Demircioğlu Arzu, Atasavun Uysal Songül, Şanlı Dumankaya Buse Büşra, Kırdı Elif, Tuna Çak Esen Halime, Dağ Osman, Topuz Semra
Department of Physiotherapy and Rehabilitation, Hacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey.
Department of Pediatric Mental Health and Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Alpha Psychiatry. 2023 Jan 1;24(1):1-7. doi: 10.5152/alphapsychiatry.2023.22976. eCollection 2023 Jan.
The aim of the current study was to compare the spatio-temporal parameters of gait and gross motor skills in children with attention deficit hyperactivity disorder-combined type with those of typically developing children and to search the effect of motor skills on gait parameters in children with attention deficit hyperactivity disorder-combined type.
A total of 50 children (n = 25 attention deficit hyperactivity disorder-combined type, n = 25 typically developing children) aged 5-12 years were included. Gross motor skills were evaluated using the Bruininks-Oseretsky Test Second Edition-Short Form. Spatio-temporal parameters of gait were assessed with a GAITRite computer-based system.
In the subtests of Bruininks-Oseretsky Test Second Edition-Short Form (bilateral coordination ( < .001), balance ( = .013), running speed and agility ( = .003)), lower scores were obtained by the children with attention deficit hyperactivity disorder-combined type. The swing phase of gait was found to be longer in children with attention deficit hyperactivity disorder-combined type ( = .01).
The current study results show that gross motor skills are affected negatively and the swing phase is prolonged in children with attention deficit hyperactivity disorder-combined type. Upper limb coordination and balance were also seen to have an effect on the velocity, step, and stride length. It is important to include an objective gait assessment as well as gross motor skills in the comprehensive clinical evaluation of children with attention deficit hyperactivity disorder-combined type.
本研究旨在比较注意力缺陷多动障碍合并型儿童与正常发育儿童的步态时空参数和粗大运动技能，并探究运动技能对注意力缺陷多动障碍合并型儿童步态参数的影响。
共纳入50名5至12岁儿童（25名注意力缺陷多动障碍合并型儿童，25名正常发育儿童）。使用布鲁因inks-奥塞雷茨基运动技能测验第二版简式评估粗大运动技能。采用基于GAITRite计算机系统评估步态时空参数。
在布鲁因inks-奥塞雷茨基运动技能测验第二版简式的子测试中（双侧协调（<.001）、平衡（=.013）、跑步速度和敏捷性（=.003）），注意力缺陷多动障碍合并型儿童得分较低。发现注意力缺陷多动障碍合并型儿童的步态摆动期较长（=.01）。
本研究结果表明，注意力缺陷多动障碍合并型儿童的粗大运动技能受到负面影响，摆动期延长。上肢协调性和平衡也对速度、步幅和步长有影响。在注意力缺陷多动障碍合并型儿童的综合临床评估中，纳入客观的步态评估以及粗大运动技能评估很重要。
