Table 2.

Physical and neurological exam for DCD

General exam
Growth
Dysmorphology
Neurocutaneous examination, skin elasticity
Musculoskeletal exam
Joint hypermobility
Joint swelling
Joint pain
Posture
Spine exam, sacral dimple
Neurological exam
Cranial nerves
Tone (low normal tone*)
Strength
Deep tendon reflexes
Upper motor neuron signs: plantar reflex, clonus, adductor reflex
Coordination: finger-nose*, rapid alternating movements*
Romberg test
Static balance: single foot balance ≥30 seconds*
Dynamic balance: jumping on one foot*
Stair climbing*
Gait: walking, running*, toe-walking, heel-walking, forward and backward tandem*
Minor neurological signs (13): visual monitoring*, mirror movement*, finger agnosia* during imitative finger movements
Presence or absence of overflow movements*

DCD Developmental coordination disorder.

*Children with DCD often show one or more of these signs or have difficulties with these tasks (13).