Health Education

Game On: Picking Sports for ADHD Children

Game On: Picking Sports for ADHD Children

January 28, 2011

This content was originally published by ADDitude Magazine here.

For children with attention deficit, not all sports are created equal. Here, find ideas for the best sports and activities for ADHD children and learn how to determine if a team or individual sport is best for your kid.

Sports and exercise can offer a number of social and behavioral benefits, but it’s not always easy for ADHD children to get involved.
For many children with ADHD, the most formidable opponents on the playing field are themselves. Because structure, order and lack of distraction are the keys to sports success, the very issues that plague them in the classroom may get magnified on the playing field.

Additionally, ADHD frequently co-occurs with learning disabilities that affect organization, spatial awareness, and game concepts and strategies. So besides distractibility, other factors that hamper sports success for many ADHD kids are:

· Difficulty following directions. Attention deficit children often want to skip the instructions and jump right into the game or activity.

· Impulsivity. Because ADHD kids often act before thinking, they’re quick to operate on instinct rather than employ strategies and rules that are part of the sport. They also may have difficulty waiting their turn and standing in line, especially during practice.

· Inattention. Sports such as baseball that require the child to pay at least moderate attention during periods in which they not fully engaged in the game are particularly challenging. Kids with ADHD often are caught daydreaming or fooling around during low action intervals.

· Low frustration tolerance. Losing is especially difficult for kids with ADHD, and may give rise to tantrums, rages, and other inappropriate or even physically aggressive behaviors.

· The Trouble with Team Sports

· Most experts agree that individual sports are better for kids whose ADHD isn’t well controlled. Team contact sports are the worst. “They have a hard time grasping the ‘play system,'” explains Robert Giabardo, athletic director at Summit Camp for Youth with Attention Deficit Disorders in Honesdale, Pennsylvania. “In order to participate in a game such as football, the player must always be focused not only on his or her role in the game, but must also be aware of the actions and physical placement of other players at all times.”

· Maintaining keen focus and acute awareness is challenging for any child. For kids with ADHD, it’s almost impossible. “Often they do not look around at other players and get hit or hurt during plays,” Giabardo says.

· “Basketball may be even worse,” says Patricia Quinn, M.D., a developmental pediatrician specializing in ADHD at the Pediatric Development Center in Washington DC. “They have to learn the plays, anticipate moves, and strategize. These are exactly the things people with ADHD don’t do well.”

· Giabardo agrees. “They have trouble understanding zones and how defense works. ADHD children just want to get the ball and dribble it. And they get frustrated because basketball requires the player to exercise several skills at one time, such as jumping, passing, dribbling and running.”

· “So they keep the ball and do all the shooting, or they’re in the wrong place at the wrong time,” says Quinn, who has watched many a painful scene from the sidelines. “People are yelling at them. The other parents start telling teammates to keep the ball away from the ADHD kid. It’s terribly deflating, exactly the opposite experience you’d want your ADHD child to have.”

· Individual Sports Are Key

· As a general rule, children with ADHD do better when they get plenty of individual attention from coaches. That’s why they’re more likely to succeed with individual sports such as swimming and diving, wrestling, martial arts, and tennis – or even more rarified endeavors such as fencing and horseback riding.

· Even though these sports themselves may be “individual,” ADHD children still derive many of the social benefits of being on a team because they’re frequently taught in groups with other kids. “In the case of swimming, wrestling and tennis they often are on teams,” says Quinn. “It’s just that the effort and instruction are individual.”

· The team situation also enables children to spread the guilt for a loss over the group, not just on him or herself – which is acceptable as long the child understands his or her role in the loss, and doesn’t verbally blame or abuse teammates. Which means parents need to be closely involved.

· In fact, parents are the key to sports success for most ADHD kids, particularly when they’re young and selecting activities to pursue. “You have to work at seeking out what your kids are good at, what they’re interested in, and what fits their personalities,” says Quinn. “There’s no one formula because no two ADHD kids are alike.”

· The Magic of Martial Arts

· One group of activities that Quinn promotes for nearly all ADHD kids, though, is martial arts such as taekwondo. “Martial arts are all about control. You learn to control your body. The movements are smooth. There is an element of meditation (internal self control) in taekwondo.” In addition, she says, teachers instruct rather than coach; when the child is shown step by step how to do something, there’s little opportunity for distraction.

· A lasting benefit of martial arts comes from its use of rituals such as bowing to the instructor, Quinn believes. “Rituals are good for ADHD kids because they make behavior automatic,” she says. “For most of us, daily actions such as remembering to take your medicine are automatic. But without rituals such as ‘every time I brush my teeth I take my medicine,’ people with ADHD don’t remember.” Martial arts rituals can help teach kids with ADHD to accept, develop and use rituals in other areas of their lives.

· Modifying Sports for ADHD Children

· Despite the pitfalls of team sports, many kids with ADHD are strongly motivated to join them for social reasons as well as athletic interest. Indeed, learning to be a part of a team is a thrilling and therapeutic experience for kids who are up to the task.

· But whether they choose to pursue team or individual sports, an understanding professional coach or gym teacher who makes adjustments and modifications for ADHD kids can make or break a sports experience for your child.

· Modifications in team sports should be designed to keep your child active and engaged in the sport with strategies that minimize downtime and boredom. In baseball, for example, modifications might include:

· — Changing drill patterns frequently to keep the child from becoming bored or desensitized.

— Changing field positions as frequently as every five minutes to re-stimulate the child’s attention to the game, particularly if the child is posted in the outfield.
— Putting the ADHD child in an active field position as much as possible to keep him or her busily involved in the game.
— Alternate between multiple practice stations to keep kids constantly engaged.
— Giving the ADHD child a coach’s assistant job while waiting his turn at bat. Keep the task simple but engaging so he’ll stay out of trouble and build a sense of purpose and self worth along the way.

· Even individual sports may require modifications. Mauro Hamza, a fencing coach in Houston, Texas, allows ADHD children frequent breaks in routine. The fencing club rents space from a rec center, which enables children to break for checkers, TV, snacks, or even an occasional ping pong game during the two hour fencing club practice.

· Pick Age Appropriate Sports

· Finally, keep in mind that ADHD children usually are about a third younger emotionally and socially than they are chronologically, which explains a lot of their troubled interactions with peers. If you can think of your eleven-year-old child as really being eight, it makes it easier to accept and understand his or her behavior.

· The difference between the playing field and elsewhere, though, is that you can use the sports arena to your child’s advantage by placing him or her with a younger age group, something you can’t do realistically at school.

· Quinn advocates holding your child back in sports by two or more years whenever possible. “Make the way smoother for them by putting them with younger children,” Quinn suggests. “They’ll have a chance to hang around with peers they can relate to, and to be in a position where they can shine.”

· Let the smiles begin.

· And the Winning Sports Are

· The following common childhood sports are based on opportunities for distraction, level of physical contact, frustration factor, complexity of rules/strategies, and use of gross motor skills.
· Gold Medal
— Swimming/Diving
— Martial Arts
— Tennis
— Gymnastics
— Wrestling
· Silver Medal
— Soccer (Goalie position not recommended)
— Fencing
— Horseback Riding
— Track Events
· Bronze Medal (recommended only with substantial modification)
— Baseball
· Losers (not recommended)
— Football

Learn more about how exercise can benefit children with ADHD.