Motor Deficits: Dyspraxia

I have had mild motor deficits all my life. Since I don’t know whether they have ever been diagnosed and if so, as what, I try to learn about conditions such as developmental coordination disorder, and strategies that work for people with similar problems.

Dyspraxia is similar to developmental coordination disorder (DCD). DCD is a somewhat misleading name for the whole construct of dyspraxia, as dyspraxia can, besides fine and gross motor skills, also affect speech as well as sensory processing. Dyspraxia is seen as a subtype of sensory processing disorder (sensory integration dysfunction) where the brain has trouble interpreting and responding to the body’s movements..

According to the National Center for Learning Disabilities (NCLD), there are several different types of dyspraxia. These are:


  • Ideomotor dyspraxia: where a person has trouble executing single-step motor tasks such as waving goodbye.

  • Ideational dyspraxia: problems occur with multi-step tasks, such as brushing teeth, making a bed or putting on clothes in the right order.

  • Constructional dyspraxia: affects ability to establish spatial relationships, for example, moving an object from one place to another correctly.

  • Oromotor dyspraxia: affecting the ability to control the muscle movements necessary for pronouncing words.

Dyspraxia can cause many different problems at various stages in development. The NCLD lists these difficulties by age. Young children may have trouble learning to crawl, roll over, walk, jump or skip. In adition, they may have trouble in the following areas:


  • Prnouncing words and being understood.

  • Developing hand preference.

  • Sensitivity to touch, such as clothes touching the skin, hair-combing or tooth-brushing.

  • They may bump into things frequently>./LI>

As children age, the following difficulties may emerge:


  • Poor pencil grip and handwriting.

  • Difficulty with fine motor tasks such as buttoning clothing and cutting with scissors.

  • Problems in playing sports.

  • Difficulty sensing direction.

  • Difficulty speaking at a normal rate or volume.


Additionally, children with dyspraxia may have trouble with social skills and have phobias or obsessions.

Teens and adults with dyspraxia may have problems in the following areas:


  • Speech control, such as volume, pitch, articulation.

  • Writing and typing.

  • Over- or undersensitivity to touch, light, smell, taste, etc.

  • Personal grooming and other self-help tasks.

  • Cooking and other household tasks.

  • Driving

The Dyspraxia Foundation lists many other symptoms of dyspraxia, such as motor overactivity, excitability, messy eating, lack of sense of danger (probably due to sensory seeking behaviors, as an example the Foundation lists is jumping from heights).

I do not have all symptoms of dyspraxia. For example, I am very much right-handed, though an old educational psychologist’s report says my lateralization was poor (at age eight). Some symptoms can also be explained by my blindness (such as my bumping into objects). I am, however, told that my messy eating, oromotor difficulties, difficulties with complex tasks such as making a bed, balance problems, and sensory over- and underresponsivity, are not normal for a blind person. I do not truly want a label for these, but I am finding that it is extremely hard for me to explain these problems to my treatment team, and they affect me to a great extent.

2 thoughts on “Motor Deficits: Dyspraxia

    1. This was very informative. I see that my daughter struggles with some of these items and am wondering if she’s been misdiagnosed. After reading this post, I’ll be doing a little more research. Also, I visited Amsterdam two years ago and loved it. You live in a beautiful country.

      Like

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