Abstract
This study tested the dual-task strategy adopted by children with attention deficit hyperactivity disorder (ADHD) and determined how individual balancing ability affects dual-task performance. Nineteen children with ADHD (ADHD group) and 17 typically developing children (control group) were compared while they performed two concurrent (motor–cognitive) tasks. The motor task entailed walking on a balance beam, and the cognitive task entailed repeating 3 numbers, heard as they walked, in reverse order. Performance in the dual task was compared with that in each separate task. The children with ADHD demonstrated significantly poorer step accuracy and response accuracy compared with the controls. The control group had a negative modified attention allocation index (mAAI), whereas the ADHD group had a positive mAAI. In addition, significant relationships were determined between balance skill and the dual-task effect (DTE) on sway speed, step accuracy, and response accuracy in the ADHD group. The results indicated that, in contrast to the controls, the ADHD group assigned priority to maintaining their walking pattern while abandoning the memory task. The ADHD group’s individual balance dysfunctions were associated with dual-task gait abnormalities. The higher the individual balancing ability was, the smaller the dual-task gait disturbances.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Parker, J., Wales, G., Chalhoub, N., Harpin, V.: The long-term outcomes of interventions for the management of attention-deficit hyperactivity disorder in children and adolescents: a systematic review of randomized controlled trials. Psychol. Res. Behav. Manag. 6, 87–99 (2013)
Chen, Y.Y., et al.: Timing perception and motor coordination on rope jumping in children with attention deficit hyperactivity disorder. Phys. Ther. Sport 14(2), 105–109 (2013)
Cho, H., Ji, S., Chung, S., Kim, M., Joung, Y.S.: Motor function in school-aged children with attention-deficit/hyperactivity disorder in Korea. Psychiatry Invest. 11(3), 223–227 (2014)
Flapper, B.C., Houwen, S., Schoemaker, M.M.: Fine motor skills and effects of methylphenidate in children with attention-deficit-hyperactivity disorder and developmental coordination disorder. Dev. Med. Child Neurol. 48(3), 165–169 (2006)
Leitner, Y., et al.: Gait in attention deficit hyperactivity disorder: effects of methylphenidate and dual tasking. J. Neurol. 254(10), 1330–1338 (2007)
Papadopoulos, N., McGinley, J.L., Bradshaw, J.L., Rinehart, N.J.: An investigation of gait in children with attention deficit hyperactivity disorder: a case controlled study. Psychiatry Res. 218(3), 319–323 (2014)
Piek, J.P., Pitcher, T.M., Hay, D.A.: Motor coordination and kinaesthesis in boys with attention deficit-hyperactivity disorder. Dev. Med. Child Neurol. 41(3), 159–165 (1999)
Pitcher, T.M., Piek, J.P., Hay, D.A.: Fine and gross motor ability in males with ADHD. Dev. Med. Child Neurol. 45(8), 525–535 (2003)
Buderath, P., et al.: Postural and gait performance in children with attention deficit/hyperactivity disorder. Gait Posture 29(2), 249–254 (2009)
Chen, Y.Y., et al.: Comparison of dynamic balance under dual and simple task conditions in children with attention deficit hyperactivity disorder. J. Phys. Ther. Sci. 24(8), 633–637 (2012)
Ghanizadeh, A.: Commentary to: postural and gait performance in children with attention deficit/hyperactivity disorder. Gait Posture 29(4), 661 (2009)
Konicarova, J., Bob, P., Raboch, J.: Balance deficits and ADHD symptoms in medication-naive school-aged boys. Neuropsychiatric Dis. Treat. 10, 85–88 (2014)
Mao, H.Y., Kuo, L.C., Yang, A.L., Su, C.T.: Balance in children with attention deficit hyperactivity disorder-combined type. Res. Dev. Disabil. 35(6), 1252–1258 (2014)
Shum, S.B., Pang, M.Y.: Children with attention deficit hyperactivity disorder have impaired balance function: involvement of somatosensory, visual, and vestibular systems. J. Pediatr. 155(2), 245–249 (2009)
Wang, J., Wang, Y., Ren, Y.: A case-control study on balance function of attention deficit hyperactivity disorder (ADHD) children. J. Peking Univ. Health sci. 35(3), 280–283 (2003)
Schoemaker, M.M., Ketelaars, C.E., van Zonneveld, M., Minderaa, R.B., Mulder, T.: Deficits in motor control processes involved in production of graphic movements of children with attention-deficit-hyperactivity disorder. Dev. Med. Child Neurol. 47(6), 390–395 (2005)
Tseng, M.H., Henderson, A., Chow, S.M., Yao, G.: Relationship between motor proficiency, attention, impulse, and activity in children with ADHD. Dev. Med. Child Neurol. 46(6), 381–388 (2004)
Vallesi, A., D’Agati, E., Pasini, A., Pitzianti, M., Curatolo, P.: Impairment in flexible regulation of speed and accuracy in children with ADHD. J. Int. Neuropsychol. Soc. 19(9), 1016–1020 (2013)
Wang, H.Y., Huang, T.H., Lo, S.K.: Motor ability and adaptive function in children with attention deficit hyperactivity disorder. Kaohsiung J. Med. Sci. 27(10), 446–452 (2011)
Deliagina, T.G., Zelenin, P.V., Beloozerova, I.N., Orlovsky, G.N.: Nervous mechanisms controlling body posture. Physiol. Behav. 92(1–2), 148–154 (2007)
Bucci, M.P., Seassau, M., Larger, S., Bui-Quoc, E., Gerard, C.L.: Effect of visual attention on postural control in children with attention-deficit/hyperactivity disorder. Res. Dev. Disabil. 35(6), 1292–1300 (2014)
Shumway-Cook, A., Woollacott, M.: Attentional demands and postural control: the effect of sensory context. J. gerontol. Ser. A Biol. Sci. Med. Sci. 55(1), M10–16 (2000)
Zang, Y., Gu, B., Qian, Q., Wang, Y.: Objective measurement of the balance dysfunction in attention deficit hyperactivity disorder children. Chin. J. Clin. Rehabil. 6, 1372–1374 (2002)
Blanchard, Y., et al.: The influence of concurrent cognitive tasks on postural sway in children. Pediatr. Phys. Ther. 17(3), 189–193 (2005)
Pellecchia, G.L.: Postural sway increases with attentional demands of concurrent cognitive task. Gait Posture 18(1), 29–34 (2003)
DiScala, C., Lescohier, I., Barthel, M., Li, G.: Injuries to children with attention deficit hyperactivity disorder. Pediatrics 102(6), 1415–1421 (1998)
Verret, C., Gardiner, P., Beliveau, L.: Fitness level and gross motor performance of children with attention-deficit hyperactivity disorder. Adap. Phys. Act. Quart. 27(4), 337–351 (2010)
Shorer, Z., Becker, B., Jacobi-Polishook, T., Oddsson, L., Melzer, I.: Postural control among children with and without attention deficit hyperactivity disorder in single and dual conditions. Eur. J. Pediatr. 171(7), 1087–1094 (2012)
Wu, W.L., et al.: Influence of working memory task and time on postural control of children with attention deficit hyperactivity disorder. J. Phys. Ther. Sci. 26(3), 345–347 (2014)
Reimer, B., Mehler, B., D’Ambrosio, L.A., Fried, R.: The impact of distractions on young adult drivers with attention deficit hyperactivity disorder (ADHD). Accid. Anal. Prev. 42(3), 842–851 (2010)
Siu, K.C., Woollacott, M.H.: Attentional demands of postural control: the ability to selectively allocate information-processing resources. Gait Posture 25(1), 121–126 (2007)
Kelly, V.E., Janke, A.A., Shumway-Cook, A.: Effects of instructed focus and task difficulty on concurrent walking and cognitive task performance in healthy young adults. Exp. Brain Res. 207(1–2), 65–73 (2010)
Alderson, R.M., et al.: Working memory deficits in boys with attention deficit/hyperactivity disorder (ADHD): an examination of orthographic coding and episodic buffer processes. Child Neuropsychol. 21(4), 509–530 (2015)
Acknowledgements
This work was supported by the National Science Council, Taiwan (NSC 97-2320-B-037-004-MY3).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Science+Business Media Singapore
About this paper
Cite this paper
Wu, WL., Wu, JH., Chen, YY., Chen, CH., Wang, CC., Liang, JM. (2018). Balance Ability Affects Dual-Task Strategy in Children with Attention Deficit Hyperactivity Disorder. In: Ibrahim, F., Usman, J., Ahmad, M., Hamzah, N., Teh, S. (eds) 2nd International Conference for Innovation in Biomedical Engineering and Life Sciences. ICIBEL 2017. IFMBE Proceedings, vol 67. Springer, Singapore. https://doi.org/10.1007/978-981-10-7554-4_16
Download citation
DOI: https://doi.org/10.1007/978-981-10-7554-4_16
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-7553-7
Online ISBN: 978-981-10-7554-4
eBook Packages: EngineeringEngineering (R0)