电子游戏对注意力缺陷/多动障碍儿童注意力的影响：随机对照试验。
The Effects of Exergaming on Attention in Children With Attention Deficit/Hyperactivity Disorder: Randomized Controlled Trial.
作者信息
Ji HongQing, Wu Shanshan, Won Junyeon, Weng Shiyang, Lee Sujin, Seo Sangmin, Park Jung-Jun
机构信息
School of Physical Education & Health, Wenzhou University, Wenzhou, China.
Division of Sport Science, Pusan National University, Busan, Republic of Korea.
出版信息
JMIR Serious Games. 2023 May 9;11:e40438. doi: 10.2196/40438.
BACKGROUND
Despite growing evidence showing the effects of exercise and cognitive trainings on enhancing attention, little is known about the combined effects of exergame on attention in children with attention deficit/hyperactivity disorder (ADHD). Exergame, a form of exercise using a video game, has both cognitive stimulation and physical activity components and has been shown to improve cognitive function in children.
OBJECTIVE
The purpose of this study was to investigate the effect of exergaming on attention and to compare the effect induced by exergaming with the effect of aerobic exercise on attention in children with ADHD.
METHODS
In all, 30 children with ADHD, aged 8-12 years, were randomly divided into an exergaming group (EXG; n=16) or a bicycle exercise group (BEG; n=14). Before and after the 4-week intervention, the Frankfurter Aufmerksamkeits-Inventar (FAIR; Frankfurt Attention Inventory) test was administrated, and event-related potentials during the Go/No-go task was measured to assess attention.
RESULTS
After intervention, both the EXG and BEG had significantly increased selective attention and continuous attention (all P<.001), as well as self-control on the FAIR test (EXG: P=.02 and BEG: P=.005). Similarly, both the EXG and BEG had significantly reduced response time on the Go/No-go test (all P<.001). For the Go response, the N2 amplitude (frontocentral maximal negativity) was significantly increased in Fz (midfrontal line) in the EXG (P=.003) but was not changed in the BEG (P=.97). Importantly, the N2 amplitude in Fz was significantly greater in the EXG compared to the BEG (Go: P=.001 and No-go: P=.008).
CONCLUSIONS
Exergaming has the comparable effects to bicycle exercise to enhance attention in children with ADHD, suggesting that exergaming can be used as an alternative treatment for children with ADHD.
TRIAL REGISTRATION
Clinical Research Information Service KCT0008239; https://tinyurl.com/57e4jtnb.
背景
尽管越来越多的证据表明运动和认知训练对提高注意力有效果，但关于运动游戏对注意力缺陷多动障碍（ADHD）儿童注意力的综合影响却知之甚少。运动游戏是一种利用电子游戏的运动形式，兼具认知刺激和身体活动成分，已被证明可改善儿童的认知功能。
目的
本研究旨在调查运动游戏对注意力的影响，并比较运动游戏与有氧运动对ADHD儿童注意力的影响。
方法
总共30名8至12岁的ADHD儿童被随机分为运动游戏组（EXG；n = 16）或自行车运动组（BEG；n = 14）。在为期4周的干预前后，进行法兰克福注意力量表（FAIR）测试，并测量Go/No-go任务期间的事件相关电位以评估注意力。
结果
干预后，EXG组和BEG组的选择性注意力和持续注意力均显著提高（所有P <.001），以及在FAIR测试中的自我控制能力（EXG组：P =.02，BEG组：P =.005）。同样，EXG组和BEG组在Go/No-go测试中的反应时间均显著缩短（所有P <.001）。对于Go反应，EXG组Fz（额中线）处的N2波幅（额中央最大负波）显著增加（P =.003），而BEG组未改变（P =.97）。重要的是，EXG组Fz处的N2波幅显著大于BEG组（Go：P =.001，No-go：P =.008）。
结论
运动游戏在提高ADHD儿童注意力方面与自行车运动具有相似的效果，表明运动游戏可作为ADHD儿童的替代治疗方法。
试验注册
临床研究信息服务KCT0008239；https://tinyurl.com/57e4jtnb 。
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