Developmental Coordination Disorder (DCD) / Dyspraxia

decorative image
Warning

decorative image

We know that there are natural differences between human brains. This is known as neurodiversity. Some human brains have more in common and we can group them together. Most brains are in the neurotypical group and others are neurodivergent. One type of neurodivergence or neurotype is dyspraxia/DCD. There is a lot of overlap between the different neurotypes, and they often occur together. It is important to understand your own, or your child or young person’s brain.  Everybody has individual strengths and challenges and may need different supports.

What is dyspraxia/DCD?

DCD stands for Developmental Coordination Disorder but is often called dyspraxia. Being dyspraxic means that a person has difficulties learning every day motor skills. These difficulties can’t be explained by physical, sensory or intellectual impairment.

“Dyspraxia (some people call it DCD) means that your brain is 'wired up' differently. It is a very clever brain that somehow has got 'mixed up' and that means that things to do with moving, learning and perhaps speaking too are harder for you.” This quote was taken from The Dyspraxia Foundation prior to it closing in 2024. 

DCD is a lifelong condition. It is thought to affect 5-6% of people. Dyspraxia can make it difficult for people to carry out everyday activities that others manage easily such as using cutlery, handwriting, riding a bike and kicking a ball. Dyspraxia effects people in different ways during their lives.

The following video helps to explain dyspraxia.

The exact cause of DCD is not well understood, but it is believed to be due to differences in the way the brain develops and processes information. DCD is not caused by brain damage, illness or injury. It is something you are born with and is lifelong condition. There is no test for DCD. There are agreed criteria that need to be met for a diagnosis. Diagnosis is a done together with the child and young person, the family, medical professionals, health professionals and education all involved.

All children have unique strengths, interests and needs. All our brains are different, we are all different, we are all unique. No two dyspraxic children are the same.

DCD is associated with other neurodevelopmental conditions such as autism, ADHD and dyslexia. Children and young people can describe themselves as having DCD or being dyspraxic or neurodivergent.

DCD is a lifelong condition and can worsen or pose more challenges at certain points in life. Teenagers can face a different set of challenges as they move into secondary school, college, further education or the life of volunteering and work. These resources can be helpful:

 

 

Strategies

It is important to focus on the tasks your child/young person wants to be able to do. It could be anything from tying their shoe laces, riding a bike, cutting up their food, knitting, kicking a ball … the list is endless but the important thing is that your child/young person wants to do the task. There is little evidence that working generally on motor skills like strength, balance or grasp will help them to do the tasks.

When teaching dyspraxic children and young people new tasks there are some things to bear in mind.

  • It helps to break the activity down into manageable steps. Your child can then learn one step at a time. You can also look at each of the steps together to see where things are going wrong.
  • Modify the task. If your child is finding it difficult to dress standing up then let them dress sitting on the bed, in a chair or on the floor.
  • Manage your expectations. Do they need to learn how to tie their laces? Could they wear Velcro shoes or no-tie laces instead?  
  • Allow extra time for tasks. Dyspraxic children benefit from extra time to think about what they are trying to do. They also benefit from extra time to physically do the task. 
  • Allow your child/young person to do it their way (even if it is different from how you would do it).
  • Think about the environment. Find the right time and place to work together on the task. Remove distractions. 
  • Dyspraxic children/young people benefit from visual instructions rather than listening to you telling them what to do. Use visual supports such as checklists, pictures of the steps of the activity, demonstrations or videos.
  • Learn what you can about dyspraxia. Share that you understand how dyspraxia can affect your child/young person and how much effort they are putting in to be more independent. 

 

M.A.T.C.H. is a framework you can use to help children and young people with DCD learn new tasks. M.A.T.C.H. stands for:

  • Modify the task
  • Alter your expectations
  • Teach strategies
  • Change the environment
  • Help by Understanding

You can find more about the MATCH approach on CANChild Developmental Coordination Disorder: M.A.T.C.H.

The evidence suggests that dyspraxic children and young people benefit from a problem-solving based approach. Cognitive Orientation to daily Occupational Performance (CO-OP) is such an approach. It uses a strategy called “Goal, Plan, Do, Check” to help you and your child/young person to come up with a plan.

  • Goal – what do I want to do/achieve?
  • Plan – how am I going to do it?
    • Talk to your child/young person about where the task is going wrong for them and ask them for their ideas to make it easier. Try breaking the task down into steps. Watch your child/young person doing each step so you can see what is going wrong. Talk about what you are seeing. Try to come up with solutions together. Make a plan together.
  • Do – carry out the plan.
  • Check – how did that go?
    • Talk with your child/young person about how it went, what would they do differently, what worked well, come up with a new plan and then keep going through the process of doing, checking and planning.

For more information on look at I CAN COOP and/or watch the following video:

 

 

Resources and Supports

Your GP, nursery or school and local Specialist Community Paediatric team can be involved in supporting dyspraxic children and young people. Allied Health Professions such as Occupational Therapists, Physiotherapists and Speech and Language Therapists have an important role to play. Diagnosis of DCD needs a team approach. In NHS Greater Glasgow and Clyde Occupational Therapists lead the team which can include Paediatricians/Psychiatrists, Teachers/Educational Psychologists and most importantly the child/young person and their family.

Occupational Therapy

Occupational Therapists have a key role in supporting dyspraxic children and young people because dyspraxia has an impact on all daily activities or occupations. They also lead the team who diagnose dyspraxia. If you live in NHS Greater Glasgow and Clyde and have questions or concerns relating to dyspraxia you can speak to an Occupational Therapist by calling one of our advice lines.

 

Useful Websites

  • Movement Matters UK have resources for parents, health and education professionals.
  • EPIC Think Learn has some free resources for parents and teachers including booklets called Understanding the Strengths and Difficulties of Dyspraxia/DCD: A Guide for Parents that you can download. They have a similar resource for teachers you might want to share.
  • CanChild is a Canadian research centre that links you to evidence based resources for DCD/Dyspraxia.

 

Common Areas of Concern

At Home

decorative imageDyspraxic children and young people can find a variety of tasks and activities at home challenging. These are usually based around self-care, and can include activities like getting showered; cleaning themselves after using the toilet; brushing their teeth and hair; getting their clothes round the right way; managing fastenings such as buttons, zips and shoelaces; and using cutlery. They may also avoid active play like playing ball games or running around. They might find craft activities and toys that need planning or are a bit more fiddly, like Lego™ difficult. They can struggle with their organisation, resulting in messier bedrooms and disorganised school bags. They can find social and emotional skills challenging. You can find out more from the CANChild booklet about Children with DCD: at home, at school and in the community.

Below are some ideas you might find useful -

  • Make time to enjoy activities with your child/young person. Let them choose activities that they love, enjoy or want to try. This shows them that you value what is important to them and will help to build self-esteem.
  • Practice:
    • Provide opportunities for regular practice of activities and exercise/movement. Try involving your child/young person in everyday activities such as cooking (mixing, spreading), household chores (folding clothes, putting away cutlery, mopping the floor) and simple games (catching a ball, hop scotch).
    • As your child/young person practices activities and improves, gradually increase the demands of the task. For example catching a smaller ball, cutting around more complex shapes.
    • ‘Little and often’ can be best for learning – ten minutes every day rather than one long session each week. It can be helpful to be mindful of when you are practicing too. Try to avoid times of high pressure like when rushing out the door to get to school!
    • Try to make sure that your child/young person practices movement skills in a variety of different ways so that they can transfer what they learn to new situations. Think about throwing and catching with different size balls, that are different weights, with you and your child/young person in different positions.
  • Make adjustments:
    • You can make small adjustments at home to so that your child/young person can join in and be more independent. You could try elasticated shoes or trousers, easier fastenings on clothes, strategies for organisation (labelling where objects live) and time management (setting timers/reminders).
  • Teaching new tasks:
    • Breaking down tasks into smaller parts to be learned; make sure that your child knows what they are working towards and what the end goal looks like (all the components required for tying laces).
    • Support your child when they are learning a task. You might hold their coat as they do up the zip but gradually reduce this support as they become more confident and start to succeed on their own. This can be known as backward chaining. Find out more in the backward chaining technique leaflet.
    • Research shows that watching video demonstrations recorded from a first-person viewpoint can help dyspraxic children learn everyday movement skills. Watch me do it from Manchester Metropolitan University is a free library of demonstration videos. 
  • Praise your child for effort, as well as achievement. Celebrate successes and attribute them to your child/young person’s hard work and effort.

At School

decorative imageDyspraxic children and young people can experience challenges at various times during their school day. These challenges might be noticed in the classroom, during PE and in the playground. They might also have difficulty with managing homework. Below is information about the types of tasks they can find challenging and some ideas on how to support them. CANChild has a booklet about Children with DCD: at home, at school and in the community. They also have a leaflet called Succeeding at School: Accommodations for Students with Coordination Difficulties and M.A.T.C.H. flyers for educators that you might want to share with school staff.

In the classroom

Handwriting

Handwriting is part of our daily life – writing a birthday card, filling out a form, making a list. For children and young people writing is an 'occupation'. For children and young people over 5, it can be something they do most days. Handwriting is one way for a child/young person to express themselves. It can help with the flow of ideas. It shows they understand what is being taught. In schools handwriting is still the main way children/young people are tested and their progress reviewed. 

Being dyspraxic means co-ordinating the movements needed for handwriting is hard. Doing these movements well is tiring both mentally and physically if you have DCD. The physical side of writing, holding a pencil, sitting upright at a desk, controlling your shoulder, elbow, wrist and finger movements, can be hard. Lots of the other parts of writing are difficult for dyspraxic people too. Getting your thoughts and ideas in order and making sense can be hard if you are dyspraxic. This means that getting your ideas down onto paper can take longer which might mean you run out of time. It might mean that what you have written doesn't make sense. Handwriting is a complicated activity and any task that is complicated, needs to be taught and learnt.  

Strategies 

Handwriting is one of many ways to record work, show learning and express thoughts, ideas and feelings. How you support a dyspraxic child/young person depends on what they want and what they are finding most challenging. Think about your child/young person's goal - do they want their teacher to be able to read their writing or do they want to get their point across. This will help you to decide how best to meet that goal. 

Here are some ideas to support handwriting using M.A.T.C.H. - choose what suits your child/young person best.

  • Modify the task
    • Make sure your child/young person has time for the thinking/planning part of writing as well as the doing part of writing.
    • Focus on handwriting for activities that your child/young person enjoys or is motivated by for example writing a shopping list so that they/you can cook a favourite meal. The same applies in school, maybe they love science so they can write their science work but type or dictate their creative writing.
    • Try different pencil/pens to find out what works best for your child/young person:
      • decorative imagedecorative imagethick, thin, heavy, light, round, triangular pencil/pens
      • pencils/pens with/without finger rests
      • pencils/pens with/without pencil grips
      • 2B, HB or 2H pencils
      • ball point pen, gel pen, felt tip pen, etc
    • Try different types of paper:
      • different textures
      • different sizes
      • different line spacing 
  • Adjust your expectations. Think about how long the task might take, are there other ways of demonstrating learning/getting a point across? See information about other ways to record learning below.
  • Teach/try new strategies. There are lots of different strategies you can try - say it out loud, break the task down, check your work, ask questions, give clues, involve your child/young person in working out what works best for them.
  • Change the environment.
    • decorative imageThink about reducing distractions.
    • Think about furniture: Is it easier to write at a standing desk? Are the chair and table at the right height? Would an angled writing surface help?
    • Think about space and position in the classroom. Do they need to be close to the teacher? Do they need to be at the end of a table? Would a checklist help with organisation?
  • Help by understanding. Acknowledge how difficult it is and that you want your child/young person to find out what works best for them. Make sure anyone who is working with your child/young person is also aware of how challenging it is and what they can do to help. Emphasise their strengths. Acknowledge effort. 

Other ways to record learning

Since writing can be tiring and difficult, using different ways of recording information might be helpful. Sometimes a mix of strategies might work. Encouraging your child/young person to use handwriting for some tasks and using other ways of recording for others, can reduce fatigue and increase confidence with getting thoughts on paper. Your child/young person could write for maths where there is less to write but use a different way of recording for creative writing. All strategies take time to learn and need practice to make them effective.  

Other ways of recording learning to try:  

  • decorative imageSpeaking it out loud (and recording it) and having someone else write it down
  • Using talk-to-text tools
  • Having someone (who can read the writing) rewrite what was written to make it easier for others to read
  • Draw instead of writing like in comics or graphic novels 
  • Typing it with or without using computer programmes to help.

It is important to start early to work out what works for your child/young person. Whatever strategy works for your child/young person having extra time is really useful too. This gives their hands and fingers time to rest but also means they have time to get their thoughts and ideas in order and have time to check what they have written too. 

CALL Scotland are an organisation who have lots of information about supporting children/young people to record their work using technology to support them.

CANChild has an information you think about what might be right for your child/young person To Write or to type that is the question

 

Other activities in the classroom

Dyspraxic children have lots of strengths that can help them learn in the classroom. There are some activities in the classroom which they might find difficult:

  • decorative imagecutting with scissors
  • using glue
  • construction activities
  • planning and organising tasks, tools, resources and belongings
  • moving around obstacles (people, objects and furniture)
  • finding their way around school and making sense of a timetable.

Strategies:

  • Modify the task. Make the task easier, use adaptive tools, use visual supports etc.
  • Manage your expectations. What is the purpose of the activity/task? Focus on that rather than getting caught up in the end product being perfect.
  • Allow extra time for tasks. Dyspraxic children/young people benefit from extra time to think about what they are trying to do. They also benefit from extra time to physically do the task.
  • Allow your child/young person to do it their way (even if it is different from how you would do it).
  • Think about the environment. Find the right time and place to work together on the task. Remove distractions.
  • Use interests to support learning of new motor skills. Remember to break down the task down into steps and teach one at time.

You can find more advice and strategies about organisation skills in our Secondary School section.

 

In P.E and in the Playground

As DCD is a specific motor skill difference, sports and physical activity can be hard for a variety of reasons. Often, dyspraxic people prefer participating in individual sports, as the rate of play of team sports can be challenging. However, there are also many children/young people with DCD who can become exceptional sportspeople and it should not be assumed that a child/young person with DCD is unable to participate or achieve at a high level.

Dyspraxic children/young people can experience difficulties with some or all of the following:

  • eye-hand coordination
  • spatial awareness
  • core strength and stability
  • multi-step movements
  • balance
  • understanding and remembering the rules
  • learning new motor skills
  • transferring skills to new settings.

If dyspraxic children don't consistently practice new skills, you might see a temporary reduction in skill level when they start again.   

Strategies

  • Help your child/young person to understand the importance of physical activity in terms of health and enjoyment. Put less emphasis on competition.
  • Start with games and sports that are of interest to your child/young person and encourage them to participate at home, at school and in the community.
  • decorative imageTry introducing a new sport or activity at home before they are required to do this in a group. This can prepare the child and reduce any anxiety or worries.
  • Break an activity down into more achievable chunks rather than focussing on it as a whole. Teach kicking before teaching ball control and finally dribbling.
  • Modify the activity at first. For example when practising throwing and catching:
    • use a large ball, beach ball or balloon
    • stand close together.
  • Keep the environment as predictable as possible when teaching a new skill. Introduce changes gradually after each part of the skill has been achieved.
  • If the child/young person is happy for you to do so, you could try offering hand-over-hand support. This allows them to get a 'feel' of the movement and what is required of them. At same time describe clearly what you are doing, describing each step clearly.
  • Offer time to share the rules of this new skill. When a child understands clearly what is required it may be easier for them to plan their movements.
  • Remember to offer praise and positive feedback throughout, particularly for participating.
  • Thinking about clothing and shoes too. Younger children might not need to change for P.E. but as they get older this becomes more important. Make this is easy as possible for your child/young person. Think about fastenings, you might need to teach these skills separately.
  • Help teachers and coaches understand a child's strengths and challenges so they can support and encourage them to achieve success.

You can find more information and resources on:

In the Community

decorative imageRemember that your dyspraxic child/young person has their own strengths and talents which can be nurtured in the community to allow them to shine. Some activities in the community can be challenging for dyspraxic children and young people. Encourage activities and interests that promote participation and social experiences like music, drama, youth groups and art/craft clubs.

Remember to encourage physical activities for fun, participation, health and fitness. Think about lifestyle sports like swimming, cycling, hiking, canoeing, rock climbing, surfing, skiing etc. Make sure your child/young person wears the appropriate safety gear. CANChild have a booklet about encouraging participation in physical activities. You can find more information and strategies in KIDS for families: Physical activity and participation.

Help any coaches or activity providers to understand dyspraxia and how to support your child/young person to reach their potential in their chosen activities. You can share this page with them as well as this flyer for coaches and sports instructors from CANChild.

Editorial Information

Last reviewed: 04/04/2025

Next review date: 30/04/2026

Author(s): Occupational Therapists, Specialist Children's Services.

Approved By: KIDS Content Group, SCS Clinical Governance Executive Group

Reviewer name(s): KIDS Content Group.