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Effect of Telerehabilitation on Handwriting Performance in Children With Attention Deficit Hyperactivity Disorder:
Büşra Kaplan Kılıç1, Gonca Bumin2, Hakan Öğütlü3
1Department of Occupational Therapy, Faculty of Health Sciences, Ankara Medipol University, Ankara, Turkey.
Child: Care, Health and Development
|February 21, 2025
Summary
Telerehabilitation effectively improved fine motor skills and handwriting in children with ADHD. This approach offers a promising avenue for therapeutic interventions targeting these challenges.
Area of Science:
- Pediatrics
- Occupational Therapy
- Digital Health
Background:
- Children with Attention Deficit Hyperactivity Disorder (ADHD) often exhibit fine motor skill deficits.
- These challenges can significantly impact handwriting performance.
- Therapeutic interventions are crucial for enhancing these skills.
Purpose of the Study:
- To investigate the effect of telerehabilitation on handwriting performance in children with ADHD.
- To assess the efficacy of fine motor skills training delivered remotely.
Main Methods:
- A randomized controlled trial involving 70 children (aged 6-8 years) diagnosed with ADHD.
- Participants were assigned to either an 8-week telerehabilitation intervention group or a waitlist control group.
- Fine motor skills and handwriting were assessed using the BOT-2 and MHA tests pre- and post-intervention.
Main Results:
- The intervention group demonstrated significant improvements across most Minnesota Handwriting Assessment (MHA) subdomains.
- Compared to the control group, the intervention group showed significant positive changes in both BOT-2 and MHA scores.
- Improvements were noted in fine motor skills and overall handwriting performance.
Conclusions:
- Fine motor skills training via telerehabilitation shows potential as an effective intervention for children with ADHD.
- Telerehabilitation offers a viable and accessible method for improving handwriting in this population.
- This approach may help bridge gaps in accessing therapy for children with ADHD.

