Institute of Health Sciences, Dokuz Eylul University, Izmir, Turkey.
Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
Child Care Health Dev. 2024 May;50(3):e13268. doi: 10.1111/cch.13268.
Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder characterized by diverse clinical manifestations including inattention, hyperactivity and impulsivity.
The present study aims to investigate the effects of neurocognitive training (NT), a personalized and specialized exercise programme on symptoms, attention and dynamic balance in treatment-naïve children diagnosed with ADHD.
Fourteen treatment-naïve children aged 7-12 years diagnosed with ADHD were enrolled in the intervention group. The NT intervention was administered weekly for 10 consecutive weeks, supplemented by a structured home exercise programme for 6 days a week over the same 10-week period. ADHD-related symptoms, attention and dynamic balance were assessed in pre-treatment, post-treatment, 6 months, and 12 months. Fifteen typically developing (TD) children, matched for age, underwent evaluation only once to establish baseline normative values.
Following the NT (post-treatment), significant improvements were observed in hyperactivity-impulsivity scores, oppositional-defiant behaviours and dynamic balance when compared to the TD children (p < 0.05). In the ADHD group, a significant difference was found in the long term (12-month follow-up) in hyperactivity-impulsivity, oppositional-defiant behaviours and dynamic balance (p < 0.05).
The findings suggest that the NT yields favourable effects on hyperactivity-impulsivity, oppositional defiant behaviours and dynamic balance in children diagnosed with ADHD, with these improvements appearing to be sustained over the long term.
NCT04707040.
注意力缺陷多动障碍(ADHD)是一种常见的神经发育障碍,其特征为多种临床表现,包括注意力不集中、多动和冲动。
本研究旨在探究神经认知训练(NT),即一种个性化和专业化的运动方案,对未经治疗的 ADHD 儿童的症状、注意力和动态平衡的影响。
14 名年龄在 7-12 岁之间、未经治疗的 ADHD 儿童被纳入干预组。NT 干预每周进行 10 次,持续 10 周,同时在同一 10 周期间每周进行 6 天结构化的家庭运动方案。在治疗前、治疗后、6 个月和 12 个月评估 ADHD 相关症状、注意力和动态平衡。15 名年龄匹配的典型发育(TD)儿童仅进行了一次评估,以建立基线正常值。
在 NT(治疗后)后,与 TD 儿童相比,多动冲动评分、对立违抗性行为和动态平衡显著改善(p<0.05)。在 ADHD 组中,在长期(12 个月随访)中,多动冲动、对立违抗性行为和动态平衡存在显著差异(p<0.05)。
研究结果表明,NT 对 ADHD 儿童的多动冲动、对立违抗性行为和动态平衡有良好的效果,这些改善似乎在长期内得以维持。
NCT04707040。