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.

Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Information Processing Approach01:30

Information Processing Approach

The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is also...
Motor and Sensory Areas of the Cortex01:14

Motor and Sensory Areas of the Cortex

The cerebral cortex, the brain's outermost layer, is pivotal in processing complex cognitive tasks, emotions, and various sensory inputs and executing voluntary motor activities. This intricate structure is divided into three primary functional areas: the motor areas, sensory areas, and association areas.
Motor Areas
The motor areas located in the frontal lobe are central to controlling voluntary movements. This region is further subdivided into the primary motor cortex and the premotor cortex.
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Brainstem01:19

Brainstem

The brainstem, located inferior to the brain and superior to the spinal cord, serves as a bridge between the cerebrum and the spinal cord. It plays a vital role in relaying information and controlling critical life functions. It comprises three primary regions: the midbrain, pons, and medulla oblongata.
The Midbrain
The midbrain is located beneath the diencephalon and connects the cerebrum with the lower parts of the brain. The cerebral peduncles are prominent midbrain structures that house the...