RESUMEN
BACKGROUND: There is increasing speculation whether Attention-Deficit/Hyperactivity Disorder (ADHD) has phenotypic or secondary motor symptoms. Some evidence suggests even fundamental motor skills such as walking can differ in ADHD, however, the evidence is limited and has not been reviewed. Therefore, we conducted a systematic review to summarize the findings regarding gait in ADHD compared to typically developing children in (1) normal (i.e., self-paced), (2) paced or complex (i.e., walking backwards), and (3) dual-task contexts. METHOD: Following a thorough literature search and application of stringent exclusion criteria, a total of 12 studies were included in this review. All studies examined normal walking with a variety of gait parameters in children (age range: 5-18), however, selected parameters and group differences were often inconsistent. RESULTS: In self-paced walking, studies reporting gait with coefficients of variance (CVs) indicated several between-group differences, whereas averages of gait variables were the same for those with ADHD and typically developing children. Paced or complex walking contexts often differed between ADHD and typically developing groups, favoring the ADHD group in some cases, but primarily the typically developing participants. Finally, walking contexts with dual-tasks showed more frequent performance losses in the ADHD group. DISCUSSION: Children with ADHD seem to have specific patterns of gait variability compared to typically developing children, particularly in complex walking contexts and at faster paces. The influence of age, medication, and method of gait normalization may have influenced the results of studies. Overall, this review highlights the potential for a unique gait profile in children with ADHD.
Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Humanos , Niño , Preescolar , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/complicaciones , Marcha , Caminata , Destreza MotoraRESUMEN
Movement is essential for everyday life and closely related to cognitive skills. The aim of the current research was to investigate whether different aspects of physical activity, i.e., aerobic fitness and motor skills, contribute above and beyond each other to the variance in children's executive functioning. Children aged 8-13 years (N = 129, 58 females, Mage = 10.7 years, SDage = 1.6 years) participated in the current cross-sectional study. Aerobic fitness was assessed by the Progressive Aerobic Cardiovascular Endurance Run (PACER). Motor skills were assessed using the standardized Movement Assessment Battery for Children 2nd edition (M-ABC-2), including fine motor skills, balance skills, and object control. Components of executive functions (inhibition, switching, updating) were assessed using the following tasks: an animal Stroop task, a local-global task, and a 2n-back task. Hierarchical regressions were conducted to analyze the relative importance of aerobic fitness and motor skills for children's executive functions. Results indicated that aerobic fitness and fine motor skills were significantly related to switching and updating, whereas relations to inhibition were non-significant. Furthermore, it was found that fine motor skills explained additional variance above aerobic fitness in switching and updating whereas aerobic fitness did not add additional variance above fine motor skills in switching and updating. Balance and object control skills were not related to the three core executive functions. Results support the notion that aerobic fitness and fine motor skills are differently related to executive functions and highlight the importance of considering multiple components of constructs in future research.
Asunto(s)
Destreza Motora , Aptitud Física , Femenino , Niño , Humanos , Destreza Motora/fisiología , Aptitud Física/fisiología , Aptitud Física/psicología , Estudios Transversales , Ejercicio Físico/fisiología , Función Ejecutiva/fisiologíaRESUMEN
Motor skills enable multi-facetted interactions with the environment and allow children to develop social skills and respond appropriately to situational social demands when interacting with peers and adults. Previous research with clinical samples (e.g., children diagnosed with Developmental Coordination Disorder) showed that children's motor skills are closely linked to their psychosocial behavior (e.g., prosocial, hyperactive, inattentive, interpersonal), but studies with typically developing children are rare. We sought to fill this research gap by examining relationships between gait variability as an indicator of motor skills and prosocial behavior, problem behavior, and risk-taking behavior in typically developing children. Participants were a large cross-section of 7-13-year-olds (N = 221). They were asked to walk normally across an electronic pathway (GAITRite). We assessed their gait variability (i.e., stride time, stride length and stride velocity). Their parents completed the Strengths and Difficulties Questionnaire that assessed their child's prosocial behavior, hyperactivity, emotional symptoms, and any conduct or peer relationship problems. Parents also provided information on an adapted scale of the Tridimensional Personality Questionnaire assessing risk-taking behavior. We used multilevel modeling to account for individual interdependence and to analyze the maximum number of strides for each participant. Children with greater stride length variability and velocity showed significantly less prosocial behavior, had more emotional symptoms and demonstrated less risk-taking behavior. Stride time variability was not significantly related to any variables. These results align with past findings that gait is sensitive to motor skill differences, and they extend past findings of these associations between gait and facets of intra- and interpersonal characteristics among children within clinical disorders to typically developing children.
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Emociones , Conducta Social , Humanos , Niño , Marcha , Caminata , Asunción de RiesgosRESUMEN
Children coordinate two tasks simultaneously at several occasions throughout the day; however, this dual-task ability and its development across childhood are poorly understood. Therefore, the current study investigated age-related changes in children's dual-task ability using a large cross-sectional sample of 8- to 13-year-old children (N = 135). In our dual-task methodology, children were asked to walk across an electronic pathway while performing three concurrent cognitive tasks. These tasks targeted at children's executive function components: inhibition, switching, and updating skills. Our findings indicate associations between age and children's stride time variability but not with normalized velocity. Younger children showed higher stride time variability in the dual-task situation as compared with older children after accounting for their single-task performance, intelligence, anthropometric variables, and sex, indicating a more regular gait pattern in older children. Furthermore, age was differently related to children's accuracy in solving the concurrent cognitive tasks. Whereas age was associated with children's performance in the updating and switching task, there was no relation between age and children's inhibitory skills. In addition, our data imply that children's dual-task ability was associated with a number of individual variables. In particular, children with higher intelligence scores showed fewer errors and girls showed lower stride time variability in the dual tasks. Our results suggest a considerable developmental progression in children's ability to coordinate two simultaneous tasks across middle childhood. Furthermore, our study qualifies previous dual-task research and implies that heterogeneous findings may be related to a differential involvement of executive function components in the dual task.
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Marcha , Caminata , Adolescente , Niño , Cognición , Estudios Transversales , Función Ejecutiva , Femenino , HumanosRESUMEN
BACKGROUND: The embodied cognition hypothesis implies a close connection between motor and cognitive development. Evidence for these associations is accumulating, with some studies indicating stronger relations in clinical than typically developing samples. AIMS: The present study extends previous research and investigates relations between fine motor skills and intelligence in typically developing children (n = 139, 7-13 years) and same-aged children with attention deficit hyperactivity disorder (ADHD, n = 46). In line with previous findings, we hypothesized stronger relations in children with ADHD than in typically developing children. METHODS AND PROCEDURE: Fine motor skills were assessed using the standardized Movement Assessment Battery for Children. Intelligence was measured with the standardized Wechsler Intelligence Scale for Children. OUTCOMES AND RESULTS: Regression analyses indicated significant relations between fine motor skills and full-scale IQ, perceptual reasoning, working memory, and processing speed. Moderation analyses identified stronger relations between fine motor skills and full-scale IQ, perceptual reasoning, and verbal comprehension in children with ADHD compared to typically developing children. CONCLUSIONS AND IMPLICATIONS: Results suggest a close relation between fine motor skills and intelligence in children with and without ADHD, with children diagnosed with ADHD showing stronger relations. Findings support combined motor-cognitive interventions in treating children with ADHD.
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Trastorno por Déficit de Atención con Hiperactividad , Inteligencia , Destreza Motora , Adolescente , Niño , Cognición , Humanos , Escalas de WechslerRESUMEN
Walking is human's most important locomotion. Until recently, walking was seen as an automated motor task that requires only minimal cognitive resources. However, recent studies indicate that walking requires higher-level cognitive processes such as executive functions. A different line of research suggests that executive functions consist of 3 core components: inhibition, switching, and updating. Combining these findings, the present study clarified which executive-function component is most essential for human walking. Applying a dual-task methodology, adults (n = 37) and 8- to 13-year-old children (n = 134) walked repeatedly across an electronic pathway while solving an inhibition, switching, and updating task. Both adults and children showed the largest gait alterations in the updating and switching task as opposed to inhibition. Likewise, their cognitive performance revealed the largest performance reductions from single- to dual-task situations in the updating task. Overall, our results highlight remarkable similarities in children's and adults' performance with updating working memory representations and switching between rule sets being the most essential cognitive processes for walking. These findings point to a general gait-cognition process. Results have important theoretical value and hold practical implications for creating effective intervention programs. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Asunto(s)
Función Ejecutiva/fisiología , Inhibición Psicológica , Memoria a Corto Plazo/fisiología , Desempeño Psicomotor/fisiología , Caminata/fisiología , Adolescente , Adulto , Niño , Femenino , Marcha/fisiología , Humanos , Masculino , Persona de Mediana Edad , Adulto JovenRESUMEN
Effects of dual tasking on motor processes such as gait have been mainly investigated with healthy adults and clinical older samples whereas studies with clinical samples of children with attention deficit hyperactivity disorder (ADHD) are rare. Similarly, even though methylphenidate (MPH) is the most often prescribed medication for children with ADHD, the influence of MPH on children's gait under single-task and dual-task situations remains poorly understood. In the current study, children diagnosed with ADHD (nâ¯=â¯26) came twice to the laboratory, once without and once with MPH medication. They were asked to walk over an electronic walkway without a concurrent task (motor single task) and while solving different cognitive tasks (motor-cognitive dual task). Gait variability and cognitive performance were measured. Children's performance was compared to an age- and sex-matched control sample of typically developing children (nâ¯=â¯26) who were also tested twice. Results indicated considerable effects of dual tasking on children's gait irrespective of group (ADHD vs. controls), with children diagnosed with ADHD showing more pronounced gait alterations in dual-task situations as compared to controls. Furthermore, MPH medication in children with ADHD enabled them to substantially decrease their stride time variability to a level that was comparable to the level of typically developing children. Overall, our findings support the notion that higher cognitive processes such as attention and executive functions influence gait and that MPH can positively affect cognitive and motor processes such as gait.