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Interaction of attention and graphomotor functions in children with attention deficit hyperactivity disorder

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Neuropsychiatric Disorders An Integrative Approach

Part of the book series: Journal of Neural Transmission. Supplementa ((NEURALTRANS,volume 72))

Abstract

The present article provides a review of a series of studies in children with attention deficit hyperactivity disorder (ADHD) concerning (1) the effects of methylphenidate on various attentional functions, (2) the stimulant-induced changes of both qualitative and quantitative (i.e. kinematic) aspects of handwriting, (3) the interaction between conscious control of handwriting and fluency of handwriting movements, and (4) possible therapeutic approaches to graphomotor disturbances. Children with ADHD showed impairments in various aspects of attentional functioning. Pharmacological treatment of ADHD children with methylphenidate resulted in marked improvements of various components of attentional functioning. In comparison to the performance following the withdrawal of methylphenidate, children with ADHD on methylphenidate displayed a significant improvement in task accuracy in the areas of vigilance, divided attention, selective attention (inhibition, focused attention and integration of sensory information) and flexibility. However, the comparison with healthy children revealed considerable deficits regarding vigilance, divided attention, flexibility and selective attention (focused attention and integration of sensory information) in children with ADHD on methylphenidate. The comparison of writing movements of children on and off methylphenidate revealed that medication resulted in a better handwriting, but a deterioration in handwriting fluency as assessed by kinematic analysis.

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References

  • Ackerman PT, Anhalt JM, Holcomb PJ, Dykman RA(1986) Presumably innate and acquired automatic processes in children with attention and/or reading disorders. J Child Psychol Psychiatry 27: 513–529

    Article  PubMed  CAS  Google Scholar 

  • Barkley RA(1991) The ecological validity of laboratory and analogue assessment methods of ADHD symptoms. J Abnorm Child Psychol 19: 149–178

    Google Scholar 

  • Barkley RA(1998) Attention-deficit hyperactivity disorder. Sci Am 279: 66–71

    Google Scholar 

  • Borger N, Van der Meere J, Ronner A, Alberts E, Geuze R, Bogte H(1999) Heart rate variability and sustained attention in ADHD children. J Abnorm Child Psychol 27: 25–33

    Article  PubMed  CAS  Google Scholar 

  • Castellanos FX, Giedd JN, Marsh WL, Hamburger SD, Vaituzis AC, Dickstein DP, Sarfatti SE, Vauss YC, Snell JW, Lange N et al. (1996) Quantitative brain magnetic resonance imaging in attentiondeficit hyperactivity disorder. Arch Gen Psychiatry 53: 607–616

    PubMed  CAS  Google Scholar 

  • Cohen NJ, Douglas VI, Morgenstern G(dy1971) The effect of methylphenidate on attentive behavior and autonomic activity in hyperactive children. Psychopharmacologia 22: 282–294

    Article  PubMed  CAS  Google Scholar 

  • Cohen RA(1993) The neuropsychology of attention. Plenum Press, New York

    Google Scholar 

  • Cook EH, Stein MA, Krasowski MD, Cox NJ, Olkon DM, Kieffer JE, Leventhal BL(1995) Association of attention-deficit disorder and the dopamine transporter gene. Am J Hum Genet 56: 993–998

    PubMed  CAS  Google Scholar 

  • Corkum PV, Siegel LS(1993) Is the Continuous Performance Task a valuable research tool for use with children with Attention-Deficit-Hyperactivity Disorder? J Child Psychol Psychiatry 34: 1217–1239

    Article  PubMed  CAS  Google Scholar 

  • Cornhill H, Case-Smith J(1996) Factors that relate to good and poor handwriting. Am J Occup Ther 50: 732–739

    PubMed  CAS  Google Scholar 

  • DuPaul GJ, Barkley RA, Connor DF(1998) Stimulants. In Barkley RA (ed) Attention-deficit hyperactivity disorder. A handbook for diagnosis and treatment. Guilford Press, New York, pp 510–551

    Google Scholar 

  • Filipek PA, Semrud-Clikeman M, Steingard RJ, Renshaw PF, Kennedy DN, Biederman J(1997) Volumetric MRI analysis comparing subjects having attention-deficit hyperactivity disorder with normal controls. Neurology 48: 589–601

    PubMed  CAS  Google Scholar 

  • Grodzinsky GM, Diamond R(1992) Frontal lobe functioning in boys with attention-deficit hyperactivity disorder. Dev Neuropsychol 8: 427–445

    Article  Google Scholar 

  • Heilman KM, Voeller KK, Nadeau SE(1991) A possible pathophysiologic substrate of attention deficit hyperactivity disorder. J Child Neurol 6 Suppl: S76–S81

    PubMed  Google Scholar 

  • Hoza B, Pelham W(1993) Attention-deficit hyperactivity disorder. In: Ammerman RT, Last CG(eds) Handbook of prescriptive treatments for children and adolescents. Allyn and Bacon, Boston, pp 64–84

    Google Scholar 

  • Hynd GW, Hern KL, Novey ES, Eliopulos D, Marshall R, Gonzalez JJ, Voeller KK(1993) Attention deficit-hyperactivity disorder and asymmetry of the caudate nucleus. J Child Neurol 8: 339–347

    PubMed  CAS  Google Scholar 

  • Jonkman LM, Kemner C, Verbaten MN, Van Engeland H, Kenemans JL, Camfferman G, Buitelaar JK, Koelega HS(1999) Perceptual and response interference in children with attention-deficit hyperactivity disorder, and the effects of methylphenidate. Psychophysiology 36: 419–429

    Article  PubMed  CAS  Google Scholar 

  • Kahneman D(1973) Attention and effort. Prentice-Hall, Englewood Cliffs

    Google Scholar 

  • Kaminsky S, Powers R(1981) Remediation of handwriting difficulties: a practical approach. Acad Ther 17: 19–25

    Google Scholar 

  • Keith RW, Engineer P(1991) Effects of methylphenidate on the auditory processing abilities of children with attention deficit-hyperactivity disorder. J Learn Disabil 24: 630–636

    Article  PubMed  CAS  Google Scholar 

  • Kempton S, Vance A, Maruff P, Luk E, Costin J, Pantelis C(1999) Executive function and attention deficit hyperactivity disorder: stimu 258 lant medication and better executive function performance in children. Psychol Med 29: 527–538

    Article  PubMed  CAS  Google Scholar 

  • Kupietz SS(1990) Sustained attention in normal and in reading-disabled youngsters with and without ADDH. J Abnorm Child Psychol 18: 357–372

    Google Scholar 

  • LaHoste GJ, Swanson JM, Wigal SB, Glabe C, Wigal T, King N, Kennedy JL (1996) Dopamine D4 receptor gene polymorphism is associated with attention deficit hyperactivity disorder. Mol Psychiatry 1: 121–124

    PubMed  CAS  Google Scholar 

  • Lange KW, Mecklinger L, Walitza S, Becker G, Gerlach M, Naumann M, Tucha O(2006) Brain dopamine and kinematics of graphomotor functions. Hum Mov Sci 25: 492–509

    Article  PubMed  Google Scholar 

  • Lehrl S, Triebig G, Fischer B(1995) Multiple choice vocabulary test MWT as a valid and short test to estimate premorbid intelligence. Acta Neurol Scand 91: 335–345

    PubMed  CAS  Google Scholar 

  • Lerer RJ, Artner J, Lerer MP(1979) Handwriting deficits in children with minimal brain dysfunction: effects of methylphenidate (Ritalin) and placebo. J Learn Disabil 12: 450–455

    PubMed  CAS  Google Scholar 

  • Losier BJ, McGrath PJ, Klein RM(1996) Error patterns on the continuous performance test in non-medicated and medicated samples of children with and without ADHD: a meta-analytic review. J Child Psychol Psychiatry 37: 971–987

    Article  PubMed  CAS  Google Scholar 

  • Mai N, Marquardt C(1992) CS — Computer-assisted movement analysis in handwriting. Operational manual. MedCom Verlag, Munich

    Google Scholar 

  • Mai N, Marquardt C(1994) Treatment of writer’s cramp. Kinematic measures as an assessment tool for planning and evaluating training procedures. In: Faure C, Keuss P, Lorette G, Vinter A(eds) Advances in handwriting and drawing. A multidisciplinary approach. Télécom, Paris, pp 445–461

    Google Scholar 

  • Marquardt C, Gentz W, Mai N(1996) On the role of vision in skilled handwriting. In: Simner ML, Leedham CG, Thomassen AJWM(eds) Handwriting and drawing research: basic and applied issues. IOS Press, Amsterdam, pp 87–97

    Google Scholar 

  • Marrocco RT, Davidson MC(1998) Neurochemistry of attention. In: Parasuraman R (ed) The attentive brain. MIT Press, Cambridge, pp 35–50

    Google Scholar 

  • Mirsky AF, Anthony BJ, Duncan CC, Ahearn MB, Kellam SG(1991) Analysis of the elements of attention: a neuropsychological approach. Neuropsychol Rev 2: 109–145

    Article  PubMed  CAS  Google Scholar 

  • Musten LM, Firestone P, Pisterman S, Bennett S, Mercer J(1997) Effects of metylphenidate on preschool children with ADHD: cognitive and behavioral functions. J Am Acad Child Adolesc Psychiatry 36: 1407–1415

    Article  PubMed  CAS  Google Scholar 

  • Näätänen R(1992) Attention and brain function. Erlbaum, Hillsdale

    Google Scholar 

  • Oommen A, Kapur M, Shanmugam V(1993) Attention, reaction time and visual-motor integration in hyperkinetic and conduct disordered children. NIMHANS J 11: 141–147

    Google Scholar 

  • O’Toole K, Abramowitz A, Morris R, Dulcan M(1997) Effects of methylphenidate on attention and nonverbal learning in children with attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 36: 531–538

    PubMed  CAS  Google Scholar 

  • Peeples EE, Searls DT, Wellingham JP(1995) Attention-deficit hyperactivity disorder: a longitudinal case study of handwriting characteristics. Percept Mot Skills 81: 1243–1252

    PubMed  CAS  Google Scholar 

  • Perugini EM, Harvey EA, Lovejoy DW, Sandstrom K, Webb AH(2000) The predictive power of combined neuropsychological measures for attention-deficit/hyperactivity disorder in children. Child Neuropsychol 6: 101–114

    PubMed  CAS  Google Scholar 

  • Posner MI, Boies SJ(1971) Components of attention. Psychol Rev 78: 391–408

    Article  Google Scholar 

  • Posner MI, Rafal RD(1987) Cognitive theories of attention and the rehabilitation of attentional deficits. In: Meier MJ, Benton AL, Diller L (eds) Neuropsychological Rehabilitation. Guilford Press, New York, pp 182–201

    Google Scholar 

  • Reid MK, Borkowski JG(1984) Effects of methylphenidate (Ritalin) on information processing in hyperactive children. J Abnorm Child Psychol 12: 169–185

    Article  PubMed  CAS  Google Scholar 

  • Resta SP, Eliot J(1994) Written expression in boys with attention deficit disorder. Percept Mot Skills 79: 1131–1138

    PubMed  CAS  Google Scholar 

  • Riccio CA, Waldrop JJ, Reynolds CR, Lowe P(2001) Effects of stimulants on the continuous performance test (CPT): implications for CPT use and interpretation. J Neuropsychiatry Clin Neurosci 13: 326–335

    PubMed  CAS  Google Scholar 

  • Schachar R, Tannock R(1993) Childhood hyperactivity and psychostimulants: a review of extended treatment studies. J Child Adolesc Psychopharmacol 3: 81–97

    PubMed  CAS  Google Scholar 

  • Seeman P, Madras BK(1998) Anti-hyperactivity medication: methylphenidate and amphetamine. Mol Psychiatry 3: 386–396

    Article  PubMed  CAS  Google Scholar 

  • Seidman LJ, Benedict KB, Biederman J, Bernstein JH, Seiverd K, Milberger S, Norman D, Mick E, Faraone SV (1995) Performance of children with ADHD on the Rey-Osterrieth complex figure: a pilot neuropsychological study. J Child Psychol Psychiatry 36: 1459–1473

    Article  PubMed  CAS  Google Scholar 

  • Semrud-Clikeman M, Filipek PA, Biederman J, Steingard R, Kennedy D, Renshaw P, Bekken K(1994) Attention-deficit hyperactivity disorder: magnetic resonance imaging morphometric analysis of the corpus callosum. J Am Acad Child Adolesc Psychiatry 33: 875–881

    Article  PubMed  CAS  Google Scholar 

  • Shallice T(1982) Specific impairments of planning. Phil Trans Royal Soc London 298: 199–209

    Google Scholar 

  • Shaywitz SE, Shaywitz BA(1991) Attention deficit disorder: diagnosis and the role of ritalin in management. In: Greenhill LL, Osman BB (eds) Ritalin: theory and patient management. Liebert, New York, pp 45–67

    Google Scholar 

  • Shue KL, Douglas VI(1992)Attention deficit hyperactivity disorder and the frontal lobe syndrome. Brain Cogn 20: 104–124

    Article  PubMed  CAS  Google Scholar 

  • Sohlberg MM, Mateer CA(1987) Effectiveness of an attenion training program. J Clin Exp Neuropsychol 9: 117–130

    PubMed  CAS  Google Scholar 

  • Sroufe LA, Sonies BC, West WD, Wright FS(1973) Anticipatory heart rate deceleration and reaction time in children with and without referral for learning disability. Child Dev 44: 267–273

    Article  PubMed  CAS  Google Scholar 

  • Swanson JM, McBurnett K, Wigal T, Pfiffner LJ, Lerner MA, Williams L, Christian DL, Tamm L, Willcutt E, Crowley K et al. (1993) Effect of stimulant medication on children with attention deficit disorder: a “review of reviews”. Except Child 60: 154–162

    Google Scholar 

  • Thomassen AJWM, VanGalen GP(1992) Handwriting as a motor task: Experimentation, modelling, and simulation. In: Summers JJ (ed) Approaches to the study of motor control and learning. North-Holland, Amsterdam, pp 113–144

    Google Scholar 

  • Trommer BL, Hoeppner JA, Lorber R, Armstrong KJ(1988) The go-no-go paradigm in attention deficit disorder. Ann Neurol 24: 610–614

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Lange KW(2001) Effects of methylphenidate on kinematic aspects of handwriting in hyperactive boys. J Abnorm Child Psychol 29: 351–356

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Lange KW(2004a) Effects of nicotine chewing gum on a real-life motor task: a kinematic analysis of handwriting movements in smokers and non-smokers. Psychopharmacology 173: 49–56

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Lange KW(2004b) Handwriting in attention deficit hyperactivity disorder. Motor Control 8: 461–471

    PubMed  Google Scholar 

  • Tucha O, Lange KW(2005) The effect of conscious control on handwriting in children with attention deficit hyperactivity disorder. J Atten Disord 9: 323–332

    Article  PubMed  Google Scholar 

  • Tucha O, Aschenbrenner S, Lange KW(2000) Mirror writing and handedness. Brain Lang 73: 432–441

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Aschenbrenner S, Eichhammer P, Putzhammer A, Sartor H, Klein HE, Lange KW(2002) The impact of tricyclic antidepressants and selective serotonin re-uptake inhibitors on handwriting movements of patients with depression. Psychopharmacology 159: 211–215

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Trumpp C, Lange KW(2004) Writing words and non-words to dictation. Brain Lang 91: 267–273

    Article  PubMed  Google Scholar 

  • Tucha O, Mecklinger L, Thome J, Reiter A, Alders GL, Sartor H, Naumann M, Lange KW(2006a) Kinematic analysis of dopaminergic effects on skilled handwriting movements in Parkinson’;s disease. J Neural Transm 113: 609–623

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Mecklinger L, Walitza S, Lange KW(2006b) Attention and movement execution during handwriting. Hum Mov Sci 25: 536–552

    Article  PubMed  Google Scholar 

  • Tucha O, Prell S, Mecklinger L, Bormann-Kischkel C, Kübber S, Linder M, Walitza S, Lange KW(2006c) Effects of methylphenidate on multiple components of attention in children with attention deficit hyperactivity disorder. Psychopharmacology 185: 315–326

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Walitza S, Mecklinger L, Sontag TA, Kübber S, Linder M, Lange KW (2006d) Attentional functioning in children with ADHD predominantly hyperactive-impulsive type and children with ADHD-combined type. J Neural Transm 113: 1943–1953

    Article  PubMed  CAS  Google Scholar 

  • Tucha O, Walitza S, Mecklinger L, Stasik D, Sontag TA, Lange KW (2006e) The effect of caffeine on handwriting movements in skilled writers. Hum Mov Sei 25: 523–535

    Article  Google Scholar 

  • Vander Meere J, Sergeant JA(1988) Focused attention in pervasively hyperactive children. J Abnorm Child Psychol16: 627–639

    Article  PubMed  Google Scholar 

  • Vander Meere J, Gunning B, Stemerdink N(1999) The effect of methylphenidate and clonidine on response inhibition and state regulation in children with ADHD. J Child Psychol Psychiatry 40: 291–298

    Article  PubMed  Google Scholar 

  • VanGalen GP(1991) Handwriting: issues for a psychomotor theory. Hum Mov Sei10: 165–191

    Google Scholar 

  • VanZomeren AH, Brouwer WH(1994) Clinical neuropsychology of attention. Oxford University Press, New York

    Google Scholar 

  • Whalen CK, Henker B, Finck D(1981) Medication effects in the classroom: three naturalistic indicators. J Abnorm Child Psychol 9: 419–433

    Article  PubMed  CAS  Google Scholar 

  • Whalen CK, Henker B, Buhrmester B, Hinshaw SP, Huber A, Laski K (1989) Does stimulant medication improve the peer status of hyperactive children? J Consult Clin Psychol 57: 545–549

    Article  PubMed  CAS  Google Scholar 

  • Zametkin AJ, Rapoport JL(1987) Neurobiology of attention deficit disorder with hyperactivity: where have we come in 50 years? J Am Acad Child Adolesc Psychiatry 26: 676–686

    Article  PubMed  CAS  Google Scholar 

  • Zeiner P, Bryhn G, Bjercke C, Truyen K, Strand G(1999) Response to methylphenidate in boys with attention-deficit hyperactivity disorder. Acta Paediatr 88: 298–303

    Article  PubMed  CAS  Google Scholar 

  • Zimmermann P, Fimm B(1989) A computerized neuropsychological assessment of attention deficits (Manual). Psy Test, Wuerselen, Germany

    Google Scholar 

  • Zimmermann P, Fimm B(2002) A computerized neuropsychological assessment of attention deficits (Manual). Psy Test, Herzogenrath, Germany

    Google Scholar 

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Lange, K.W., Tucha, L., Walitza, S., Gerlach, M., Linder, M., Tucha, O. (2007). Interaction of attention and graphomotor functions in children with attention deficit hyperactivity disorder. In: Gerlach, M., Deckert, J., Double, K., Koutsilieri, E. (eds) Neuropsychiatric Disorders An Integrative Approach. Journal of Neural Transmission. Supplementa, vol 72. Springer, Vienna. https://doi.org/10.1007/978-3-211-73574-9_31

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