Introduction
Dyspraxia, also known as Developmental Coordination Disorder (DCD), is a neurological condition that affects motor planning and coordination. It commonly begins in childhood and may persist into adulthood, impacting daily activities, academic performance, and social participation. Early discovery and therapeutic intervention are essential to upgrade functional independence.
Definition
Dyspraxia is a neurodevelopmental disorder characterised by difficulty in planning, organizing, and executing coordinated movements, despite normal muscle strength and intelligence. The condition results from impaired communication between the brain and muscles.
Clinical Features
- Delayed achievement of motor milestones
- Difficulty performing age-appropriate motor tasks
- Challenges in handwriting and fine motor skills
- Poor coordination
- Problems with spatial awareness and body positioning
- Reduced confidence in physical activities
Signs and Symptoms
- Frequent dropping of objects
- Difficulty with dressing, buttoning
- Poor balance and posture
- Slow and effortful movement execution
- Trouble with activities like running, jumping, or cycling
- Speech difficulties in some cases
- Fatigue due to increased effort during movements

Physiotherapy Management
Physiotherapy plays a crucial role in improving motor control and functional abilities in individuals with dyspraxia. Management focuses on task-specific training and skill development.
- Gross motor skill training to improve balance and coordination
- Postural control and core strengthening exercises
- Motor planning and sequencing activities
- Hand-eye coordination exercises
- Gait and functional mobility training
- Strengthening and endurance training
- Functional task-oriented practice for daily activities
- Sensory integration strategies, when needed
- Education for parents, caregivers, and teachers
A multidisciplinary approach involving physiotherapists, occupational therapists, and speech therapists ensures optimal outcomes.
Complications:
- Persistent difficulties with fine and gross motor skills
- Poor academic performance due to handwriting and coordination issues
- Delayed independence in daily activities (dressing, self-care)
- Low self-esteem and reduced confidence
- Social participation difficulties
Conclusion
Dyspraxia is a lifelong motor coordination disorder that can remarkably affect daily functioning if left unaddressed. Although there is no cure, early diagnosis and consistent physiotherapy intervention can greatly enhance motor skills, independence, and overall quality of life. Supportive therapy and environmental adaptations remain the cornerstone of effective management.
What is dyspraxia?
Dyspraxia, or Developmental Coordination Disorder (DCD), is a neurodevelopmental condition that affects motor planning and coordination despite normal intelligence and muscle strength.
What are common signs and symptoms of dyspraxia?
Delayed motor milestones, poor coordination, handwriting difficulty, balance problems, frequent dropping of objects, and fatigue during physical activities are common features.
How does physiotherapy help in dyspraxia?
Physiotherapy improves motor control through balance training, strengthening, coordination exercises, motor planning activities, and task-specific functional training.

