Case study on motor intervention and its effect in children with attention deficit hyperactivity disorder and dysgraphia

JIANG Wen; SONG Yi-ling; REN Yuan-chun; JI Ning

doi:10.11852/zgetbjzz2022-0236

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Chinese Journal of Child Health Care ›› 2022, Vol. 30 ›› Issue (12) : 1395-1399. DOI: 10.11852/zgetbjzz2022-0236

Case study on motor intervention and its effect in children with attention deficit hyperactivity disorder and dysgraphia

JIANG Wen^*, SONG Yi-ling, REN Yuan-chun, JI Ning

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Abstract

Objective To explore the effect of motor intervention on children with attention deficit hyperactivity disorder (ADHD) and dysgraphia, in order to provide reference for the development of non-drug intervention approaches for children with ADHD and dysgraphia. Methods A 6.9-year-old boy with ADHD and dysgraphia was selected as the study subject for an 8-week online motor intervention. Before and after the intervention, the subject′s fine motor ability was assessed by Movement Assessment Battery for Children (MABC-2) and Grooved Pegboard Task (GPT). Development Test of Visual Perception-3 (DTVP-3) and Tseng Handwriting Problem Checklist (THPC) were used to evaluate the subject′s visual perception and writing ability, respectively. Results Before the intervention, the fine hand movements of MABC-2 in children were significantly backward. The nailing time of GPT for preferred and non-preferred hand was 40 seconds and 41 seconds, respectively. Visual perception and visual motor integration ability in DTVP-3 were at the backward level. The subject scored 51 points in THPC. After the intervention, the hand fine motor of MABC-2 increased by 48%, reaching the average level. Hand nailing speeds of preferred and non-preferred hand in GPT increased by 22.5% and 19.5% respectively. Visual perception and optokinetic integration in DTVP-3 reached the average level, and THPC score increased by 59.9%. Conclusion A personalized intervention program characterized by promoting fine movement, visual perception and visual motor integration, can effectively improve the fine motor development and visual perception development of ADHD children with dysgraphia, effectively reduce writing errors, improve writing speed and neatness, and contribute to the development of writing ability.

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attention deficit hyperactivity disorder / handwriting disorder/dysgraphia / children / motor intervention

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JIANG Wen, SONG Yi-ling, REN Yuan-chun, JI Ning. Case study on motor intervention and its effect in children with attention deficit hyperactivity disorder and dysgraphia[J]. Chinese Journal of Child Health Care. 2022, 30(12): 1395-1399 https://doi.org/10.11852/zgetbjzz2022-0236

References

[1] Song P, Zha M, Yang Q, et al. The prevalence of adult attention-deficit hyperactivity disorder:A global systematic review and meta-analysis[J]. J Glob Health,2021,11:4009.
[2] 任园春,宋以玲,谢永涛. 运动改善注意缺陷多动障碍儿童抑制功能的meta分析[J]. 中国心理卫生杂志,2022,36(3):217-223.
[3] Koerner JKA, Visser L, Rothe J, et al. Gender differences in the comorbidity of ADHD symptoms and specific learning disorders in a population-based sample[J]. Sustainability,2021,13(15):8440.
[4] Mayes SD, Calhoun SL. Frequency of reading, math, and writing disabilities in children with clinical disorders[J]. Learn Individ Differ,2006,16(2):145-157.
[5] Gargot T, Asselborn T, Pellerin H, et al. Acquisition of handwriting in children with and without dysgraphia:A computational approach[J]. PLoS One,2020,15(9):e237575.
[6] Li-Tsang C, Li T, Lau M, et al. Handwriting assessment to distinguish comorbid learning difficulties from attention deficit hyperactivity disorder in Chinese adolescents:A case-control study[J]. Int J Methods Psychiatr Res,2018,27(4):e1718.
[7] Mokobane M, Pillay BJ, Meyer A. Fine motor deficits and attention deficit hyperactivity disorder in primary school children[J]. S Afr J Psychiatr,2019,25:1232.
[8] Fenollar-Cortes J, Gallego-Martinez A, Fuentes LJ. The role of inattention and hyperactivity/impulsivity in the fine motor coordination in children with ADHD[J]. Res Dev Disabil,2017,69:77-84.
[9] Lelong M, Zysset A, Nievergelt M, et al. How effective is fine motor training in children with ADHD? A scoping review[J]. BMC Pediatr,2021,21(1):490.
[10] 宋以玲,任园春,姜稳,等. 运动干预对注意缺陷多动障碍儿童执行功能的影响研究进展[J]. 中国运动医学杂志,2021,40(4):306-311.
[11] Sun W, Yu M, Zhou X. Effects of physical exercise on attention deficit and other major symptoms in children with ADHD:A meta-analysis[J]. Psychiatry Res,2022,311:114509.
[12] Montalva-Valenzuela F, Andrades-Ramirez O, Castillo-Paredes A. Effects of physical activity, exercise and sport on executive function in young people with attention deficit hyperactivity disorder:A systematic review[J]. Eur J Investig Health Psychol Educ,2022,12(1):61-76.
[13] 花静,吴擢春,古桂雄,等. 儿童运动协调能力成套评估工具的应用性研究[J]. 中华流行病学杂志,2012,33(10):1010-1015.
[14] Nishiguchi ESP, Naggayi SK, Nyakato M, et al. Piloting A non-verbal cognitive assessment battery, the Leiter International Performance Scale, third edition (Leiter-3), in healthy Ugandan children and adults[J]. Am J Trop Med Hyg, 2019,1015:35.
[15] Skogan AH, Oerbeck B, Christiansen C, et al. Updated developmental norms for fine motor functions as measured by finger tapping speed and the Grooved Pegboard Test[J]. Dev Neuropsychol,2018,43(7):551-565.
[16] 张树东,谢立培,冯译,等. 中国1～4年级小学生视知觉发展研究[J]. 心理科学,2017,40(1):110-116.
[17] Shen IH, Lee TY, Chen CL. Handwriting performance and underlying factors in children with attention deficit hyperactivity disorder[J]. Res Dev Disabil,2012,33(4):1301-1309.
[18] Tseng MH, Murray EA. Differences in perceptual-motor measures in children with good and poor handwriting[J]. Occup Ther J Res,1994,14(1):19-36.
[19] John S, Renumol VG. Impact of fine motor skill development app on handwriting performance in children with dysgraphia:A pilot study[C]∥ICDTE 2018:Proceedings of the 2nd international conference on digital technology in education. New York:Association for Computing Machinery, 2018:11-16.
[20] Payne G,耿培新,梁国立.人类动作发展概论[M]. 北京:人民教育出版社,2008.
[21] 张颖,蔡国梁,赵晨琼,等. 基于人类动作发展视角的幼儿动作发展规律研究进展[J]. 四川体育科学,2019,38(2):37-39.
[22] Denton PL, Cope S, Moser C. The effects of sensorimotor-based intervention versus therapeutic practice on improving handwriting performance in 6- to 11-year-old children[J]. Am J Occup Ther,2006,60(1):16-27.
[23] 姜贝,池霞. 儿童书写能力研究现状探析[J]. 教育生物学杂志,2018,6(1):30-33.
[24] 韩莉,沈丽萍. 视知觉训练提高发展性阅读障碍儿童阅读能力的个案研究[J]. 现代特殊教育,2018,27(11):54-60.
[25] Poon KW, Li-Tsang CW, Weiss TP, et al. The effect of a computerized visual perception and visual-motor integration training program on improving Chinese handwriting of children with handwriting difficulties[J]. Res Dev Disabil,2010,31(6):1552-1560.
[26] 方莹. 基于入学书写准备的视动整合发展研究[D]. 金华:浙江师范大学,2017.
[27] Meng Z, Wydell TN, Bi H. Visual-motor integration and reading Chinese in children with/without dyslexia[J]. Read Writ,2019,32(2):493-510.
[28] 付天宇. 入学书写准备中视动整合的发展及其影响因素[D]. 金华:浙江师范大学,2019.