Occupational therapy for children with Developmental Coordination Disorder (DCD) information sheet
Contact details
Occupational therapy, The Children's Hospital at Westmead
Phone: (02) 7825 3369
Email: [email protected]
Location: Outpatients Building, level 2
Introduction
Information on occupational therapy for children with Developmental Coordination Disorder (DCD).
Occupational therapy promotes the participation of children and young people in everyday activities they find meaningful.
Occupational therapists work with young children and their families to promote participation in everyday tasks including self-help skills (e.g. sleeping, going to the toilet), play and participating in preschool and school.
Occupational therapists can work alongside other health professionals in your child鈥檚 life including a paediatrician, speech pathologist, physiotherapist, and teacher.
Developmental Coordination Disorder
Developmental Coordination Disorder (DCD) is a neurodevelopmental condition that impacts a child鈥檚 ability to participate in everyday activities.
Children with DCD have significant difficulties with motor planning and coordination (below expected age level) and are often described as 鈥渃lumsy鈥�.
These difficulties are present from early development. Children with DCD do not experience intellectual, neurological or visual impairment alongside coordination difficulties.
How can Occupational Therapy help my child?
Children with DCD experience difficulty completing everyday activities. The role of an Occupational Therapist (OT) is to assist children to overcome these challenges.
OTs do this by setting goals that are important to each child, directly practicing those goals and working with families to come up with solutions and strategies. Research tells us the most effective interventions include the following:
Activity based goals
Intervention should help children work towards success or increased independence in a specific task or daily activity e.g., tying shoelaces, riding a bike, dressing or writing independently.
Problem solving
It is recommended that children learn to use a problem solving approach to work through challenging activities. They can then learn to use these strategies in other activities that are difficult.
Practise, practise, practise!
Children with DCD should be provided with lots of opportunities to master new skills e.g., setting aside 10 minutes each morning to practice tying shoelaces before school.
Education and collaboration
Parents and teachers should be provided with education on how to best work with children with DCD to support their learning in the classroom and at home.
Will Occupational Therapy intervention will help my child?

Not all interventions have been researched and proven to be effective and there are specific interventions recommended for different diagnoses.
Green light interventions
Cognitive Orientation to daily Occupational Performance (CO-OP)
- A child centred, performance-based approach for children with problems with daily activities.
- The child learns to find his own solutions to perform the skills he wants to acquire or improve upon.
Handwriting task practice
- An approach that involves direct and repetitive practice of the skills required for handwriting.
Goal directed training
- An activity-based approach where therapists help the child to achieve their goals by helping them through step by step.
- This aims to improve functional task performance.
Orange light interventions
Ball skills
- An intervention program specifically targeting the development of ball skills through twice weekly practice.
Assistive technology/virtual reality (VR)
- This intervention approach involves participating in VR based motor games through gaming systems such as WiiFIT or Playstation EyeToy
Red light interventions
Do not use these interventions
- Sensory integration therapy
- Handwriting using a sensory approach
How often should my child see an Occupational Therapist?
The frequency of therapy sessions is usually discussed with your child鈥檚 therapist and is dependent on your child鈥檚 goals. Some interventions have specific guidelines that outline the required duration and intensity of therapy. For example:
- Cognitive Orientation to daily Occupational Performance (CO-OP) requires 12 hours of practice to achieve results.
- Handwriting Task Practice requires 20 hours of practice to achieve results.
- Goal Directed Training requires 14 hours of practice to achieve results.
Home programs aim to increase the amount of practice your child undertakes outside of therapy. This practice has been found to be effective in assisting a child to achieve their goals sooner.
Where can I find an Occupational Therapist?
You can find a local OT via the
The cost of therapy can vary depending on the therapist and whether you are paying privately or using a funding scheme to assist with payment. Most therapists charge by the hour.
You can chat to your doctor about accessing limited subsidised therapy sessions through a Chronic Disease Management Plan (CDMP) or Better Access to Mental Health Care Plan (BAMH).
Resources and more information
References
- Novak, I. & Honan, I. (2019). Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian Occupational Therapy Journal, 66 (3), 258-273. doi: 10.1111/1440-1630.12573
- Blank, R., Barnett, A., Cairney, J., Green, D., Kirby, A., Polatajko, H., Rosenblum, S., Smits-Engelsman, B., Sugden, D., Wilson, P. & Vincon, S. (2019). International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder.
- Developmental Medicine & Child Neurology 鈥� EACD Recommendations, 61 (3), 242- 285. doi: 10.1111/dmcn.14132
Disclaimer: The information provided in this information sheet is based on current research (2019) as referenced.