II. Definition
- Clumsy child with normal intelligence, no focal deficit
III. Signs
-
General
- Difficulty with sports participation
- Difficult gross motor skills
- See Gross Motor Milestones
- Clumsy walking or Running
- Difficulty climbing or jumping
- Difficult fine motor skills
- See Fine Motor Milestones
- Difficult buttoning, zipping or tying
- Difficulty holding crayon or pen
- Difficulty with crafts
- Poor handwriting
- Commonly abnormal findings on exam
- Abnormal Rapid Alternating Movements
- Abnormal balance
- Unable to stand 15 seconds feet together, arms out
- Unable to tandem stand 15 seconds with eyes closed
- Unable to hop in place alternating feet
- Red flag findings suggestive of alternative diagnosis
- Motor weakness
- Ataxia
- Hypotonia or hypertonia
IV. Diagnosis (DSM IV Criteria)
- Gross Motor Milestones or Fine Motor Milestones not met
- Interferes significantly with academics or daily living
- Not due to other medical condition
V. Differential Diagnosis
- Mental Retardation
- Attention Deficit Hyperactivity Disorder (ADHD)
- Traumatic Brain Injury
- Mild Cerebral Palsy
- Congenital Chorea
- Decreased Visual Acuity
- Orthopedic Abnormality
VI. Prognosis
- Coordination Disorder persists into adulthood
VII. Management
- Encourage supportive environment
- Encourage motor appropriate sports participation
- Try activity with chance of success (e.g. swimming)
- Tailor academic activities to motor abilities
- Occupational Therapy
VIII. References
- Silver in Tasman (1997) Psychiatry, p. 638-9
- Hamilton (2002) Am Fam Physician 66(8):1435-40 [PubMed]
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Related Studies
| Definition (NCI) | A disorder characterized by an impairment in the development of an individual's motor coordination skills; this impairment in motor development is not due to a medical condition. |
| Concepts | Mental or Behavioral Dysfunction (T048) |
| MSH | D019957 |
| ICD9 | 315.4 |
| ICD10 | F82 |
| SnomedCT | 192578006, 27544004 |
| DSM4 | 315.4 |
| English | Coordination Disorder, Developmental, Developmental Coordination Disorders, DEVELOPMENTAL COORDINATION DIS, developmental coordination disorder (diagnosis), developmental coordination disorder, Developmental coordination disorder NOS, Devel coordination dis, Developmental Dyspraxia, [X]Developmental dyspraxia, Developmental dyspraxia, [X]Developmental co - ordination disorder, Developmental coordination disorder, Developmental coordination disorder (disorder), coordination; developmental disorder, developmental disorder; coordination, developmental; dyspraxia, dyspraxia; developmental, Developmental Coordination Disorder |
| Italian | Disturbo della coordinazione evolutiva, Disturbo dello sviluppo della coordinazione NAS, Disturbi dello sviluppo della coordinazione |
| Dutch | ontwikkelingstoornis van coördinatie NAO, coördinatie; ontwikkelingsstoornis, dyspraxie; ontwikkeling, ontwikkeling; dyspraxie, ontwikkelingsstoornis; coördinatie, coördinatiestoornis, Coördinatieontwikkelingsstoornis |
| French | Trouble de l'acquisition de la coordination SAI, Trouble de l'acquisition de la coordination, Trouble spécifique du développement moteur |
| German | Koordinationsentwicklungsstoerung NNB, Entwicklungsbedingte Koordinationsstörungen, Koordinationsentwicklungsstoerung |
| Portuguese | Perturbação da coordenação por desenvolvimento NE, Transtorno do Desenvolvimento da Coordenação, Perturbação da aquisição da coordenação |
| Spanish | Trastorno del desarrollo de la coordinación NEOM, Trastorno del Desarrollo de la Coordinación, dispraxia del desarrollo, trastorno del desarrollo de la coordinación (trastorno), trastorno del desarrollo de la coordinación, Trastorno del desarrollo de la coordinación |
| Japanese | 協調運動発達障害, 協調運動発達障害ＮＯＳ, ｷｮｳﾁｮｳｳﾝﾄﾞｳﾊｯﾀﾂｼｮｳｶﾞｲ, ｷｮｳﾁｮｳｳﾝﾄﾞｳﾊｯﾀﾂｼｮｳｶﾞｲNOS |
| Czech | vývojová porucha koordinace, Porucha vývojové koordinace, Porucha vývojové koordinace NOS, centrální koordinační porucha |
| Hungarian | Coordinatio fejlődésének zavara k.m.n., Coordinatio fejlődésének zavara |
| Norwegian | Utviklingsmessig koordinasjonsforstyrrelse |
Ontology: Clumsiness - motor delay (C0520947)
| Concepts | Disease or Syndrome (T047) |
| ICD10 | F82 |
| SnomedCT | 307653008, 154956001, 192578006, 192146008, 57187006 |
| Italian | Sindrome del bambino maldestro |
| Japanese | 不器用な子症候群, ﾌﾞｷﾖｳﾅｺｼｮｳｺｳｸﾞﾝ |
| English | Clumsiness -motor delay, child clumsy syndromes, clumsy child syndrome, clumsy child, Motor delay, Clumsiness, motor delay, Clumsiness - motor delay (disorder), Clumsiness - motor delay, Clumsiness -motor delay (disorder), [X]Clumsy child syndrome, Clumsy child syndrome, Clumsy child, Clumsiness - motor retardation, Clumsy child (finding) |
| Czech | Dětská dyspraxie |
| Hungarian | Ügyetlen gyermek syndroma |
| Spanish | niño torpe (hallazgo), niño torpe, síndrome del niño torpe, torpeza - retraso motriz (trastorno), torpeza - retraso motriz, Síndrome del niño torpe |
| Portuguese | Síndrome da criança desajeitada |
| Dutch | onhandig kind-syndroom |
| French | Syndrome de l'enfant maladroit |
| German | Clumsy Child Syndrom |
