Exercise in Children Attention Deficit Hyperactivity Disorder

The Effects of Combined Exercise Program in Children Attention Deficit Hyperactivity Disorder

Attention Deficit Hyperactivity Disorder (ADHD) is a heterogeneous neurodevelopmental disorder characterized by carelessness, hyperactivity and impulsivity, in which genetic, social and physical factors play an important role. Few studies have revealed the physical activity levels and importance of children with ADHD, but there is no consensus on the components of the physical activity program such as intensity, frequency, and severity. The aim of the present study is to investigate the effect of combined exercise training on motor proficiency, physical fitness and cognitive status in children with ADHD.

Study Overview

• Status: Recruiting
• Conditions: Exercise; ADHD
• Intervention / Treatment: Other: Combined exercise

Detailed Description

The aim of present study is to investigate the effect of combined exercise training on motor proficiency, physical fitness and cognitive status in children with ADHD. Children will be randomly divided into 3 groups, for 8 weeks the first group will undergo a combined exercise training under the supervision of a physiotherapist, while the second group will receive a home exercise program. children included in the third group will form the control group.

The following assessments will be applied at the beginning and end of treatment.

1. Revised Conners Parent Rating Scale Short Turkish Form
2. Powers and Challenges Survey
3. Edinburgh Hand Preference Survey
4. Two-minute walking test
5. Ten meter walking test
6. Munich Fitness Test
7. Bruininks-Oseretsky Motor Proficiency Test-2
8. Muscle strength evaluation
9. Dynamic Occupational Therapy Cognitive Assessment
10. Open-ended questions

• Study Type: Interventional
• Enrollment (Estimated): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey, 06100
    • Recruiting
    • Hacettepe University
    • Contact: Arzu Demircioğlu; Phone Number: 0905377746515; Email: arzu.demircioglu90@hotmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 7 years to 12 years (Child)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Having been diagnosed with ADHD according to DSM-V (The Diagnostic and Statistical Manual of Mental Disorders-V) diagnostic criteria,
• Being between the ages of 7-12,
• Right hand being dominant according to Edinburgh Hand Preference Questionnaire,
• After the purpose of the study and the procedures to be explained, both the child and his family agree to participate in the study,
• An appropriate drug treatment program has been organized by the psychiatrist,
• The absence of a contraindicated condition to exercise in physical and medical examination.

Exclusion Criteria:

• A major psychiatric and / or neurodevelopmental problem accompanying,
• A history of head injury or chronic neurological disease,
• Having additional medical diseases that require medication,
• Any changes made in the psychiatric drug treatment by the attending physician for the last 1 month,
• Have participated in a regular exercise program or sporting activity for the past 6 months.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Supervised exercise group; The treatment program was determined as 3 sessions per week for 8 weeks and 60 minutes per session. The treatment program consists of 5 min warm-up exercises, 20 min aerobic exercise, 20 min balance-coordination exercises, 10 min strengthening exercises and 5 min cooling exercises.	Other: Combined exercise; Combined exercise program consists of 5 min warm-up exercises, 20 min aerobic exercise, 20 min balance-coordination exercises, 10 min strengthening exercises and 5 min cooling exercises.
Active Comparator: Home exercise group; The exercise program, which is prepared for the individual, will be applied to the home exercise group with 60 minutes of 3 times a week.	Other: Combined exercise; Combined exercise program consists of 5 min warm-up exercises, 20 min aerobic exercise, 20 min balance-coordination exercises, 10 min strengthening exercises and 5 min cooling exercises.
No Intervention: Control group; Children will not be included in any treatment program. The assessments will be done again 8 weeks later.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Motor Proficiency	Motor proficiency will be evaluated The Bruininks-Oseretsky Test of Motor Proficiency Second Edition (BOT™-2). t contains subtests and challenging game-like tasks and is very easy to administer. the score of this test ranges from 0 to 322. Higher score indicates better motor proficiency	45 minutes
Cognitive assessment	Dynamic Occupational Therapy Cognitive Assessment (DOTCA-Ch) battery for children allows to evaluate cognitive skills in 5 main topics: orientation, spatial perception, praxis, visual-motor organization and thinking processes.	90 minutes
Physical Fitness	Munich Fitness Test	15 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Behavior Disorders	Conners Parent Rating Scale consists of 27 items in total. In this scale, questions are answered on a 4-point Likert scale. "Never", "rarely", "often" and "always" options are; It is scored as "0", "1", "2" and "3". High scores from the scale show the intensity of symptoms specific to destructive disorders	5 minutes
Behaviour characteristics	Strength and Difficulties Questionnaire - (SDQ) "contains 25 questions, some of which question positive and some negative behavior characteristics. Each sub-title can be evaluated within itself and a separate score can be obtained for each, as well as the sum of the first four titles and the" Total Strength Score ".	5 minutes
Hand dominance	Edinburgh Hand Preference Questionnaire was developed to determine the hand preferences of the persons.The sum of the right and left hand scores gives "Cumulative Total (TC)" and subtracting the left hand score from the right hand score gives "Difference score (F)". The result score is obtained by dividing the difference score by the cumulative total score and multiplying it by the face. Result score; It can be interpreted that if the person is less than 40, the person is left dominant, and between -40 and 40, each bilateral dominant, and if greater than 40, the person is right dominant.	5 minutes
gait endurance	2-minute walking test will be used to determine walking endurance. In this test, a distance of 50 feet (15.2 meters) in length is determined first. The evaluator marks each 10 foot long distance with markers, leaving a cone at the beginning and end of the total distance.	4 minutes
muscle strength	Isometric muscle strength will be evaluated by hand dynamometer. Care is taken to repeat 3 times at short intervals during measurements. The highest value will be used for analysis. 4 muscle groups, including shoulder abductors, grip strength, hip flexors and ankle dorsi flexors, will be evaluated bilaterally.	10 minutes
10 meter walking test	Walking speed	2 minutes
Open ended questions	these questions for social cooperation and behaviour	15 minutes

Collaborators and Investigators

• Sponsor: Hacettepe University

Study record dates

Study Major Dates

• Study Start (Actual): February 28, 2020
• Primary Completion (Estimated): October 28, 2023
• Study Completion (Estimated): December 10, 2023

Study Registration Dates

• First Submitted: February 19, 2020
• First Submitted That Met QC Criteria: February 19, 2020
• First Posted (Actual): February 21, 2020

Study Record Updates

• Last Update Posted (Actual): July 18, 2023
• Last Update Submitted That Met QC Criteria: July 15, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Keywords: Exercise; ADHD; motor proficiency
• Additional Relevant MeSH Terms: Mental Disorders; Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Attention Deficit Disorder with Hyperactivity
• Other Study ID Numbers: KA-19032

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No