簡易檢索 / 詳目顯示

研究生: 余建霖
Yu, Chien-Lin
論文名稱: 急性有氧運動對ADHD孩童抑制功能保留效果之探討
The sustain effect of acute exercise on inhibition function in ADHD children
指導教授: 洪聰敏
Hung, Tsung-Min
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 38
中文關鍵詞: 注意力缺乏過動症認知功能ERPHRV
英文關鍵詞: Attention Deficit/Hyperactivity Disorder, cognitive function, ERP, HRV
DOI URL: https://doi.org/10.6345/NTNU202202550
論文種類: 學術論文
相關次數: 點閱:103下載:28
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 背景: 認知功能一直是影響孩童學習效果的重要因素,但是有注意力缺乏過動症的孩童(Attention deficit/hyperactivity disorder,簡稱ADHD)卻因缺乏持續性的注意力與抑制功能,所以患者常常有學習困難與社會適應的問題。目前研究顯示出急性運動可以改善認知功能,但急性運動助益效果之保留時間仍待釐清,且過去探討保留時間的研究較少使用客觀指標 (如ERP、HRV等) 觀察心生理機制。因此本研究主要目的為中等強度急性運動後ADHD孩童抑制功能保留效果之探討。方法: 以組內平衡設計針對18位8-12歲確診之ADHD孩童,分別進行運動情境與控制情境,並觀察兩種情境後一小時內的抑制功能、心跳變異率(Herat rate variability, HRV)與事件關連電位 (Event-related potentials, ERP)指標上的變化。本研究結果說明了急性運動對ADHD孩童在抑制功能上的保留效果可以維持至60分鐘,並且反映在抑制作業的成績表現與ERP的指標上,除此之外,透過兩情境相減之相關分析,可以表明急性運動提升認知助益的維持效果與急性運動引起的HF-HRV改變有關。

    Children with Attention Deficit/Hyperactivity Disorder (ADHD) are deficient in sustain attention and inhibition function. Previous studies showed that acute exercise had positive impact on cognitive function, especially in inhibition. However the sustain effect of acute exercise remains unclear. Therefore, the purpose of the current study was to investigate the sustain effect of acute moderate-intensity exercise on inhibition function on ADHD children. Methods: Eighteen participants joined in the study by counterbalanced within subject design. All participants had 2 interventions by exercise condition and control condition. Measurement tools were inhibition function by Flanker test, HRV (Herat rate variability) and ERP (Event-related potentials) at 2condition after 30 and 60 minutes. Results: The results of this study show that the sustain effect of acute exercise on inhibitory function in ADHD children can maintain about 60 minutes, and reflect in the performance of the inhibition and ERP indicators. Through correlation analysis, it shows that the sustain effect of acute exercise to enhance cognitive benefit is related to HF-HRV changed by acute exercise.

    目 次 口試委員與系主任簽字之論文通過簽名表 i 論文授權書 ii 中文摘要 iii 英文摘要 iv 謝誌 v 目次 vi 表次 viii 圖次 viii 第壹章 緒論 1 第一節 問題背景 1 第二節 研究目的 4 第三節 研究假設 5 第貳章 文獻探討 5 第一節 ADHD之成因探討 5 第二節 注意力混合理論模式與ADHD抑制功能的關係 7 第三節 急性運動對ADHD孩童之影響的相關文獻探討 8 第四節 急性運動保留效果的相關文獻探討 10 第五節 結語 13 第參章 研究方法 14 第一節 研究架構圖 14 第二節 研究對象 14 第三節 實驗工具與測驗方法 15 第四節 實驗流程與步驟 17 第五節 運動介入與強度監控 18 第六節 資料處理方法 19 第七節 統計分析 20 第肆章 結果 21 第一節 基本資料 21 第二節 行為表現 22 第三節 電生理表現 23 第四節 心跳變異率 25 第五節 相關分析 26 第伍章 討論 28 引用文獻 32

    引用文獻

    孔繁鐘(譯) (2007)。DSM-IV-TR精神疾病診斷準則手冊(第四版)(原作者:American Psychiatric Association)( The Diagnostic and Statistical Manual of MentalDisorders)。臺北市:合記。
    吳武典、蔡崇建、胡致芬、王振德、林幸台、郭靜姿 (2006)。托尼非語文智力測驗-再版。台北市:心理出版社。
    洪巧菱、蔡侑蓉、黃崇儒、洪聰敏 (2016). 以神經電生理取向探討身體活動在 ADHD 兒童症狀與認知功能效益: 文獻回顧與展望. 應用心理研究, (64), 39-93.
    莊嵐雅、黃崇儒、洪聰敏 (2014)。以腦波測量來探討身體活動的心理效應: 1990 年至 2014 年研究趨勢探析。體育學報,47 (4), 555-568。
    張育愷、吳聰義 (2011)。急性健身運動對認知功能的影響事件相關電位的文獻回顧。體育學報, 44 (1), 1-28。
    陳怡群、黃惠玲、趙家琛 (2009)。阿肯巴克實證衡鑑系統。臺北:心理出版社。
    Abreu, S. B., Lenhard, A., Mehanna, A., de Souza, H. C. D., de Aguiar Correa, F. M., Hasser, E. M., & Martins-Pinge, M. C. (2009). Role of paraventricular nucleus in exercise training-induced autonomic modulation in conscious rats. Autonomic Neuroscience, 148(1), 28-35.
    Archer, T., & Kostrzewa, R. M. (2012). Physical exercise alleviates ADHD symptoms: Regional deficits and development trajectory. Neurotoxicity research, 21(2), 195-209.
    Albrecht, B., Brandeis, D., Uebel, H., Heinrich, H., Mueller, U. C., Hasselhorn, M., . . . Banaschewski, T. (2008). Action monitoring in boys with attention-deficit/hyperactivity disorder, their nonaffected siblings, and normal control subjects: evidence for an endophenotype. Biological Psychiatry, 64(7), 615-625.
    American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5) , Washington, D.C.: American Psychiatric Association
    American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
    Barkley, R. A., & Murphy, K. R. (2006). Attention-deficit hyperactivity disorder: A clinicalworkbook (3nd ed.). New York: Guilford.
    Banaschewski, T., Brandeis, D., Heinrich, H., Albrecht, B., Brunner, E., & Rothenberger, A. (2003). Association of ADHD and conduct disorder--brain electrical evidence for the existence of a distinct subtype. Journal of Child Psychology and Psychiatry, 44(3), 356-376.
    Blair, C., Granger, D., & Razza, R. P. (2005). Cortisol reactivity is positive lyrelated to executive function in preschool children attending head start. Child Dev. 76, 554–567. doi:10.1111/j.1467-8624.2005.00863.
    Brisswalter, J., Collardeau, M., & René, A. (2002). Effects of acute physical exercise characteristics on cognitive performance. Sports Medicine, 32(9), 555-566.
    Buchhorn, R., Conzelmann, A., Willaschek, C., Störk, D., Taurines, R., & Renner, T. J. (2012). Heart rate variability and methylphenidate in children with ADHD. ADHD Attention Deficit and Hyperactivity Disorders, 4(2), 85-91.
    Budde, H.,Voelcker-Rehage, C., Pietrassyk-Kendziorra, S., Machado, S., Ribeiro, P., and Arafat, A.M. (2010a). Steroid hormones in the saliva of adolescents after different exercise intensities and their influence on working memory in a school setting. Psychoneuroendocrinology 35, 382–391.doi: 10.1016/j.psyneuen.2009.07.015
    Bunford, N., Evans, S. W., Zoccola, P. M., Owens, J. S., Flory, K., & Spiel, C. F. (2016). Correspondence between heart rate variability and emotion dysregulation in children, including children with ADHD. Journal of abnormal child psychology, 1-13.
    Crone, E. A., Jennings, J. R., & Van Der Molen, M. W. (2003). Sensitivity to interference and response contingencies in Attention-Deficit/Hyperactivity Disorder. Journal of Child Psychology and Pshchiatry, 44, 214-226.
    Chang, Y. K., Liu, S., Yu, H. H., & Lee, Y. H. (2012). Effect of acute exercise on executive function in children with attention deficit hyperactivity disorder. Archives of Clinical Neuropsychology, 27, 225–237.
    Chang, Y. K., Labban, J. D., Gapin, J. I., & Etnier, J. L. (2012). The effects of acute exercise on cognitive performance: a meta-analysis. Brain research,1453, 87-101.
    Chang, Y. K., Pesce, C., Chiang, Y. T., Kuo, C. Y., & Fong, D. Y. (2015). Antecedent acute cycling exercise affects attention control: an ERP study using attention network test. Frontiers in human neuroscience, 9, 156.
    Chuang, L. Y., Tsai, Y. J., Chang, Y. K., Huang, C. J., & Hung, T. M. (2015). Effects of acute aerobic exercise on response preparation in a Go/No Go Task in children with ADHD: an ERP study. Journal of Sport and Health Science,4(1), 82-88.
    Daly, W., Seegers, C.A., Rubin, D.A., Dobridge, J.D., & Hackney, A.C. (2005). Relationship between stress hormones and testosterone with prolonged endurance exercise. Eur.J.Appl.Physiol. 93,375–380.doi:10.1007/s00421-004- 1223-1
    Dolezal, B. A., Chudzynski, J., Dickerson, D., Mooney, L., Rawson, R. A., Garfinkel, A., & Cooper, C. B. (2014). Exercise training improves heart rate variability after methamphetamine dependency. Medicine and science in sports and exercise, 46(6), 1057.
    Eriksen, B. A., & Eriksen, C. W. (1974). Effects of noise letters upon the identification of a target letter in a nonsearch task. Attention, perception, & Psychophysics, 16, 143-149.
    Erickson, K., Drevets, W., & Schulkin, J.(2003). Glucocorticoid regulation of diverse cognitive functions in normal and pathological emotional states. Neurosci.Biobehav.Rev. 27, 233–246.doi:10.1016/S0149-7634(03) 00033-2
    Fisher, T., Aharon-Peretz, J., & Pratt, H. (2011). Dis-regulation of response inhibition in adult Attention Deficit Hyperactivity Disorder (ADHD) : An ERP study. Clinical Neurophysiology, 122, 2390-2399.
    Field, T. (2012). Exercise research on children and adolescents. Complementary therapies in clinical practice, 18(1), 54-59.
    Gapin, J. I., Labban, J. D., Bohall, S. C., Wooten, J. S., & Chang, Y. K. (2015). Acute exercise is associated with specific executive functions in college students with ADHD: A preliminary study. Journal of Sport and Health Science,4(1), 89-96.
    Gallotta, M. C., Emerenziani, G. P., Franciosi, E., Meucci, M., Guidetti, L., & Baldari, C. (2015). Acute physical activity and delayed attention in primary school students. Scandinavian journal of medicine & science in sports, 25(3), e331-e338.
    Gellish, R. L., Goslin, B. R., Olson, R. E., McDonald, A., Russi, G. D., & Moudgil, V. K. (2007). Longitudinal modeling of the relationship between age and maximal heart rate. Medicine and Science in Sports and Exercise, 39, 822–829.
    Gilger, J. W., Pennungton, B. F., & Defries, J. C. (1992). A twin study of the etiolugy of comorbidity: attention-deficit hyperactivity disorder and dyslexiz. Journal of the Amercan Academy of Child and Adolescent Psychiatry, 31(2), 343-348. Doi: 10.1097/00004583-199203000-00024
    Gillie, B. L., Vasey, M. W., & Thayer, J. F. (2014). Heart rate variability predicts control over memory retrieval. Psychological Science, 25(2), 458-465.
    Hillman, C. H., Snook, E. M., & Jerome, G. J. (2003). Acute cardiovascular exercise and executive control function. International Journal of Psychophysiology, 48(3), 307-314.
    Hillman, C. H., Pontifex, M. B., Raine, L. B., Castelli, D. M., Hall, E. E .,& Kramer, A. F. (2009). The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent children. Neuroscience 159, 1044–1054. doi: 10.1016/j.neuroscience.2009.01.057
    Hung, T. M., Tsai, C. L., Chen, F. T., Wang, C. C., & Chang, Y. K. (2013). The immediate and sustained effects of acute exercise on planning aspect of executive function. Psychology of Sport and Exercise, 14(5), 728-736.
    Jasper, H. H. (1958). The ten twenty electrode system of the international federation, Electroencephalography and clinical neurophysiology, 10, 371-375.
    Jager, K., Schmidt, M., Conzelmann, A., & Roebers, C. M. (2014). Cognitive and physiological effects of an acute physical activity intervention in elementary school children. Frontiers in psychology, 5, 1473.
    Joyce, J., Graydon, J., McMorris, T., & Davranche, K. (2009). The time course effect of moderate intensity exercise on response execution and response inhibition. Brain and cognition, 71(1), 14-19.
    Johnstone, S. J., Barry, R. J., Markovska, V., Dimoska, A., & Clarke, A. R. (2009). Response inhibition and interference control in children with AD/HD: a visual ERP investigation. Int J Psychophysiol, 72, 145-153. doi: 10.1016/j.ijpsycho.2008.11.007
    Laborde, S., Mosley, E., & Thayer, J. F. (2017). Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research–Recommendations for Experiment Planning, Data Analysis, and Data Reporting. Frontiers in psychology, 8.
    Lambourne, K., Audiffren, M., & Tomporowski, P. D. (2010). Effects of acute exercise on sensory and executive processing tasks. Med Sci Sports Exerc,42(7), 1396-1402.
    Lambourne, K., & Tomporowski, P. (2010). The effect of exercise-induced arousal on cognitive task performance: a meta-regression analysis. Brain research, 1341, 12-24.
    Lijffijt, M., Kenemans, J. L., Verbaten, M. N., & van Engeland, H. (2005). A meta-analytic review of stopping performance in attention-deficit/hyperactivity disorder: deficient inhibitory motor control? Journal of Abnormal Psychology, 114 (2), 216-222
    Luft, C. D. B., Takase, E., & Darby, D. (2009). Heart rate variability and cognitive function: Effects of physical effort. Biological Psychology, 82(2), 186-191.
    Mahon, A. D., Dean, R. S., McIntosh, D. E., Marjerrison, A. D., Cole, A. S., Woodruff, M. E., &; Lee, M. P. (2013). Acute exercise effects on measures of attention and impulsivity in children with attention deficit/hyperactivity disorder. Journal of Educational and Developmental Psychology, 3(2), 65-73
    Mcmorris, T., & Graydon, J. (2000). The effect of incremental exercise on cognitive performance. International Journal of Sport Psychology,31(1), 66-81.
    Montano, N., Porta, A., Cogliati, C., Costantino, G., Tobaldini, E., Casali, K. R., & Iellamo, F. (2009). Heart rate variability explored in the frequency domain: a tool to investigate the link between heart and behavior. Neuroscience & Biobehavioral Reviews, 33(2), 71-80.
    Michael, S., Graham, K. S., & Davis, G. M. (2017). Cardiac Autonomic Responses during Exercise and Post-exercise Recovery Using Heart Rate Variability and Systolic Time Intervals—A Review. Frontiers in physiology, 8.
    Piepmeier, A. T., Shih, C. H., Whedon, M., Williams, L. M., Davis, M. E., Henning, D. A., & Etnier, J. L. (2015). The effect of acute exercise on cognitive performance in children with and without ADHD. Journal of Sport and Health Science, 4(1), 97-104.
    Pontifex, M. B., Hillman, C. H., Fernhall, B. O., Thompson, K. M., & Valentini, T. A. (2009). The effect of acute aerobic and resistance exercise on working memory. Medicine & Science in Sports & Exercise, 41(4), 927-934.
    Pontifex, M. B., Saliba, B. J., Raine, L. B., Picchietti, D. L., & Hillman, C. H. (2013). Exercise improves behavioral, neurocognitive, and scholastic performance in children with attention-deficit/hyperactivity disorder. The Journal of pediatrics, 162(3), 543-551.
    Schmidt, m., Egger, f., & Conzelmann, a. (2015). Delayed positive effects of an acute bout of coordinative exercise on children’s attention. Perceptual & motor skills, 121(2), 431-446.
    Souza, H. C. D. D., Penteado, D. M. D., Martin-Pinge, M. C., Barbosa Neto, O., Teixeira, V. D. P. A., Blanco, J. H. D., & Silva, V. J. D. D. (2007). Nitric oxide synthesis blockade increases hypertrophy and cardiac fibrosis in rats submitted to aerobic training. Arquivos brasileiros de cardiologia, 89(2), 99-104.
    Souza, H. C., De Araujo, J. E., Martins-Pinge, M. C., Cozza, I. C., & Martins-Dias, D. P. (2009). Nitric oxide synthesis blockade reduced the baroreflex sensitivity in trained rats. Autonomic Neuroscience, 150(1), 38-44.
    Tamm, L. (2009). Attention deficit hyperactivity disorder. In Larry, R. S. (Ed.), Encyclopedia of Neuroscience, Oxford: Academic Press.
    Tantillo, M., Kesick, C. M., Hynd, G. W., & Dishman, R. K. (2002). The effects of exercise on children with attention-deficit hyperactivity disorder. Medicine & Science in Sports & Exercise, 34(2), 203-212.
    Tomporowski, P. D. (2003). Effects of acute bouts of exercise on cognition. Acta Psychologica, 112(3), 297-324.
    Tomporowski, P. D. (2003). Cognitive and behavioral responses to acute exercise in youths: A review. Pediatric Exercise Science, 15(4), 348-359.
    Wang, C. C., Shih, C. H., Pesce, C., Song, T. F., Hung, T. M., & Chang, Y. K. (2015). Failure to identify an acute exercise effect on executive function assessed by the Wisconsin Card Sorting Test. Journal of Sport and Health Science, 4(1), 64-72.
    Wigal, S. B., Nemet, d., & Swanson, J. M., Regino, R., Trampush, J., Ziegler, M. G., & Cooper, D. M. (2003). Catecholamine response to exercise in children with attention deficit hyperactivity disorder. Pediatric Research, 53, 756-761. doi: 10.1203/01.pdr.0000061750.71168.23
    Yeung, N., Botvinick, M. M., & Cohen, J. D. (2004). The neural basis of error detection: conflict monitoring and the error-related negativity. Psychological Review, 111, 931-959.

    下載圖示
    QR CODE