What tests should children with ADHD undergo?

Diseases like ADHD in children are indeed quite common in life. Once such a disease occurs, we cannot ignore it. When we are sick, we must check and diagnose it in time and treat it in time. This is the key to effective recovery from the disease. Let me tell you what are the examination and treatment methods for ADHD in children?

Examination of ADHD in children:

(1) Hand flip test: Have the child sit at a table and place both hands flat on the table, and then have them flip their hands. When doing this, the palms should be facing down, the thumbs should be hanging down along the edge of the table, and the index fingers of both hands should be close together. The child should be restricted to repeatedly flipping his hands in place, and the speed should be gradually increased. At this time, observe the swinging amplitude of the elbow, the flipping posture of the hands, and whether the hands are close together. If the elbow swings beyond the width of an elbow and the flipping posture is clumsy and uncoordinated, it is a positive test.

(2) Finger-to-nose test: Have the child point to the tip of his or her nose with the index finger of his or her left hand, then with the index finger of his or her right hand, five times each with eyes open and closed, and observe the child's coordination, speed, and number of errors during the test. Children with ADHD often move too heavily, appear clumsy, and make more errors, especially when their eyes are closed.

(3) Finger-pointing test: Have the child make a fist with one hand and use the thumb of the other hand to touch the tips of the other fingers in turn (index finger → middle finger → ring finger → little finger), and then repeat the above action with the other hand. You can also touch the other fingers in the opposite direction (little finger → ring finger → middle finger → index finger), or repeat the above action with both hands at the same time. For older children, you can also do it in the order of index finger → ring finger → middle finger → little finger. At this time, observe the coordination of the child's finger-pointing action and record the number of errors. This method of examining children's soft neurological signs can be a good way to diagnose ADHD.

The following methods are commonly used in clinical practice and have reference value for children with ADHD:

Hand flip test:

Ask the child to put both hands on the table, palms down, thumbs on the palms, other four fingers together, and index fingers of both hands close together, then turn both hands over, put two index fingers and two little fingers close together, then turn both hands over, and keep turning both hands repeatedly in the same position, and gradually speed up. At this time, observe the swing of elbows, the posture of both hands when turning, and whether both hands can still be put together. If the swing of elbows exceeds the width of one elbow, and the posture of turning hands is clumsy and uncoordinated, it is positive.

Finger to nose test:

Ask the children to point to the tip of their nose with their left index finger first and then with their right index finger, 5 times with their eyes open and closed. At this time, observe the children's coordination and speed in the process of pointing to their nose. Children with ADHD often move too heavily and clumsily, and make many mistakes, especially when they close their eyes, the mistakes are more obvious.

Point finger test:

Ask the subject to make a fist with one hand and touch the tips of other fingers with the thumb of the other hand in turn. Then, repeat the same action with the other hand, or touch other fingers in both directions (i.e. index finger-middle finger-ring finger-little finger or little finger-ring finger-middle finger-index finger). At this time, observe the coordination of the finger-pointing action of the subject. If the subject cannot complete this test quickly and flexibly, it is positive.

After carefully reading the editor's introduction, we believe we have some new understanding about how to check children with ADHD. We hope that understanding the relevant examination items for children with ADHD can help our patients get timely examination and diagnosis and timely treatment when they are sick. It is crucial not to delay treatment and stay away from the disease as early as possible.