Patient's question:
Can't keep up with studies. Not sensitive to numbers. Hyperactive, picky eater, autistic, bad temper. Height 1.58 meters. Good sleep quality. Weight 35 kilograms.Born 21 days ago and treated for neonatal jaundice and sepsis at Harbin Children's Hospital! Discharged after 21 days.
Doctor's answer:
The main symptoms of ADHD in intellectually disabled children are characterized by hyperactivity, distractibility, and accompanying features such as learning difficulties and behavioral disorders. Children with ADHD and intellectual disabilities often struggle to organize and analyze information from their sensory organs, including vision, hearing, touch, smell, taste, and balance, leading to a phenomenon where the entire body cannot function coordinately—known as sensory integration dysfunction. This condition is very common among intellectually disabled children. American clinical psychologist Aytes categorizes sensory integration dysfunction into: motor coordination disorders, spatial perception disorders, vestibular balance disorders, auditory-verbal disorders, and tactile defensiveness disorders.For the treatment of ADHD in intellectually disabled children, a common method is the administration of central stimulants (e.g., amphetamines, methylphenidate, or Ritalin). While this may make the children quieter and less active, the actual effectiveness is not ideal. The use of such medications can have side effects on intellectually disabled children and may even exacerbate their intellectual delays. Given the lack of ideal or specific medications for this condition, training is recommended to help intellectually disabled children integrate these senses and develop adaptive responses. Before implementing training, I first assess the intellectual development level and the degree of sensory integration dysfunction in the children, then create a feasible training plan based on their specific circumstances.
Common methods used in teaching and training include:
1. Sloped Board Games – A board with four wheels that can rotate freely in any direction. The intellectually disabled children lie prone on the board and use their bodies to resist resistance as the board slides across the floor or moves down a slope.