Alotaibi Mansour M, Motl Robert W, Stavrinos Despina, Snyder Scott W, Singh Harshvardhan, Lein Donald H
Department of Rehabilitation, College of Medical Sciences, Northern Border University, Arar 73213, Saudi Arabia.
Center for Health Research, Northern Border University, Arar 73213, Saudi Arabia.
J Clin Med. 2024 Feb 8;13(4):968. doi: 10.3390/jcm13040968.
Some evidence indicates that adults with attention deficit hyperactivity disorder (ADHD) may have balance impairments. This study examined the associations between moderate-to-vigorous physical activity (MVPA), response inhibition (RI), and static balance in this population while off and on psychostimulant medication (PS). Participants ( = 40; 30 females; age = 29.0; SD = 6.3 years) wore an ActiGraph GT9X-link around their waist to estimate MVPA levels (minutes/day). To assess RI, participants completed the Delis-Kaplan Executive Function System (D-KEFS) subtests Trail-Making Test (TMT) and Color-Word Interference Test (CWIT). To evaluate static balance, participants completed postural sway area (cm) assessments in four conditions: feet-apart eyes-open (FAEO), feet-apart eyes-closed (FAEC), feet-together eyes-open (FTEO), and feet-together eyes-closed (FTEC). Participants also completed the single-leg standing tests (seconds) with eyes open (SLEO) and with eyes closed (SLEC). When off medication, MVPA significantly predicted SLEC ( = 0.30; = 0.017). MVPA and TMT significantly predicted FTEO, explaining ~19% of the variance in FTEO; both MVPA and TMT were significant predictors ( = -0.33, = 0.027 and = -0.31, = 0.039, respectively). When on medication, TMT significantly predicted FAEC ( = 0.17; = 0.047). MVPA and RI may be effective parameters in predicting static balance in adults with ADHD when off medication only.
一些证据表明，患有注意力缺陷多动障碍（ADHD）的成年人可能存在平衡障碍。本研究调查了该人群在停用和服用精神刺激药物（PS）时，中度至剧烈身体活动（MVPA）、反应抑制（RI）和静态平衡之间的关联。参与者（n = 40；30名女性；年龄 = 29.0；标准差 = 6.3岁）在腰部佩戴ActiGraph GT9X-link以估计MVPA水平（分钟/天）。为评估RI，参与者完成了Delis-Kaplan执行功能系统（D-KEFS）的子测试——连线测验（TMT）和色词干扰测验（CWIT）。为评估静态平衡，参与者在四种条件下完成姿势摆动面积（厘米）评估：双脚分开睁眼（FAEO）、双脚分开闭眼（FAEC）、双脚并拢睁眼（FTEO）和双脚并拢闭眼（FTEC）。参与者还完成了睁眼单腿站立测试（秒）（SLEO）和闭眼单腿站立测试（秒）（SLEC）。在停药时，MVPA显著预测SLEC（β = 0.30；p = 0.017）。MVPA和TMT显著预测FTEO，解释了FTEO中约19%的方差；MVPA和TMT均为显著预测因子（分别为β = -0.33，p = 0.027和β = -0.31，p = 0.039）。在服药时，TMT显著预测FAEC（β = 0.17；p = 0.047）。只有在停药时，MVPA和RI可能是预测ADHD成年人静态平衡的有效参数。
