ADHD kids can be still â if they're not straining their brains
University of Central Florida Health News Sep 30, 2017
ADHD child fidgets and squirms his way through school and homework, but seems laser-focused and motionless sitting in front of the TV watching an action thriller.
Well, fret not, because new research shows lack of motivation or boredom with school isnÂt to blame for the differing behavior. It turns out that symptoms of attention deficit hyperactivity disorder such as fidgeting, foot-tapping and chair-swiveling are triggered by cognitively demanding tasks  like school and homework. But movies and video games donÂt typically require brain strain, so the excessive movement doesnÂt manifest.
ÂWhen a parent or a teacher sees a child who can sit perfectly still in one condition and yet over here theyÂre all over the place, the first thing they say is, ÂWell, they could sit still if they wanted to,ÂÂ said Mark Rapport, director of the ChildrenÂs Learning Clinic at the University of Central Florida. ÂBut kids with ADHD only need to move when they are accessing their brainÂs executive functions. That movement helps them maintain alertness.Â
Scientists once thought that ADHD symptoms were always present. But previous research from Rapport, who has been studying ADHD for more than 36 years, has shown the fidgeting was most often present when children were using their brains executive functions, particularly Âworking memory. ThatÂs the system we use for temporarily storing and managing information required to carry out complex cognitive tasks such as learning, reasoning and comprehension.
As recently published in the Journal of Abnormal Child Psychology, Professor RapportÂs senior doctoral student Sarah Orban and research team tested 62 boys ages 8 to 12. Of those, 32 had ADHD. Thirty did not have ADHD and acted as a control group.
During separate sessions, the children watched two short videos, each about 10 minutes long. One was a scene from ÂStar Wars Episode I  The Phantom Menace in which a young Anakin Skywalker competes in a dramatic pod-race. The other was an instructional video featuring an instructor verbally and visually presenting multistep solutions to addition, subtraction and multiplication problems.
While watching, the participants were observed by a researcher, recorded and outfitted with wearable actigraphs that tracked their slightest movements. The children with ADHD were largely motionless while watching the Start Wars clip, but during the math video they swiveled in their chairs, frequently changed positions and tapped their feet.
That may not seem surprising. After all, werenÂt the children absorbed by the sci-fi movie and bored by the math lesson? Not so, Rapport said.
ÂThatÂs just using the outcome to explain the cause, he said. ÂWe have shown that whatÂs really going on is that it depends on the cognitive demands of the task. With the action movie, thereÂs no thinking involved  youÂre just viewing it, using your senses. You donÂt have to hold anything in your brain and analyze it. With the math video, they are using their working memory, and in that condition movement helps them to be more focused.Â
The takeaway: Parents and teachers of children with ADHD should avoid labeling them as unmotivated slackers when theyÂre working on tasks that require working memory and cognitive processing, researchers said.
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Well, fret not, because new research shows lack of motivation or boredom with school isnÂt to blame for the differing behavior. It turns out that symptoms of attention deficit hyperactivity disorder such as fidgeting, foot-tapping and chair-swiveling are triggered by cognitively demanding tasks  like school and homework. But movies and video games donÂt typically require brain strain, so the excessive movement doesnÂt manifest.
ÂWhen a parent or a teacher sees a child who can sit perfectly still in one condition and yet over here theyÂre all over the place, the first thing they say is, ÂWell, they could sit still if they wanted to,ÂÂ said Mark Rapport, director of the ChildrenÂs Learning Clinic at the University of Central Florida. ÂBut kids with ADHD only need to move when they are accessing their brainÂs executive functions. That movement helps them maintain alertness.Â
Scientists once thought that ADHD symptoms were always present. But previous research from Rapport, who has been studying ADHD for more than 36 years, has shown the fidgeting was most often present when children were using their brains executive functions, particularly Âworking memory. ThatÂs the system we use for temporarily storing and managing information required to carry out complex cognitive tasks such as learning, reasoning and comprehension.
As recently published in the Journal of Abnormal Child Psychology, Professor RapportÂs senior doctoral student Sarah Orban and research team tested 62 boys ages 8 to 12. Of those, 32 had ADHD. Thirty did not have ADHD and acted as a control group.
During separate sessions, the children watched two short videos, each about 10 minutes long. One was a scene from ÂStar Wars Episode I  The Phantom Menace in which a young Anakin Skywalker competes in a dramatic pod-race. The other was an instructional video featuring an instructor verbally and visually presenting multistep solutions to addition, subtraction and multiplication problems.
While watching, the participants were observed by a researcher, recorded and outfitted with wearable actigraphs that tracked their slightest movements. The children with ADHD were largely motionless while watching the Start Wars clip, but during the math video they swiveled in their chairs, frequently changed positions and tapped their feet.
That may not seem surprising. After all, werenÂt the children absorbed by the sci-fi movie and bored by the math lesson? Not so, Rapport said.
ÂThatÂs just using the outcome to explain the cause, he said. ÂWe have shown that whatÂs really going on is that it depends on the cognitive demands of the task. With the action movie, thereÂs no thinking involved  youÂre just viewing it, using your senses. You donÂt have to hold anything in your brain and analyze it. With the math video, they are using their working memory, and in that condition movement helps them to be more focused.Â
The takeaway: Parents and teachers of children with ADHD should avoid labeling them as unmotivated slackers when theyÂre working on tasks that require working memory and cognitive processing, researchers said.
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