Gibbs John, Appleton Jeanette, Appleton Richard
Department of Paediatrics, Countess of Chester Hospital, Chester, UK.
Arch Dis Child. 2007 Jun;92(6):534-9. doi: 10.1136/adc.2005.088054.
Dyspraxia is an enigma to many people, both professional and lay alike--what is it, how does it relate to developmental coordination disorder and associated conditions, how common is it, how is it recognised and diagnosed and how should it be managed? This article attempts to unravel this enigma by: dealing with the terminology of coordination difficulties from the "clumsy child syndrome" through "dyspraxia" to "developmental coordination disorder (DCD)"; briefly examining the debate as to whether dyspraxia or DCD should be regarded as a medical or social disorder; discussing the differential diagnosis of dyspraxia or DCD; considering the assessment of children with dyspraxia or DCD; reviewing the range of current treatment approaches in the UK.
对许多专业人士和非专业人士来说，发育性运动障碍都是一个谜——它是什么，与发育协调障碍及相关病症有何关联，有多常见，如何识别和诊断，以及应如何处理？本文试图通过以下方式解开这个谜团：探讨从“笨拙儿童综合征”到“发育性运动障碍”再到“发育协调障碍（DCD）”等协调困难的术语；简要审视关于发育性运动障碍或发育协调障碍应被视为医学病症还是社会病症的争论；讨论发育性运动障碍或发育协调障碍的鉴别诊断；考虑对患有发育性运动障碍或发育协调障碍儿童的评估；回顾英国目前的一系列治疗方法。
