn new skills
  • Poor organisation 

Additional Issues

Other issues that can stem from frustration with their symptoms include:

  • Difficulty concentrating
  • Issues making friends
  • Low self-esteem
  • Distressed behaviour 

How to Support Your Child

If you suspect your child has developmental coordination disorder (DCD) the first step is to ask for support from your GP, health visitor or special educational needs and disabilities coordinator (SENDCo). It's important to remember that you do not need a diagnosis in order to get support for your child's needs. 

At home, you can support your child by:

  • Using chunky cutlery to help with grip and control during mealtimes
  • Trying scooter boards and balance boards, which can teach your child to feel and understand their body movements and help develop spatial awareness
  • Engaging in activities with playdough like rolling, cutting, slicing and picking up pieces with cutlery, which can help to strengthen hand dexterity
  • Talking to your child's setting or school. Strategies can be implemented to help your child with any educational difficulties, including reasonable adjustments, wobble cushions, sensory breaks, pen grips, visual timetables and using a laptop
  • Encouraging them to exercise regularly. Some children and young people with DCD can lose fitness due to withdrawing from sports, so encouraging your child to try different sports or activities to find out what suits them can play a part in developing healthy habits in future
  • Encouraging them to slow down and think about what they are doing, this can sometimes help to support their organisational skills

Find advice on occupational therapy for parents and carers here

Assessment of DCD

A diagnosis of developmental coordination disorder (DCD) is usually made by a paediatrician, often in collaboration with an occupational therapist. 

Your child will be assessed using tests involving:

  • Gross motor skills - their ability to use large muscles that coordinate significant body movements, like moving around, jumping and balancing
  • Fine motor skills - their ability to use small muscles for more accurate coordination, like writing, drawing, and placing small pegs into holes

Sometimes your child will also have an assessment of their cognitive ability by a psychologist or paediatrician. The professional involved will produce a report on your child's condition and you will be able to have feedback to discuss any concerns. 

Find out more about assessments for DCD here

Strengths & Differences

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We've been working together in Norfolk and Waveney with families and professionals to put together information, advice and resources that are helpful to families. Let us know what you think, and anything we could change or add to make it even better.

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Who Can Help?

If you live in Norfolk

  • You can contact the Healthy Child Service team by calling Just One Number on 0300 300 0123 or texting Parentline on 07520 631590. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays) and 9am-1pm on Saturdays.

  • If you are 11-19 you can text ChatHealth on 07480 635060 for confidential advice from one of our team.

If you live in Waveney

Norfolk SEND Local Offer provide information and advice on services for young people with additional needs in Norfolk.

Suffolk SEND Local Offer provide information and advice on services for young people with additional needs in Waveney.

Mencap is a national charity who support people with learning disabilities. They offer a free Learning Disability Helpline with advice and guidance. Call 0808 808 1111 to speak to a trained professional.

Kooth offers online counselling, advice and emotional well-being support for anyone aged 10-18, seven days a week until 10pm. 

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