Exercise in Children Attention Deficit Hyperactivity Disorder

Hacettepe University30 enrolled

Overview

Attention Deficit Hyperactivity Disorder (ADHD) is a heterogeneous neurodevelopmental disorder characterized by carelessness, hyperactivity and impulsivity, in which genetic, social and physical factors play an important role. Few studies have revealed the physical activity levels and importance of children with ADHD, but there is no consensus on the components of the physical activity program such as intensity, frequency, and severity. The aim of the present study is to investigate the effect of combined exercise training on motor proficiency, physical fitness and cognitive status in children with ADHD.

The aim of present study is to investigate the effect of combined exercise training on motor proficiency, physical fitness and cognitive status in children with ADHD. Children will be randomly divided into 3 groups, for 8 weeks the first group will undergo a combined exercise training under the supervision of a physiotherapist, while the second group will receive a home exercise program. children included in the third group will form the control group. The following assessments will be applied at the beginning and end of treatment. 1. Revised Conners Parent Rating Scale Short Turkish Form 2. Powers and Challenges Survey 3. Edinburgh Hand Preference Survey 4. Two-minute walking test 5. Ten meter walking test 6. Munich Fitness Test 7. Bruininks-Oseretsky Motor Proficiency Test-2 8. Muscle strength evaluation 9. Dynamic Occupational Therapy Cognitive Assessment 10. Open-ended questions

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

ADHD Exercise

Interventions

Combined exerciseOTHER

Combined exercise program consists of 5 min warm-up exercises, 20 min aerobic exercise, 20 min balance-coordination exercises, 10 min strengthening exercises and 5 min cooling exercises.

Eligibility

Sex: ALLMin age: 7 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Having been diagnosed with ADHD according to DSM-V (The Diagnostic and Statistical Manual of Mental Disorders-V) diagnostic criteria, * Being between the ages of 7-12, * Right hand being dominant according to Edinburgh Hand Preference Questionnaire, * After the purpose of the study and the procedures to be explained, both the child and his family agree to participate in the study, * An appropriate drug treatment program has been organized by the psychiatrist, * The absence of a contraindicated condition to exercise in physical and medical examination. Exclusion Criteria: * A major psychiatric and / or neurodevelopmental problem accompanying, * A history of head injury or chronic neurological disease, * Having additional medical diseases that require medication, * Any changes made in the psychiatric drug treatment by the attending physician for the last 1 month, * Have participated in a regular exercise program or sporting activity for the past 6 months.

Locations (1)

Hacettepe University

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Motor Proficiency

Motor proficiency will be evaluated The Bruininks-Oseretsky Test of Motor Proficiency Second Edition (BOT™-2). t contains subtests and challenging game-like tasks and is very easy to administer. the score of this test ranges from 0 to 322. Higher score indicates better motor proficiency

Time frame: 45 minutes

Cognitive assessment

Dynamic Occupational Therapy Cognitive Assessment (DOTCA-Ch) battery for children allows to evaluate cognitive skills in 5 main topics: orientation, spatial perception, praxis, visual-motor organization and thinking processes.

Time frame: 90 minutes

Physical Fitness

Munich Fitness Test

Time frame: 15 minutes

Secondary Outcomes

Behavior Disorders

Conners Parent Rating Scale consists of 27 items in total. In this scale, questions are answered on a 4-point Likert scale. "Never", "rarely", "often" and "always" options are; It is scored as "0", "1", "2" and "3". High scores from the scale show the intensity of symptoms specific to destructive disorders

Time frame: 5 minutes

Behaviour characteristics

Strength and Difficulties Questionnaire - (SDQ) "contains 25 questions, some of which question positive and some negative behavior characteristics. Each sub-title can be evaluated within itself and a separate score can be obtained for each, as well as the sum of the first four titles and the" Total Strength Score ".

Time frame: 5 minutes

Hand dominance

Edinburgh Hand Preference Questionnaire was developed to determine the hand preferences of the persons.The sum of the right and left hand scores gives "Cumulative Total (TC)" and subtracting the left hand score from the right hand score gives "Difference score (F)". The result score is obtained by dividing the difference score by the cumulative total score and multiplying it by the face. Result score; It can be interpreted that if the person is less than 40, the person is left dominant, and between -40 and 40, each bilateral dominant, and if greater than 40, the person is right dominant.

Data from ClinicalTrials.gov

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