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Erschienen in: ADHD Attention Deficit and Hyperactivity Disorders 4/2017

04.03.2017 | Original Article

The risk of misdiagnosing posture weakness as hyperactivity in ADHD: a case study

verfasst von: Carsten Vogt

Erschienen in: ADHD Attention Deficit and Hyperactivity Disorders | Ausgabe 4/2017

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Abstract

Difficulties in sustaining posture can present with features associated with hyperactive behaviour listed in DSM-5 and ICD-10 classifications for ADHD. Information from a system measuring motor activity during a neurocognitive test (QbTest), occupational therapist reports and Conners rating scales are compared between cases with and without posture problems. Weakness in sustaining posture results in elevated activity measures during infrared motion analysis. Strong posture on the other hand appears to mitigate activity levels. Posture is an independent factor which requires consideration during the assessment of ADHD.
Literatur
Zurück zum Zitat Arnsten AFT, Steere JC, Hunt RD (1996) The contribution of alpha 2 noradrenergic mechanisms to prefrontal cortical cognitive functions: potential significance to attention-deficit hyperactivity disorder. Arch Gen Psychiat 53:448–455CrossRefPubMed Arnsten AFT, Steere JC, Hunt RD (1996) The contribution of alpha 2 noradrenergic mechanisms to prefrontal cortical cognitive functions: potential significance to attention-deficit hyperactivity disorder. Arch Gen Psychiat 53:448–455CrossRefPubMed
Zurück zum Zitat Barkley RA (1991) The ecological validity of laboratory and analogue assessment methods of ADHD symptoms. J Abnorm Child Psychol 19:149–178CrossRefPubMed Barkley RA (1991) The ecological validity of laboratory and analogue assessment methods of ADHD symptoms. J Abnorm Child Psychol 19:149–178CrossRefPubMed
Zurück zum Zitat Barkley RA (1997) Behavioural inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 121:65–94CrossRefPubMed Barkley RA (1997) Behavioural inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 121:65–94CrossRefPubMed
Zurück zum Zitat Castellanos FX, Proal E (2012) Large-scale brain systems in ADHD: beyond the prefrontal-striatal model. Trends Cogn Sci 16(1):17–26CrossRefPubMed Castellanos FX, Proal E (2012) Large-scale brain systems in ADHD: beyond the prefrontal-striatal model. Trends Cogn Sci 16(1):17–26CrossRefPubMed
Zurück zum Zitat Conners CK (2008) Conners 3rd edn. manual. Multi-Health Systems Incorporation, Toronto, ON Conners CK (2008) Conners 3rd edn. manual. Multi-Health Systems Incorporation, Toronto, ON
Zurück zum Zitat Dickstein SG, Bannon K, Castellanos FX, Milham MP (2006) The neural correlates of attention deficit hyperactivity disorder: an ALE metaanalysis. J Child Psychol Psychiatry 47:1051–1062CrossRefPubMed Dickstein SG, Bannon K, Castellanos FX, Milham MP (2006) The neural correlates of attention deficit hyperactivity disorder: an ALE metaanalysis. J Child Psychol Psychiatry 47:1051–1062CrossRefPubMed
Zurück zum Zitat Edwards M, Gardner E, Chelonis J, Schulz E, Flake R, Diaz P (2007) Estimates of the validity and utility of the Conners’ continuous performance test in the assessment of inattentive and/or hyperactive-impulsive behaviors in children. J Abnorm Child Psychol 35:393–404CrossRefPubMed Edwards M, Gardner E, Chelonis J, Schulz E, Flake R, Diaz P (2007) Estimates of the validity and utility of the Conners’ continuous performance test in the assessment of inattentive and/or hyperactive-impulsive behaviors in children. J Abnorm Child Psychol 35:393–404CrossRefPubMed
Zurück zum Zitat Hall CL, Valentine AZ, Groom MJ, Walker GM, Sayal K, Daley D, Hollis C (2016) The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review. Eur Child Adolesc Psychiatry 25(7):677–699CrossRefPubMed Hall CL, Valentine AZ, Groom MJ, Walker GM, Sayal K, Daley D, Hollis C (2016) The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review. Eur Child Adolesc Psychiatry 25(7):677–699CrossRefPubMed
Zurück zum Zitat Himmelstein J, Schulz KP, Newcorn JH, Halperin JM (2000) The neurobiology of attention-deficit hyperactivity disorder. Front Biosci 5:461–478CrossRef Himmelstein J, Schulz KP, Newcorn JH, Halperin JM (2000) The neurobiology of attention-deficit hyperactivity disorder. Front Biosci 5:461–478CrossRef
Zurück zum Zitat Mefford IN, Potter WZ (1989) A neuroanatomical and biochemical basis for attention deficit disorder with hyperactivity in children: a defect in tonic adrenaline mediated inhibition of locus coeruleus stimulation. Med Hypotheses 29:33–42CrossRefPubMed Mefford IN, Potter WZ (1989) A neuroanatomical and biochemical basis for attention deficit disorder with hyperactivity in children: a defect in tonic adrenaline mediated inhibition of locus coeruleus stimulation. Med Hypotheses 29:33–42CrossRefPubMed
Zurück zum Zitat Miller LJ, Nielsen DM, Schoen SA (2012) Attention deficit-hyperactivity disorder and sensory modulation disorder: a comparison of behaviour and physiology. Res Dev Disabil 33(3):804–818CrossRefPubMed Miller LJ, Nielsen DM, Schoen SA (2012) Attention deficit-hyperactivity disorder and sensory modulation disorder: a comparison of behaviour and physiology. Res Dev Disabil 33(3):804–818CrossRefPubMed
Zurück zum Zitat Nakagawa H, Ohashi N, Watanabe Y, Mizukoshi K (1993) The contribution of proprioception to posture control in normal subjects. Acta Otolaryngol Supplementum 504:112–116CrossRef Nakagawa H, Ohashi N, Watanabe Y, Mizukoshi K (1993) The contribution of proprioception to posture control in normal subjects. Acta Otolaryngol Supplementum 504:112–116CrossRef
Zurück zum Zitat Nigg JT (2006) What causes ADHD? Understanding what goes wrong and why. The Guildford Press, New York. ISBN-10 1-59385-267-3, ISBN-13 978-1-59385-267-2 Nigg JT (2006) What causes ADHD? Understanding what goes wrong and why. The Guildford Press, New York. ISBN-10 1-59385-267-3, ISBN-13 978-1-59385-267-2
Zurück zum Zitat Nigg JT, Stavro G, Ettenhofer M, Hambrick DZ, Miller T, Henderson JM (2005) Executive functions and ADHD in adults: evidence for selective effects on ADHD symptom domains. J Abnorm Psychol 114(4):706–717CrossRefPubMed Nigg JT, Stavro G, Ettenhofer M, Hambrick DZ, Miller T, Henderson JM (2005) Executive functions and ADHD in adults: evidence for selective effects on ADHD symptom domains. J Abnorm Psychol 114(4):706–717CrossRefPubMed
Zurück zum Zitat Osterlan J, Logan GD, Sergeant JA (1998) Response inhibition in AD/HD, CD, comorbid AD/HD + CD, anxious, and control children: a meta-analysis of studies with the stop task. J Child Psychol Psychiatry 39:411–425CrossRef Osterlan J, Logan GD, Sergeant JA (1998) Response inhibition in AD/HD, CD, comorbid AD/HD + CD, anxious, and control children: a meta-analysis of studies with the stop task. J Child Psychol Psychiatry 39:411–425CrossRef
Zurück zum Zitat Reh V, Schmidt M, Lam L, Schimmelmann BG, Hebebrand J, Rief W, Christiansen H (2013) Behavioral assessment of core ADHD symptoms using the QbTest. J Atten Disord 19(12):1034–1045CrossRefPubMed Reh V, Schmidt M, Lam L, Schimmelmann BG, Hebebrand J, Rief W, Christiansen H (2013) Behavioral assessment of core ADHD symptoms using the QbTest. J Atten Disord 19(12):1034–1045CrossRefPubMed
Zurück zum Zitat Rubia K (2011) “Cool” inferior frontostriatal dysfunction in attention-deficit/hyperactivity disorder versus “hot” ventromedial orbitofrontal-limbic dysfunction in conduct disorder: a review. Biol Psychiatry 69:69–87CrossRef Rubia K (2011) “Cool” inferior frontostriatal dysfunction in attention-deficit/hyperactivity disorder versus “hot” ventromedial orbitofrontal-limbic dysfunction in conduct disorder: a review. Biol Psychiatry 69:69–87CrossRef
Zurück zum Zitat Schlee G, Neubert T, Worenz A, Milani TL (2012) Children with ADHD show no deficits in plantar foot sensitivity and static balance compared to healthy controls. Res Dev Disabil 33(6):1957–1963CrossRefPubMed Schlee G, Neubert T, Worenz A, Milani TL (2012) Children with ADHD show no deficits in plantar foot sensitivity and static balance compared to healthy controls. Res Dev Disabil 33(6):1957–1963CrossRefPubMed
Zurück zum Zitat Shorer Z, Becker B, Jacobi-Polishook T, Oddson L, Melzer I (2012) Postural control among children with and without attention deficit hyperactivity disorder in single and dual conditions. Eur J Pediatr 171(7):1087–1094CrossRefPubMed Shorer Z, Becker B, Jacobi-Polishook T, Oddson L, Melzer I (2012) Postural control among children with and without attention deficit hyperactivity disorder in single and dual conditions. Eur J Pediatr 171(7):1087–1094CrossRefPubMed
Zurück zum Zitat Sonuga-Barke EJ (2002) Psychological heterogeneity in AD/HD–a dual pathway model of behaviour and cognition. Brain Res 10 130(1–2):29–36 Sonuga-Barke EJ (2002) Psychological heterogeneity in AD/HD–a dual pathway model of behaviour and cognition. Brain Res 10 130(1–2):29–36
Zurück zum Zitat Teicher MH, Ito Y, Glod CA, Barber NI (1996) Objective measurement of hyperactivity and attentional problems in ADHD. J Am Acad Child Adolesc Psychiatry 35:334–342CrossRefPubMed Teicher MH, Ito Y, Glod CA, Barber NI (1996) Objective measurement of hyperactivity and attentional problems in ADHD. J Am Acad Child Adolesc Psychiatry 35:334–342CrossRefPubMed
Zurück zum Zitat Teicher MH, Lowen SB, Polcari A, Foley M, McGreenery CE (2004) Novel strategy for the analysis of CPT data provides new insight into the effects of methylphenidate on attentional states in children with ADHD. J Child Adolesc Psychopharmacol 14(2):219–232CrossRefPubMed Teicher MH, Lowen SB, Polcari A, Foley M, McGreenery CE (2004) Novel strategy for the analysis of CPT data provides new insight into the effects of methylphenidate on attentional states in children with ADHD. J Child Adolesc Psychopharmacol 14(2):219–232CrossRefPubMed
Zurück zum Zitat Ulberstad F (2012) QbTest technical manual, rev edn. Qbtech AB, Stockholm Ulberstad F (2012) QbTest technical manual, rev edn. Qbtech AB, Stockholm
Zurück zum Zitat Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF (2005) Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry 57:1336–1346CrossRefPubMed Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF (2005) Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry 57:1336–1346CrossRefPubMed
Metadaten
Titel
The risk of misdiagnosing posture weakness as hyperactivity in ADHD: a case study
verfasst von
Carsten Vogt
Publikationsdatum
04.03.2017
Verlag
Springer Vienna
Erschienen in
ADHD Attention Deficit and Hyperactivity Disorders / Ausgabe 4/2017
Print ISSN: 1866-6116
Elektronische ISSN: 1866-6647
DOI
https://doi.org/10.1007/s12402-017-0221-1

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