广西医学2023，Vol.45Issue(20)：2425-2429,2435,6.DOI:10.11675/j.issn.0253-4304.2023.20.01
前庭功能训练联合重复经颅磁刺激对注意缺陷多动障碍患儿核心症状、感觉统合能力及执行功能的改善作用
Improvement effects of vestibular function training combined with repetitive transcranial magnetic stimulation on core symptoms,sensory integration abilities,and executive function in children with attention deficit and hyperactive disorder
摘要
Abstract
Objective To explore the improvement effects of vestibular function training combined with repetitive transcranial magnetic stimulation(rTMS)on core symptoms,sensory integration abilities,and executive function in children with attention deficit and hyperactive disorder(ADHD).Methods A total of 98 ADHD children were randomly divided into training group(n=30),rTMS group(n=32),or combination group(n=36),and they received simple vestibular function training,simple rTMS,and vestibular function training combined with rTMS,respectively.The pre-treatment and 6-week post-treatment scores of Swanson,Nolan,and Pelham Scale in VersionⅣ(SNAP-Ⅳ),Wechsler Intelligence Scale for Children-Fourth Edition(WISC-Ⅳ),and sensory integration assessment scale were compared between children of the three groups.Results After 6 weeks of treatment,the combination group exhibited superior scores of various factors of SNAP-Ⅳ,4 tests of WISC-Ⅳ,and of sensory integration assessment scale to compared with before treatment,as well as superior scores of various factors of SNAP-Ⅳ,reckoning test and orderly recited digit span test of WISC-Ⅳ,and tactile defense dimension of sensory integration assessment scale to compare with the remaining two groups;furthermore,the combination group yielded superior scores of reversely orderly recited digit span test and decoding test of WISC-Ⅳ,as well as vestibular balance dimension and proprioceptive dimension of sensory integration assessment scale to compare with the training group(P＜0.05).Conclusion Vestibular function training combined with rTMS can effectively alleviate ADHD children's core symptoms of oppositional defiance,attention deficit,and hyperactivity/impulse,etc.,improve their vestibular balance,proprioceptive ability,partial executive functions,and the effects are superior to simple vestibular function training or rTMS.关键词
注意缺陷多动障碍/前庭功能训练/重复经颅磁刺激/核心症状/感觉统合能力/执行功能Key words
Attention deficit and hyperactive disorder/Vestibular function training/Repetitive transcranial magnetic stimulation/Core symptoms/Sensory integration ability/Executive function分类
医药卫生引用本文复制引用
朱育辉,龙耀斌,施冬柳,罗水明,宋美宁,邓雅宸..前庭功能训练联合重复经颅磁刺激对注意缺陷多动障碍患儿核心症状、感觉统合能力及执行功能的改善作用[J].广西医学,2023,45(20):2425-2429,2435,6.基金项目
广西壮族自治区医疗卫生重点(培育)学科(自治区级)项目(桂卫科教发[2022]4号) （培育）
