Thesis (MScPhysio)--Stellenbosch University, 2004 / ENGLISH ABSTRACT: Background:
Children with Attention Deficit Hyperactivity Disorder (ADHD) have been reported to have
motor proficiency problems. Few studies have established the extent of these motor
problems and few studies investigate both gross and fine motor proficiency. The studies
which do investigate motor proficiency, often also include other aspects, for example
physical fitness, grip strength or kinaesthesia. It is important to be able to identify motor
proficiency deficit in this population group early for appropriate intervention to be as
effective as possible. The first step in this process is to identify the areas of motor
proficiency deficits experienced by these children.
Study Design:
A cross-sectional descriptive study was done.
Objective:
The main aim of this study was to establish if children with ADHD demonstrate motor
proficiency problems. A second aim was to identify in which areas of motor proficiency
they have the most problems.
Method:
A sample of 28 boys and 9 girls (n = 37) children with ADHD, between the ages of six and
ten, were identified by the medical practitioners at four school clinics in the Cape
Metropole. The Bruininks-Oseretsky Test of Motor Proficiency was used to test the
children. The demographic and other factors that could have affected the motor proficiency
in these children were recorded.
Results:
The range, mean and standard deviation were calculated for all the subtests and the three
composite scores. Eighty-one percent of children scored below the expected norm on the
Battery Composite Score (20th percentile) with the difference in age equivalent scores
being significantly different (p < 0.01), the Gross Motor Composite Score (20th percentile
and p < 0.01) and on the Running Speed and Agility Subtest (p < 0.01), the Balance
Subtest (p < 0.01), Strength Subtest (p < 0.01) and the Upper Limb Coordination Subtest
(p < 0.01). No significant motor proficiency problems were identified in the Fine Motor
Composite Score (35th percentile), the Bilateral Coordination Subtest, the Response
Speed Subtest, the Visual motor Subtest or the Visual Motor Control Subtest.
Conclusions:
These results support the literature in so far as motor proficiency deficits are present in
children with ADHD, which in turn supports the need for early identification of these
problems. / AFRIKAANSE OPSOMMING: Agergrond:
Kinders met Aandag Afleibaarheid Hiperaktiwiteit Sindroom (ADHD) demonstreer
probleme met motoriese vaardighede. 'n Paar studies is gedoen om dié bepaalde
motoriese vaardighede te bepaal en sommige studies kombineer die ondersoek met ander
aspekte van motoriese vaardigheid soos, fiksheid, greep sterkte of kinestesie. Dit is
belangrik om die tekortkominge vroeg te identifiseer om effektiewe intervensie so vroeg
moontlik te inisieer. Die eerste stap is om die spesifieke vaardighede waarmee hierdie
groep kinders probleme ondervind, te identifiseer.
Studie:
'n Dwarssnit beskrywende studie is uitgevoer.
Doel:
Die doel van die studie was om te bepaal of kinders met ADHD motoriese probleme het
en of daar spesifieke aspekte van motoriese vaardigheid is waar hulle tekortkominge toon.
Metodiek:
'n Steekproef van 28 seuns en 9 dogters (n = 37) tussen die ouderdomme van ses tot tien
jaar, met ADHD is deur die mediese praktisyns geïdentifiseer, en getoets. Die Bruininks-
Oseretsky Toets vir Motoriese Vaardigheid is gebruik. Enige faktore wat motoriese
vaardigheid kon beïnvloed is gedokumenteer.
Resultate:
Die reikwydte, gemiddelde en standaard afwyking is bereken vir al die sub-toetse en die
drie saamgestelde tellings. Een en tagtig persent van die kinders het tellings onder die
verwagte norm behaal vir die Saamgestelde Telling van die Battery van toetse (20ste
persentiel) met die verskil in ouderdomtelling beduidend verskillend (p<O.01).Die Growwe
Motoriese Saamgesteldetelling was (20ste persentiel en p<O.01), die Hardloopspoed- en
Ratsheidsubtoets (p<O.01), die Balanssubtoets (p<O.01), Kragsubtoets (p<O.01) en die
Boonste Ledemaat Koordinasie-subtoets (p<O.01). Geen beduidende tekorte is deur
middel van die Saamgestelde Fyn Motoriese Vaardigheidstoetse (3Sste persentiel), die
Bilaterale Koordinasiesubtoets, die Reaksiespoed-subtoets, die Visuele Motoriese
subtoets of die Visuele Motoriese Beheer-subtoets gevind nie.
Gevolgtrekkings:
Die resultate ondersteun die bevindinge uit die literatuur rakende die probleme wat kinders
met ADHD met motoriese vaadigheid ervaar en ondersteun die behoefte vir vroeë
identifisering om effektiewe intervensie so vroeg moontlik te begin.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/49862 |
| Date | 04 1900 |
| Creators | Statham, S. B |
| Contributors | Bester, M. M., Faure, M., Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Interdisciplinary Health Sciences. Occupational Therapy. |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | en_ZA |
| Detected Language | English |
| Type | Thesis |
| Format | 113 p. : ill. |
| Rights | Stellenbosch University |
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