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Barbara Hunter Wednesday November 2nd. Barbara Hunter Thursday October 17 th. DCD/DYSPRAXIA. Barbara Hunter. What is dyspraxia?. “It is an impairment or immaturity of the organisation of movement. Associated with this there may be problems of language, perception and thought”

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barbara hunter wednesday november 2nd
Barbara Hunter

Wednesday November 2nd

Barbara Hunter

Thursday October 17th

dcd dyspraxia

DCD/DYSPRAXIA

Barbara Hunter

what is dyspraxia
What is dyspraxia?
  • “It is an impairment or immaturity of the organisation of movement. Associated with this there may be problems of language, perception and thought”
  • It can also be known as Developmental Dyspraxia, Clumsy Child Syndrome, Motor Learning Difficulty……………
  • THERE IS NO CURE
slide4
“Left to his own devices he will always get his tee shirt on the wrong way; back to front,inside out,anyway but the correct way!”
background information
Background Information
  • The condition is thought to affect up to 10% of the population in varying degrees
  • More boys than girls
  • No one single description,possible contributory factors
  • No brain damage
characteristics of dcd
Characteristics of DCD
  • There is always
    • poor motor planning and co-ordination
    • poor organisation
  • There may be problems with
    • perception
    • speech and language
    • behaviour
    • self esteem
    • attention/arousal levels
    • under/over sensitivity
slide8

Specific Learning Difficulties

Disorder of

Attention

Movement

Perception

Aspergers

Syndrome

Semantic

Pragmatic

Disorder

DCD

Dyspraxia

ADHD

Dyslexia

Difficulties with

SENSORY INTEGRATION

BENDIES

FLOPPIES

PRAXIS

  • Lax ligaments
  • Family tendencies
  • Can’t do it because their bodies let them down
  • Don’t move around much
  • Flat features – drools
  • Feet collapse over
  • What to do
  • How to do it
  • Processing
  • information
  • Balance
  • Visual & tactile perception
co occurrence of disorders
Co- occurrence of disorders
  • 60% probability that an individual with one condition will have at least one other.(autism,aspergers,semantic pragmatic,attention deficit hyperactivity disorder,dyslexia,dyscalculia)
  • DAMP(Deficit in Attention,Motor Control and Perception)

Combination of DCD and ADHD

how many senses
How many senses?
  • 5 x
  • 7

Other 2 have the most impact on the dyspraxic child

  • Proprioception
  • vestibular
continuum
Continuum
  • Walking on ice

cold hands-writing

  • Butterfingers
  • 2 Left feet
  • All fingers and thumbs
  • Bull in a china shop
physical characteristics identified by michele lee
Physical characteristicsIdentified by Michele Lee
  • Poor muscle tone
  • Weak shoulder girdle
  • Weak pelvic girdle
  • Poor eye hand and eye foot co-ordination
  • difficulty crossing midline
  • Difficulty using both sides of body together
physical characteristics cont identified by michele lee
Physical characteristics (cont)Identified by Michele Lee
  • Poor spatial awareness
  • Poor proprioception and body awareness
  • Difficulties with motor planning and motor sequencing
diagnosis and assessment
Diagnosis and assessment
  • Look at the whole child
  • Standardised tests
  • Functional assessment
  • Labels
  • Health/Education
slide15

Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood

Walking on toes

arms move outwards and hands bend at the wrist away from the body

motor skills screening from developmental dyspraxia m portwood
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Walking on heels.
  • Arms held upwards from the elbow,
  • hands bend upwards towards the body.
motor skills screening from developmental dyspraxia m portwood1
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Walking on insides of feet.
  • Arms extended behind, hands bend turning away from body.
motor skills screening from developmental dyspraxia m portwood2
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Walking on outsides of feet.
  • Arms bend outwards and wrists turn in.
motor skills screening from developmental dyspraxia m portwood3
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Obscure the fingers of one hand and examiner touches 2 simultaneously.
  • Ask child to point out which fingers are touched.
  • Child unable to identify fingers.
motor skills screening from developmental dyspraxia m portwood4
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Child to sequence each finger against the thumb. Test each hand separately and then try hands together.
  • Look for associated movement of relaxed hand.
motor skills screening from developmental dyspraxia m portwood5
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Demonstrate and ask the child to rotate both wrists simultaneously with the thumbs moving towards and then away from each other.
  • Can he do it without the elbows moving out?
motor skills screening from developmental dyspraxia m portwood6
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Ask the child to balance on each foot.
  • The child should be able to achieve 10 secs + on each foot.
motor skills screening from developmental dyspraxia m portwood7
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Get the child to touch their nose using the index finger, with their eyes shut, using a wide arm movement. (L then R hand) (demo first)
  • child may find this hard, and use whole hand
motor skills screening from developmental dyspraxia m portwood8
Motor Skills ScreeningFrom ‘Developmental Dyspraxia’ - M. Portwood
  • Ask the child to jump repeatedly with feet together.
  • Problems will be observed in jumping routine. Elbows held tightly into waist, arms upwards and fists clenched.
who can help
Who can help?
  • Parents/school
  • G.P.,Paediatricians
  • Neurologist,educational psychologist counsellor,clinical psychologist
  • Physiotherapist,occupational therapist
  • Speech therapist
  • Outreach teams
  • Dyspraxia Foundation
  • Others
what can we do to help

What can we do to help?

Environment ,teaching and learning differentiation ,support ,resources

slide27

Dyspraxia Foundation

Physiotherapist

SENCo

Speech Therapist

Doctor

Advisory Teacher

Occupational Therapist

slide28

Severe difficulties

Affecting all areas/everyday living

Co-morbidity of conditions:

Autistic spectrum, ADHD, Dyslexia, General learning difficulties

Concerns with: Gross Motor, fine motor, handwriting/recording, organisation, movement around school and home, relationships, self-esteem, self help.

Idiosyncrasies /concerns/talents

GOOD FOR ALL

slide29

Legislation

Statemented pupils

may have individual programmes

Involvement of specialist therapists.

Pupils with similar needs get extra support from a range of funding sources:

Outside agencies, learning mentors, Excellence in cities, EAZ

‘In house’ organisation- circle time peer tutoring,brain gym,buddy systems

Differentiation in the classroom

Built into teachers planning

SCHOOL DEVELOPMENT PLANNING

PERSONAL TARGETS –professional development

tools of the trade
Tools of the trade
  • Environment
  • The workplace
  • The Kitbox (the right tool at the right time)
  • Colour coding
  • Symbols
  • Photos
  • Equipment
slide33

Lighting

sensory overload

noise levels

temperature

equipment

floor covering

furniture

Audit of working environment

groupings

slide57

fingergrip ruler

rule compass

flexicurve ruler

apparatrix stencil

slide59

Try out our

scissors

management plans
Management Plans
  • Pupils who are LIHC
  • Pupils who are HILC
  • Equipment for specific activities
  • Mobility/Personal care/Risk Assessment
  • Transition
  • Guidelines for subject teachers
  • Getting everyone talking
speed up
Speed Up
  • Older pupils
  • Kinaesthetic approach
  • Flow/fluency
  • Sessions
slide92

Writing with symbols

Clicker

Penfriend

First Keys

social skills and self esteem
Social skills and self esteem
  • Different(sensitive,more mature,gifted)
  • Appearance
  • Personality
  • Speech
  • Social distance
dyspraxia foundation recognising developmental co ordination disorders

DYSPRAXIA FOUNDATIONrecognising developmental co-ordination disorders

8 West Alley, Hitchin, Herts SG5 1EG

Tel: 01462 454986

Fax: 01462 455052

Website: www.dyspraxiafoundation.org.uk

slide101

PANIC ZONE

CHALLENGE ZONE

COMFORT ZONE