Investigation of neurological status, motor performance and sensory processing in children with attention deficit hyperactivity disorder
Dikkat eksikliği ve hiperaktivite bozukluğu olan çocuklarda nörolojik durum, motor performans ve duyusal işlemenin incelenmesi
Aim: The aim of this study was to investigate neurological status, motor development, and sensory processing in children with attention deficit hyperactivity disorder (ADHD).
Method: The study included a total of 50 children; 25 with ADHD and 25 typically developing children. The Touwen Examination assessed the status of Minor Neurologic Dysfunction (MND). Motor development was assessed with the Peabody Motor Development Scale 2. Sensory processing skills were assessed using the Dunn Sensory Profile.
Results: In the ADHD group, the prevalence of MND was higher than in the typically developing group. 36.0% of children with ADHD had complex MND, while 52.0% had simple MND. Gross motor, fine motor, and total motor scores were lower in the ADHD group. Children with ADHD had significantly lower sensory processing scores compared to their typically developing peers (p<0.05). There was a significant relationship between motor development and MND in children with ADHD (p<0.05).
Conclusion: Compared to their typically developing peers, children with ADHD had delayed motor development and sensory processing skills. Children with ADHD were at risk for MND, and this was associated with their motor development. Children with ADHD should be assessed for MND. Intervention programs should focus on improving their sensory processing, motor development, and neurological status.
Amaç: Bu çalışmanın amacı, dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) tanılı çocuklarda nörolojik durum, motor gelişim ve duyusal işlemleme becerilerini incelemektir.
Yöntem: Çalışmaya toplam 50 çocuk dahil edilmiştir; bunların 25’i DEHB tanılı, 25’i ise tipik gelişim gösteren çocuklardan oluşmaktadır. Minör Nörolojik Disfonksiyon (MND) durumu Touwen Muayenesi ile değerlendirilmiştir. Motor gelişim, Peabody Motor Gelişim Ölçeği-2 kullanılarak; duyusal işlemleme becerileri ise Dunn Duyusal Profil Ölçeği ile değerlendirilmiştir.
Bulgular: DEHB grubunda MND prevalansının, tipik gelişim gösteren gruba kıyasla daha yüksek olduğu belirlenmiştir. DEHB’li çocukların %36.0’ında kompleks MND, %52.0’ında ise basit MND saptanmıştır. Kaba motor, ince motor ve toplam motor puanlarının DEHB grubunda daha düşük olduğu bulunmuştur. Ayrıca, DEHB’li çocukların duyusal işlemleme puanlarının, tipik gelişim gösteren akranlarına göre anlamlı düzeyde düşük olduğu saptanmıştır (p<0.05). DEHB’li çocuklarda motor gelişim ile MND arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlenmiştir (p<0.05).
Sonuç: DEHB tanılı çocukların, tipik gelişim gösteren akranlarına kıyasla motor gelişim ve duyusal işlemleme becerilerinde gecikme gösterdiği belirlenmiştir. Ayrıca, bu çocukların MND açısından risk altında olduğu ve MND’nin motor gelişim ile ilişkili olduğu saptanmıştır. DEHB’li çocukların MND açısından kapsamlı bir şekilde değerlendirilmesi önerilmektedir. Müdahale programlarının ise duyusal işlemleme, motor gelişim ve nörolojik durumu geliştirmeye yönelik olarak planlanması gerektiği düşünülmektedir.
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- Makale Türü Araştırma Makalesi
- Gönderildi Ağustos 12, 2025
- Kabul Edildi Mart 27, 2026
- Yayınlanmış Nisan 30, 2026
- Sayı Cilt 6 Sayı 1 (2026)
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