تاثیر اکتیو وستیبولار تراپی بر اختلالات حرکتی کودکان با اختلال نقص توجه-بیش فعالی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد کاردرمانی، گروه آموزشی کاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

2 دکترای علوم اعصاب، دانشیار، گروه آموزشی کاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

3 دکترای علوم اعصاب، استادیار، گروه آموزشی کاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

4 دکترای کاردرمانی، دانشیار، گروه آموزشی کاردرمانی، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

5 دکترای آمار حیاتی، گروه آمار دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

6 دانشجوی دکتری شنوایی شناسی، گروه آموزشی شنوایی شناسی، دانشگاه علوم بهزیستی و توانبخشی، تهران ایران

7 دپارتمان روانشناسی، دانشکده روانشناسی و علوم تربیتی دانشگاه تهران، ایران

8 دکترای بهداشت سلامت، استادیار دپارتمان روانشناسی دانشکده روانشناسی و علوم تربیتی دانشگاه شهید بهشتی، تهران، ایران

9 روانشناس، دپارتمان روانشناسی دانشکده روانشناسی و علوم تربیتی دانشگاه تهران، تهران، ایران

چکیده

مقدمه و اهداف
با توجه به اختلالات تعادلی مشهود در کودکان با اختلال نقص توجه-بیش فعالی، در تحقیق حاضر تاثیر اکتیو وستیبولار تراپی بر اختلالات حرکتی این کودکان بررسی شد.
مواد و روش­ها
در مطالعه تجربی حاضر 38 کودک 7 تا 12 سال با اختلال ADHD نوع ترکیبی با تشخیص روان­پزشک بر اساس ملاک­های DSM-IV-TR، که از لحاظ بهره هوشی (آزمون هوش وکسلر) در سطح نرمال قرار داشتند (90< IQ)، به­طور تصادفی به دو گروه کنترل و آزمون تقسیم و قبل و بعد از مداخله با ابزار اندازه­گیری مجموعه­ی آزمون برونینکس اوزرتسکی با هم مقایسه شدند. برنامه درمانی منتخب شامل تمرینات توانبخشی وستیبولار طبق پروتکل تعیین شده به مدت 2ماه هفته­ای 3جلسه، هر جلسه 30 دقیقه برای گروه آزمون و آموزش­های کلاسیک تحصیلی برای گروه کنترل بود.
یافته­ها
برنامه وستیبولوتراپی در گروه آزمون تغییرات معناداری در بعضی متغیرهای پژوهش در مقایسه با گروه کنترل ایجاد کرد. تغییرات در گروه آزمون شامل: مهارت­های حرکتی درشت (006/0=P) و تعادل (001/0P<)، کنترل بینایی-حرکتی (007/0=P) به­علاوه نمره کلی آزمون برونینکس اوزرتسکی در گروه مداخله بود (006/0=P).
نتیجه­گیری
با توجه به نتایج مطالعه حاضر می­توان ادعا کرد برنامه درمانی وستیبولار می­تواند موجب تقویت تعادل، مهارت­های حرکتی درشت و کنترل بینایی-حرکتی در کودکان با اختلال نقص توجه-بیش فعالی شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effects of Active Vestibulotherapy on Motor Disorders in Children with Attention Deficit Hyperactivity Disorder

نویسندگان [English]

  • Sedigheh Farokhi Moghadam 1
  • Hojjat Allah Haghgoo 2
  • Ebrahim Pishyareh 3
  • Seyed Ali Hosseini 4
  • Enayatollah Bakhshi 5
  • Nima Rezazadeh 6
  • Reza Rostami 7
  • Vahid Sadeghi 8
  • Yousef Khodabandehlou 9
1 MSc, Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 PhD in Medical Neuroscience, Associated Professor, Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3 PhD in Cognitive Neuroscience, Assistant Professor, Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4 PhD in Occupational Therapy, Associated Professor, Occupational Therapy Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
5 PhD in Biostatistics, Associated Professor, Statistics Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
6 Audiologist, PhD, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
7 Chief Executive of Atieh Clinical Neuroscience Center, Tehran, Iran, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
8 PhD in Health Psychology, Assistant Professor, Department of Psychology, Faculty of Education & Psychology, Shahid Beheshti University Tehran, Iran
9 Psychologist, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
چکیده [English]

Backgroundand Aim: Children with Attention Deficit Hyperactivity Disorder (ADHD) display obvious balance and motor disorders. Since the vestibular system has a vital role in balance and motor function, the present study was conducted to study the effects of active vestibular stimulation on motor disorders in children with ADHD.
Materials and Methods: A total of 38 children with normal intelligence quotient (above 90), using the Wechsler Intelligence Scale for Children, were diagnosed with ADHD by a psychiatrist based on Diagnostic and Statistical Manual of Mental Disorders )DSM(-IV.TR criteria were included in the study. They were 7-12 years old and were selected from Atieh Rehabilitation Center. Participants were randomly assigned into experimental and control groups, and were evaluated before and after the intervention using the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). Children in the experimental group received vestibular stimulation intervention three times per week; each session lasted for 30 minutes and was based on a defined protocol. The control group participated only in academic education programs. The collected data were analyzed and compared between the two groups.
Results: Vestibular stimulation resulted in significant changes in gross motor dexterity (P < 0.006), balance (P < 0.001), visual motor control (P=0.007), and total BOTMP test score (P<0.006) in the experimental group when compared to those of the control group.
Conclusion: Vestibular stimulation was effective in improving balance, gross motor function, and visual-motor control in children with ADHD.

کلیدواژه‌ها [English]

  • Vestibular
  • Attention Deficit Hyperactivity disorder
  • Motor Disorder
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دوره 6، شماره 1
فروردین و اردیبهشت 1396
صفحه 74-82
  • تاریخ دریافت: 03 مرداد 1394
  • تاریخ بازنگری: 16 اسفند 1394
  • تاریخ پذیرش: 01 اردیبهشت 1395
  • تاریخ اولین انتشار: 01 فروردین 1396