Clinical Efficacy of Sensory Integration Training Combined with Methylphenidate Hydrochloride on Attention Deficit Hyperactivity Disorder in Children_West China Medical Journal

Authors：

 ZHANGYue-lan ,  SHIDong-wei , LAOFei-yan

Health Care for Children, Maternity and Child Care Division of Qinzhou City, Qinzhou, Guangxi 535000, P. R. China;

Corresponding?author：

SHIDong-wei, Email: 191254163@qq.com

Keywords：

Attention deficit hyperactivity disorder; Children; Sensory integration training; Methylphenidate hydrochloride

DOI：

10.7507/1002-0179.20140452

Video：

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Objective To observe the effect of sensory integration training combined with methylphenidate hydrochloride on attention deficit hyperactivity disorder (ADHD). Methods The clinical data of 96 patients with ADHD diagnosed between January 2009 and March 2013 were retrospectively analyzed. The patients were divided into two groups by the table of random number. The trail group (n=48) received the combination therapy of sensory integration training combined with methylphenidate hydrochloride; while the control group (n=48) only received the medication of methylphenidate hydrochloride. The scores of sensory integration ability rating scale, integrated visual and auditory continuous performance test (IVA-CPT), Conner's behavior rating scale, Chinese Wechsler Intelligence Scale for Children (C-WISC) and adverse reactions were observed and compared between the two groups. Results The scores of the sensory integration ability rating scale, FRCQ, FAQ (IVA-CPT), PIQ, VIQ, FIQ, C factor (C-WISC) in both of the two groups were significantly higher after the therapy; while the scores of the study, behavior, somatopsychic disturbance, impulsion, hyperactivity index and anxiety factor significantly decreased after the treatment (P<0.05). Compared with the control group, the trial group's scores of sensory integration ability rating scale, IVA-CPT, Conner's behavior rating scale, C-WISC were improved obviously, and the adverse reactions were significantly less (P<0.05). Conclusion The sensory integration training combined with methylphenidate hydrochloride is sage and effective on children with attention deficit hyperactivity disorder.

Citation： ZHANGYue-lan, SHIDong-wei, LAOFei-yan. Clinical Efficacy of Sensory Integration Training Combined with Methylphenidate Hydrochloride on Attention Deficit Hyperactivity Disorder in Children. West China Medical Journal, 2014, 29(8): 1472-1475. doi: 10.7507/1002-0179.20140452 Copy

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15.	陳光福, 崔艷麗, 陳美清. 鹽酸哌甲酯控釋劑治療兒童注意缺陷多動障礙的療效[J]. 實用兒科臨床雜志, 2011, 26(6):452-454.
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1. 鄒小兵, 靜進. 發育和行為兒科學[M]. 北京:人民衛生出版社, 2005:237.
2. 李博, 李文才. 兒童多動癥的成因分析及教育干預措施[J]. 廣東教育學院學報, 2009, 29(4):20-23.
3. 魏海濤. 小兒多動癥臨床治療分析[J]. 中國醫藥科學, 2011, 1(20):157.
4. American Psychiatric Association. Diagnostic and statistical manual of mental disorder[M]. 4th ed. Washington DC:American Psychiatric Association, 1994:129-130.
5. 任桂英, 王玉鳳, 顧伯美, 等. 兒童感覺統合評定量表心測報告[J]. 中國心理衛生雜志, 1994, 8(4):145-147.
6. 龔耀先, 蔡太生. 中國修訂韋氏兒童智力量表[J]. 中國臨床心理學雜志, 1994, 2(1):1-6.
7. 潘學霞, 萬彬, 麻宏偉, 等. 整合視聽持續測試診斷不同年齡段注意缺陷多動障礙患兒的臨床應用[J]. 實用兒科臨床雜志, 2008, 23(12):908-910.
8. Dopheide JA, Pliszka SR. Attention-deficit-hyperactivity disorder:an update[J]. Pharmacotherapy, 2009, 29(6):656-679.
9. 郝偉, 于欣. 精神病學[M]. 6版. 北京:人民衛生出版社, 2008:190.
10. Camila TF, Folquitto CL, Rodrigues, et al. Considerations about psychological development of children with ADHD (attention deficit hyperactivity disorder)[J]. Psychol Res, 2014, 4(3):168-177.
11. 卜茹, 周宏輝, 孫金榮, 等. 兩種哌甲酯治療多動障礙臨床對照研究[J]. 臨床精神醫學雜志, 2008, 18(6):381-383.
12. May DE, Kratochvil CJ. Attention-deficit hyperactivity disorder:recent advances in paediatric pharmacotherapy[J]. Drugs, 2010, 70(1):15-40.
13. 尹顯貴, 孫巍, 尹葛子煦. 兒童注意缺陷多動障礙研究進展[J]. 吉林醫學, 2013, 34(31):6555-6557.
14. 陳敏榕, 薛漳, 黃林娟, 等. 注意缺陷多動障礙兒童就醫行為及藥物治療影響因素[J]. 中國兒童保健雜志, 2014, 22(3):315-318.
15. 陳光福, 崔艷麗, 陳美清. 鹽酸哌甲酯控釋劑治療兒童注意缺陷多動障礙的療效[J]. 實用兒科臨床雜志, 2011, 26(6):452-454.
16. Kaplan A, Adesman A. Diagnosis and management of pre-school ADHD[J]. Curr Opin Pediatr, 2011, 3(6):684-700.

West China Medical Journal

Clinical Efficacy of Sensory Integration Training Combined with Methylphenidate Hydrochloride on Attention Deficit Hyperactivity Disorder in Children

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