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A Telerehabilitation-Based Fine Motor Training Program for Children With Inattentive Attention-Deficit/Hyperactivity
Feilong Zhu1, Yue Sun2, Dongqing Kuang3
1School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
Journal of Medical Internet Research
|June 19, 2026
Summary
This study shows that telerehabilitation fine motor training significantly improved inattention symptoms, executive functions, and fine motor skills in children with inattentive attention-deficit/hyperactivity disorder (ADHD). The intervention appears feasible and beneficial as an adjunctive therapy.
Area of Science:
- Pediatric neurology
- Rehabilitation medicine
- Child psychology
Background:
- Children with inattentive ADHD often experience executive function and fine motor skill deficits.
- Limited evidence exists on structured telerehabilitation for these specific outcomes in children with inattentive ADHD.
Purpose of the Study:
- To evaluate the impact of a 12-week telerehabilitation fine motor training program on inattention, executive functions, and fine motor skills in children with inattentive ADHD.
Main Methods:
- A randomized controlled trial involved 66 children (6-10 years) with inattentive ADHD.
- Participants were assigned to a 12-week telerehabilitation fine motor training group or a wait-list control.
- Outcomes included parent-reported inattention, executive functions, and fine motor skills, assessed at baseline, post-intervention, and follow-up.
Main Results:
- The intervention group showed greater reductions in inattention symptoms compared to the control group at 12 and 24 weeks.
- Significant improvements were observed in inhibitory control, immediate memory, cognitive flexibility, manual dexterity, and hand-eye coordination.
- Writing skills improved at 12 weeks, with some executive functions showing sustained benefits at follow-up.
Conclusions:
- A 12-week telerehabilitation fine motor training program is a feasible and potentially beneficial adjunctive intervention for children with inattentive ADHD.
- Findings suggest benefits for inattention, executive functions, and fine motor skills, warranting cautious interpretation due to study design.
- Further research is needed to confirm longitudinal effects and explore mediation pathways.
