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持续性儿童原始反射减少对注意力缺陷多动障碍患者认知、感觉运动及学业表现的影响

Persistent Childhood Primitive Reflex Reduction Effects on Cognitive, Sensorimotor, and Academic Performance in ADHD.

作者信息

Melillo Robert, Leisman Gerry, Mualem Raed, Ornai Alon, Carmeli Eli

机构信息

Department of Physiotherapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

Neurofisiología Clínica, Instituto de Neurología y Neurocirugía Neurofisiología Clínica, Universidad de Ciencias Médicas, Havana, Cuba.

出版信息

Front Public Health. 2020 Nov 17;8:431835. doi: 10.3389/fpubh.2020.431835. eCollection 2020.

Abstract

A study was performed on 2,175 individuals between the ages of 3.2 and 22.04 years diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and drawn from 89 separate locations across the United States in satellite clinics with common practices and common staff training and equipment. The objective was to determine the efficacy of a hemispheric-based training program to reduce extant retained primitive reflexes (RPRs) and examine the relationship to motor function by metronome-based motor, DL, and cognitive tasks measured by subtests of the Wechsler Wide Range Achievement Test. After a 12-week program, RPR's were significantly reduced, as well as performance on all motor and cognitive measures significantly increased. Listening comprehension demonstrated significant increases between pre- and post-testing of 7% ( = 1213000; = 2094; < 0.0001) and mathematical problem solving revealed a significant increase of 5% ( = 1331500; = 2091; < 0.0001) associated with a significant reduction in primitive reflexes. The study concluded that the incorporation of relatively simple hemispheric-based programming within the educational system worldwide could relatively inexpensively increase academic, cognitive, and motor performance.

摘要

一项针对2175名年龄在3.2岁至22.04岁之间被诊断患有注意力缺陷多动障碍(ADHD)的个体进行的研究。这些个体来自美国89个不同地点的卫星诊所,这些诊所有着共同的诊疗规范、共同的员工培训和设备。目的是确定一项基于半球的训练计划在减少现存的原始反射保留(RPRs)方面的效果,并通过基于节拍器的运动、数字广度(DL)以及韦氏广泛成就测验子测验所测量的认知任务来检验其与运动功能的关系。经过为期12周的训练计划后,原始反射保留显著减少,并且所有运动和认知测量指标的表现都显著提高。听力理解在测试前和测试后显示出显著增加,增幅为7%( = 1213000; = 2094; < 0.0001),数学问题解决能力显示出显著增加5%( = 1331500; = 2091; < 0.0001),这与原始反射的显著减少相关。该研究得出结论,在全球教育系统中纳入相对简单的基于半球的训练计划可以相对低成本地提高学业、认知和运动表现。

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