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穿着加重背心进行治疗性攀爬活动对一名注意力缺陷多动障碍儿童的影响:一项个案研究。

Effects of therapeutic climbing activities wearing a weighted vest on a child with attention deficit hyperactivity disorder: a case study.

作者信息

Lee Hye-Sun, Song Chiang-Soon

机构信息

Department of Occupational Therapy, Kwangju-Women's University, Republic of Korea.

Department of Occupational Therapy, College of Health Science, Chosun University, Republic of Korea.

出版信息

J Phys Ther Sci. 2015 Oct;27(10):3337-9. doi: 10.1589/jpts.27.3337. Epub 2015 Oct 30.

Abstract

[Purpose] The purpose of this study was to evaluate the effect of therapeutic climbing activities on the brain waves and attention of a child with attention deficit hyperactivity disorder. [Subject and Methods] The subject of this case study was a 7 year 6-month old child diagnosed with attention deficit hyperactivity disorder. This study was based on evidence gathered at 3 distinct stages: a pre-intervention period, 10 intervention periods (2 weeks), and one post-intervention period. The intervention involved therapeutic climbing activities wearing a weighted vest over the course of 4 weeks. The clinical outcome measures were electroencephalography and the Star Cancellation Test. [Results] The mean activation of alpha waves was improved by the therapeutic intervention. During the intervention, the mean activation of alpha waves was the highest at the F3 cortical locus and the lowest at the T4 cortical locus. The average Star Cancellation Test scores were 43 at pre-intervention, 50 during the therapeutic intervention, and 52 at post-intervention. The performance time of the Star Cancellation Test was 240.1 seconds at pre-intervention, 90.2 seconds during the therapeutic intervention, and 60.0 seconds at post-intervention. [Conclusion] The results of this study suggest that therapeutic climbing activities performed wearing a weighted vest had positive effects on the brain waves and the attention span of a child with attention deficit hyperactivity disorder.

摘要

[目的] 本研究旨在评估治疗性攀爬活动对一名注意力缺陷多动障碍儿童脑电波及注意力的影响。[对象与方法] 本案例研究的对象为一名7岁6个月大、被诊断患有注意力缺陷多动障碍的儿童。本研究基于在3个不同阶段收集的证据:干预前期、10个干预期(为期2周)以及1个干预后期。干预措施为在4周内穿着加重背心进行治疗性攀爬活动。临床结果测量指标为脑电图和星形消去测验。[结果] 治疗性干预使阿尔法波的平均激活程度得到改善。在干预期间,阿尔法波的平均激活程度在F3皮质位点最高,在T4皮质位点最低。星形消去测验的平均得分在干预前期为43分,在治疗性干预期间为50分,在干预后期为52分。星形消去测验的完成时间在干预前期为240.1秒,在治疗性干预期间为90.2秒,在干预后期为60.0秒。[结论] 本研究结果表明,穿着加重背心进行的治疗性攀爬活动对注意力缺陷多动障碍儿童的脑电波及注意力持续时间有积极影响。

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