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Multidisciplinary Journal of Tourism, Hospitality, Sport and Physical Education

an Open Access Journal


Physical Activity Interventions for Behavioral and Cognitive Development in Children with Attention Deficit Hyperactivity Disorder

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  • Purpose of the study: This study aims to explore how structured physical activity and adaptive physical education can support behavioral, cognitive, motor, and social development in children with Attention Deficit Hyperactivity Disorder in a special needs school setting.

    Methodology: This study employed a qualitative case study design using a life story approach at Bina Anak Bangsa Special Needs School, Pontianak, Indonesia. Participants included three children with Attention Deficit Hyperactivity Disorder and six informants. Data were collected through interviews, observation, and documentation, and analyzed using the Miles and Huberman interactive model of qualitative analysis.

    Main Findings: The findings showed that structured and consistent physical activities improved concentration, emotional regulation, motor coordination, and social interaction in children with Attention Deficit Hyperactivity Disorder. Individualized mentoring, guided play, and structured exercise routines were more effective than large-group activities. The results also indicated that continuous physical engagement helped stabilize behavior and enhanced children’s ability to follow instructions and participate in learning activities.

    Novelty/Originality of this study: This study highlights an integrated physical education and sports-based therapeutic approach for children with Attention Deficit Hyperactivity Disorder in special education settings. It emphasizes collaboration between teachers, coaches, parents, and psychologists in designing structured physical activity programs. The novelty lies in positioning adaptive physical activity as a coordinated non-pharmacological intervention supporting behavioral, motor, and cognitive development

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    Physical Activity Interventions for Behavioral and Cognitive Development in Children with Attention Deficit Hyperactivity Disorder. (2026). Multidisciplinary Journal of Tourism, Hospitality, Sport and Physical Education, 3(1), 162-172. https://doi.org/10.37251/jthpe.v3i1.3262
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    1. [1] F. Sun et al., “Structured physical exercise interventions and children and adolescents with attention deficit hyperactivity disorder: A systematic review and meta‐analysis,” Child. Care. Health Dev., vol. 50, no. 1, pp. 1-18, 2024, doi: 10.1111/cch.13150.
    2. [2] Y.-S. Chan, J.-T. Jang, and C.-S. Ho, “Effects of physical exercise on children with attention deficit hyperactivity disorder,” Biomed. J., vol. 45, no. 2, pp. 265–270, 2022, doi: 10.1016/j.bj.2021.11.011.
    3. [3] D. Li, D. Wang, W. Cui, J. Yan, W. Zang, and C. Li, “Effects of different physical activity interventions on children with attention-deficit/hyperactivity disorder: A network meta-analysis of randomized controlled trials,” Front. Neurosci., vol. 17, pp. 1-17, 2023, doi: 10.3389/fnins.2023.1139263.
    4. [4] R. Zheng, S. Huang, J. Yang, P. Zhao, and E. Li, “The therapeutic effects of physical activity on children with attention deficit hyperactivity disorder: A systematic review and meta-analysis,” Medicine (Baltimore)., vol. 104, no. 16, pp. 1-8, 2025, doi: 10.1097/MD.0000000000042063.
    5. [5] M. Y. I. Baamer, “Symptoms of attention deficit hyperactivity disorder and emotional behavioral problems: The mediating effect of executive function,” Appl. Neuropsychol. Child, vol. 13, no. 1, pp. 1–7, 2025, doi: 10.1080/21622965.2025.2485418.
    6. [6] G. Özyurt, E. Karagöz Tanıgör, B. Ş. Buran, Y. Öztürk, A. E. Tufan, and A. Akay, “Similarities and differences of neuropsychological functions, metacognitive abilities and resilience in Cognitive Disengagement Syndrome (CDS) and Attention Deficit/Hyperactivity Disorder (ADHD),” Appl. Neuropsychol. Child, vol. 15, no. 1, pp. 21–32, 2026, doi: 10.1080/21622965.2024.2358239.
    7. [7] W. Sun, M. Yu, and X. Zhou, “Effects of physical exercise on attention deficit and other major symptoms in children with ADHD: A meta-analysis,” Psychiatry Res., vol. 311, pp. 1-9, 2022, doi: 10.1016/j.psychres.2022.114509.
    8. [8] B. Seiffer, M. Hautzinger, R. Ulrich, and S. Wolf, “The efficacy of physical activity for children with attention deficit hyperactivity disorder: a meta-analysis of randomized controlled trials,” J. Atten. Disord., vol. 26, no. 5, pp. 656–673, 2022, doi: 10.1177/10870547211017982.
    9. [9] O. KayaKara, B. Kose, S. Y. Cetin, S. Sahin, and K. Kara, “Community participation, supports and barriers of adolescents with and without attention deficit hyperactivity disorder,” Phys. Occup. Ther. Pediatr., vol. 44, no. 3, pp. 380–397, 2024, doi: 10.1080/01942638.2023.2253899.
    10. [10] J. Schein et al., “Economic burden of attention-deficit/hyperactivity disorder among children and adolescents in the United States: a societal perspective,” J. Med. Econ., vol. 25, no. 1, pp. 193–205, 2022, doi: 10.1080/13696998.2022.2032097.
    11. [11] G. de Brito Porfirio, M. do Carmo Bardella, M. M. Oliani, and C. de Moraes, “The impact of physical activity on cognitive, behavioral, and academic performance in children with ADHD: A systematic review,” Dement. Neuropsychol., vol. 20, pp. 1-8, 2025, doi: 10.1590/1980-5764-dn-2025-0339.
    12. [12] Z. Huang, L. Li, Y. Lu, J. Meng, and X. Wu, “Effects of rope skipping exercise on working memory and cardiorespiratory fitness in children with attention deficit hyperactivity disorder,” Front. Psychiatry, vol. 15, pp. 1-11, 2024, doi: 10.3389/fpsyt.2024.1381403.
    13. [13] D. D. Le, T. K. C. Nguyen, T. H. Le, and T. D. Ngo, “The use of eye-tracking technology in supporting children and adolescents with attention deficit/hyperactivity disorder: A comprehensive review,” Disabil. Rehabil. Assist. Technol., vol. 20, no. 5, pp. 1296–1323, 2025, doi: 10.1080/17483107.2025.2497305.
    14. [14] L. A. Canty, A. Bhopti, and L. M. Carey, “Identifying developmental coordination disorder in children with attention-deficit/hyperactivity disorder: An evidence-based decision tree tool for occupational therapy clinicians,” J. Occup. Ther. Sch. Early Interv., vol. 16, no. 4, pp. 466–479, 2023, doi: 10.1080/19411243.2022.2112363.
    15. [15] F. B. Hosseini, S. Ghorbani, and R. Rezaeeshirazi, “Effects of perceived autonomy support in the physical education on basic psychological needs satisfaction, intrinsic motivation and intention to perform physical activity in high school students,” Int. J. Sch. Heal., vol. 7, no. 4, pp. 39–46, 2020, doi: 10.30476/intjsh.2020.88171.1106.
    16. [16] F. Montalva-Valenzuela, O. Andrades-Ramírez, and A. Castillo-Paredes, “Effects of physical activity, exercise and sport on executive function in young people with attention deficit hyperactivity disorder: a systematic review,” Eur. J. Investig. Heal. Psychol. Educ., vol. 12, no. 1, pp. 61-75, 2022, doi: 10.3390/ejihpe12010006.
    17. [17] R. E. Caraka et al., “Big data analytics for uncovering voxel connectivity patterns in attention deficit hyperactivity disorder,” J. Multidiscip. Healthc., vol. 18, pp. 4411–4430, 2025, doi: 10.2147/JMDH.S523137.
    18. [18] A. Martín-Rodríguez, S. Herrero-Roldán, and V. J. Clemente-Suárez, “The role of physical activity in ADHD management: diagnostic, digital and Non-Digital interventions, and lifespan considerations,” Children, vol. 12, no. 3, pp. 1-29, 2025, doi: 10.3390/children12030338.
    19. [19] D. Bores-Garcia, D. Palacios-Cena, C. Jimenez-Antona, and R. Marconnot, “The meaning of physical education practice in students with attention-deficit hyperactivity disorder (ADHD),” Res. Q. Exerc. Sport, vol. 95, no. 3, pp. 656–663, 2024, doi: 10.1080/02701367.2023.2294097.
    20. [20] K. B. Metcalfe, C. D. McFeaters, and D. Voyer, “Time-perception deficits in attention-deficit/hyperactivity disorder: A systematic review and meta-analysis,” Dev. Neuropsychol., vol. 49, no. 1, pp. 1–24, 2024, doi: 10.1080/87565641.2023.2293712.
    21. [21] S. Skalidou, A. Anestis, N. Bakolas, G. Tsoulfa, and K. Papadimitriou, “Swimming activity alleviates the symptoms of attention deficit hyperactivity disorder (ADHD): A case report,” Healthcare, vol. 11, no. 14, pp. 1-8, 2023, doi: 10.3390/healthcare11141999.
    22. [22] M. Sammut, N. Fini, K. Haracz, M. Nilsson, C. English, and H. Janssen, “Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: A systematic review,” Disabil. Rehabil., vol. 44, no. 3, pp. 337–352, 2022, doi: 10.1080/09638288.2020.1768599.
    23. [23] I. M. J. VanderFels et al., “Effects of aerobic exercise and cognitively engaging exercise on cardiorespiratory fitness and motor skills in primary school children: A cluster randomized controlled trial,” J. Sports Sci., vol. 38, no. 17, pp. 1975–1983, Sep. 2020, doi: 10.1080/02640414.2020.1765464.
    24. [24] S. Hattabi et al., “A randomized trial of a swimming-based alternative treatment for children with attention deficit hyperactivity disorder,” Int. J. Environ. Res. Public Health, vol. 19, no. 23, pp. 1-14, 2022, doi: 10.3390/ijerph192316238.
    25. [25] C. Liu, Y. Yang, S. H. Wong, A. Leung, and C. H. Sit, “The effects of physical activity on mental health in adolescents with attention-deficit hyperactivity disorder: a randomized controlled trial,” Int. J. Behav. Nutr. Phys. Act., vol. 22, no. 1, pp. 1-15, 2025, doi: 10.1186/s12966-025-01745-4.
    26. [26] A. Barzideh et al., “Physiotherapists’ use of aerobic exercise during stroke rehabilitation: A qualitative study using chart-stimulated recall,” Disabil. Rehabil., vol. 47, no. 21, pp. 5503–5515, 2025, doi: 10.1080/09638288.2025.2482841.
    27. [27] C. S. Jones, K. E. Spring, and D. D. Wadsworth, “Factors influencing regular exercise in young women: A survey study assessing the preferences and motivators for aerobic and muscle-strengthening exercise,” Heal. Psychol. Behav. Med., vol. 13, no. 1, pp. 1–20, 2025, doi: 10.1080/21642850.2025.2465613.
    28. [28] S. Dastamooz et al., “The efficacy of physical exercise interventions on mental health, cognitive function, and ADHD symptoms in children and adolescents with ADHD: an umbrella review,” EClinicalMedicine, vol. 62, pp. 1-15, 2023, doi: 10.1016/j.eclinm.2023.102137.
    29. [29] S. V. Faraone, C. L. Ward, M. Boucher, R. Elbekai, and E. Brunner, “Role of serotonin in the neurobiology of attention-deficit/hyperactivity disorder: A systematic literature review,” Expert Opin. Ther. Targets, vol. 29, no. 9, pp. 637–654, 2025, doi: 10.1080/14728222.2025.2552324.
    30. [30] A. Watroba, J. Luttinen, P. Lappalainen, J. Tolonen, and H. Ruotsalainen, “Effectiveness of school-based occupational therapy interventions on school skills and abilities among children with attention deficit hyperactivity and autism spectrum disorders: Systematic review,” J. Occup. Ther. Sch. Early Interv., vol. 17, no. 3, pp. 671–703, J2024, doi: 10.1080/19411243.2023.2224793.
    31. [31] M. J. Salleg-Cabarcas, C. Robledo-Castro, and C. P. Monsalve-Vertel, “Effect of hit-sport-game exercise training on self-control and regulation in children with attention deficit hyperactivity disorder (ADHD),” Glob. Pediatr. Heal., vol. 11, pp. 1-15, 2024, doi: 10.1177/2333794X241287095.
    32. [32] H.-L. Chiang et al., “Physical fitness and risk of mental disorders in children and adolescents,” JAMA Pediatr., vol. 178, no. 6, pp. 595–607, 2024, doi: 10.1001/jamapediatrics.2024.0806.
    33. [33] X. Liang, R. H. Xu, M. Zhao, L. Qu, and D. H. K. Shum, “Impact of a physical exercise intervention on psychological resilience and mental ill-being in medical-naïve children with attention-deficit/hyperactivity disorder: A pilot randomised controlled trial,” Psychol. Health Med., vol. 29, no. 10, pp. 1764–1775, 2024, doi: 10.1080/13548506.2024.2407449.
    34. [34] K.-M. Lien, C.-C. Kuo, and H.-L. Pan, “Improving concentration and academic performance of a mathematically talented student with ASD/ADHD: An enrichment program,” Educ. Sci., vol. 13, no. 6, pp. 1-23, 2023, doi: 10.3390/educsci13060588.
    35. [35] Y. Song, B. Fan, C. Wang, and H. Yu, “Meta-analysis of the effects of physical activity on executive function in children and adolescents with attention deficit hyperactivity disorder,” PLoS One, vol. 18, no. 8, pp. 1-19, 2023, doi: 10.1371/journal.pone.0289732.
    36. [36] L. Feng, B. Li, S. S. Yong, and Z. Tian, “Effects of exercise intervention on physical and mental health of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis based on ICF-CY,” J. Sci. Sport Exerc., vol. 8, pp. 117–134, 2024, doi: 10.1007/s42978-024-00295-8.
    37. [37] D. Naria and I. L. Mariyati, “Improving concentration in ADHD children with bowling game,” Cakrawala Dini J. Pendidik. Anak Usia Dini, vol. 15, no. 2, pp. 109–126, 2024, doi: 10.17509/cd.v15i2.71379.
    38. [38] N. Nazeer, Y. M. Rohanachandra, and S. Prathapan, “Predictors of attention deficit hyperactivity disorder in sri lankan children: A school based community study,” J. Atten. Disord., vol. 27, no. 10, pp. 1081–1091, 2023, doi: 10.1177/10870547231167571.
    39. [39] V. Salmanov, C. Zeynalov, N. Hasanov, L. Talibova, K. Salmanova, and T. Khalilov, “A healthy lifestyle of schoolchildren and students as a result of systematic physical education,” J. Neonatal Surg., vol. 14, no. 4s, pp. 1-11, 2025, doi: 10.52783/jns.v14.1872.
    40. [40] T. M. Tregubova, N. Papić-Blagojević, and O. A. Ozerova, “Enhancing the professional development of adapted physical education teachers in Russia and Serbia: challenges and best practice,” Theory Pract. Phys. Cult., no. 5, pp. 54–59, 2025.
    41. [41] Tanti, Astalini, Darmaji, D. A. Kurniawan, and R. Fitriani, “Student perception review from gender: Electronic moduls of mathematical physics,” J. Pendidik. Indones., vol. 11, no. 1, pp. 125–132, 2022, doi: 10.23887/jpiundiksha.v11i1.35107.
    42. [42] Tanti, D. A. Kurniawan, W. Sukarni, E. Erika, and R. Hoyi, “Description of Student Responses Toward the Implementation of Problem-Based Learning Model in Physics Learning,” JIPF (Jurnal Ilmu Pendidik. Fis., vol. 6, no. 1, pp. 30–38, 2021, doi: 10.26737/jipf.v6i1.1787.
    43. [43] Faiza, M. M. Mahesh, and P. Bhaskaran, “Effectiveness of cognitive training on coordination and concentration among children with ADHD,” in 2024 International Conference on Brain Computer Interface & Healthcare Technologies (iCon-BCIHT), Thiruvananthapuram, India, 2024, pp. 184–188, doi: 10.1109/iCon-BCIHT63907.2024.10882247.
    44. [44] C. D’Anna, F. Carlevaro, F. Magno, R. Vagnetti, P. Limone, and D. Magistro, “Gross motor skills are associated with symptoms of attention deficit hyperactivity disorder in school-aged children,” Children, vol. 11, no. 7, pp. 1-12, 2024, doi: 10.3390/children11070757.
    45. [45] L. Valtr, R. Psotta, and D. Dostál, “Effects of the specific eye fixation training on fine visuomotor coordination in children with attention deficit hyperactivity disorder,” Children, vol. 10, no. 10, pp. 1-12, 2023, doi: 10.3390/children10101648.
    46. [46] T. Tanti, D. Deliza, and S. Hartina, “The effectiveness of using smartphones as mobile-mini labs in improving students’ beliefs in physics,” JIPF (Jurnal Ilmu Pendidik. Fis., vol. 9, no. 3, pp. 387–394, 2024, doi: 10.26737/jipf.v9i3.5185.
    47. [47] E. E. Bustamante et al., “Diverse multi-week physical activity programs reduce ADHD symptoms: A systematic review and meta-analysis,” Psychol. Sport Exerc., vol. 63, pp. 1-22, 2022, doi: 10.1016/j.psychsport.2022.102268.
    48. [48] B.-A. Hoy, M. C. Steinberg, and B. Fenesi, “Perspectives on physical activity and learning from children with and without ADHD,” Sports, vol. 13, no. 8, pp. 1-20, 2025, doi: 10.3390/sports13080240.
    49. [49] E. Yusnita and I. Yuliantina, “Sensory integration program to increase concentration ability in ADHD children,” J. Child. Dev., vol. 4, no. 1, pp. 330–342, 2024, doi: 10.25217/jcd.v4i1.4261.
    50. [50] R. Setyowati and S. Sukinah, “Fine motor skill development in ADHD-risk children: An intervention using loose parts collage activities,” J. Innov. Res. Prim. Educ., vol. 4, no. 4, pp. 2897–2911, 2025, doi: 10.56916/jirpe.v4i4.2313.
    51. [51] S.-H. Chang, J.-J. Shie, and N.-Y. Yu, “Enhancing executive functions and handwriting with a concentrative coordination exercise in children with ADHD: A randomized clinical trial,” Percept. Mot. Skills, vol. 129, no. 4, pp. 1014–1035, 2022, doi: 10.1177/00315125221098324.
    52. [52] Z. Shahnavaz and M. B. Hassanvand, “The impact of a game-based motor-cognitive training program on improving fine motor skills and response inhibition in children with attention deficit hyperactivity disorder,” Russ. Open Med. J., vol. 14, no. 4, pp. 1-7, 2025, doi: 10.15275/rusomj.2025.0422.
    53. [53] K. P. Adhvaryu, S. Karthikbabu, and P. T. Rao, “Motor performance of children with attention deficit hyperactivity disorder: Focus on the Bruininks-Oseretsky Test of Motor Proficiency,” Clin. Exp. Pediatr., vol. 65, no. 11, pp. 1-12, 2022, doi: 10.3345/cep.2021.00962
    54. [54] M. H. Sahid, A. Dahlan, R. D. Haryadi, M. G. Masuri, S. A. S. Ibrahim, and A. Pratiwi, “Exploring the potential of dakon as a means of preserving cultural heritage, teaching local wisdom, and promoting inclusive learning for adhd children in the digital era,” in 9th International Conference on Strategic and Global Studies 2025 ((ICSGS 2025), Atlantis Press, 2025, pp. 421–439, doi: 10.2991/978-94-6463-918-6_28.
    55. [55] S. Desai, H. V Sharath, R. Raghuveer, and S. HV, “Effect of pediatric rehabilitation on children with attention deficit hyperactivity disorder (ADHD): A Case Report,” Cureus, vol. 16, no. 6, pp. 1-11, 2024, doi: 10.7759/cureus.62739.
    56. [56] A. Doulou, P. Pergantis, A. Drigas, and C. Skianis, “Managing ADHD symptoms in children through the use of various technology-driven serious games: A systematic review,” Multimodal Technol. Interact., vol. 9, no. 1, pp. 1-26, 2025, doi: 10.3390/mti9010008.
    57. [57] T. Christ, K. J. Boström, P. Ohrmann, H. Britz, H. Wagner, and C. Bohn, “The effects of a four-month skateboarding intervention on motor, cognitive, and symptom levels in children with ADHD,” Front. Pediatr., vol. 12, pp. 1-16, 2024, doi: 10.3389/fped.2024.1452851.
    58. [58] B. Mahardika and A. A. P. Putra, “Art therapy through doodle art media in increasing learning concentration children with ADHD,” J. Child. Dev., vol. 3, no. 2, pp. 121–129, 2023, doi: 10.25217/jcd.v3i2.3939.
    59. [59] T. Rukmana, S. Suyadi, S. S. Rahayu, I. Anggryani, and M. Muarofakh, “Handling children with special needs through motor activities,” JOYCED J. Early Child. Educ., vol. 2, no. 2, pp. 109–120, 2022, doi: 10.14421/joyced.2022.22-02.
    60. [60] Husniah and U. Darajah, “The use of finger painting to improve fine motor skills of 5–6 year old children at RA Al-Islamiyah Bebidas,” Jurnal Profesi Guru Indonesia, vol. 2, no. 1, pp. 308–319, 2025, doi: 10.62945/jpgi.v2i1.471.