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Motor skills of children newly diagnosed with Attention Deficit Hyperactivity Disorder prior to and following treatment with stimulant medication.
Res Dev Disabil. 2012 Nov-Dec; 33(6):2080-7.RD

Abstract

Motor difficulties are common in children with Attention Deficit Hyperactivity Disorder (ADHD). Although preliminary evidence has suggested that methylphenidate can improve the motor skills in children with ADHD and Developmental Coordination Disorder (DCD), the effect of stimulant medication on motor performance in children newly diagnosed with ADHD with or without motor impairment remains unclear. A cohort study of 49 medication-naïve children (39 male; mean age 8.4±1.3 years) with ADHD was conducted. Children were evaluated using the Movement Assessment Battery for Children and the developmental test of visual motor integration at diagnosis and again three months following daily treatment with a stimulant medication. Motor difficulties were highly present at baseline (73.5%) but resolved in a subset after treatment with stimulant medication, suggesting that their motor difficulties may be attributed in part to their attentional problems. Nevertheless, motor impairment persisted in 55.1% of the sample. The severity of the behavioural symptoms was significantly associated with balance skills in children without motor impairments (r(2)=0.30, p<0.01) and with visual motor integration skills in children with persisting motor difficulties (r(2)=0.27, p<0.01). Attentional difficulties negatively affect the motor skills of children with ADHD. Following the use of stimulant medication, an important subset continued to demonstrate motor difficulties. The improvement in behaviour was insufficient to resolve motor problems and these children should therefore be targeted for rehabilitation services.

Authors+Show Affiliations

Advanced Pediatric Brain Imaging Research Laboratory, Diagnostic Imaging and Radiology/Fetal and Transitional Medicine, Children's National Medical Center, Washington, DC, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

22796639

Citation

Brossard-Racine, Marie, et al. "Motor Skills of Children Newly Diagnosed With Attention Deficit Hyperactivity Disorder Prior to and Following Treatment With Stimulant Medication." Research in Developmental Disabilities, vol. 33, no. 6, 2012, pp. 2080-7.
Brossard-Racine M, Shevell M, Snider L, et al. Motor skills of children newly diagnosed with Attention Deficit Hyperactivity Disorder prior to and following treatment with stimulant medication. Res Dev Disabil. 2012;33(6):2080-7.
Brossard-Racine, M., Shevell, M., Snider, L., Bélanger, S. A., & Majnemer, A. (2012). Motor skills of children newly diagnosed with Attention Deficit Hyperactivity Disorder prior to and following treatment with stimulant medication. Research in Developmental Disabilities, 33(6), 2080-7. https://doi.org/10.1016/j.ridd.2012.06.003
Brossard-Racine M, et al. Motor Skills of Children Newly Diagnosed With Attention Deficit Hyperactivity Disorder Prior to and Following Treatment With Stimulant Medication. Res Dev Disabil. 2012 Nov-Dec;33(6):2080-7. PubMed PMID: 22796639.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Motor skills of children newly diagnosed with Attention Deficit Hyperactivity Disorder prior to and following treatment with stimulant medication. AU - Brossard-Racine,Marie, AU - Shevell,Michael, AU - Snider,Laurie, AU - Bélanger,Stacey Ageranioti, AU - Majnemer,Annette, Y1 - 2012/07/13/ PY - 2012/04/11/received PY - 2012/06/07/revised PY - 2012/06/07/accepted PY - 2012/7/17/entrez PY - 2012/7/17/pubmed PY - 2013/3/30/medline SP - 2080 EP - 7 JF - Research in developmental disabilities JO - Res Dev Disabil VL - 33 IS - 6 N2 - Motor difficulties are common in children with Attention Deficit Hyperactivity Disorder (ADHD). Although preliminary evidence has suggested that methylphenidate can improve the motor skills in children with ADHD and Developmental Coordination Disorder (DCD), the effect of stimulant medication on motor performance in children newly diagnosed with ADHD with or without motor impairment remains unclear. A cohort study of 49 medication-naïve children (39 male; mean age 8.4±1.3 years) with ADHD was conducted. Children were evaluated using the Movement Assessment Battery for Children and the developmental test of visual motor integration at diagnosis and again three months following daily treatment with a stimulant medication. Motor difficulties were highly present at baseline (73.5%) but resolved in a subset after treatment with stimulant medication, suggesting that their motor difficulties may be attributed in part to their attentional problems. Nevertheless, motor impairment persisted in 55.1% of the sample. The severity of the behavioural symptoms was significantly associated with balance skills in children without motor impairments (r(2)=0.30, p<0.01) and with visual motor integration skills in children with persisting motor difficulties (r(2)=0.27, p<0.01). Attentional difficulties negatively affect the motor skills of children with ADHD. Following the use of stimulant medication, an important subset continued to demonstrate motor difficulties. The improvement in behaviour was insufficient to resolve motor problems and these children should therefore be targeted for rehabilitation services. SN - 1873-3379 UR - https://www.unboundmedicine.com/medline/citation/22796639/Motor_skills_of_children_newly_diagnosed_with_Attention_Deficit_Hyperactivity_Disorder_prior_to_and_following_treatment_with_stimulant_medication_ DB - PRIME DP - Unbound Medicine ER -