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Amini B, Hosseini S A, Pishyareh E, Bakhshi E, Haghgoo H A. Designing an Interventional Exercise Package to Improve Impulsivity Control in Children with Attention Deficit Hyperactivity Disorder: A Pilot Study. jrehab 2024; 25 (S3)
URL: http://rehabilitationj.uswr.ac.ir/article-1-3400-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3400-en.html
Behzad Amini1 
, Seyed Ali Hosseini2 , Ebrahim Pishyareh * 3, Enayatollah Bakhshi4 , Hojjat Allah Haghgoo5
, Seyed Ali Hosseini2 , Ebrahim Pishyareh * 3, Enayatollah Bakhshi4 , Hojjat Allah Haghgoo5
1- Occupational therapy Dep, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran., rcs
2- Occupational therapy Dep. and Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran., uswr
3- Occupational therapy MsC, Associate Prof. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,Eb.pishyareh@uswr.ac.ir
4- Department of biostatistics and epidemiology, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran., uswr
5- Department of Occupational Therapy, University of Social Welfare and Rehabilitation Science, Tehran, Iran., uswr
2- Occupational therapy Dep. and Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran., uswr
3- Occupational therapy MsC, Associate Prof. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. ,
4- Department of biostatistics and epidemiology, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran., uswr
5- Department of Occupational Therapy, University of Social Welfare and Rehabilitation Science, Tehran, Iran., uswr
Abstract: (1507 Views)
Background and Objectivity: Impulsivity, as one of the early diagnostic indicators of attention deficit hyperactivity disorder, appears in childhood through movement. Decreasing impulsive behavior and increasing emotional-motor control over this disorder have been the focus of researchers and clinical experts. Inhibition deficiency is considered the root cause of impulsivity, leading to a deficit of impulsivity control and response control disorder.
Methods: Based on the hypothesis of an inhibition deficiency, leading to disruptions in three areas of executive functioning, namely behavioral control, cognitive flexibility, and working memory, impulsivity control, and response control disorder are at the center of attention deficit hyperactivity disorder symptoms. This study designs a specific exercise package, including physical exercises in the form of rhythmic movements in the dual-task paradigm along with cognitive exercises in a step-by-step and difficulty level, considering the child’s interests, capabilities, and freedom of choice. The type of exercise at each level and its effect on improving impulsivity control in these individuals have been investigated.
Results: The results indicated the possibility of performing the exercises in dual tasks and the high acceptance of gradual difficulty in performing the exercises of this package. The preliminary analysis of the study shows the relative improvement of the indices of attention, caution, and response control in each of the individual participants separately.
Conclusion: The combination of exercises in the protocol, including rhythmic and providing optional settings adding companionship therapists in the form of therapeutic relation led to feasibility. The results in the field of improving the infrastructure of impulsivity control can be promising and worthy of consideration; however, conducting research with a larger number of participants and examining the results compared to the control group can be the basis for extensive research in this field.
Methods: Based on the hypothesis of an inhibition deficiency, leading to disruptions in three areas of executive functioning, namely behavioral control, cognitive flexibility, and working memory, impulsivity control, and response control disorder are at the center of attention deficit hyperactivity disorder symptoms. This study designs a specific exercise package, including physical exercises in the form of rhythmic movements in the dual-task paradigm along with cognitive exercises in a step-by-step and difficulty level, considering the child’s interests, capabilities, and freedom of choice. The type of exercise at each level and its effect on improving impulsivity control in these individuals have been investigated.
Results: The results indicated the possibility of performing the exercises in dual tasks and the high acceptance of gradual difficulty in performing the exercises of this package. The preliminary analysis of the study shows the relative improvement of the indices of attention, caution, and response control in each of the individual participants separately.
Conclusion: The combination of exercises in the protocol, including rhythmic and providing optional settings adding companionship therapists in the form of therapeutic relation led to feasibility. The results in the field of improving the infrastructure of impulsivity control can be promising and worthy of consideration; however, conducting research with a larger number of participants and examining the results compared to the control group can be the basis for extensive research in this field.
Type of Study: Applicable |
Subject:
Occupational Therapy
Received: 29/11/2023 | Accepted: 16/06/2024 | Published: 30/03/2025
Received: 29/11/2023 | Accepted: 16/06/2024 | Published: 30/03/2025
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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