Sensory Integration Toward Social and Occupational Being (SISO), Seoul, Republic of Korea.
BH Hospital, Busan, Republic of Korea.
Psychiatry Investig. 2014 Jul;11(3):223-7. doi: 10.4306/pi.2014.11.3.223. Epub 2014 Jul 21.
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.
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.
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.
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.
运动功能对日常活动和学业成绩有重要影响。我们比较了学龄期注意缺陷多动障碍(ADHD)患儿与正常儿童的运动功能。
参与者为 58 名 ADHD 患儿(51 名男性,7 名女性;平均年龄 9 岁 6 个月±2 岁 0 个月(SD))和 70 名正常对照组(56 名男性,14 名女性;平均年龄 9 岁 2 个月±1 岁 7 个月(SD))。我们采用布鲁因克斯-奥塞尔斯基运动能力测试第二版评估运动功能。
ADHD 组的总运动综合评分明显低于对照组(t=-9.32,p<0.001)。精细运动控制(t=-3.76,p<0.001)、手眼协调(t=-6.87,p<0.001)、身体协调(t=-7.14,p<0.001)和力量与敏捷性(t=-8.54,p<0.1)等四项运动区域综合标准评分均明显低于对照组。在子测试中,ADHD 组的精细运动精度、精细运动综合、手灵巧度、双侧协调、平衡、跑步速度和敏捷性以及力量评分明显低于对照组,而上肢协调两组间无显著差异。
韩国学龄期 ADHD 患儿的运动功能明显低于对照组。因此,建议在药物治疗或心理社会治疗改善核心症状的基础上,对运动功能障碍的儿童进行适当的目标干预。