Zhang Jun, Wen Feiqiu, Zhang Jianan, Xiao Jinli, Zhang Wei, Zhou Keying, Chen Yanzhao
Department of Pediatrics, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, Shenzhen 518020, China.
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Zhonghua Er Ke Za Zhi. 2014 Apr;52(4):287-91.
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).
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.
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).
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.
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。
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。
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)。
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。