Ornoy A, Uriel L, Tennenbaum A
Jerusalem Institute for Child Development, Israel.
Isr J Psychiatry Relat Sci. 1993;30(3):155-63.
In the Jerusalem Institute for Child Development children with various developmental disorders at ages of 0-5 years are examined. Thirty-six children aged 2-4 years were examined by us and were found to have inattention, hyperactivity and speech delay with an IQ or DQ above 70 and were reexamined at 7-14 years of age. They were compared to a group of 27 control children. All children had a complete neurodevelopmental examination using the Touwen & Prechtel examination for Minor Neurological Dysfunction. They also had a Pollack tapper test for the identification of learning disabilities and the Conners parent's and teacher's hyperactivity rating scales. Of the 36 children from the research group 20 studied in special education classes because of behavioral disorders, inattention, and severe learning disabilities. They all had ADD-ADHD. There were 16 children in regular schools, of whom 9 had ADD-ADHD. In the control group only one child had ADD-ADHD. A very high number of the research group children failed in 2 or all 3 tests used in this study in comparison to controls. It seems that "soft" neurological signs with hyperactivity, inattention and speech delay may be early clinical signs of ADD-ADHD as 80% of the children with these clinical features developed ADD-ADHD during early school age.
在耶路撒冷儿童发展研究所，对年龄在0至5岁的各种发育障碍儿童进行了检查。我们对36名年龄在2至4岁的儿童进行了检查，发现他们存在注意力不集中、多动和语言发育迟缓的问题，智商或发育商高于70，并在7至14岁时进行了复查。将他们与一组27名对照儿童进行了比较。所有儿童都使用图恩和普雷希特尔的轻微神经功能障碍检查进行了全面的神经发育检查。他们还进行了波拉克敲击测试以识别学习障碍，以及康纳斯父母和教师多动评定量表。在研究组的36名儿童中，有20名因行为障碍、注意力不集中和严重学习障碍而在特殊教育班级学习。他们都患有注意力缺陷多动障碍。有16名儿童在普通学校就读，其中9名患有注意力缺陷多动障碍。在对照组中，只有一名儿童患有注意力缺陷多动障碍。与对照组相比，研究组中有相当多的儿童在本研究使用的2项或全部3项测试中未通过。似乎伴有多动、注意力不集中和语言发育迟缓的“软性”神经体征可能是注意力缺陷多动障碍的早期临床体征，因为80%具有这些临床特征的儿童在学龄早期就发展为注意力缺陷多动障碍。
