Increased Anterior Pelvic Angle Characterizes the Gait of Children with Attention Deficit/Hyperactivity Disorder (ADHD).
Increased Anterior Pelvic Angle Characterizes the Gait of Children with Attention Deficit/Hyperactivity Disorder (ADHD).
复制标题
骨盆前角增大是注意力缺陷/多动症 (ADHD) 儿童步态的特征。
DOI：
10.1371/journal.pone.0170096
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Tomoda A
中科院分区：
文献类型：
--
作者：
Naruse H;Fujisawa TX;Yatsuga C;Kubota M;Matsuo H;Takiguchi S;Shimada S;Imai Y;Hiratani M;Kosaka H;Tomoda A
患有注意力缺陷/多动障碍(ADHD)的儿童经常有运动问题。以前的研究已经报道，ADHD儿童的特征步态是不成熟的，受试者的腿部步态特征比健康对照组表现出更高水平的变异性。然而，对ADHD儿童步态中的身体运动知之甚少。这项研究的目的是确定与ADHD儿童的ADHD症状相关的特征身体运动。使用三维运动分析系统，我们比较了患有ADHD的男孩(n=19，平均年龄9.58岁)和发育典型男孩(TD，n=21，平均年龄10.71岁)的步态变量，以确定与ADHD症状相关的特定步态特征。我们评估了时空步态变量(即速度、步长和节奏)和运动学步态变量(即骨盆、臀部、膝盖和脚踝的角度)，以测量以自我选择的速度行走时的身体运动。与TD组相比，注意缺陷多动障碍组的节律(t=3.33，p=0.002)和骨盆前角(t=3.08，p=0.004)值显著升高。多元回归分析显示，多动/冲动评定量表评分与骨盆前角有关(β=0.62t=2.58，p=0.025)，但与其他精神症状无关。我们的结果表明，骨盆前角度代表了与ADHD症状相关的特定步态变量。我们的运动学发现可能对评估ADHD男孩的身体运动有潜在的意义。
Children with attention deficit/hyperactivity disorder (ADHD) frequently have motor problems. Previous studies have reported that the characteristic gait in children with ADHD is immature and that subjects demonstrate higher levels of variability in gait characteristics for the lower extremities than healthy controls. However, little is known about body movement during gait in children with ADHD. The purpose of this study was to identify the characteristic body movements associated with ADHD symptoms in children with ADHD. Using a three-dimensional motion analysis system, we compared gait variables in boys with ADHD (n = 19; mean age, 9.58 years) and boys with typical development (TD) (n = 21; mean age, 10.71 years) to determine the specific gait characteristics related to ADHD symptoms. We assessed spatiotemporal gait variables (i.e. speed, stride length, and cadence), and kinematic gait variables (i.e. angle of pelvis, hip, knee, and ankle) to measure body movement when walking at a self-selected pace. In comparison with the TD group, the ADHD group demonstrated significantly higher values in cadence (t = 3.33, p = 0.002) and anterior pelvic angle (t = 3.08, p = 0.004). In multiple regression analysis, anterior pelvic angle was associated with the ADHD rating scale hyperactive/impulsive scores (β = 0.62, t = 2.58, p = 0.025), but not other psychiatric symptoms in the ADHD group. Our results suggest that anterior pelvic angle represents a specific gait variable related to ADHD symptoms. Our kinematic findings could have potential implications for evaluating the body movement in boys with ADHD.