節錄自U.S. National Institutes of Health 美國國家衛生研究院clinicaltrials.gov(臨床實驗.gov)
由於語言能力的限制,所以提出大致重點如下:
過動兒(ADHD)對於個人和社會有著巨大的影響,以目前的標準治療來說有效性是有限的。
我們研究了一種對於過動兒新的核心治療方式,從而有助於在其行為控制持的續改進。
我們以太極拳,針對改善運動行為控制的完善的行為和生理,改善過動兒的症狀。
所提出這樣的研究為新治療方式提供了巨大的治療潛力且不良反應的風險不大。
會使用這樣的療程是透過兩個互補的動機:
1)過動兒在運動控制的障礙(和相關)的行為控制核心不足而混亂。
2)在認知和行為的控制的優點 , 已在成人學習太極,舞蹈,或靜定中得到了驗證。
這些證據提供了足夠的根據為我們提出了運動為主正念訓練過動兒的實驗。
具體來說,我們建議評估以太極為基礎。我們選擇了這種方法的幾個原因:
1)太極拳是紀錄上最行之有效的以運動為基礎來干預與治療的方式,包括認知方面的效果。
2)雖然有許多以運動來改善認知的證據 , 太極為8-12歲在遊戲中最容易的實施方式以”推手”的形式實施。
3)太極輕柔的運動,甚至可以在很多限制的情況下實施,並且是在美國容易得到,在這項研究中開發的協議將直接分布在國家級層面。
網頁連結 :https://clinicaltrials.gov/ct2/show/NCT02234557
以下原文 :
Attention Deficit Hyperactivity Disorder (ADHD) has tremendous individual and societal impact, and the effectiveness of current standard treatments is limited. We examine a novel treatment that could remediate the core features of ADHD and thereby contribute to sustained improvements in behavioral control. This approach is motivated by mounting evidence that children with ADHD show difficulties with motor control, and that these motor deficits are strongly associated with the core behavioral features of ADHD. We employ Tai Chi, targeting improvements in well-established behavioral and physiologic measures of motor control, and with this, improvements in ADHD symptoms. The proposed study offers immense potential for the development of novel therapeutic approaches for ADHD with little risk of adverse reaction.
The over-arching goal of this proposal is to examine a movement-based mindfulness training as a therapeutic intervention for children with ADHD. This approach is motivated by two complimentary lines of evidence: 1) Children with ADHD show impairments in motor control that parallel (and correlate with) core deficits in behavioral control that define the disorder. 2) Gains in cognitive and behavioral control have been observed in adults learning Tai Chi, dance, or meditation. These lines of evidence provide substantial motivation for our proposed investigation of movement-based mindfulness training in children with ADHD. Specifically, we propose to evaluate an established Tai Chi-based intervention. We chose this approach for a number of reasons: 1) Tai Chi is among the most well-established movement-based interventions with documented therapeutic effects, including cognitive effects. 2) While many movement-based approaches show evidence of yielding cognitive improvements Tai Chi provides excellent opportunities for engagement of 8-12 year old children in the form of the collaborative game “push hands.” 3) Tai Chi instruction consists of gentle movements that can be practiced even by those with physical limitations, and is readily available in the United States so the protocols developed in this study will be straightforward to deploy at a national level.
Hypothesis: After participating in a Tai Chi program, children with ADHD will show improvements in behavioral and physiologic measures of motor control. We further expect movement-based training will result in decreases in ADHD symptom severity.