Efficacy of a Structured Home Program to Improve Motor Coordination in Elementary School Children with Attention Deficit/Hyperactivity Disorder
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Abstract
Objectives : To evaluate whether the motor coordinate rehabilitation structural home program affected motor incoordination and attention-deficit/hyperactivity symptoms in elementary school children with attention-deficit/hyperactivity disorder.
Methods : The study was a one-group pretest-posttest experimental design. Seven children (n=7) who had been diagnosed with attention/deficit hyperactivity disorder (ADHD) with motor coordination problems at childhood and adolescent psychiatric outpatient department at Maharaj Nakorn Chiang Mai Hospital in 2016-2018 agreed to participate in the three-month motor coordinated rehabilitation structured activities home program. Each participant was assessed before and after the intervention using measures of ADHD symptoms and motor proficiency to evaluate the efficacy of interventions. ADHD symptoms were evaluated by the Swanson, Nolan, and Pelham IV questionnaire-short form (SNAP-IV) Thai version, and the motor proficiency was evaluated by the Bruininks-Oseretsky test of motor proficiency-second edition (BOT-2). The effects of interventions were analyzed using the Wilcoxon signed ranks test by the SPSS software version 26.
Results : Five of seven participants completed the interventions. All participants who followed the 12-week intervention period had clinical improvement in motor proficiency in the aspects of fine motor precision, fine motor integration, and manual dexterity after the training. However, there was no statistically significant difference between the pre-intervention and the post-intervention score on BOT-2 (p>0.05). No significant difference was found in ADHD symptoms
Conclusion : Structure activities home program may have benefits to clinical improvement on fine manual control and manual coordination in children with ADHD and motor coordination problems. Due to no statistically significant outcomes, further investigation is needed to determine the effect of the structured home program in a more intensive regimen. Keywords : motor coordination, attention deficit hyperactivity disorder, children
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References
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