What is Postural Sway ADHD?

Monday, July 8, 2024.

Have you ever found yourself teetering on the edge, both metaphorically and literally?

If so, you might have experienced something known as "postural sway."

But what does it have to do with ADHD?

Let's discover how it might explain why some people seem to be balancing on a tightrope in their daily lives.

Understanding Postural Sway and ADHD

Postural sway refers to the natural, almost imperceptible movements we make to maintain our balance while standing. It's a bit like being on a surfboard, constantly making tiny adjustments to avoid wiping out. For people with ADHD, these adjustments can be more pronounced and frequent, leading to greater instability.

You might be wondering, "Why on earth does this matter?" Well, research has shown that folks with ADHD often struggle with motor control and coordination, which can manifest as increased postural sway.

This means they might sway more noticeably when standing still, as their brains constantly try to keep them balanced.

The Science Behind Postural Sway and ADHD

Several studies have delved into the connection between postural sway and ADHD. The findings suggest that people with ADHD may have differences in their cerebellum – the part of the brain responsible for motor control and coordination. This can result in challenges with balance and stability, leading to the aforementioned swaying.

Think of it as having an overactive internal GPS that's constantly recalculating your position, even when you're standing still. It's no wonder that maintaining balance can be such a challenge!

Practical implications in daily life

So, what does this mean for someone with ADHD in their daily life? Here are a few scenarios where increased postural sway might come into play:

  • Standing in Line: Ever notice how some people with ADHD can't seem to stand still in a line? That's postural sway in action! They're not impatient (well, maybe a little); their bodies are just trying to keep them upright.

  • Fitness and Sports: Activities that require balance and coordination, like yoga or gymnastics, might be more challenging. But hey, who doesn't love a good challenge?

  • Daily Tasks: Even simple tasks like brushing your teeth or cooking can become mini balancing acts. It's like living on a boat, but without the seasickness.

Tips for managing Postural Sway in ADHD

Now that we know what postural sway ADHD is, let's talk about some strategies to help manage it:

  • Balance Training: Incorporate exercises that focus on improving balance and coordination, such as standing on one foot or using a balance board. These can help strengthen the muscles and neural pathways involved in maintaining stability.

  • Mindfulness and Meditation: Practicing mindfulness can enhance body awareness and improve balance. Plus, it's a great way to calm that overactive mind.

  • Physical Therapy: Working with a physical therapist can provide personalized exercises and strategies to improve balance and motor control.

  • Supportive Footwear: Wearing shoes with good support can make a surprising difference in maintaining balance, especially on uneven surfaces.

Final thoughts

Understanding postural sway ADHD is like finding the missing piece of a puzzle. It sheds light on why some folks with ADHD might seem a bit wobbly and helps us appreciate the unique challenges they face.

As a couples therapist specializing in neurodiversity, I always encourage my clients to embrace their quirks and find humor in the little things. After all, life is a balancing act for all of us – some just sway a bit more than others.

So, next time you see someone swaying in line at the grocery store, give them a knowing smile. They might just be practicing their inner tightrope walk, mastering the art of balance one step at a time.

And remember, whether you're standing still or moving forward, it's all about finding your own equilibrium in this wonderfully diverse world.

Be Well, Stay Kind, and Godspeed.

REFERENCES:

Fliers, E. A., Rommelse, N. N., Vermeulen, S. H., Altink, M. E., Buschgens, C. J., Faraone, S. V., ... & Buitelaar, J. K. (2008). Motor coordination problems in children and adolescents with ADHD rated by parents and teachers: Effects of age and gender. Journal of Neural Transmission, 115(2), 211-220. https://doi.org/10.1007/s00702-007-0844-7

MacNeil, L. K., & Mostofsky, S. H. (2012). Specificity of dyspraxia in children with autism. Neuropsychology, 26(2), 165-171. https://doi.org/10.1037/a0026955

Piek, J. P., Pitcher, T. M., & Hay, D. A. (1999). Motor coordination and kinaesthesis in boys with attention deficit-hyperactivity disorder. Developmental Medicine & Child Neurology, 41(3), 159-165. https://doi.org/10.1111/j.1469-8749.1999.tb00059.x

Scharoun, S. M., Bryden, P. J., Otipka, M. N., & Smits-Engelsman, B. C. (2013). The development of motor skills in children with and without ADHD: A cross-sectional study. Developmental Medicine & Child Neurology, 55(4), 348-355. https://doi.org/10.1111/dmcn.12089

Wiersema, J. R., van der Meere, J. J., Roeyers, H., Van Coster, R., & Baeyens, D. (2006). Event rate and event-related potentials in ADHD: The influence of interstimulus interval length. Biological Psychology, 72(2), 132-141. https://doi.org/10.1016/j.biopsycho.2005.08.002

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