Researchers have reported that exercise has had positive results on decreasing many behaviors for children with ADHD. The purpose of this study is to examine the impact of a structured physical education program for students in grades K-4 with attention deficit hyperactivity disorder (ADHD) on academic performance. This study utilized a single subject withdrawal design. Four participants attending a special day class in grades K-4 in Northern California participated in this study. Results of this study demonstrated that 30 minutes of structured physical activity had a positive impact on decreasing the number of off-task behaviors for all four of the participants. Future teachers and researchers working with students with ADHD should consider incorporating structured and consistent physical activity into their student’s daily routines