<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04494230</url>
  </required_header>
  <id_info>
    <org_study_id>GO 18/694</org_study_id>
    <nct_id>NCT04494230</nct_id>
  </id_info>
  <brief_title>Motor Proficiency in School Age ADHD: Contribution of Different Comorbidities</brief_title>
  <official_title>Motor Proficiency in School Age ADHD: Contribution of Different Comorbidities</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Hacettepe University</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Hacettepe University</source>
  <oversight_info>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      In this study, aged 6-10 years, male, right hand dominant, diagnosed with ADHD, accepting to&#xD;
      take part in the study and applying to the Child and Adolescent Psychiatry Department between&#xD;
      October 1, 2018 - October 1, 2019 were included in the research group.As for the control&#xD;
      group, boys between 6-10 years of age with no mental symptoms described by their teachers or&#xD;
      parents and showing healthy development were selected by convenience sampling method and snow&#xD;
      ball method. Height and weight measurements of all the children participated in the study&#xD;
      were performed. The sociodemographic data form prepared by the researchers was completed by&#xD;
      both the research and the control group families.&#xD;
&#xD;
      In the sample, the Corners' Parent Scale- Revised Short Form (CPS-R:SF) was used to evaluate&#xD;
      the severity of ADHD symptoms.The hand preferences of all participants in the research and&#xD;
      control groups were evaluated with Edinburgh Handedness Inventory.Motor skills were evaluated&#xD;
      with the 2nd Version of Bruininsky-Oseretsky Motor Competence Test (BOT-2).Hand skills were&#xD;
      evaluated with the 9-Hole Peg Test.Visual perception skills were evaluated with 3rd Version&#xD;
      of Visual Perception Test without Motor Ability (MVPT-3). Pediatric Quality of Life Inventory&#xD;
      Parent Form were filled by the parents of children in the research and control groups for&#xD;
      quality of life. In the study, there are five groups: ADHD, ADHD + Specific learning&#xD;
      disorders, ADHD + Oppositional defiant disorder, ADHD + Anxiety Disorder and children with&#xD;
      typical development group.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      In this study, aged 6-10 years, male, right hand dominant, diagnosed with ADHD, accepting to&#xD;
      take part in the study and applying to the Child and Adolescent Psychiatry Department between&#xD;
      October 1, 2018 - October 1, 2019 were included in the research group. A total of 106&#xD;
      children with head trauma or known neurological disease, clinically diagnosed as comorbid tic&#xD;
      disorder, obsessive-compulsive disorder, psychotic disorder, mood disorder, conduct disorder,&#xD;
      mental retardation, or autism spectrum disorder, or children previously excluded from&#xD;
      physical therapy program were evaluated according to the research method. As for the control&#xD;
      group; 30 boys between 6-10 years of age with no mental symptoms described by their teachers&#xD;
      or parents and showing healthy development were selected by convenience sampling method and&#xD;
      snow ball methodHeight and weight measurements of all the children participated in the study&#xD;
      were performed. The sociodemographic data form prepared by the researchers was completed by&#xD;
      both the research and the control group families.&#xD;
&#xD;
      In the sample, the Corners' Parent Scale- Revised Short Form (CPS-R:SF) was used to evaluate&#xD;
      the severity of ADHD symptoms (Conners, 1997).&#xD;
&#xD;
      The hand preferences of all participants in the research and control groups were evaluated&#xD;
      with Edinburgh Handedness Inventory.&#xD;
&#xD;
      Motor skills were evaluated with the 2nd Version of Bruininsky-Oseretsky Motor Competence&#xD;
      Test (BOT-2). It is a standard test commonly used by physiotherapists to detect coarse and&#xD;
      fine motor problems in children aged 4-21 years. It has both short and long form. The short&#xD;
      form was used in our study. The short form of BOT-2 consists of 8 subtests: fine motor&#xD;
      precision, fine motor integration, manual dexterity, bilateral coordination, balance, speed&#xD;
      of movement and agility, upper extremity coordination and strength. Not only can the score of&#xD;
      each subtest of the test be calculated separately but it can also be calculated as fine motor&#xD;
      skill, gross motor skill, both fine and gross motor skill and total motor skill score.&#xD;
&#xD;
      Hand skills were evaluated with the 9-Hole Peg Test. The nine-hole Peg Test is a quick,&#xD;
      simple and manual skill test that is particularly sensitive to changes in upper extremity&#xD;
      performance. The test material consists of nine small rods made of standard sizes and nine&#xD;
      perforated boards into which they are placed. In our study, insertion and removal periods for&#xD;
      both dominant and nondominant hands were recorded separately.&#xD;
&#xD;
      Visual perception skills were evaluated with 3rd Version of Visual Perception Test without&#xD;
      Motor Ability (MVPT-3). MVPT-3 is a fast, reliable test that tests visual perception without&#xD;
      motor skills in children and adults (ages 4-65). The test consists of 65 questions and the&#xD;
      first 40 questions were developed to test school-age children in terms of visual perception&#xD;
      without motor skills as follows: visual discrimination (1-8), form constancy (9-13), visual&#xD;
      memory-I (14-21), visual closure (22-34), visual differentiation (35-40). Total visual&#xD;
      perception score and scores from each category were calculated separately. Pediatric Quality&#xD;
      of Life Inventory Parent Form were filled by the parents of children in the research and&#xD;
      control groups for quality of life. The scale has separate parent and child forms for the&#xD;
      groups of 5-7 years, 8-12 years and 13-18 years. Scoring of the scale is done in 3 areas.&#xD;
      Firstly, scale total score (STS) is calculated, and secondly, physical health total score&#xD;
      (PHTS) is calculated. Thirdly, psychosocial health total score (PHTS) is calculated, which&#xD;
      consists of calculating item scores evaluating emotional, social and school functionality. In&#xD;
      the study, there are five groups: ADHD, ADHD + Specific learning disorders, ADHD +&#xD;
      Oppositional defiant disorder, ADHD + Anxiety Disorder and children with typical development&#xD;
      group.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">October 1, 2018</start_date>
  <completion_date type="Actual">October 1, 2019</completion_date>
  <primary_completion_date type="Actual">October 1, 2019</primary_completion_date>
  <study_type>Observational [Patient Registry]</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <observational_model>Case-Control</observational_model>
    <time_perspective>Prospective</time_perspective>
  </study_design_info>
  <target_duration>12 Months</target_duration>
  <primary_outcome>
    <measure>severity ADHD symptoms</measure>
    <time_frame>10 minutes</time_frame>
    <description>the Corners' Parent Scale- Revised Short Form (CPS-R:SF) was used to evaluate the severity of ADHD symptoms. The scale whose Turkish adaptation study was made by Kaner et al. (2006) consists of 27 items. In CPS-R:SF, questions are answered on a 4-point Likert scale and high scores indicate the intensity of symptoms.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>motor profiency</measure>
    <time_frame>40-45 minutes</time_frame>
    <description>Motor skills were evaluated with the 2nd Version of Bruininsky-Oseretsky Motor Competence Test (BOT-2) (Bruininks, 1978). It is a standard test commonly used by physiotherapists to detect coarse and fine motor problems in children aged 4-21 years. It has both short and long form. The short form was used in our study. The short form of BOT-2 consists of 8 subtests: fine motor precision, fine motor integration, manual dexterity, bilateral coordination, balance, speed of movement and agility, upper extremity coordination and strength. Not only can the score of each subtest of the test be calculated separately but it can also be calculated as fine motor skill, gross motor skill, both fine and gross motor skill and total motor skill score.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>hand skills</measure>
    <time_frame>10 minutes</time_frame>
    <description>Hand skills were evaluated with the 9-Hole Peg Test. This questionnaire questions a hand or both hands used in daily life activities such as writing, drawing, ball throwing, using scissors, using a toothbrush, using a fork-free knife, using a spoon, sweeping with a broom handle, burning matches and opening boxes</description>
  </primary_outcome>
  <primary_outcome>
    <measure>visual perception</measure>
    <time_frame>30 minutes</time_frame>
    <description>Visual perception skills were evaluated with 3rd Version of Visual Perception Test without Motor Ability (MVPT-3). MVPT-3 is a fast, reliable test that tests visual perception without motor skills in children and adults (ages 4-65). The test consists of 65 questions and the first 40 questions were developed to test school-age children in terms of visual perception without motor skills as follows: visual discrimination (1-8), form constancy (9-13), visual memory-I (14-21), visual closure (22-34), visual differentiation (35-40). Total visual perception score and scores from each category were calculated separately</description>
  </primary_outcome>
  <primary_outcome>
    <measure>quality of life</measure>
    <time_frame>15-20 minutes</time_frame>
    <description>Quality of life were evaluated with Pediatric Quality of Life Inventory (PedsQL) aims to measure the overall quality of life in the 2-18 age group. The scale has separate parent and child forms for the groups of 5-7 years, 8-12 years and 13-18 years. Scoring of the scale is done in 3 areas. Firstly, scale total score (STS) is calculated, and secondly, physical health total score (PHTS) is calculated. Thirdly, psychosocial health total score (PHTS) is calculated, which consists of calculating item scores evaluating emotional, social and school functionality. The higher the total score of the scale is, the better the quality of life related to health is perceived</description>
  </primary_outcome>
  <number_of_groups>5</number_of_groups>
  <enrollment type="Actual">106</enrollment>
  <condition>Attention Deficit Hyperactivity Disorder</condition>
  <condition>Comorbidities and Coexisting Conditions</condition>
  <condition>Motor Skills Disorders</condition>
  <arm_group>
    <arm_group_label>Attention deficit hyperactivity disorder (ADHD) only</arm_group_label>
    <description>the diagnosis of ADHD</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Attention deficit hyperactivity disorder (ADHD) andSpecificand</arm_group_label>
    <description>the diagnosis of ADHD and SLD</description>
  </arm_group>
  <arm_group>
    <arm_group_label>ADHD and oppositional defiant disorder (ODD)</arm_group_label>
    <description>the diagnosis of ADHD and ODD</description>
  </arm_group>
  <arm_group>
    <arm_group_label>ADHD and Anxiety Disorder</arm_group_label>
    <description>the diagnosis of ADHD and Ank. Dis.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Typical Development Children</arm_group_label>
    <description>no mental symptoms described by their teachers or parents and showing healthy development</description>
  </arm_group>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>Motor Proficiency in School Age ADHD: Contribution of Different Comorbidities</intervention_name>
    <description>to investigate whether motor skills, manual dexterity and visual perception differ in the presence of ADHD and comorbid psychiatric conditions in school-age boys by comparing them typical development children.</description>
    <arm_group_label>ADHD and Anxiety Disorder</arm_group_label>
    <arm_group_label>ADHD and oppositional defiant disorder (ODD)</arm_group_label>
    <arm_group_label>Attention deficit hyperactivity disorder (ADHD) andSpecificand</arm_group_label>
    <arm_group_label>Attention deficit hyperactivity disorder (ADHD) only</arm_group_label>
    <arm_group_label>Typical Development Children</arm_group_label>
  </intervention>
  <eligibility>
    <study_pop>
      <textblock>
        children aged 6-10 years, male, right hand dominant&#xD;
      </textblock>
    </study_pop>
    <sampling_method>Probability Sample</sampling_method>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  children aged 6-10 years, male, right hand dominant, diagnosed with ADHD, accepting to&#xD;
             take part in the study and applying to the Child and Adolescent Psychiatry Department&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  with head trauma or known neurological disease, clinically diagnosed as comorbid tic&#xD;
             disorder, obsessive-compulsive disorder, psychotic disorder, mood disorder, conduct&#xD;
             disorder, mental retardation, or autism spectrum disorder, or children previously&#xD;
             excluded from physical therapy program&#xD;
      </textblock>
    </criteria>
    <gender>Male</gender>
    <gender_based>Yes</gender_based>
    <gender_description>school-aged male children</gender_description>
    <minimum_age>6 Years</minimum_age>
    <maximum_age>10 Years</maximum_age>
  </eligibility>
  <overall_official>
    <last_name>Nilay Şahan, PhD,PT</last_name>
    <role>Principal Investigator</role>
    <affiliation>unaffilliated</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Hacettepe University</name>
      <address>
        <city>Ankara</city>
        <country>Turkey</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Turkey</country>
  </location_countries>
  <results_reference>
    <citation>Goulardins JB, Marques JC, De Oliveira JA. Attention Deficit Hyperactivity Disorder and Motor Impairment. Percept Mot Skills. 2017 Apr;124(2):425-440. doi: 10.1177/0031512517690607. Epub 2017 Jan 31.</citation>
    <PMID>28361657</PMID>
  </results_reference>
  <verification_date>October 2018</verification_date>
  <study_first_submitted>July 28, 2020</study_first_submitted>
  <study_first_submitted_qc>July 28, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">July 31, 2020</study_first_posted>
  <last_update_submitted>July 28, 2020</last_update_submitted>
  <last_update_submitted_qc>July 28, 2020</last_update_submitted_qc>
  <last_update_posted type="Actual">July 31, 2020</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>Hacettepe University</investigator_affiliation>
    <investigator_full_name>Nilay Şahan</investigator_full_name>
    <investigator_title>Hacettepe University</investigator_title>
  </responsible_party>
  <keyword>Attention Deficit Hyperactivity Disorder</keyword>
  <keyword>comorbidity</keyword>
  <keyword>motor skills</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Hyperkinesis</mesh_term>
    <mesh_term>Attention Deficit Disorder with Hyperactivity</mesh_term>
    <mesh_term>Motor Skills Disorders</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04494230
org study id: GO 18/694
nct id: NCT04494230
lead sponsor: 
is fda regulated drug: No
is fda regulated device: No
In this study, aged 6-10 years, male, right hand dominant, diagnosed with ADHD, accepting to
      take part in the study and applying to the Child and Adolescent Psychiatry Department between
      October 1, 2018 - October 1, 2019 were included in the research group.As for the control
      group, boys between 6-10 years of age with no mental symptoms described by their teachers or
      parents and showing healthy development were selected by convenience sampling method and snow
      ball method. Height and weight measurements of all the children participated in the study
      were performed. The sociodemographic data form prepared by the researchers was completed by
      both the research and the control group families.

      In the sample, the Corners' Parent Scale- Revised Short Form (CPS-R:SF) was used to evaluate
      the severity of ADHD symptoms.The hand preferences of all participants in the research and
      control groups were evaluated with Edinburgh Handedness Inventory.Motor skills were evaluated
      with the 2nd Version of Bruininsky-Oseretsky Motor Competence Test (BOT-2).Hand skills were
      evaluated with the 9-Hole Peg Test.Visual perception skills were evaluated with 3rd Version
      of Visual Perception Test without Motor Ability (MVPT-3). Pediatric Quality of Life Inventory
      Parent Form were filled by the parents of children in the research and control groups for
      quality of life. In the study, there are five groups: ADHD, ADHD + Specific learning
      disorders, ADHD + Oppositional defiant disorder, ADHD + Anxiety Disorder and children with
      typical development group.
In this study, aged 6-10 years, male, right hand dominant, diagnosed with ADHD, accepting to
      take part in the study and applying to the Child and Adolescent Psychiatry Department between
      October 1, 2018 - October 1, 2019 were included in the research group. A total of 106
      children with head trauma or known neurological disease, clinically diagnosed as comorbid tic
      disorder, obsessive-compulsive disorder, psychotic disorder, mood disorder, conduct disorder,
      mental retardation, or autism spectrum disorder, or children previously excluded from
      physical therapy program were evaluated according to the research method. As for the control
      group; 30 boys between 6-10 years of age with no mental symptoms described by their teachers
      or parents and showing healthy development were selected by convenience sampling method and
      snow ball methodHeight and weight measurements of all the children participated in the study
      were performed. The sociodemographic data form prepared by the researchers was completed by
      both the research and the control group families.

      In the sample, the Corners' Parent Scale- Revised Short Form (CPS-R:SF) was used to evaluate
      the severity of ADHD symptoms (Conners, 1997).

      The hand preferences of all participants in the research and control groups were evaluated
      with Edinburgh Handedness Inventory.

      Motor skills were evaluated with the 2nd Version of Bruininsky-Oseretsky Motor Competence
      Test (BOT-2). It is a standard test commonly used by physiotherapists to detect coarse and
      fine motor problems in children aged 4-21 years. It has both short and long form. The short
      form was used in our study. The short form of BOT-2 consists of 8 subtests: fine motor
      precision, fine motor integration, manual dexterity, bilateral coordination, balance, speed
      of movement and agility, upper extremity coordination and strength. Not only can the score of
      each subtest of the test be calculated separately but it can also be calculated as fine motor
      skill, gross motor skill, both fine and gross motor skill and total motor skill score.

      Hand skills were evaluated with the 9-Hole Peg Test. The nine-hole Peg Test is a quick,
      simple and manual skill test that is particularly sensitive to changes in upper extremity
      performance. The test material consists of nine small rods made of standard sizes and nine
      perforated boards into which they are placed. In our study, insertion and removal periods for
      both dominant and nondominant hands were recorded separately.

      Visual perception skills were evaluated with 3rd Version of Visual Perception Test without
      Motor Ability (MVPT-3). MVPT-3 is a fast, reliable test that tests visual perception without
      motor skills in children and adults (ages 4-65). The test consists of 65 questions and the
      first 40 questions were developed to test school-age children in terms of visual perception
      without motor skills as follows: visual discrimination (1-8), form constancy (9-13), visual
      memory-I (14-21), visual closure (22-34), visual differentiation (35-40). Total visual
      perception score and scores from each category were calculated separately. Pediatric Quality
      of Life Inventory Parent Form were filled by the parents of children in the research and
      control groups for quality of life. The scale has separate parent and child forms for the
      groups of 5-7 years, 8-12 years and 13-18 years. Scoring of the scale is done in 3 areas.
      Firstly, scale total score (STS) is calculated, and secondly, physical health total score
      (PHTS) is calculated. Thirdly, psychosocial health total score (PHTS) is calculated, which
      consists of calculating item scores evaluating emotional, social and school functionality. In
      the study, there are five groups: ADHD, ADHD + Specific learning disorders, ADHD +
      Oppositional defiant disorder, ADHD + Anxiety Disorder and children with typical development
      group.
observational model: Case-Control
time perspective: Prospective
measure: severity ADHD symptoms
time frame: 10 minutes
description: the Corners' Parent Scale- Revised Short Form (CPS-R:SF) was used to evaluate the severity of ADHD symptoms. The scale whose Turkish adaptation study was made by Kaner et al. (2006) consists of 27 items. In CPS-R:SF, questions are answered on a 4-point Likert scale and high scores indicate the intensity of symptoms.
measure: motor profiency
time frame: 40-45 minutes
description: Motor skills were evaluated with the 2nd Version of Bruininsky-Oseretsky Motor Competence Test (BOT-2) (Bruininks, 1978). It is a standard test commonly used by physiotherapists to detect coarse and fine motor problems in children aged 4-21 years. It has both short and long form. The short form was used in our study. The short form of BOT-2 consists of 8 subtests: fine motor precision, fine motor integration, manual dexterity, bilateral coordination, balance, speed of movement and agility, upper extremity coordination and strength. Not only can the score of each subtest of the test be calculated separately but it can also be calculated as fine motor skill, gross motor skill, both fine and gross motor skill and total motor skill score.
measure: hand skills
time frame: 10 minutes
description: Hand skills were evaluated with the 9-Hole Peg Test. This questionnaire questions a hand or both hands used in daily life activities such as writing, drawing, ball throwing, using scissors, using a toothbrush, using a fork-free knife, using a spoon, sweeping with a broom handle, burning matches and opening boxes
measure: visual perception
time frame: 30 minutes
description: Visual perception skills were evaluated with 3rd Version of Visual Perception Test without Motor Ability (MVPT-3). MVPT-3 is a fast, reliable test that tests visual perception without motor skills in children and adults (ages 4-65). The test consists of 65 questions and the first 40 questions were developed to test school-age children in terms of visual perception without motor skills as follows: visual discrimination (1-8), form constancy (9-13), visual memory-I (14-21), visual closure (22-34), visual differentiation (35-40). Total visual perception score and scores from each category were calculated separately
measure: quality of life
time frame: 15-20 minutes
description: Quality of life were evaluated with Pediatric Quality of Life Inventory (PedsQL) aims to measure the overall quality of life in the 2-18 age group. The scale has separate parent and child forms for the groups of 5-7 years, 8-12 years and 13-18 years. Scoring of the scale is done in 3 areas. Firstly, scale total score (STS) is calculated, and secondly, physical health total score (PHTS) is calculated. Thirdly, psychosocial health total score (PHTS) is calculated, which consists of calculating item scores evaluating emotional, social and school functionality. The higher the total score of the scale is, the better the quality of life related to health is perceived
arm group label: Attention deficit hyperactivity disorder (ADHD) only
description: the diagnosis of ADHD
arm group label: Attention deficit hyperactivity disorder (ADHD) andSpecificand
description: the diagnosis of ADHD and SLD
arm group label: ADHD and oppositional defiant disorder (ODD)
description: the diagnosis of ADHD and ODD
arm group label: ADHD and Anxiety Disorder
description: the diagnosis of ADHD and Ank. Dis.
arm group label: Typical Development Children
description: no mental symptoms described by their teachers or parents and showing healthy development
intervention type: Behavioral
intervention name: Motor Proficiency in School Age ADHD: Contribution of Different Comorbidities
description: to investigate whether motor skills, manual dexterity and visual perception differ in the presence of ADHD and comorbid psychiatric conditions in school-age boys by comparing them typical development children.
arm group label: ADHD and Anxiety Disorder
arm group label: ADHD and oppositional defiant disorder (ODD)
arm group label: Attention deficit hyperactivity disorder (ADHD) andSpecificand
arm group label: Attention deficit hyperactivity disorder (ADHD) only
arm group label: Typical Development Children
study pop: 
sampling method: Probability Sample
criteria: 
gender: Male
gender based: Yes
gender description: school-aged male children
minimum age: 6 Years
maximum age: 10 Years
last name: Nilay Şahan, PhD,PT
role: Principal Investigator
affiliation: unaffilliated
facility: 
country: Turkey
citation: Goulardins JB, Marques JC, De Oliveira JA. Attention Deficit Hyperactivity Disorder and Motor Impairment. Percept Mot Skills. 2017 Apr;124(2):425-440. doi: 10.1177/0031512517690607. Epub 2017 Jan 31.
PMID: 28361657
responsible party type: Principal Investigator
investigator affiliation: Hacettepe University
investigator full name: Nilay Şahan
investigator title: Hacettepe University
mesh term: Hyperkinesis
mesh term: Attention Deficit Disorder with Hyperactivity
mesh term: Motor Skills Disorders
sharing ipd: No