Motor profile of children with attention deficit hyperactivity disorder, combined type
Juliana B Goulardins1, Juliana C Bilhar Marques, Erasmo B Casella
1Faculty of Medicine of University of São Paulo, Brazil. jugoulardins@yahoo.com.br
Insights
Children with attention deficit hyperactivity disorder (ADHD), combined type, exhibit motor skill deficits. These findings highlight the need for targeted interventions to support motor development in ADHD.
Area of Science:
- Neurodevelopmental disorders
- Pediatric neurology
- Motor development
Background:
- Attention deficit hyperactivity disorder (ADHD), combined type, is a prevalent neurodevelopmental disorder.
- Motor function deficits are increasingly recognized as a potential characteristic of ADHD.
Purpose of the Study:
- To evaluate the motor performance profile in children diagnosed with ADHD, combined type.
- To identify specific areas of motor difficulty in this population.
Main Methods:
- A case-control study involving 34 treatment-naive male children (7-11 years) with ADHD, combined type, and 32 age- and gender-matched typically developing controls.
- Assessment using the Motor Development Scale, measuring global and fine motricity, balance, body scheme, and spatial/temporal organization.
Main Results:
- Children with ADHD demonstrated lower motor quotients across all assessed areas compared to controls.
- Statistically significant differences were found in general motor age, general motor quotient, balance, spatial organization, and fine/global motricity.
- While lower, most ADHD participants' scores fell within the "normal medium" to "normal low" ranges for motor development.
Conclusions:
- Children with ADHD, combined type, experience notable difficulties in motor performance.
- Identifying these motor deficits is crucial for developing effective therapeutic strategies and interventions for ADHD.
Objectives:
The aim of this study was to assess the motor profile of children with attention deficit hyperactivity disorder (ADHD), combined type.
Method:
The case group consisted of 34 treatment-naive, male patients, aged 7-11 years, who had been diagnosed with ADHD, combined type, without comorbidities (except oppositional defiant disorder). The control group was composed of 32 age- and gender-matched, typically developing children. The evaluation was made using the Motor Development Scale, which assessed global and fine motricity, balance, body scheme, and spatial and temporal organization.
Results:
The results showed that the motor quotients in all areas studied were lower in the ADHD group than in the control group, although in most cases they represent normal values relative to the scale (53% were classified as having "normal medium" motor development, 29% "normal low", 9% "very low", 6% "normal high" and 3% as "lower"). Statistically significant differences between groups were observed in general motor age, general motor quotient, balance, spatial organization, and fine and global motricity.
Conclusion:
Difficulties in motor performance were observed in the children with ADHD, combined type. The identification of such deficits may assist in the design of therapeutic protocols for the treatment of children with this type of ADHD.
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