title: [Hand and finger anomalous developmental coordination to write in children with attention deficit/hyperactivity syndrome].
abstract: OBJECTIVE
  To present a developmental coordination disorder in children with attention deficit/hyperactivity syndrome (ADHS) characterized by anomalous handwriting posture of hands and fingers.
  
  
  METHODS
  Forty-five children who presented with ADHS were studied (39 males and 6 females) with ages ranging from 6 to 16 years (average 10.8 years) and an analysis of the position of the hands and fingers during handwriting was made within the context of a complete neurological evaluation.
  
  
  RESULTS
  Only 2 of the 6 hyperactive patients showed a discrete anomalous posture of the fingers, with normality in the other four patients. Seventeen of the 25 children (68%) with ADHS combined type showed poor posture of the fingers when writing. Among the 14 children with ADHS attention deficit type, 8 had abnormal posture when using a pencil, and 4 had shown the problem several years before consulting, and the problem had disappeared after local orthopedic treatment. All 4 left-handed children (3 females and 1 male) presented abnormal posture of the fingers when writing.
  
  
  CONCLUSIONS
  Evaluation of the anomalous posture of the fingers when writing of patients with ADHS is a test that we commonly use because it is easy to do, the patients collaborate very well to do it and uncovers very early the developmental coordination disorder. The anomalous posture is associated with other coordination disorders and problems of muscular tone such as splay-foot, genu recurvatum, problems with jumping, walking on one foot, etc. in most patients.
authors.affiliation: Servicio de Neurología Pediátrica, Hospital Universitario La Paz, Madrid, España. i.pcastroviejo@neurologia.e.telefonica.net
authors.forename: I
authors.initials: I
authors.lastname: Pascual-Castroviejo
authors.forename: A
authors.initials: A
authors.lastname: Lobo-Llorente
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications*; D002648:Child; D005260:Female; D005385:Fingers / Q000503:physiopathology; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000209:etiology*; D011187:Posture; D014956:Writing