Otterstedt Charlotte, Strömsten Lotta M J, Sandlund Jonas, Johansson Gudrun M
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Department of Psychology, Umeå University, Umeå, Sweden.
Disabil Rehabil. 2025 Jan;47(2):445-451. doi: 10.1080/09638288.2024.2340123. Epub 2024 Apr 18.
To compare (1) motor proficiency of persons diagnosed in adulthood with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) with normative values of motor proficiency, and (2) motor proficiency between persons with ADHD and those with ASD diagnosed in adulthood.
A total of 153 adults (median age 32 years, 36% women) participated in this cross-sectional study. Fifty-three persons with predominately inattentive presentation (ADHD-I), 67 persons with combined presentation (ADHD-C), and 33 persons with ASD performed the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2). One-sample binominal tests were used to compare motor proficiency against standardized norms of BOT-2 for young adults. One-way ANOVAs and Kruskal-Wallis tests were used to compare test outcomes between the groups.
The total sample showed significantly impaired motor proficiency in comparison to norms in all test domains ( < 0.001-0.006), except for fine motor skills. The ASD group showed significantly poorer body coordination compared with the ADHD-I and ADHD-C groups, with a moderate effect size ( = 0.003-0.02, = 0.061).
Motor proficiency is impaired in most persons with ADHD or ASD diagnosed in adulthood, suggesting that motor assessment should be included in clinical examinations of adults with suspected neurodevelopment disorders.
比较（1）成年期被诊断为注意力缺陷多动障碍（ADHD）或自闭症谱系障碍（ASD）的人的运动能力与运动能力的标准值，以及（2）成年期被诊断为ADHD的人与被诊断为ASD的人的运动能力。
共有153名成年人（中位年龄32岁，36%为女性）参与了这项横断面研究。53名主要表现为注意力不集中的人（ADHD-I）、67名表现为混合型的人（ADHD-C）和33名患有ASD的人进行了布鲁宁克斯-奥塞雷茨基运动能力测试（BOT-2）。使用单样本二项式检验将运动能力与年轻成年人BOT-2的标准化规范进行比较。使用单向方差分析和克鲁斯卡尔-沃利斯检验来比较各组之间的测试结果。
与所有测试领域的规范相比，除精细运动技能外，总样本显示出明显受损的运动能力（<0.001-0.006）。与ADHD-I组和ADHD-C组相比，ASD组的身体协调性明显较差，效应量中等（=0.003-0.02，=0.061）。
大多数成年期被诊断为ADHD或ASD的人的运动能力受损，这表明对疑似神经发育障碍的成年人进行临床检查时应包括运动评估。
