Evidence map›Paper›PMID 34736439›Full record

ArticleBMC pediatrics2021

How effective is fine motor training in children with ADHD? A scoping review.

Miriam Lelong, Annina Zysset, Mirjam Nievergelt, Reto Luder, Ulrich Götz, Christina Schulze, Frank Wieber

Registry-linked trialOpen access · goldAbstract readScoping Review
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06064032 (Comparing The Effects Of Cognitive Behavioral Therapy And Motor Learning Technique in Adults With Attention Deficit Hyperactivity Disorder.), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06064032 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Comparing The Effects Of Cognitive Behavioral Therapy And Motor Learning Technique in Adults With Attention Deficit Hyperactivity Disorder.

TypeinterventionalSponsorShalamar Institute of Health SciencesRan2023 to 2023Enrolled36ConditionsAttention Deficit Hyperactivity DisorderArmscognitive behavioral therapy, Motor Learning Techniques
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Movement-related cortical potentials underlying motor preparation and execution in children with attention-deficit/hyperactivity disorder.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. The Role of Visual Information Quantity in Fine Motor Performance.Journal of functional morphology and kinesiology · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Miriam LelongUniversity of Konstanz, Konstanz, Germany.
Annina ZyssetSchool of Health Professions, Institute of Health Science, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland.
Mirjam NievergeltZurich University of Teacher Education, Centre for Inclusion and Health in Schools, Zuerich, Switzerland.
Reto LuderZurich University of Teacher Education, Centre for Inclusion and Health in Schools, Zuerich, Switzerland.
Ulrich GötzZurich University of the Arts, Institute for Design Research, Zuerich, Switzerland.
Christina SchulzeSchool of Health Professions, Institute of Occupational Therapy, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland.
Frank WieberSchool of Health Professions, Institute of Health Science, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland. frank.wieber@zhaw.ch.
University of Konstanz · DEZHAW Zurich University of Applied Sciences · CHZurich University of Teacher Education · CHZurich University of the Arts · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMotor deficiencies are observed in a large number of children with ADHD. Especially fine motor impairments can lead to academic underachievement, low self-esteem and frustration in affected children. Despite these far-reaching consequences, fine motor deficiencies have remained widely undertreated in the ADHD population. The aim of this review was to systematically map the evidence on existing training programs for remediating fine motor impairments in children with ADHD and to assess their effectiveness.

methodsThe scoping review followed the PRISMA-ScR guidelines. In March 2020, PsycINFO, MEDLINE (PubMed), Web of Science, Google Scholar and The Cochrane Database of Systematic Reviews were searched for evidence. The eligibility criteria and the data charting process followed the PICO framework, complemented by study design. The investigated population included children with a formal ADHD diagnosis (either subtype) or elevated ADHD symptoms aged between 4 and 12 years, both on and off medication. All training interventions aiming at improving fine motor skills, having a fine motor component or fine motor improvements as a secondary outcome were assessed for eligibility; no comparators were specified.

resultsTwelve articles were included in the final report, comprising observational and experimental studies as well as a review. Both offline and online or virtual training interventions were reported, often accompanied by physical activity and supplemented by training sessions at home. The training programs varied in length and intensity, but generally comprised several weeks and single or multiple training sessions per week. All interventions including more than one session were effective in the treatment of fine motor deficiencies in children with ADHD and had a wide range of additional positive outcomes. The effects could be maintained at follow-up.

conclusionsFine motor training in children with ADHD can be very effective and multiple approaches including specific fine motor and cognitive training components, some kind of physical activity, feedback mechanisms, or multimodal treatments can be successful. Training programs need to be tailored to the specific characteristics of the ADHD population. A mHealth approach using serious games could be promising in this context due to its strong motivational components.

Indexed as

Attention Deficit Disorder with HyperactivityChildChild, PreschoolEducational StatusHumansResearch DesignADHDChildrenFine motor skillsGraphomotor skillsHandwritingInterventionmHealthTraining

Identifiers

PMID34736439
PMCPMC8567617
OpenAlexW3210407859

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.