Dyspraxia Assessment & Diagnosis

This full Dyspraxia Assessment is suitable for children aged 5-15 years and lasts approximately 2½ – 3 hours. The assessment can assist in providing a diagnosis of Dyspraxia / Developmental Coordination Disorder (DCD) as well as highlighting specific areas of difficulty and the underlying reasons for these.

dyspraxia assessmentDuring the Dyspraxia Assessment, structured clinical observations are made through the observation of specific movements and activities appropriate to the age of the child. The Dyspraxia Assessment will be fun and the child will not be aware of any failure. A neurological examination may be carried out and standardised assessments are also used, including the Movement Assessment Battery for Children (Movement ABC-2). This assessment is an important part in the diagnostic process for DCD, (which is now the preferred diagnostic label, as opposed to more commonly used names such as dyspraxia and clumsy child syndrome). A child scoring below the 15th percentile on this standardised test of motor skill may qualify for a diagnosis of DCD. This diagnosis can be confirmed by the additional use of the Movement ABC-2 Checklist to ascertain whether there is significant interference with academic achievement or activities of daily living, and the administration of the Kaufman Brief Intelligence Test (second edition) in order to verify that the child’s intellectual ability is not below normal and thus that any motor coordination problems are not due to more pervasive developmental problems.

* Please note that for a diagnosis of DCD to be given, European Academy of Childhood Disability (EACD) guidelines state that the involvement of a paediatrician is necessary to exclude other conditions that could account for the motor problems and to ensure that any overlapping conditions (such as Attention Deficit (Hyperactive) Disorder (ADD/ADHD), Autism and Aspergher’s Syndrome) are identified so that appropriate support can be put in place.

Whilst not necessary for the diagnosis of DCD, as part of the Dyspraxia Assessment I also administer the Quick Neurological Screening Test, Third Edition (QNST-3) which consists of a series of fifteen tasks that have been adapted from standard traditional neurological exams and developmental scales and are used to assess the development of motor coordination and sensory integration, seen as neurological soft signs (NSS). NSS provide a window into the structural and functional integrity of the neural pathways that govern motor planning and execution. The QNST-3 allows the assessment of motor maturity and development, sensory processing, gross and fine muscle control, motor planning and sequencing, sense of rate and rhythm, spacial organisation, visual and auditory perception, balance and vestibular function, and disorders of attention. Your child will also be assessed for retained primitive reflexes which can cause movement, learning, emotional and behavioural challenges.

dyspraxia assessmentA parent, guardian or teacher should accompany each child during his/her individual assessment so that any difficulties can be highlighted and explained at the time. The child is asked to wear a T-shirt and shorts to ensure that full observations can be made on how the child moves during the Dyspraxia Assessment.

Following the Dyspraxia Assessment, a full and detailed report is sent to the child’s parents. This report can also be sent to the child’s GP and school at the parents’ request.

Assessments take place at the individual child’s home or school within East Kent and are priced at £450. Discounts are available for schools which have a number of children about whom they are concerned. Please contact me for a quote.

Once an appointment has been booked for a Dyspraxia Assessment and payment has been received, questionnaires are sent to the parents to be completed and returned prior to the Dyspraxia Assessment. These questionnaires play an important role in the diagnostic process and also ensure that I have a clear understanding of the current concerns and do not need to ask any awkward questions in front of the child.

For further information or to book my services for a Dyspraxia Assessment, please email me or call me on 07780 513040.