Motor and perceptual output problems were associated with hyperactivity before ADHD was described in North America. Many European pediatricians continue to consider these deficits along with inattention and hyperactivity to be part of one disorder. Motor deficits are an associated neurodevelopmental deficit in a substantial number of ADHD patients. In order for the patients' need to be addressed, pediatricians must be able to recognize motor coordination deficits and make appropriate recommendations to the patients' caregivers.