Many children with DCD have neurological soft signs such as hypotonia, persistence of primitive reflexes, and immature balance reactions that interfere with gross motor development.5,25 These children also may demonstrate an awkward running pattern, fall frequently, drop items, and have difficulty imitating body positions and following 2- to 3-step motor commands. Because of their gross motor problems, children with DCD also perform poorly in sporting events,possibly due, in part, to their slow reaction and movement times.Their decreased participation in sports may result in decreased muscle force.