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首页> 外文期刊>Brazilian Journal of Otorhinolaryngology >Effects of distractors on upright balance performance in school-aged children with attention deficit hyperactivity disorder, preliminary study ☆ , ☆☆
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Effects of distractors on upright balance performance in school-aged children with attention deficit hyperactivity disorder, preliminary study ☆ , ☆☆

机译：分心器对注意力缺陷多动障碍学龄儿童直立平衡能力的影响，初步研究☆，☆☆

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Introduction: Attention deficit hyperactivity disorder is a common impairing neuropsychiatric disorder with onset in early childhood. Almost half of the children with attention deficit hyperactivity disorder also experience a variety of motor-related dysfunctions ranging from fine/gross motor control problems to difficulties in maintaining balance. Objectives: The main purpose of this study was to investigate the effects of distractors two different auditory distractors namely, relaxing music and white noise on upright balance performance in children with attention deficit hyperactivity disorder. Methods: We compared upright balance performance and the involvement of different sensory systems in the presence of auditory distractors between school-aged children with attention deficit hyperactivity disorder ( n = 26) and typically developing controls ( n = 20). Neurocom SMART Balance Master Dynamic Posturography device was used for the sensory organization test. Sensory organization test was repeated three times for each participant in three different test environments. Results: The balance scores in the silence environment were lower in the attention deficit hyperactivity disorder group but the differences were not statistically significant. In addition to lower balance scores the visual and vestibular ratios were also lower. Auditory distractors affected the general balance performance positively for both groups. More challenging conditions, using an unstable platform with distorted somatosensory signals were more affected. Relaxing music was more effective in the control group, and white noise was more effective in the attention deficit hyperactivity disorder group and the positive effects of white noise became more apparent in challenging conditions. Conclusion: To the best of our knowledge, this is the first study evaluating balance performance in children with attention deficit hyperactivity disorder under the effects of auditory distractors. Although more studies are needed, our results indicate that auditory distractors may have enhancing effects on upright balance performance in children with attention deficit hyperactivity disorder.
机译：简介：注意缺陷多动障碍是一种在儿童早期发作的常见的神经精神障碍。注意力缺陷多动障碍儿童中几乎有一半还经历了各种与运动有关的功能障碍，范围从精细/严重的运动控制问题到难以保持平衡。目的：本研究的主要目的是研究注意力分散亢进症儿童中两种不同的听觉干扰物，即放松的音乐和白噪声对直立平衡性能的影响。方法：我们比较了注意缺陷多动障碍（n = 26）的学龄儿童和通常发展为对照组（n = 20）之间直立的平衡表现和不同的感觉系统在听觉干扰存在下的影响。 Neurocom SMART Balance Master动态姿势摄影设备用于感觉组织测试。在三个不同的测试环境中，每个参与者的感觉组织测试重复了三遍。结果：注意缺陷多动障碍组在沉默环境中的平衡得分较低，但差异无统计学意义。除了较低的平衡评分，视觉和前庭比率也较低。听觉干扰因素对两组的总体平衡表现均产生积极影响。更具挑战性的条件是，使用不稳定的具有扭曲的体感信号的平台。放松音乐在对照组中更有效，白噪声在注意缺陷多动障碍组中更有效，并且白噪声的积极作用在挑战性条件下更加明显。结论：据我们所知，这是第一项评估听觉干扰因素对注意力不足多动障碍儿童平衡表现的研究。尽管还需要进行更多的研究，但我们的结果表明，听觉干扰可能会对注意力缺陷多动障碍儿童的直立平衡表现产生增强作用。

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