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Developmental coordination disorder in children with attention-deficit-hyperactivity disorder and physical therapy intervention.
Dev Med Child Neurol. 2007 Dec; 49(12):920-5.DM

Abstract

Although physical therapy (PT) is effective in improving motor function in children with developmental coordination disorder (DCD), insufficient data are available on the impact of this intervention in children with combined attention-deficit-hyperactivity disorder (ADHD) and DCD. This prospective study aimed to establish the prevalence of DCD among a cohort of patients with ADHD, characterize the motor impairment, identify additional comorbidities, and determine the role of PT intervention on these patients. DCD was detected in 55.2% of 96 consecutive children with ADHD (81 males, 15 females), mostly among patients with the inattentive type (64.3% compared with 11% of those with the hyperactive/impulsive type, p<0.05). Mean age was 8 years 4 months (SD 2 y). Individuals with both ADHD and DCD more often had specific learning disabilities (p=0.05) and expressive language deficits (p=0.03) than children with ADHD only. Twenty-eight patients with ADHD and DCD randomly received either intensive group PT (group A, mean age 9 y 3 mo, SD 2 y 3 mo) or no intervention (group B, mean age 9 y 3 mo, SD 2 y 2 mo). PT significantly improved motor performance (assessed by the Movement Assessment Battery for Children; p=0.001). In conclusion, DCD is common in children with ADHD, particularly of the inattentive type. Patients with both ADHD and DCD are more likely to exhibit specific learning disabilities and phonological (pronunciation) deficits. Intensive PT intervention has a marked impact on the motor performance of these children.

Authors+Show Affiliations

Child Neurology Unit and Child Development Center, Meir Medical Center, Kfar Saba, Israel.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18039239

Citation

Watemberg, Nathan, et al. "Developmental Coordination Disorder in Children With Attention-deficit-hyperactivity Disorder and Physical Therapy Intervention." Developmental Medicine and Child Neurology, vol. 49, no. 12, 2007, pp. 920-5.
Watemberg N, Waiserberg N, Zuk L, et al. Developmental coordination disorder in children with attention-deficit-hyperactivity disorder and physical therapy intervention. Dev Med Child Neurol. 2007;49(12):920-5.
Watemberg, N., Waiserberg, N., Zuk, L., & Lerman-Sagie, T. (2007). Developmental coordination disorder in children with attention-deficit-hyperactivity disorder and physical therapy intervention. Developmental Medicine and Child Neurology, 49(12), 920-5.
Watemberg N, et al. Developmental Coordination Disorder in Children With Attention-deficit-hyperactivity Disorder and Physical Therapy Intervention. Dev Med Child Neurol. 2007;49(12):920-5. PubMed PMID: 18039239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Developmental coordination disorder in children with attention-deficit-hyperactivity disorder and physical therapy intervention. AU - Watemberg,Nathan, AU - Waiserberg,Nilly, AU - Zuk,Luba, AU - Lerman-Sagie,Tally, PY - 2007/11/28/pubmed PY - 2008/1/30/medline PY - 2007/11/28/entrez SP - 920 EP - 5 JF - Developmental medicine and child neurology JO - Dev Med Child Neurol VL - 49 IS - 12 N2 - Although physical therapy (PT) is effective in improving motor function in children with developmental coordination disorder (DCD), insufficient data are available on the impact of this intervention in children with combined attention-deficit-hyperactivity disorder (ADHD) and DCD. This prospective study aimed to establish the prevalence of DCD among a cohort of patients with ADHD, characterize the motor impairment, identify additional comorbidities, and determine the role of PT intervention on these patients. DCD was detected in 55.2% of 96 consecutive children with ADHD (81 males, 15 females), mostly among patients with the inattentive type (64.3% compared with 11% of those with the hyperactive/impulsive type, p<0.05). Mean age was 8 years 4 months (SD 2 y). Individuals with both ADHD and DCD more often had specific learning disabilities (p=0.05) and expressive language deficits (p=0.03) than children with ADHD only. Twenty-eight patients with ADHD and DCD randomly received either intensive group PT (group A, mean age 9 y 3 mo, SD 2 y 3 mo) or no intervention (group B, mean age 9 y 3 mo, SD 2 y 2 mo). PT significantly improved motor performance (assessed by the Movement Assessment Battery for Children; p=0.001). In conclusion, DCD is common in children with ADHD, particularly of the inattentive type. Patients with both ADHD and DCD are more likely to exhibit specific learning disabilities and phonological (pronunciation) deficits. Intensive PT intervention has a marked impact on the motor performance of these children. SN - 0012-1622 UR - https://www.unboundmedicine.com/medline/citation/18039239/Developmental_coordination_disorder_in_children_with_attention_deficit_hyperactivity_disorder_and_physical_therapy_intervention_ L2 - https://doi.org/10.1111/j.1469-8749.2007.00920.x DB - PRIME DP - Unbound Medicine ER -