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Can attention deficit hyperactivity disorder and fetal alcohol spectrum disorder be differentiated by motor and balance deficits?
Hum Mov Sci. 2009 Aug; 28(4):529-42.HM

Abstract

There is an ongoing debate regarding the diagnostic overlap between Attention Deficit Hyperactivity Disorder (ADHD) and Fetal Alcohol Spectrum Disorder (FASD). Differential diagnosis is important because of treatment implications. Children aged 7-10years (47 ADHD, 30 FASD, 39 controls) participated. The Movement Assessment Battery for Children (M-ABC) and the Clinical Observations of Motor and Postural Skills (COMPS) were used. Force plate and electromyography data were collected during static balance and balance perturbation. On the M-ABC both children with ADHD and FASD had more motor problems than controls. The ADHD-Combined and the ADHD-Predominantly Inattentive subgroups were similarly affected in their fine motor skills. On the COMPS, the majority of children in both groups performed in the normal range, but for those children clinically affected, it was the children with ADHD who were more likely to be severely impaired. The children with ADHD were characterized by early onset latencies of the tibialis anterior muscles and increased amplitudes of the gastrocnemius muscles. Difficulty scaling muscle force reflecting medial cerebellar involvement may be the key problem in ADHD. Cerebellar involvement in the postural instability in FASD awaits further study.

Authors+Show Affiliations

Department of Paediatrics, University of Calgary, Calgary, Alberta, Canada. libbe.kooistra@calgaryhealthregion.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19345435

Citation

Kooistra, Libbe, et al. "Can Attention Deficit Hyperactivity Disorder and Fetal Alcohol Spectrum Disorder Be Differentiated By Motor and Balance Deficits?" Human Movement Science, vol. 28, no. 4, 2009, pp. 529-42.
Kooistra L, Ramage B, Crawford S, et al. Can attention deficit hyperactivity disorder and fetal alcohol spectrum disorder be differentiated by motor and balance deficits? Hum Mov Sci. 2009;28(4):529-42.
Kooistra, L., Ramage, B., Crawford, S., Cantell, M., Wormsbecker, S., Gibbard, B., & Kaplan, B. J. (2009). Can attention deficit hyperactivity disorder and fetal alcohol spectrum disorder be differentiated by motor and balance deficits? Human Movement Science, 28(4), 529-42. https://doi.org/10.1016/j.humov.2009.01.007
Kooistra L, et al. Can Attention Deficit Hyperactivity Disorder and Fetal Alcohol Spectrum Disorder Be Differentiated By Motor and Balance Deficits. Hum Mov Sci. 2009;28(4):529-42. PubMed PMID: 19345435.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can attention deficit hyperactivity disorder and fetal alcohol spectrum disorder be differentiated by motor and balance deficits? AU - Kooistra,Libbe, AU - Ramage,Barbara, AU - Crawford,Susan, AU - Cantell,Marja, AU - Wormsbecker,Shirley, AU - Gibbard,Ben, AU - Kaplan,Bonnie J, Y1 - 2009/04/03/ PY - 2008/05/29/received PY - 2009/01/06/revised PY - 2009/01/11/accepted PY - 2009/4/7/entrez PY - 2009/4/7/pubmed PY - 2010/3/17/medline SP - 529 EP - 42 JF - Human movement science JO - Hum Mov Sci VL - 28 IS - 4 N2 - There is an ongoing debate regarding the diagnostic overlap between Attention Deficit Hyperactivity Disorder (ADHD) and Fetal Alcohol Spectrum Disorder (FASD). Differential diagnosis is important because of treatment implications. Children aged 7-10years (47 ADHD, 30 FASD, 39 controls) participated. The Movement Assessment Battery for Children (M-ABC) and the Clinical Observations of Motor and Postural Skills (COMPS) were used. Force plate and electromyography data were collected during static balance and balance perturbation. On the M-ABC both children with ADHD and FASD had more motor problems than controls. The ADHD-Combined and the ADHD-Predominantly Inattentive subgroups were similarly affected in their fine motor skills. On the COMPS, the majority of children in both groups performed in the normal range, but for those children clinically affected, it was the children with ADHD who were more likely to be severely impaired. The children with ADHD were characterized by early onset latencies of the tibialis anterior muscles and increased amplitudes of the gastrocnemius muscles. Difficulty scaling muscle force reflecting medial cerebellar involvement may be the key problem in ADHD. Cerebellar involvement in the postural instability in FASD awaits further study. SN - 1872-7646 UR - https://www.unboundmedicine.com/medline/citation/19345435/Can_attention_deficit_hyperactivity_disorder_and_fetal_alcohol_spectrum_disorder_be_differentiated_by_motor_and_balance_deficits L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-9457(09)00025-6 DB - PRIME DP - Unbound Medicine ER -