Fine Motor Ability and Psychiatric Disorders in Youth

Overview

Journal Eur Child Adolesc Psychiatry

Specialties Pediatrics
Psychiatry

Date 2017 Dec 7

PMID 29209833

Citations 3

Authors

Lorenna Sena Teixeira Mendes

Gisele Gus Manfro

Ary Gadelha

Pedro Mario Pan

Rodrigo Affonseca Bressan

Luis Augusto Rohde

Giovanni Abrahao Salum

Affiliations

Soon will be listed here.

Abstract

Impaired fine motor ability has been linked to several domains of psychopathology. However, studies validating the specificity of this association among several categorical psychiatric disorders are still needed. The aim of this study was to assess differences in fine motor ability performance among four non-overlapping groups of psychiatric disorders and a group of typical developing comparisons (TDC). Our sample consisted of 2035 subjects aged 6-14-year-old. Diagnoses of psychiatric disorders were performed with the Development and Well-Being Assessment (DAWBA). Five non-overlapping groups without comorbidity were formed: phobic disorders (n = 101), distress disorders (n = 82), attention deficit hyperactivity disorder (ADHD) (n = 133), oppositional defiant disorder/conduct disorder (ODD/CD) (n = 52) and one group of typical developing comparisons (TDC) (n = 1667). Fine motor ability was evaluated by three tasks: sequential finger-thumb opposition, Oseretsky, and pronation/supination tests. Each task was assessed by total time to perform the movement and levels of accuracy, fluency, symmetry, precision, and coordination. We found that, when compared to TDC, the ADHD group performed more poorly in total fine motor ability (mean difference = - 0.28; p = 0.014), time to complete the task (mean difference = 0.36; p < 0.001), accuracy (mean difference = - 0.30; p = 0.005), fluency (mean difference = - 0.26; p = 0.03), symmetry (mean difference - 0.25; p = 0.04), precision (mean difference = - 0.26; p = 0.026), and coordination (mean difference = - 0.25; p = 0.042). The ADHD group also took more time to complete the task than the ODD/CD group (mean difference = 0.45; p = 0.037). No other significant between-group differences were found. Additional analyses showed those differences were statistically significant for all ADHD dimensions. Our results suggest that children with ADHD present impairments in all aspects of fine motor abilities compared to TDC, a difference not found in other psychiatric disorders.

Citing Articles

Association between reported ADHD symptom and motor development delay in preschool children.

Cui Z, Li S, Liang A, Huang H, Ni X Front Pediatr. 2024; 12:1480488.

PMID: 39649398 PMC: 11620883. DOI: 10.3389/fped.2024.1480488.

Deep learning-based activity recognition and fine motor identification using 2D skeletons of cynomolgus monkeys.

Li C, Xiao Z, Li Y, Chen Z, Ji X, Liu Y Zool Res. 2023; 44(5):967-980.

PMID: 37721106 PMC: 10559098. DOI: 10.24272/j.issn.2095-8137.2022.449.

Transdiagnostic symptom subtypes across autism spectrum disorders and attention deficit hyperactivity disorder: validated by measures of neurocognition and structural connectivity.

Zhang M, Huang Y, Jiao J, Yuan D, Hu X, Yang P BMC Psychiatry. 2022; 22(1):102.

PMID: 35139813 PMC: 8827180. DOI: 10.1186/s12888-022-03734-4.

References

Papadopoulos N, Rinehart N, Bradshaw J, McGinley J . Brief report: children with ADHD without co-morbid autism do not have impaired motor proficiency on the movement assessment battery for children. J Autism Dev Disord. 2012; 43(6):1477-82. DOI: 10.1007/s10803-012-1687-5. View

Wagner F, Martel M, Cogo-Moreira H, Maia C, Pan P, Rohde L . Attention-deficit/hyperactivity disorder dimensionality: the reliable 'g' and the elusive 's' dimensions. Eur Child Adolesc Psychiatry. 2015; 25(1):83-90. DOI: 10.1007/s00787-015-0709-1. View

Yan J, Thomas J . Arm movement control: differences between children with and without attention deficit hyperactivity disorder. Res Q Exerc Sport. 2002; 73(1):10-8. DOI: 10.1080/02701367.2002.10608987. View

Rommelse N, Altink M, Oosterlaan J, Buschgens C, Buitelaar J, de Sonneville L . Motor control in children with ADHD and non-affected siblings: deficits most pronounced using the left hand. J Child Psychol Psychiatry. 2007; 48(11):1071-9. DOI: 10.1111/j.1469-7610.2007.01781.x. View

Tellegen A, Briggs P . Old wine in new skins: grouping Wechsler subtests into new scales. J Consult Psychol. 1967; 31(5):499-506. DOI: 10.1037/h0024963. View

Ivanova M, Achenbach T, Rescorla L, Harder V, Ang R, Bilenberg N . Preschool psychopathology reported by parents in 23 societies: testing the seven-syndrome model of the child behavior checklist for ages 1.5-5. J Am Acad Child Adolesc Psychiatry. 2010; 49(12):1215-24. PMC: 4247330. DOI: 10.1016/j.jaac.2010.08.019. View

Purcell R, Maruff P, Kyrios M, Pantelis C . Cognitive deficits in obsessive-compulsive disorder on tests of frontal-striatal function. Biol Psychiatry. 1998; 43(5):348-57. DOI: 10.1016/s0006-3223(97)00201-1. View

Purcell R, Maruff P, Kyrios M, Pantelis C . Neuropsychological deficits in obsessive-compulsive disorder: a comparison with unipolar depression, panic disorder, and normal controls. Arch Gen Psychiatry. 1998; 55(5):415-23. DOI: 10.1001/archpsyc.55.5.415. View

Klimkeit E, Mattingley J, Sheppard D, Lee P, Bradshaw J . Motor preparation, motor execution, attention, and executive functions in attention deficit/hyperactivity disorder (ADHD). Child Neuropsychol. 2005; 11(2):153-73. DOI: 10.1080/092970490911298. View

10.

Van Damme T, Sabbe B, van West D, Simons J . Motor abilities of adolescents with a disruptive behavior disorder: The role of comorbidity with ADHD. Res Dev Disabil. 2015; 40:1-10. DOI: 10.1016/j.ridd.2015.01.004. View

11.

Cairney J, Veldhuizen S, Szatmari P . Motor coordination and emotional-behavioral problems in children. Curr Opin Psychiatry. 2010; 23(4):324-9. DOI: 10.1097/YCO.0b013e32833aa0aa. View

12.

Licari M, Larkin D . Increased associated movements: influence of attention deficits and movement difficulties. Hum Mov Sci. 2008; 27(2):310-24. DOI: 10.1016/j.humov.2008.02.013. View

13.

Tseng M, Henderson A, Chow S, Yao G . Relationship between motor proficiency, attention, impulse, and activity in children with ADHD. Dev Med Child Neurol. 2004; 46(6):381-8. DOI: 10.1017/s0012162204000623. View

14.

Whitmont S, Clark C . Kinaesthetic acuity and fine motor skills in children with attention deficit hyperactivity disorder: a preliminary report. Dev Med Child Neurol. 1996; 38(12):1091-8. DOI: 10.1111/j.1469-8749.1996.tb15072.x. View

15.

Miri Lavasani N, Stagnitti K . A study on fine motor skills of Iranian children with attention deficit/hyper activity disorder aged from 6 to 11 years. Occup Ther Int. 2011; 18(2):106-14. DOI: 10.1002/oti.306. View

16.

Meyer A, Sagvolden T . Fine motor skills in South African children with symptoms of ADHD: influence of subtype, gender, age, and hand dominance. Behav Brain Funct. 2006; 2:33. PMC: 1626473. DOI: 10.1186/1744-9081-2-33. View

17.

Kaiser M, Schoemaker M, Albaret J, Geuze R . What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? Systematic review of the literature. Res Dev Disabil. 2014; 36C:338-357. DOI: 10.1016/j.ridd.2014.09.023. View

18.

Poole K, Schmidt L, Missiuna C, Saigal S, Boyle M, Van Lieshout R . Childhood motor coordination and adult psychopathology in extremely low birth weight survivors. J Affect Disord. 2015; 190:294-299. DOI: 10.1016/j.jad.2015.10.031. View

19.

Emck C, Bosscher R, van Wieringen P, Doreleijers T, Beek P . Gross motor performance and physical fitness in children with psychiatric disorders. Dev Med Child Neurol. 2010; 53(2):150-5. DOI: 10.1111/j.1469-8749.2010.03806.x. View

20.

Mergl R, Mavrogiorgou P, Juckel G, Zaudig M, Hegerl U . Can a subgroup of OCD patients with motor abnormalities and poor therapeutic response be identified?. Psychopharmacology (Berl). 2005; 179(4):826-37. DOI: 10.1007/s00213-004-2115-0. View