中国康复理论与实践2024，Vol.30Issue(8)：903-913,11.DOI:10.3969/j.issn.1006-9771.2024.08.005
基于ICF构建注意缺陷多动障碍儿童运动康复方案
Exercise rehabilitation protocol for children with attention deficit hyperactivity disorder using ICF
摘要
Abstract
Objective To apply the World Health Organization(WHO)International Classification of Functioning,Disability and Health(ICF)to a comprehensive analysis of the functional characteristics of children with attention deficit hyper-activity disorder(ADHD)and to develop a functionally oriented,individualized exercise rehabilitation protocol. Methods International Classification of Diseases(ICD-11)and ICF were utilized to systematically analyze the body structure,physical function,activities and participation,and environmental factors of children with ADHD.Based on the ICF's bio-psycho-social model of function,disability and health,combined with the theory of somat-ic and mental interaction,and referring to the WHO 2020 Guidelines on Physical Activity and Sedentary Behav-iour,particularly the sections relevant to disabled adolescents,a function-oriented exercise rehabilitation protocol suitable for children with ADHD was formulated. Results The dysfunctions of children with ADHD were mainly manifested in the area of mental functions(b1),which was highlighted by attention functions(b140),energy and drive functions(b130)and higher-level cognitive func-tions(b164).In terms of activities and participation,limitations were primarily observed in learning and applying knowledge(d1),general tasks and demands(d2),communication(d3),and interpersonal interactions and relation-ships(d7).In addition,environmental factors such as products and technology(e1),support and relationships(e3),and attitudes(e4)affected the progression of the disorder.According to the guidelines,physical activity could be categorised into motor skill-based activities,fitness-based activities and sport-based activities.Children with ADHD were recommended to perform at least 60 minutes of moderate to high intensity fitness activities(e.g.,aerobic exercise)and motor skill activities(e.g.,basic movement exercises)a day,and at least three times a week of high intensity activities such as strength/resistance training and athletic competitions.The protocol should also ensure an accessible environment and adaptive assistive technology to promote the overall functional rehabilitation of children with ADHD. Conclusion Based on the ICF theoretical framework,combined with the theory of mind-body interaction,and with refer-ence to the WHO 2020 Guidelines on Physical Activity and Sedentary Behaviour,a functionally oriented exercise rehabilitation protocol was constructed,focusing on the children's attentional function,learning and mental func-tions.关键词
注意缺陷多动障碍/运动康复/国际功能、残疾和健康分类Key words
attention deficit hyperactivity disorder/exercise rehabilitation/International Classification of Functioning,Disability and Health分类
医药卫生引用本文复制引用
戴栖,武庆昌,管彦舒,沈海勤,鲍捷..基于ICF构建注意缺陷多动障碍儿童运动康复方案[J].中国康复理论与实践,2024,30(8):903-913,11.基金项目
1.国家社会科学基金项目(No.I9BTY129) （No.I9BTY129）
2.苏州市体育局体育科研局管课题(No.TY2024-403) National Social Science Fund of China(No.I9BTY129)and Suzhou Sports Bureau Sports Research Bureau Management Subjects(No.TY2024-403) （No.TY2024-403）
