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Dyspraxia affects about one in twenty people and has nothing to do with intelligence

Tying shoelaces, catching a ball, writing neatly: for roughly 5 percent of people these everyday skills stay stubbornly hard. Developmental coordination disorder, also called dyspraxia, is a lifelong condition in which the brain's instructions to the body do not arrive cleanly, and it is still little recognised as a disability.

The name comes from the Ancient Greek praxis, meaning activity. At its heart is a problem of learning and carrying out coordinated movement: a person's motor skills lag well behind what would be expected for their age. It can show up as clumsiness, slowness or imprecision across a huge range of tasks, from handwriting and using a knife and fork to riding a bike, handling tools, swimming or joining a team sport. Many people also wrestle with organisation, attention, working memory and keeping track of time.

Both major diagnostic systems recognise it. The World Health Organization lists it in the International Classification of Diseases under code 6A04, stressing that the difficulties begin in early development and cause lasting limits on schoolwork, jobs, leisure and daily life. The American Psychiatric Association's DSM-5 files it as a distinct motor disorder within the neurodevelopmental group. The diagnosis is made only when other explanations are absent, such as cerebral palsy, multiple sclerosis or Parkinson's disease, or problems better accounted for by intellectual disability.

In childhood the signs can be spotted early. Babies may sit, crawl or walk late. Older children may trip and bruise often, run and hop awkwardly, struggle with shoelaces and self-care, lose belongings, find instructions hard to follow and have a shaky sense of space. These traits can carry on into adult life.

Dyspraxia has no link to intelligence, yet it can wear down self-esteem, because peers breeze through things that take a dyspraxic person real effort every day. Occupational therapy can help people build coordination and manage tasks that would otherwise feel overwhelming.

Source: Developmental coordination disorder

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