Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention
Differential diagnosis between sensory modulation disorder (SMD) and attention deficit hyperactivity disorder (ADHD) is often challenging, since these disorders occur at a high rate of co-morbidity and share several clinical characteristics. Preliminary studies providing evidence that these are dist...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2013-12-01
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| Series: | Frontiers in Human Neuroscience |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00862/full |
| _version_ | 1819137680941776896 |
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| author | Aviva eYochman Osnat eAlon-Beery Ahuva eSribman Shula eParush |
| author_facet | Aviva eYochman Osnat eAlon-Beery Ahuva eSribman Shula eParush |
| author_sort | Aviva eYochman |
| collection | DOAJ |
| description | Differential diagnosis between sensory modulation disorder (SMD) and attention deficit hyperactivity disorder (ADHD) is often challenging, since these disorders occur at a high rate of co-morbidity and share several clinical characteristics. Preliminary studies providing evidence that these are distinct disorders have focused solely on body functions, using sophisticated laboratory measurements. Moreover, no studies have compared participation profiles of these populations. This study is the first to compare the profiles of these populations regarding both ‘body functions’(attention and sensation) and ‘participation,’ using measures applicable for clinical use. The study included 19 children with ADHD without SMD and 19 with SMD without ADHD (diagnosed by both pediatric neurologists and occupational therapists), aged 6 to 9, and matched by age and gender. All children underwent a broad battery of evaluations: The Evaluation of Sensory Processing, Fabric Prickliness Test and Von Frey Test to evaluate sensory processing, and Test of Everyday Attention to evaluate attention components. The Participation in Childhood Occupations Questionnaire was used to evaluate participation. Results support significant group differences in all sensory components, including pain intensity to suprathreshold stimuli and pain 'after sensation', as well as in tactile, vestibular, taste and olfactory processing. No differences were found in attention components and participation. This study has both theoretical and clinical importance, inter alia, providing further evidence of two distinct disorders as well as indications of specific clinical instruments that might enable clinicians to implement differential diagnoses. In addition, results accord with other previous statements, which indicate that the clinical diagnosis of children with disabilities may not be a major factor in determining their participation profile. |
| first_indexed | 2024-12-22T10:54:44Z |
| format | Article |
| id | doaj.art-fbb69c5b8a744c64b27855647086e84f |
| institution | Directory Open Access Journal |
| issn | 1662-5161 |
| language | English |
| last_indexed | 2024-12-22T10:54:44Z |
| publishDate | 2013-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Human Neuroscience |
| spelling | doaj.art-fbb69c5b8a744c64b27855647086e84f2022-12-21T18:28:40ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612013-12-01710.3389/fnhum.2013.0086268740Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attentionAviva eYochman0Osnat eAlon-Beery1Ahuva eSribman2Shula eParush3School of occupational therapy of Hadassah and the Hebrew universityMeuhedet Healthcare OrganizationMeuhedet Healthcare OrganizationSchool of occupational therapy of Hadassah and the Hebrew universityDifferential diagnosis between sensory modulation disorder (SMD) and attention deficit hyperactivity disorder (ADHD) is often challenging, since these disorders occur at a high rate of co-morbidity and share several clinical characteristics. Preliminary studies providing evidence that these are distinct disorders have focused solely on body functions, using sophisticated laboratory measurements. Moreover, no studies have compared participation profiles of these populations. This study is the first to compare the profiles of these populations regarding both ‘body functions’(attention and sensation) and ‘participation,’ using measures applicable for clinical use. The study included 19 children with ADHD without SMD and 19 with SMD without ADHD (diagnosed by both pediatric neurologists and occupational therapists), aged 6 to 9, and matched by age and gender. All children underwent a broad battery of evaluations: The Evaluation of Sensory Processing, Fabric Prickliness Test and Von Frey Test to evaluate sensory processing, and Test of Everyday Attention to evaluate attention components. The Participation in Childhood Occupations Questionnaire was used to evaluate participation. Results support significant group differences in all sensory components, including pain intensity to suprathreshold stimuli and pain 'after sensation', as well as in tactile, vestibular, taste and olfactory processing. No differences were found in attention components and participation. This study has both theoretical and clinical importance, inter alia, providing further evidence of two distinct disorders as well as indications of specific clinical instruments that might enable clinicians to implement differential diagnoses. In addition, results accord with other previous statements, which indicate that the clinical diagnosis of children with disabilities may not be a major factor in determining their participation profile.http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00862/fullsensory processingAttention Deficit Hyperactivity Disorderdifferential diagnosissensory modulationParticipation |
| spellingShingle | Aviva eYochman Osnat eAlon-Beery Ahuva eSribman Shula eParush Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention Frontiers in Human Neuroscience sensory processing Attention Deficit Hyperactivity Disorder differential diagnosis sensory modulation Participation |
| title | Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention |
| title_full | Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention |
| title_fullStr | Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention |
| title_full_unstemmed | Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention |
| title_short | Differential diagnosis of sensory modulation dysfunction (SMD) and attention deficit hyperactivity disorder (ADHD): participation, sensation and attention |
| title_sort | differential diagnosis of sensory modulation dysfunction smd and attention deficit hyperactivity disorder adhd participation sensation and attention |
| topic | sensory processing Attention Deficit Hyperactivity Disorder differential diagnosis sensory modulation Participation |
| url | http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00862/full |
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