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Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
Published on: April 1, 2018
Motor preparation, motor execution, attention, and executive functions in attention deficit/hyperactivity disorder
Ester I Klimkeit1, Jason B Mattingley, Dianne M Sheppard
1School of Psychology, Psychiatry, and Psychological Medicine, Monash University, Clayton, Victoria, 3800, Australia. Ester.Klimkeit@med.monash.edu.au
Insights
Children with Attention-Deficit/Hyperactivity Disorder (ADHD) exhibit slow movement preparation and attention deficits. Stimulant medication may improve these cognitive and motor impairments in ADHD.
Area of Science:
- Neuroscience
- Developmental Psychology
- Cognitive Psychology
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder affecting attention and executive functions.
- Previous research highlights executive function deficits in ADHD, but the specific impact on motor preparation and attention requires further investigation.
Purpose of the Study:
- To investigate attention and executive functions in medicated and unmedicated children with ADHD combined type.
- To examine the effects of stimulant medication on motor preparation, selective attention, and executive functions in children with ADHD.
Main Methods:
- A novel selective reaching task was employed, requiring rapid responses to targets while ignoring distractors.
- Performance was assessed in medicated and unmedicated children diagnosed with ADHD combined type.
Main Results:
- Unmedicated children with ADHD demonstrated slow and inaccurate responding, linked to attentional impairments in movement preparation.
- Inaccurate responding in unmedicated children was associated with deficits in response inhibition, selective attention, impulsivity, set-shifting, and vigilance.
- Medicated children showed improved movement preparation but retained some response inaccuracy due to impulsivity.
Conclusions:
- ADHD is characterized by impaired motor preparation, selective attention, vigilance, and executive functions, not motor execution deficits.
- Stimulant medication shows potential in ameliorating some of the motor, attentional, and executive function deficits observed in ADHD.
Abstract:
Attention and executive functions were investigated in medicated and unmedicated children with ADHD combined type using a novel selective reaching task. This task involved responding as rapidly as possible to a target while at times having to ignore a distractor. Results indicated that unmedicated children with ADHD showed slow and inaccurate responding. Slow responding reflected problems at the stage of movement preparation but not movement execution. An attentional impairment, rather than a motor planning problem per se, appeared to underlie the slow movement preparation. Inaccurate responding reflected problems with response inhibition and selective attention, impulsivity, set-shifting, and difficulties in maintaining vigilance. Although medicated children with ADHD did not show slow movement preparation, they did show some response inaccuracy, resulting especially from impulsive responding. These findings suggest that ADHD is characterized by slow motor preparation (but not motor execution), and deficits in selective attention, vigilance, and executive functions. Preliminary results suggest that stimulant medication may resolve some of these motor, attentional and executive function deficits.
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