Wang H.-S.MENG-FAI KUOStern J.S.2019-11-292019-11-2920112072-0939https://www.scopus.com/inward/record.uri?eid=2-s2.0-84555196970&partnerID=40&md5=707aaea108e524c9bf556cc5066b7d43https://scholars.lib.ntu.edu.tw/handle/123456789/434492We report 2 boys, 11 and 7 years old, whose Tourette's disorder improved significantly after a period of repeated, sustained practice of activities requiring reflexive responses One boy engaged in physical exercise including hand-eye co-ordination (table tennis for 6 hours every weekday) and the other learned foreign languages (5 languages within 3 years). Tics may be thought of as a kind of overflow of energy, and excessive energy consumption with physical or mental exercise may improve the motor disorder and associated comorbidities. However, the exercise may require a quick, reflexive response to visual or verbal stimuli.Exercise therapy; Tic; Tic disorder; Tourette's disorder[SDGs]SDG7article; blinking; case report; child; diagnostic and statistical manual of mental disorders; eye hand coordination; Gilles de la Tourette syndrome; human; hyperactivity; impulsiveness; kinesiotherapy; language; male; repetitive practice of activities requiring reflexive response; school child; scoring system; social behavior; sport; Child; Humans; Language; Learning; Male; Physical Therapy Modalities; Reflexotherapy; Tourette Syndromejournal article221960692-s2.0-84555196970