ADD/ADHD FACT SHEET

A disorder characterized by inappropriate degrees of attention, impulsiveness, and/or hyperactivity. Although these areas are considered to be core symptoms, all three characteristics are not necessarily present in those affected. Symptoms are generally first manifested early in childhood and may persist in varying degrees throughout adult life. The difference between Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder (ADD/ADHD) is the absence or presence of hyperactivity.

CHARACTERISTICS

Hyperactivity, fidgetiness and/or squirming. Impulsivity (difficulty staying focused on an immediate task) often described by

those with ADD/ADHD behavior driven by thoughts, ideas, or suggestions that race through the mind.

Inattention for "tedious" or "unexciting" mental activity, very obvious with respect to school work but not limited to formal learning experiences. Note body posture and lack of attending visually to the task.

Falling asleep slowly and with great difficulty at night. Waking slowly or, especially in young children, being disorganized and/or

grumpy in the morning unless anticipating high excitement activity. Spatial dyslexia (for example, writing mirror-image reversals of letters, difficulty

with left-right discrimination, and difficulty properly sequencing letters, words or numbers).

Episodic explosiveness (also referred to as emotional outbursts or temper tantrums in the very young) manifest as verbal violence and/or hitting, biting, kicking etc.

Frequent bedwetting due to primary nocturnal enuresis. Unexplained and unreasonable emotional negativity. Unexplained irritability or easy frustration over minor issues or matters, often

described as "things bug me."

CAUSE

The causes of ADD/ADHD are found in the functioning of the brain. Attention Deficit Disorder is a limiting metabolic dysfunction of the brain. When neural building materials are lacking, neurological demands cannot be fulfilled easily. This interferes with the efficient processing of information. Demands for new learning, memory, and the management of information cannot be satisfied, which overworks and stresses the brain.

Attention Deficit Disorder (ADD) and attention deficit hyperactivity disorder (ADHD) are a limiting metabolic dysfunction of the Reticular Activating System, the center of consciousness that coordinates learning and memory, and which normally supplies the appropriate neural connections necessary for smooth information processing and clear,

non-stressful attention. When neural building materials are lacking, demand for further connectivity cannot easily be fulfilled, interfering with the efficient processing of information, and frustrating the ADD/ADHD individual. In other words, neural "hardware" remains in limited production (there's not enough of it), and supply cannot keep up with the demand (increasing stimulus or "traffic") for new neural connections within the Central Nervous System (CNS). Demands for new learning, memory, and the management of information processing cannot be satisfied, and the insufficient "connections" result in existing neural pathways being repeatedly overworked and over stressed, often resulting in complete gridlock or shutdown so that nothing gets processed thereafter. This, most noticeably, generates frustration, bewilderment, and behavioral problems in the individual.

ETIOLOGY

A single cause has not been conclusively proven (idiopathic). Some possibilities are:

1. Genetic/ Hereditary (strongest correlation) 2. Brain damage (head trauma) before, after or during birth (twice as likely to have

had labor> 13hrs) 3. Brain damage by toxins (internal: bacterial and viral, external: fetal alcohol

syndrome, metal intoxication, eg lead) 4. Strongly held belief by some people (including at least one book, Feingold's

"Cookbook for Hyperactive children") that food allergies cause ADD. This has *not* been proven scientifically.

PROGNOSIS

ADD/ADHD is often life-long, though hyperactivity usually improves with age. Patients with ADD/ADHD are more likely than average to use drugs, fail or drop out of school, have financial or credit problems and get in trouble with the law; they also are rumored to be more creative than average and many function very well. Early treatment allows for better formation of study-habits and social skills. 20% outgrow it by puberty but other problems can interfere. ADD that lasts into Adulthood is referred to as ADD-RT (Residual Type).

IMPLICATIONS FOR PHYSICAL EDUCATION

Many children with ADD/ADHD experience great difficulty in school, where attention, quick cognitive processing, and motor control are virtual requirements for success. Children with ADD/ADHD tend to have difficulty and overreact to changes in their environment. Whether at home or in school, children with ADD/ADHD tend to respond best in structured/predictable environments. These environments often have clear and consistent rules and expectations with defined consequences set forth ahead of time and delivered immediately. By establishing structure and routines, parents and teachers can cultivate an environment that encourages the child to independently control his or her behavior and succeed at learning.

Adaptations which might be helpful (but will not cure ADD/ADHD) include: 1. Posting daily schedules and assignments 2. Calling attention to schedule changes 3. Setting specific times for specific tasks 4. Designing a quiet workspace for use upon request 5. Providing regularly scheduled and frequent breaks 6. Using computerized learning activities 7. Teaching organization and study skills 8. Supplementing verbal instructions with visual instructions 9. Modifying test delivery

While ADD/ADHD can be very inconsistent and unpredictable, research and science have shown that, as with most children, the more we understand about a child the better we can help them to learn. Dr. Edward M. Hallowell and Dr. John Ratey have written an interesting brochure titled 50 Tips on the Classroom Management of Attention Deficit Disorder. Below are some highlights for use in Physical education and classroom management. Be aware that ADD/ADHD may not be the root of all problems. Make sure that a child is not impaired in another way. Oftentimes other impairments like vision, communication or hearing can have similar symptoms. Addressing the right problem will ensure the most effective results. Structure an environment with reminders (visual and verbal), clear directions, and determined limits. This will help to ensure a child's understanding and the ability to pay attention to important factors of a lesson plan instead of an external environment. Make simple, posted rules to reassure that children know their expectations. Make frequent eye contact so that both the child and teacher are aware of any daydreaming or lack of attention. This will bring a child back to an activity and give silent reassurance that you are concerned about and interested in their attention. Repeat directions and important information so that children have many opportunities to absorb them. Writing down directions and verbally communicating them will help to increase a child's understanding. Give frequent feedback; this will help to keep them on track Go for quality instead of quantity with an activity or work. Break down large projects into small tasks; this will decrease an overwhelming project and help to increase a child's self confidence and interest in the project.

ASSESSMENT SUGGESTIONS

Behavior Assessment- checklist of how the student behaved for the week with

activities and with the other students.

Participation Assessment- Level of participation in each activity presented during the week, include ability and interest

Persistence and Attention Assessment- How involved the student is and whether

the student accomplished the goals of class or not (persistence or attempt)

RECOMMENDED ACTIVITIES

Physical Activity helps cleansing; it brings balance and relieves stress. Psychophysical activities will help you balance your body and will help you relief accumulated stress.

Mini Trampoline jumping - rebounding! Meditation Walk or jog in the nature: Forest, Mountain, river /sea / lake side, beach Yoga - Meditation, Chinese Yoga Martial Arts: Karate, Judo, Kung Fu, Aikido Dancing, Aerobics, Gymnastics, Stretching Swimming in non-chlorinated water !

EFFECTIVE TEACHING STRATEGIES

Pause and create suspense by looking around before asking questions. Randomly pick reciters so the children cannot time their attention. Signal that someone is going to have to answer a question about what is being

said. Use the childs name in a question or in the material being covered. Ask a simple question (not even related to the topic at hand) to a child whose

attention is beginning to wander. Develop a private running joke between you and the child that can be invoked to

re-involve you with the child. Stand close to an inattentive child and touch him or her on the shoulder as you are

teaching. Walk around the classroom as the lesson is progressing and tap the place in the

childs book that is currently being read or discussed. Decrease the length of assignments or lessons. Alternate physical and mental activities.

Increase the novelty of lessons by using films, tapes, flash cards, or small group work or by having a child call on others.

Incorporate the childrens interests into a lesson plan. Structure in some guided daydreaming time. Give simple, concrete instructions, once. Investigate the use of simple mechanical devices that indicate attention versus

inattention. Teach children self monitoring strategies. Use a soft voice to give direction.

RESOURCES

National Attention Deficit Disorder Association P.O. Box 972 Mentor, OH 44061. Office Line: 216-350-9595 Toll-free Voice Mail:1-800-487-2282 To Fax to ADDA: 216-350-0223 Faxback number: 313-769-6729

CHADD. Children & Adults with Attention Deficit Disorder National Office 499 N.W. 70th Ave. Suite 308 Plantation, Florida 33317 Phone 305-587-3700 Fax 305-587-4599

REFERENCES www.murraystate.edu/secsv/SSLD/learningdisabilities.html http://www.addmtc.com/clinical.html http://www.add-adhd-help-center.com/add_adhd_faq.htm http://www.attentiondeficit-add-adhd.com/adhd_add_information.htm http://www.childdevelopmentinfo.com/learning/teacher.shtml