加强小学ADHD儿童非优势侧练习的探索性研究

Lu Chen, Xiaozan Wang, Meiyuan Chen, Xizhe Bai
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摘要

实证研究表明,运动干预对注意缺陷多动障碍(ADHD)儿童有显著的益处。进一步的研究表明,非优势肢体的力量训练对儿童的运动能力和认知发展有促进作用。本研究测试了力量训练干预小学生多动症非优势肢体的有效性,评估其对儿童运动技能的影响。本实验招募了15名6-10岁的ADHD儿童,其中男孩12名,女孩3名。所有这些都符合美国精神疾病诊断与统计手册(DSM-IV)对多动症的诊断标准。将患儿随机分为年龄匹配的实验组和对照组,实验组患儿接受非优势侧肢强化训练干预,对照组患儿不参与干预。在实验开始前,对儿童及其家长进行访谈,了解ADHD儿童的基本情况。实验前后,两组儿童分别进行TGMD基本运动技能发展测验和SNAP-IV量表测验,并由家长和孩子签署知情同意书。结果表明:(1)实验结束后,实验组的操作动作技能和基本动作技能总体水平显著高于对照组;(2) SNAP-IV量表结果显示,实验组(非优势侧肢强化训练组)的进步明显好于对照组(同样需要在这里插入t统计量、自由度以及p值)。同时,实验组与对照组的注意缺陷因子在实验前后差异有统计学意义(p < 0.05)。对于这两种情况,需要更多关于变化前后的细节。结果表明,与常规运动干预相比,强化非优势肢体训练不仅可以提高ADHD儿童的运动技能,尤其是控制能力,而且可以提高注意水平。建议加强非优势肢体的训练可以作为ADHD儿童更有效的运动干预。
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An Exploratory Study of Strengthening Non-Dominant Side of Exercises on ADHD Children in Primary Schools
Empirical studies indicate that children with attention deficit hyperactivity disorder (ADHD) benefited significantly from exercise interventions. Further investigation shows that strength training of non-dominant limbs improves children's athletic ability and cognitive development. This study tested the effectiveness of a strength training intervention on non-dominant limbs for primary school children with ADHD, evaluating its impacts on children’s motor skills. In this experiment, 15 children with ADHD aged 6-10 years were recruited, including 12 boys and 3 girls. All meet the diagnostic criteria of the American Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) for ADHD. Randomly divided into age-matched experimental and control groups, children in the experimental group received intensive training intervention on non-dominant side limbs, and the control group had ADHD Children are not involved in the intervention. Before the experiment, the children and their parents were interviewed on the basic situation of ADHD children. Before and after the experiment, these children of both groups were tested on the TGMD basic motor skills development test and the SNAP-IV scale test, and the parents and children signed the informed consent. The results showed that (1) After the experiment, the experimental group had significantly better overall level of manipulative motor skills and fundamental movement skills than the control group; (2) For the results of SNAP-IV scale, the experimental group (the non-dominant side limb intensive training group) made significantly better progress than the control group (Again, you need to insert t statistics, degree of freedom along with p value here). At the same time, the attention deficit factor of the experimental group and the control group was significantly different before and after the experiment (p < 0.05). More details are needed on the pre- and post-change for both conditions. The results suggest that intensified training on non-dominant limbs can not only improve the motor skills of ADHD children, especially the control ability, but also improve the attention level compared with conventional exercise intervention. It is recommended that strengthening training of non-dominant limbs can be used as more effective exercise intervention for children with ADHD.
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