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基于运动的治疗方案对注意力缺陷/多动障碍儿童的治疗效果

[Therapeutic effects of exercise-based treatment programme on children with attention-deficit/hyperactivity disorder].

作者信息

Zhang Jun, Wen Feiqiu, Zhang Jianan, Xiao Jinli, Zhang Wei, Zhou Keying, Chen Yanzhao

机构信息

Department of Pediatrics, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen 518020, China.

Email:

出版信息

Zhonghua Er Ke Za Zhi. 2014 Apr;52(4):287-91.

Abstract

OBJECTIVE

To evaluate the effects of an exercise-based treatment programme (dyslexia, dyspraxia and attention-deficit treatment, DDAT) on various subtypes of attention-deficit/hyperactivity disorder (ADHD).

METHOD

Ninety-one ADHD children with standing balance dysfunction (ADHD-I 43, ADHD-HI 15 and ADHD-C 33) were given DDAT for 6 months, the efficacy of DDAT was evaluated before DDAT, three, six months after the treatment and three month after end of the treatment according to SNAP-IV, before and after the treatment by balancing function test and Conners Parents Rating Scale.

RESULT

Inattention subscale scores of ADHD-I, ADHD-HI and ADHD-C before and after the interventions were 1.99 ± 0.34, 0.96 ± 0.31, 2.17 ± 0.31and 1.19 ± 0.45, 0.81 ± 0.28, 1.32 ± 0.37, differences of ADHD-I and ADHD-C were significant (P < 0.05), hyperactivity subscale scores of three subtypes of ADHD were 0.81 ± 0.35, 2.01 ± 0.35, 1.96 ± 0.33 vs.0.45 ± 0.33, 0.79 ± 0.41, 1.10 ± 0.35, there were significant differences as well (P < 0.05). The score of hyperactivity symptom was reduced more compared to that of inattention symptom by the SNAP-IV scale parent forms. There were significant difference before and after the treatment based on Conners parent scale for conduct problem (1.11 ± 0.48 vs. 0.76 ± 0.44) , learning problem (1.97 ± 0.58 vs.1.60 ± 0.67), psychosomatic problems (0.61 ± 0.49 vs. 0.29 ± 0.35) , activity/ hyperactivity (1.46 ± 0.69 vs.1.09 ± 0.55) and anxiousness (1.05 ± 0.63 vs.0.62 ± 0.47) as well (P < 0.05); the standing balance dysfunction improved for most of the children, total effective rate was 87.9%, no significant difference was found among the three subtypes (P > 0.05).

CONCLUSION

DDAT is a safe and efficient intervention for the ADHD children with standing balance dysfunction, the improvement on hyperactivity symptom was better than that on inattention symptom. This study shows that an exercise-based treatment programme for cerebellum function improves symptoms of ADHD and balance function.

摘要

目的

评估基于运动的治疗方案(诵读困难、运动障碍和注意力缺陷治疗,DDAT)对注意缺陷多动障碍(ADHD)各亚型的影响。

方法

91名患有站立平衡功能障碍的ADHD儿童(注意缺陷为主型43例、多动/冲动为主型15例和混合型33例)接受DDAT治疗6个月,在治疗前、治疗3个月、6个月及治疗结束后3个月,依据SNAP-IV量表评估DDAT的疗效,同时在治疗前后通过平衡功能测试和康纳斯父母评定量表进行评估。

结果

干预前后,注意缺陷为主型、多动/冲动为主型和混合型ADHD的注意力不集中分量表得分分别为1.99±0.34、0.96±0.31、2.17±0.31以及1.19±0.45、0.81±0.28、1.32±0.37,注意缺陷为主型和混合型的差异具有统计学意义(P<0.05);三种亚型ADHD的多动分量表得分分别为0.81±0.35、2.01±0.35、1.96±0.33以及0.45±0.33、0.79±0.41、1.10±0.35,差异同样具有统计学意义(P<0.05)。根据SNAP-IV量表家长版,多动症状得分相比注意力不集中症状得分降低更为明显。基于康纳斯父母评定量表,品行问题(1.11±0.48 vs. 0.76±0.44)、学习问题(1.97±0.58 vs.1.60±0.67)、身心问题(0.61±0.49 vs. 0.29±0.35)、活动/多动(1.46±0.69 vs.1.09±0.55)和焦虑(1.05±0.63 vs.0.62±0.47)在治疗前后也存在显著差异(P<0.05);大多数儿童的站立平衡功能障碍得到改善,总有效率为87.9%,三种亚型之间差异无统计学意义(P>0.05)。

结论

DDAT对患有站立平衡功能障碍的ADHD儿童是一种安全有效的干预措施,对多动症状的改善优于注意力不集中症状。本研究表明,基于小脑功能的运动治疗方案可改善ADHD症状和平衡功能。

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