Jonsdottir Solveig, Bouma Anke, Sergeant Joseph A, Scherder Erik J A
Department of Child and Adolescent Psychiatry, Landspitali-University Hospital, Reykjavík, Iceland.
Neurorehabil Neural Repair. 2004 Dec;18(4):212-21. doi: 10.1177/1545968304270759.
The aim of this study was to examine the effects of transcutaneous electrical nerve stimulation (TENS) on cognition, behavior, and the rest-activity rhythm in children with attention deficit hyperactivity disorder, combined type (ADHD-CT).
Twenty-two children diagnosed with ADHD-CT received TENS treatment during 6 weeks, 2 times 30 min a day. Neuropsychological tests were administered to assess cognition, parent/teacher behavioral rating scales were used to measure behavior, and actigraphy was used to assess the rest-activity rhythm.
TENS appeared to have a moderate beneficial influence on cognitive functions that load particularly on executive function. There was also improvement in behavior as measured by parent/teacher behavioral rating scales. Moreover, motor restlessness during sleep and motor activity during the day decreased by TENS.
The effects of TENS in children with ADHD are modest but encouraging and warrant further research.
本研究旨在探讨经皮电刺激神经疗法(TENS)对注意缺陷多动障碍(ADHD)混合型患儿认知、行为及静息-活动节律的影响。
22名被诊断为ADHD混合型的儿童接受了为期6周的TENS治疗,每天2次,每次30分钟。采用神经心理学测试评估认知,使用家长/教师行为评定量表测量行为,并通过活动记录仪评估静息-活动节律。
TENS似乎对特别依赖执行功能的认知功能有中度有益影响。家长/教师行为评定量表测量的行为也有所改善。此外,TENS使睡眠期间的运动不安和白天的运动活动减少。
TENS对ADHD患儿的影响虽小,但令人鼓舞,值得进一步研究。