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    주의력결핍 과잉행동장애 아동에서 재활 승마와 약물치료의 효과 : 예비연구 = The Effect of Hippotherapy and Medication on Children with Attention Deficit Hyperactivity Disorder : A Pilot Study

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    https://www.riss.kr/link?id=A103921095

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objectives ZZThis study researched the clinical effects of hippotherapy and medication in attention deficit hyperactivity disorder (ADHD) children. MethodsZZThe study employed an open label randomized controlled trial. Participants were 10 children of ages between 6 and 12 years. These subjects were placed in 2 groups : the hippotherapy group and the medication group. Evaluation tools used in this study include Affective Disorders and Schizophrenia-Present and Lifetime Version- Korean Version, the Wechsler Intelligence Scale for Children-IV, Korean Child Behavior Check List (K-CBCL), ADHD rating scale (ARS), Clinical Global Impression (CGI), and Quantitative electroencephalography (QEEG). ResultsZZGrossly scores of investigator-administered ADHD rating scale (ARS-I), K-CBCL, and CGI-Severity of Illness scale were improved in both the hippotherapy and the medication group. The ARS-I scores of the Hippotherapy group were not significantly different from baseline after 12 weeks. In the QEEG, theta/beta ratio of Pz area in the hippotherapy group was significantly different from baseline. Children treated with medication showed significant difference from baseline in ARS-I, K-CBCL subscales, and QEEG. ConclusionZZThe use of hippotherapy could be a viable treatment strategy as a part of a multimodal therapy for children with ADHD. This pilot study provides good prospects for future studies to document these positive trends on larger samples.
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    Objectives ZZThis study researched the clinical effects of hippotherapy and medication in attention deficit hyperactivity disorder (ADHD) children. MethodsZZThe study employed an open label randomized controlled trial. Participants were 10 children of...

    Objectives ZZThis study researched the clinical effects of hippotherapy and medication in attention deficit hyperactivity disorder (ADHD) children. MethodsZZThe study employed an open label randomized controlled trial. Participants were 10 children of ages between 6 and 12 years. These subjects were placed in 2 groups : the hippotherapy group and the medication group. Evaluation tools used in this study include Affective Disorders and Schizophrenia-Present and Lifetime Version- Korean Version, the Wechsler Intelligence Scale for Children-IV, Korean Child Behavior Check List (K-CBCL), ADHD rating scale (ARS), Clinical Global Impression (CGI), and Quantitative electroencephalography (QEEG). ResultsZZGrossly scores of investigator-administered ADHD rating scale (ARS-I), K-CBCL, and CGI-Severity of Illness scale were improved in both the hippotherapy and the medication group. The ARS-I scores of the Hippotherapy group were not significantly different from baseline after 12 weeks. In the QEEG, theta/beta ratio of Pz area in the hippotherapy group was significantly different from baseline. Children treated with medication showed significant difference from baseline in ARS-I, K-CBCL subscales, and QEEG. ConclusionZZThe use of hippotherapy could be a viable treatment strategy as a part of a multimodal therapy for children with ADHD. This pilot study provides good prospects for future studies to document these positive trends on larger samples.

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    참고문헌 (Reference)

    1 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구" 대한신경정신의학회 41 (41): 2002

    2 양수진, "주의력 결핍 과잉 행동 장애의 유병률과 관련 인자 : 서울시 학교 정신보건 사업" 대한신경정신의학회 45 (45): 69-76, 2006

    3 Bizub AL, "“It’s like being in another world”: demonstrating the benefits of therapeutic horseback riding for individuals with psychiatric disability" 26 : 377-384, 2003

    4 Polanczyk G, "The worldwide prevalence of ADHD: a systematic review and metaregression analysis" 164 : 942-948, 2007

    5 Ogrim G, "The quantitative EEG theta/beta ratio in attention deficit/hyperactivity disorder and normal controls: sensitivity, specificity, and behavioral correlates" 198 : 482-488, 2012

    6 Tantillo M, "The effects of exercise on children with attention-deficit hyperactivity disorder" 34 : 203-212, 2002

    7 Haffner J, "The effectiveness of body-oriented methods of therapy in the treatment of attention-deficit hyperactivity disorder (ADHD): results of a controlled pilot study" 34 : 37-47, 2006

    8 Cuypers K, "The effect of therapeutic horseback riding on 5 children with attention deficit hyperactivity disorder: a pilot study" 17 : 901-908, 2011

    9 Ko IG, "Swimming exercise alleviates the symptoms of attention-deficit hyperactivity disorder in spontaneous hypertensive rats" 8 : 393-400, 2013

    10 Kang KD, "Sports therapy for attention, cognitions and sociality" 32 : 953-959, 2011

    1 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구" 대한신경정신의학회 41 (41): 2002

    2 양수진, "주의력 결핍 과잉 행동 장애의 유병률과 관련 인자 : 서울시 학교 정신보건 사업" 대한신경정신의학회 45 (45): 69-76, 2006

    3 Bizub AL, "“It’s like being in another world”: demonstrating the benefits of therapeutic horseback riding for individuals with psychiatric disability" 26 : 377-384, 2003

    4 Polanczyk G, "The worldwide prevalence of ADHD: a systematic review and metaregression analysis" 164 : 942-948, 2007

    5 Ogrim G, "The quantitative EEG theta/beta ratio in attention deficit/hyperactivity disorder and normal controls: sensitivity, specificity, and behavioral correlates" 198 : 482-488, 2012

    6 Tantillo M, "The effects of exercise on children with attention-deficit hyperactivity disorder" 34 : 203-212, 2002

    7 Haffner J, "The effectiveness of body-oriented methods of therapy in the treatment of attention-deficit hyperactivity disorder (ADHD): results of a controlled pilot study" 34 : 37-47, 2006

    8 Cuypers K, "The effect of therapeutic horseback riding on 5 children with attention deficit hyperactivity disorder: a pilot study" 17 : 901-908, 2011

    9 Ko IG, "Swimming exercise alleviates the symptoms of attention-deficit hyperactivity disorder in spontaneous hypertensive rats" 8 : 393-400, 2013

    10 Kang KD, "Sports therapy for attention, cognitions and sociality" 32 : 953-959, 2011

    11 Ha EH, "Reconstruction of the Behavior Problem Scales of the Korean CBCL" 20 : 245-253, 1995

    12 Skinner RA, "Psychosocial implications of poor motor coordination in children and adolescents" 20 : 73-94, 2001

    13 Azrin NH, "Physical exercise as a reinforcer to promote calmness of an ADHD child" 30 : 564-570, 2006

    14 Pfiffner LJ, "Interventions to enhance social competence" 9 : 689-709, 2000

    15 Greenhill LL, "Impairment and deportment responses to different methylphenidate doses in children with ADHD: the MTA titration trial" 40 : 180-187, 2001

    16 Dykens EM, "Exercise and sports in children and adolescents with developmental disabilities. Positive physical and psychosocial effects" 7 : 757-771, 1998

    17 송동호, "Effects of Methylphenidate on Quantitative EEG of Boys with Attention-deficit Hyperactivity Disorder in Continuous Performance Test" 연세대학교의과대학 46 (46): 34-41, 2005

    18 Nieoullon A., "Dopamine and the regulation of cognition and attention" 67 : 53-83, 2002

    19 Pliszka SR, "Catecholamines in attentiondeficit hyperactivity disorder: current perspectives" 35 : 264-272, 1996

    20 Spencer TJ, "Attention-deficit/hyperactivity disorder: diagnosis, lifespan, comorbidities, and neurobiology" 7 (7): 73-81, 2007

    21 Monastra VJ, "Assessing attention deficit hyperactivity disorder via quantitative electroencephalography: an initial validation study" 13 : 424-433, 1999

    22 Fliers EA, "Actual motor performance and self-perceived motor competence in children with attention-deficit hyperactivity disorder compared with healthy siblings and peers" 31 : 35-40, 2010

    23 Vitte E, "Activation of the hippocampal formation by vestibular stimulation: a functional magnetic resonance imaging study" 112 : 523-526, 1996

    24 Biederman J, "A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders" 53 : 437-446, 1996

    25 "A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD" 56 : 1073-1086, 1999

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