Accepted Articles
Back to the articles list |
Back to browse issues page
1- Department of Occupational Therapy, School of Rehabilitation Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract:
Background: Impulsivity is a core diagnostic feature of Attention deficit and hyperactive disorder (ADHD) in children. Deficits in inhibitory control can lead to behavioral issues and difficulties in interpersonal communication. Due to the limited use of medication at early ages and the broad impact of impulsivity on developmental domains, there is an increasing need for effective interventional approaches.
Objectives: This study aimed to evaluate the effectiveness of a structured dual-task exercise program that incorporates rhythmic movements preferred by children, along with visual and auditory cues, in reducing impulsivity and its related symptoms.
Methods:This randomized clinical trial was conducted on 60 children aged 6 to 12 years diagnosed with ADHD. Participants were allocated equally into intervention (dual-task) and control groups using Covariate Adaptive Randomization. Both groups received 18 intervention sessions of 45 minutes during 6 weeks. Evaluations were performed at baseline, post-intervention, and one-month post-intervention to assess the sustainability of outcomes using the Integrated Visual and Auditory Continuous Performance Test (IVA-2) and Cambridge Neuropsychological Test Automated Battery (CANTAB) assessments.
Results: Significant improvements were found between the two groups in all response control and prudence measures, including auditory and visual subdomains (P < 0.001). Reaction time indicators also demonstrated significant between-group differences (P < 0.001). At the one-month follow-up, response control and auditory response control measures showed no significant difference; however, other outcomes maintained significant improvements.
Conclusion: The findings suggest that a rhythmic-cognitive dual-task training program can positively impact impulsivity symptoms and enhance inhibitory control in children with ADHD.
Objectives: This study aimed to evaluate the effectiveness of a structured dual-task exercise program that incorporates rhythmic movements preferred by children, along with visual and auditory cues, in reducing impulsivity and its related symptoms.
Methods:This randomized clinical trial was conducted on 60 children aged 6 to 12 years diagnosed with ADHD. Participants were allocated equally into intervention (dual-task) and control groups using Covariate Adaptive Randomization. Both groups received 18 intervention sessions of 45 minutes during 6 weeks. Evaluations were performed at baseline, post-intervention, and one-month post-intervention to assess the sustainability of outcomes using the Integrated Visual and Auditory Continuous Performance Test (IVA-2) and Cambridge Neuropsychological Test Automated Battery (CANTAB) assessments.
Results: Significant improvements were found between the two groups in all response control and prudence measures, including auditory and visual subdomains (P < 0.001). Reaction time indicators also demonstrated significant between-group differences (P < 0.001). At the one-month follow-up, response control and auditory response control measures showed no significant difference; however, other outcomes maintained significant improvements.
Conclusion: The findings suggest that a rhythmic-cognitive dual-task training program can positively impact impulsivity symptoms and enhance inhibitory control in children with ADHD.
Type of Study: Original |
Subject:
Cellular and molecular Neuroscience
Received: 2025/04/27 | Accepted: 2025/07/21
Received: 2025/04/27 | Accepted: 2025/07/21
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
