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Subtle Motor Signs as a Biomarker for Mindful Movement Intervention in Children with Attention-Deficit/Hyperactivity
Dav Clark1, Karen E Seymour1,2,3, Robert L Findling2
1Kennedy Krieger Institute, Center for Neurodevelopmental and Imaging Research, Baltimore, MD. Dr. Clark is now working at Gigantum, Washington, DC.
Mindful movement interventions effectively reduced attention-deficit/hyperactivity disorder (ADHD) symptoms in children. The Physical and Neurological Examination for Subtle Signs (PANESS) shows promise as a biomarker for treatment efficacy.
Area of Science:
- Neuroscience
- Child Psychology
- Movement Science
Background:
- Attention-deficit/hyperactivity disorder (ADHD) research often relies on subjective measures.
- Objective biomarkers are needed to validate interventions for ADHD.
- Mindful movement interventions show potential but require objective outcome measures.
Purpose of the Study:
- To implement a mindful movement intervention for children with ADHD.
- To investigate the Physical and Neurological Examination for Subtle Signs (PANESS) as a predictive biomarker of treatment response.
- To assess the impact of mindful movement on ADHD symptoms and motor control.
Main Methods:
- An 8-week mindful movement program was administered to 34 children (ages 8-12) diagnosed with ADHD.
- Participants were assessed pre- and post-treatment for ADHD symptoms and motor control using the PANESS.
- Statistical analyses examined treatment effects and correlations between motor control and symptom changes.
Main Results:
- Significant reductions in PANESS scores (Gaits and Station, total overflow, total score) were observed post-treatment.
- Mindful movement led to significant decreases in ADHD symptoms (inattention, hyperactivity/impulsivity), oppositional defiant disorder, and executive dysfunction.
- Changes in PANESS scores positively correlated with improvements in ADHD symptoms and predicted post-treatment severity.
Conclusions:
- Mindful movement treatment is effective for reducing ADHD symptoms in children.
- The PANESS is a promising candidate motor biomarker for evaluating mindful movement interventions in ADHD.
- Objective motor assessments can complement subjective reports in ADHD treatment research.
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