Developmental Coordination Disorder: A Hidden Epidemic of Falls.

This study provides the first attempt to quantify the frequency, context, and consequences of falls in individuals with Developmental Coordination Disorder (DCD), addressing the overlooked link between balance impairments and fall risk across the lifespan. A cross-sectional online survey, co-developed with a Participant Involvement and Engagement (PIE) group, was completed by adults with DCD (n = 115), parents of children with DCD (n = 99), typically developing (TD) adults (n = 81), and parents of TD children (n = 86). The survey assessed fall and near-fall frequency, causes, injuries, fall-related anxiety, and psychosocial consequences. Adults and children with DCD reported significantly more frequent falls than their TD peers. Among adults with DCD, 26% fell at least 1–2 times per month (vs. 3% TD) and 55% of children fell 1–2 times per week (vs. 23% TD). Near falls were also common, and injuries, including fractures, were disproportionately high. Fall anxiety affected 72% of individuals with DCD and was linked to reduced social engagement and activity avoidance. Falls in DCD are frequent, injurious, and anxiety-provoking. Despite this, DCD is absent from fall prevention guidelines. Urgent action is needed to integrate fall risk screening and targeted interventions into clinical and public health frameworks.