Examining the impact of physical activity on motor proficiency and sleep quality in children with ADHD /

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Student Theses

2024

Liu, Hok Ling

Hong Kong : The Education University of Hong Kong

Thesis

Background: Attention deficit hyperactivity disorder (ADHD) is a frequently diagnosed neurodevelopmental disorder in children. Limitation in motor proficiency and sleep problems are commonly observed in the population. The study has been completed by three research articles to examine the impact of physical activity (PA) on motor proficiency and sleep quality in children with ADHD.Objectives: There were three objectives of present study. First, a case study was designed to observe the effect of PA on motor proficiency and sleep quality in the population. Second, the systematic review and meta-analysis synthesized empirical studies investigated the effects of PA on motor proficiency in the population. Third, a randomized controlled trial (RCT) was to examine the impact of PA on sleep quality in children ADHD.Methods: The study began with a case study recruited three 10- to 11-year-old students who have been clinically diagnosed with ADHD. They were made to play basketball as an intervention for 12 weeks, once per week, and 60 minutes per session. Baseline and postintervention assessments have been completed seven days before and after the intervention immediately. Test of Gross Motor Development (TGMD-2) and sleep log were implemented to indicate motor proficiency and sleep quality. Then, a systematic review and meta-analysis was conducted which followed the Cochrane Guidelines for Systematic Reviews. In May 2022, a comprehensive search was conducted across eight electronic databases, resulting in the identification of 476 relevant studies. These studies were independently assessed by two reviewers. Through the application of predefined inclusion and exclusion criteria, a total of 12 studies were deemed suitable for systematic review, with 10 of them meeting the criteria for inclusion in the subsequent meta-analysis. Then, it followed by a RCT study. A total of 33 children diagnosed with ADHD (mean age = 10.12 years) were randomized into intervention group and control group respectively. 4 specific sleep parameters, including sleep efficiency, sleep onset latency, sleep duration, and wake after sleep onset, were assessed before and after the intervention period in both groups. Results: The case study showed that regular physical activity-in the form of basketball in the current study-has a significant effect on motor proficiency and sleep quality in children with ADHD. Then, a beneficial effect of PA on overall motor proficiency (SMD= 1.12; 95% CI [0.63 to 1.61]; p<.05) was observed in the meta-analysis. Similar positive effects were found for motor proficiency composites, including object control, fine manual control, and body coordination. Third, the RCT presented indicated significant interaction effects in sleep duration (F[1,31] = 7.67, p <0.01), sleep efficiency (F[1, 31] = 6.28, p = 0.02), and sleep onset latency (F[1, 31] = 9.43, p = 0.004).Conclusion: Current findings highlight the benefits of PA on enhancing motor proficiency and sleep quality among children with ADHD respectively. A randomized control trial research with a larger scale is suggested to investigate further the impact of PA in motor proficiency and sleep quality in children with ADHD. All rights reserved

LG51.H43 Dr 2024eb Liuhl

https://educoll.lib.eduhk.hk/records/dHH5kSYN