Browsing Terapia Física by Issue Date "2018-01-15"
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Asociación entre el trastorno del desarrollo de la coordinación y el trastorno de déficit de atención e hiperactividad en niños entre 6 a 12 años en Lima, Perú.(Universidad Peruana de Ciencias Aplicadas (UPC), 2018-01-15)Introduction: Children diagnosed with attention deficit and hyperactivity disorder (ADHD) commonly present developmental coordination disorders (DCD). However, current evidence is still unclear about the relationship between having ADHD and presence of DCD. Objective: To determine the association between DCD in children and ADHD. Materials and methods: A matched retrospective cohort study was conducted in Lima, Perú. Participants were children between the ages 6 and 12 years old. The sample included 160 participants, from which 32 were previously diagnosed with ADHD. A 1:4 matching was made recruiting healthy children closely related to the one that had ADHD, such as family or friends of same age and sex. The DCDQ’07 questionnaire was used to identify DCD and the SNAP-IV behavior scale to rule out ADHD in the healthy group. Mixed regression models were used to account for matching and to control confusion. Results: Data from the 160 participants were analyzed. DCDQ’07 scores in Children with ADHD were 10.3 points lower than the children without ADHD (CI 95%: -15,3 – -5,4, p<0,001). Within DCDQ’07 specific areas, children with ADHD scored in average 4.4 points less in general coordination (IC 95%: -6.1 – -2.8, p<0.001), 3.3 points less in fine motor skill (CI 95%: -4.9, – -1.7 p<0.001) and 2.6 points less in control during movement (CI 95%: -4.6 – -0.6, p<0.001) in comparison to those without ADHD. These differences remain significant in the model after adjusting for preterm birth, low birth weight and chronological age. Through the conditional logistic regression analysis, in adjusted and unadjusted models, children had 6 times the probability of developing DCD when compared to those without ADHD (CI 95%: 2,6 – 15,5, p<0,001). Conclusions: We found that the average score for DCD in the children diagnosed with ADHD was lower than the ones without ADHD. This suggest that these children have a greater difficulty with general coordination and fine motor skills which may affect the development of their everyday activities.Acceso abierto