The Effects of Functional Power Training in Children With Attention Deficit Hyperactivity Disorder

NCT05150223 | Completed

• 1 other identifier: 2021-088
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

This study is aimed to investigate the effectiveness of functional power training on attention, gross and fine motor skill, participation and quality of life in children with attention deficit hyperactivity disorder (ADHD) by comparing traditional strength training and their healthy peers. In the literature, there are limited studies that investigate the effect of power exercise in children with ADHD. But there is no randomized controlled trial include power exercises which is designed to the National Strength and Conditioning Association (NSCA) criteria and investigate the effects on attention, gross and fine motor skill, participation and quality of life in children with ADHD. This study hypothesizes that power exercises could improve attention, gross and fine motor skill, participation, and quality of life better than traditional strength training in children with ADHD.

Conditions

Attention Deficit Hyperactivity Disorder; Child Mental Disorder

Keywords

attention deficit; hyperactivity disorder; power; strength; training

Outcome Measures

Primary Outcomes (4)

• Conners' Teacher Rating Scale (CTRS)

  CTRS is a reliable and valid 59-item teacher self-report form designed to identify children with ADHD and associated behavioral difficulties. Each item can be scored from 0 to 3; where 0 represents an item is not present and 3 represents an always or definitely present symptom.

  change from baseline to end of the 8 weeks

• Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2) to measure motor proficiency.

  Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2) is norm referenced and designed to measure gross and fine motor skills in youth 4 to 21 years of age. Standard scores 40 are considered below average, whereas those \>40 range from average to above average.

  change from baseline to end of the 8 weeks

• Evaluation of muscle power of lower extremity

  Muscle Power Sprint Test (MPST) will be used to assess lower extremity muscle power.Peak power and Mean Power (watts) were also calculated and used as markers of anaerobic power in the MPST. Power output for each sprint was calculated using body mass and running times, where power = (body mass Å\~ distance2)/time. Peak power was defined as the highest calculated power, while Mean Power was defined as average power over the 6 runs.

  change from baseline to end of the 8 weeks

• Evaluation of muscle power of upper extremity

  Throw Basketball Test will be used to assess upper extremity muscle power. The distance from the starting line to where the ball landed was recorded in centimetres.

  change from baseline to end of the 8 weeks

Secondary Outcomes (4)

• The 30 seconds Repetition Maximum test

  change from baseline to end of the 8 weeks

• walking speed

  change from baseline to end of the 8 weeks

• Evaluation of participation

  change from baseline to end of the 8 weeks

• Evaluation of quality of life

  change from baseline to end of the 8 weeks

Study Arms (3)

Traditional strength training group

ACTIVE COMPARATOR

traditional strength training (running, jumping forward over a barrier with one leg and two legs, heel-rise, push up and ball throw with load, bench press, and flexion-abduction-external rotation pattern with theraband)

Other: traditional strength training

Power Training group

EXPERIMENTAL

progressive functional strength training protocol (running, jumping forward over a barrier with one leg and two legs, heel-rise, push up and ball throw with load, bench press, and flexion-abduction-external rotation pattern with theraband)

Other: Power training

Control group

NO INTERVENTION

no intervention Typically developing children

Interventions

traditional strength training OTHER

traditional strength training (running, jumping forward over a barrier with one leg and two legs, heel-rise, push up and ball throw with load, bench press, and flexion-abduction-external rotation pattern with theraband). Participation in the traditional strength training group will complete these exercises with a load and without time limitations and speed.

Traditional strength training group

Power training OTHER

progressive functional strength training protocol (running, jumping forward over a barrier with one leg and two legs, heel-rise, push up and ball throw with load, bench press, and flexion-abduction-external rotation pattern with theraband)

Power Training group

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• age between 6 years and 12 years;
• Diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) by a child and adolescent health psychiatrist, regardless of subtype, according to DSM-V criteria
• Have cognitive ability to follow instructions for assessment measures and exercise intervention

You may not qualify if:

• Children have any other psychiatric diagnosis like autism spectrum disorder, psychotic symptoms, depression, etc.
• Children have any neurological or orthopedic disorders like head injury, cerebral palsy, epileptic seizure, visual and speech disorder.
• Healthy children aged 6-12 years old
• Children without a psychiatric and neurological diagnosis
• Children got medical treatment for a neuropsychiatric disorder
• Children whose parents or themselves refused to participate

Sponsors & Collaborators

• Akdeniz University: lead
• Antalya Training and Research Hospital: collaborator

Study Sites (1)

Akdeniz University

Antalya, Turkey (Türkiye)

Location

Related Publications (7)

• Tseng MH, Henderson A, Chow SM, Yao G. Relationship between motor proficiency, attention, impulse, and activity in children with ADHD. Dev Med Child Neurol. 2004 Jun;46(6):381-8. doi: 10.1017/s0012162204000623.

  PMID: 15174529 BACKGROUND

• S J, Arumugam N, Parasher RK. Effect of physical exercises on attention, motor skill and physical fitness in children with attention deficit hyperactivity disorder: a systematic review. Atten Defic Hyperact Disord. 2019 Jun;11(2):125-137. doi: 10.1007/s12402-018-0270-0. Epub 2018 Sep 27.

  PMID: 30264226 BACKGROUND

• Cho H, Ji S, Chung S, Kim M, Joung YS. Motor function in school-aged children with attention-deficit/hyperactivity disorder in Korea. Psychiatry Investig. 2014 Jul;11(3):223-7. doi: 10.4306/pi.2014.11.3.223. Epub 2014 Jul 21.

  PMID: 25110492 BACKGROUND

• Kaya Kara O, Livanelioglu A, Yardimci BN, Soylu AR. The Effects of Functional Progressive Strength and Power Training in Children With Unilateral Cerebral Palsy. Pediatr Phys Ther. 2019 Jul;31(3):286-295. doi: 10.1097/PEP.0000000000000628.

  PMID: 31220015 BACKGROUND

• Moreau NG, Holthaus K, Marlow N. Differential adaptations of muscle architecture to high-velocity versus traditional strength training in cerebral palsy. Neurorehabil Neural Repair. 2013 May;27(4):325-34. doi: 10.1177/1545968312469834. Epub 2013 Jan 4.

  PMID: 23292847 BACKGROUND

• Messler CF, Holmberg HC, Sperlich B. Multimodal Therapy Involving High-Intensity Interval Training Improves the Physical Fitness, Motor Skills, Social Behavior, and Quality of Life of Boys With ADHD: A Randomized Controlled Study. J Atten Disord. 2018 Jun;22(8):806-812. doi: 10.1177/1087054716636936. Epub 2016 Mar 24.

  PMID: 27013028 BACKGROUND

• Goulardins JB, Marques JC, De Oliveira JA. Attention Deficit Hyperactivity Disorder and Motor Impairment. Percept Mot Skills. 2017 Apr;124(2):425-440. doi: 10.1177/0031512517690607. Epub 2017 Jan 31.

  PMID: 28361657 BACKGROUND

Related Links

• National Strength and Conditioning Association

MeSH Terms

Conditions

Attention Deficit Disorder with Hyperactivity; Neurodevelopmental Disorders

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Single
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Study Record Dates

• First Submitted: November 9, 2021
• First Posted: December 9, 2021
• Study Start: December 1, 2021
• Primary Completion: April 15, 2022
• Study Completion: June 15, 2022
• Last Updated: June 30, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)