Effects of Physical Activity on Cognitive and Neurological Function of Attention Deficit Hyperactivity Disorder Children: A Systematic Review / 中国康复理论与实践

ABSTRACT

Objective To analyze the effect of physical activity intervention on the cognitive and neural functions of attention deficit hyperactivity disorder (ADHD) children. Methods Literatures related to physical activity intervention and functional rehabilitation of ADHD children in PubMed, EMBASE, Web of Science, CNKI and Wanfang data were searched from January, 1990 to July, 2021. The authors, countries, publication time, subjects and ages, research methods, intervention methods, measurement tools, results and conclusions of the included literatures were extracted. Based on the theory of the International Classification of Functioning, Disability and Health (Children and Adolescents Version) (ICF-CY), the terminology and research framework were established to systematically analyze physical activity intervention programs and intervention effects in the cognitive neural function of ADHD children. Results A total of 1995 literatures were returned, twelve of them were finally included. These studies came from six countries, mainly from clinical medicine, sports rehabilitation, psychotherapy and other related journals, published mainly after 2015. The study design included randomized controlled trial, pre- and post-test design, and quasi-experimental design. Subjects were ADHD children aged four to 16 years. The physical activities included sport games, sport activities, school physical education courses and rehabilitation training. The measurement methods mainly included cognitive task, scale, questionnaire and electroencephalogram, etc. Physical activity intervention can improve ADHD children's inhibitory control, working memory and cognitive flexibility, as well as improve their motor function, and activity and participation. Conclusion Physical activity intervention can improve the cognitive neural ability, motor ability and emotion-social ability of ADHD children. However, the dose-effect relationship, influencing factors and neural mechanism need further research.