Motor function in school-aged children with attention-deficit/hyperactivity disorder in Korea

Hyunjin Cho, Seokyeon Ji, Sungho Chung, Meesun Kim, Yoo-Sook Joung, Hyunjin Cho, Seokyeon Ji, Sungho Chung, Meesun Kim, Yoo-Sook Joung

Abstract

Objective: Motor function critically influences daily activities and academic performance. We compared motor function in school-aged children with Attention-Deficit/Hyperactivity Disorder (ADHD) to that of normal children.

Methods: Participants were 58 children with ADHD [51 males, 7 females; mean age 9 years 6 months±2 years 0 months (SD)] and 70 normal controls [56 males, 14 females; mean age 9 years 2 months±1 years 7 months (SD)]. We assessed motor function with the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition.

Results: The ADHD group had a significantly lower total motor composite score (t=-9.32, p<0.001) than that of the control group. Standard scores of four motor-area composites such as fine manual control (t=-3.76, p<0.001), manual coordination (t=-6.87, p<0.001), body coordination (t=-7.14, p<0.001), and strength and agility (t=-8.54, p<0.1) were significantly lower in the ADHD group than those in the control group. Among the subtests, scores on fine motor precision, fine motor integration, manual dexterity, bilateral coordination, balance, running speed and agility, and strength were significantly lower in the ADHD group than those in the controls, whereas upper-limb coordination was not significantly different between the groups.

Conclusion: School-aged children with ADHD in Korea had significantly lower motor function compared to that of controls. Thus, it is suggested that appropriate target intervention for motor function is important in children with motor impairment in addition to pharmacotherapy or psychosocial therapy for improving the core symptoms.

Keywords: Attention-deficit hyperactivity disorder; Bruininks-Oseretsky Test of Motor Proficiency; Motor function; Second Edition.

Figures

Figure 1
Figure 1
Standard scores in four motor categories in the ADHD and control groups. ADHD: attention-deficit hyperactivity disorder.

References

    1. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–948.
    1. Yang SJ, Cheong S, Hong SD. Prevalence and correlates of attention deficit hyperactivity disorder: school-based mental health services in Seoul. J Korean Neuropsychiatr Assoc. 2006;45:69–76.
    1. Wilson PH. Practitioner review: approaches to assessment and treatment of children with DCD: an evaluative review. J Child Psychol Psychiatry. 2005;46:806–823.
    1. Kooistra L, Crawford S, Dewey D, Cantell M, Kaplan BJ. Motor correlates of ADHD: contribution of reading disability and oppositional defiant disorder. J Learn Disabil. 2005;38:195–206.
    1. Tseng MH, Henderson A, Chow SM, Yao G. Relationship between motor proficiency, attention, impulse, and activity in children with ADHD. Dev Med Child Neurol. 2004;46:381–388.
    1. Venetsanou F, Kambas A, Aggeloussis N, Serbezis V, Taxildaris K. Use of the Bruininks-Oseretsky Test of Motor Proficiency for identifying children with motor impairment. Dev Med Child Neurol. 2007;49:846–848.
    1. Gwynne K, Blick B. Motor performance checklist for 5-year-olds: a tool for identifying children at risk of developmental co-ordination disorder. J Paediatr Child Health. 2004;40:369–373.
    1. Skinner RA, Piek JP. Psychosocial implications of poor motor coordination in children and adolescents. Hum Mov Sci. 2001;20:73–94.
    1. Fliers E, Vermeulen S, Rijsdijk F, Altink M, Buschgens C, Rommelse N, et al. ADHD and poor motor performance from a family genetic perspective. J Am Acad Child Adolesc Psychiatry. 2009;48:25–34.
    1. Johnson BA, MacWilliams BA, Carey JC, Viskochil DH, D'Astous JL, Stevenson DA. Motor proficiency in children with neurofibromatosis type 1. Pediatr Phys Ther. 2010;22:344–348.
    1. American Psychiatric Association. Diagnostic and Statistical Manual Disorders, Text Revision. Fourth Edition. Washington, DC: American Psychiatric Association; 2000.
    1. Kim YS, Cheon KA, Kim BN, Chang SA, Yoo HJ, Kim JW, et al. The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean version (K-SADSPL-K) Yonsei Med J. 2004;45:81–89.
    1. Kim YS, So YK, Noh JS, Choi NK, Kim SJ, Koh YJ. Normative data on the Korean ADHD Rating Scales (K-ARS) for parents and teacher. J Korean Neuropsychiatr Assoc. 2003;42:352–359.
    1. Deitz JC, Kartin D, Kopp K. Review of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) Phys Occup Ther Pediatr. 2007;27:87–102.
    1. Bruininks RH, Bruininks BD. Bruninks-Oseretsky Test of Motor Proficiency. 2nd Edition. Minnesota: AGS Publishing; 2005.
    1. Stray LL, Stray T, Iversen S, Ruud A, Ellertsen B, Tonnessen FE. The Motor Function Neurological Assessment (MFNU) as an indicator of motor function problems in boys with ADHD. Behav Brain Funct. 2009;5:22.
    1. Fliers E, Rommelse N, Vermeulen SH, Altink M, Buschgens CJ, Faraone SV, et al. Motor coordination problems in children and adolescents with ADHD rated by parents and teachers: effects of age and gender. J Neural Transm. 2008;115:211–220.
    1. Case-Smith J, Allen AS, Pratt PN. Occupational Therapy for Children. 4th Edition. St Louis: Mosby; 2000.
    1. Bush G. Attention-deficit/hyperactivity disorder and attention networks. Neuropsychopharmacology. 2010;35:278–300.
    1. Qiu A, Crocetti D, Adler M, Mahone EM, Denckla MB, Miller MI, et al. Basal ganglia volume and shape in children with attention deficit hyperactivity disorder. Am J Psychiatry. 2009;166:74–82.
    1. Stray LL, Stray T, Iversen S, Ruud A, Ellertsen B. Methylphenidate improves motor functions in children diagnosed with Hyperkinetic Disorder. Behav Brain Funct. 2009;5:21.
    1. Gogtay N, Giedd J, Rapoport JL. Brain development in healthy, hyperactive, and psychotic children. Arch Neurol. 2002;59:1244–1248.
    1. Ayres AJ. Ayres AJ. Sensory Integration and the Child. LA: Western Psychological Services; 2005. What is Sensory Integrative Dysfunction? pp. 47–62.
    1. Castellanos FX, Acosta MT. The neuroanatomy of attention deficit/hyperactivity disorder. Rev Neurol. 2004;38(Suppl 1):S131–S136.
    1. Lesson Data-Subject Lists. [Accessed March 1, 2013]. Available at: .
    1. Niemeijer AS, Smits-Engelsman BC, Schoemaker MM. Neuromotor task training for children with developmental coordination disorder: a controlled trial. Dev Med Child Neurol. 2007;49:406–411.
    1. Bundy AC, Lane SJ, Fisher AG. Sensory Integration: Theory and Practice. Philadelphia: F.A. David Company; 2000.
    1. Fisher AG. Assessment of Motor and Process Skills. 5th Edition. Colorado: Three Star Press; 2003.
    1. Smith AL, Hoza B, Linnea K, McQuade JD, Tom M, Vaughn AJ, et al. Pilot physical activity intervention reduces severity of ADHD symptoms in young children. J Atten Disord. 2013;17:70–82.
    1. Hamilton SS. Evaluation of clumsiness in children. Am Fam Physician. 2002;66:1435–1440.

Source: PubMed

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