For the estimated 5% of the UK population living with dyspraxia, a simple stumble is rarely just an accident. New research reveals that frequent, injurious falls are a chronic and overlooked reality for children and adults with this neurological condition, formally known as developmental coordination disorder (DCD).
The Hidden Epidemic of Falls
A groundbreaking study led by Johnny Parr, a Senior Lecturer at Manchester Metropolitan University, has quantified the startling risk. The research, co-designed with people who have dyspraxia and involving over 400 participants, found that adults with DCD are nine times more likely to fall at least once or twice a month compared to their peers.
The situation is even more acute for children. The survey discovered that more than half of children with the condition experience falls once or twice every week. These are not minor trips. The injuries reported were severe, ranging from sprains and concussions to fractures and knocked-out teeth. Alarmingly, over a third of adults with DCD had broken a bone due to a fall.
The Physical and Psychological Toll
Dyspraxia affects the brain's ability to plan and coordinate movement, making routine activities like walking on crowded pavements or using stairs unexpectedly hazardous. The study highlights a dual burden: the immediate physical harm and a profound psychological impact.
72% of children and adults with dyspraxia were classified as having a high level of concern about falling. This fear has tangible consequences, leading many to avoid social events, team sports, or even leaving their homes. Respondents described experiences of embarrassment, low self-esteem, and social isolation. Parents noted their children's anxiety prevented participation in playdates, school trips, and physical education.
A Call for Systemic Change in UK Health and Education
Despite these clear findings, dyspraxia remains conspicuously absent from major UK fall prevention guidelines, which typically focus on older adults or conditions like Parkinson's. This oversight has significant implications for public health and spending, with falls already being a leading cause of injury-related hospital admissions costing the NHS billions annually.
The research team outlines critical steps for improvement:
- Healthcare Training: DCD must be integrated into fall risk assessments, with GPs and other professionals trained to identify the condition and its impact on coordination.
- School Support: Educational settings need to take fall risk seriously for children with DCD, particularly in PE, playgrounds, and on school trips.
- Addressing Anxiety: Implementing cognitive behavioural strategies to manage fall-related fear, similar to approaches used for other groups.
- Public Awareness: Challenging the perception of falls as mere 'clumsiness' and recognising them as a chronic part of life for many with dyspraxia.
The message from researchers is clear: it is time to stop letting people with dyspraxia fall through the cracks of the healthcare system. With greater understanding and targeted support, individuals with DCD can be better helped to navigate daily life safely and with confidence.
