Symptom Provocation More Likely Following Vestibular/Ocular Motor Screening in Athletes with Attention Deficit Hyperactivity Disorder

Blueitt, Damond; Aj, Anzalone; Case, T. J.; McGuffin, Tiffany; Pollard, K. Michael; J, Craig Garrison; Jones, MT; Jm, Oliver

doi:10.1249/01.mss.0000486592.01086.73

Cited by 2 publications

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“…Athletes with ADHD reported feeling more “dazed” (66% vs 46%, P = 0.03), confused (60% vs 36%, P = 0.0009), and slowed down (75% vs 55%, P = 0.03); they also reported poorer concentration (75% vs 57%, P = 0.04). Using the same sample, Blueitt et al 6 found increased symptom provocation during visual ocular motor testing, specifically smooth pursuit (57% vs 36%, P = 0.02), horizontal saccade (69% vs 48%, P = 0.02), and horizontal vestibular ocular reflex (64% vs 41%, P = 0.01), among athletes with ADHD.…”

Section: Resultsmentioning

confidence: 94%

“…Six studies 6,9,13,23,33,35 analyzed the effects of ADHD on concussion symptom scoring. Among athletes with mild traumatic brain injury (mTBI), Biederman et al 5 found that, compared with controls (n = 18), those with ADHD (n = 11) reported more fatigue (3.4 vs 1.9, P = 0.02), worse concentration (4 vs 1.9, P = 0.008), and were more likely to score ≥5 items as severe (100 vs 38.5, P = 0.01) on the British Columbia Postconcussion Symptom Inventory, with scores representing intensity (0 = not at all to 5 = very severe problem).…”

Section: Resultsmentioning

confidence: 99%

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Neurocognitive Deficits Associated With ADHD in Athletes: A Systematic Review

Poysophon

Rao

2018

Sports Health: A Multidisciplinary Approach

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Neurocognitive Deficits Associated With ADHD in Athletes: A Systematic Review

Poysophon

Rao

2018

Sports Health: A Multidisciplinary Approach

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“…Han et al have approximated this to be between 7–8% [10]. Other samples had a prevalence of 10.1% [11] and 14.3% [12]. Correlations between ADHD and neurocognitive deficits in athletes have also been observed [13].…”

Section: Introductionmentioning

confidence: 99%

Pharmacotherapeutic undertreatment of ADHD in elite-level cycling and anti-doping regulations

2022

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Abstract. Introduction: Attention Deficit/Hyperactivity Disorder (ADHD) in elite-level cycling is an overlooked area of clinical enquiry. Whilst former riders have raised awareness about ADHD, there is scant evidence about pharmacotherapeutic treatment levels of this disorder. This is a pertinent concern amidst contemporaneous anti-doping contexts, as common medicines for ADHD are prohibited during active competition by the World Anti-Doping Agency and thus require a Therapeutic Use Exemption (TUE). Methods: We conducted a preliminary investigation into pharmacotherapeutic treatment rates of ADHD in elite-level riders. We gathered secondary, publicly-available data about cyclists in the Registered Testing Pool (RTP) from the professional body, the Union Cycliste International (UCI), in 2020 and 2021. We then compared this with the total TUEs for prohibited medications granted on behalf of the UCI during this timeframe. Results: 1,265 elite-level riders were included in the RTP sample in 2020, as compared to 10 TUEs. 1,234 elite-level riders were included in the 2021 RTP sample, as compared to 10 TUEs. Discussion: Based on these data, we estimate that ADHD may be undertreated in this cohort of elite-level cyclists per general trends. We highlight the adverse mental health effects of medicinal undertreatment for ADHD and its implications for the sport. We also hypothesise potential reasons for this, including stigmatisation, negative conceptions of doping allegations, and possible medicolegal consequences. Conclusion: ADHD in elite-level cycling has received little coverage, especially in relation to treatment rates. Detailed research examining this issue and awareness campaigns are required to protect the mental health of elite-level riders.

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Symptom Provocation More Likely Following Vestibular/Ocular Motor Screening in Athletes with Attention Deficit Hyperactivity Disorder

Cited by 2 publications

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Neurocognitive Deficits Associated With ADHD in Athletes: A Systematic Review

Neurocognitive Deficits Associated With ADHD in Athletes: A Systematic Review

Pharmacotherapeutic undertreatment of ADHD in elite-level cycling and anti-doping regulations

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