The Effects of Assisted Cycle Therapy on Executive and Motor Functioning in Young Adult Females with Attention-Deficit Hyperactivity Disorder.

摘要

Voluntary exercise has been shown to generate post exercise improvements in executive function within the attention-deficit hyperactivity disorder (ADHD) population. Research is limited on the link between exercise and motor function in this population. Whether or not changes in executive and motor function are observed under assisted exercise conditions is unknown. This study examined the effect of a six-week cycling intervention on executive and motor-function responses in young adult females with ADHD. Participants were randomized to either a voluntary exercise (VE) or an assisted exercise (AE) group. Both groups performed 30 minute cycling sessions, three times per week, at either a voluntary or assisted rate, on a modified Theracycle Model 200 motorized stationary cycle ergometer. The Mann-Whitney U tests were used to detect median differences between groups, and the Wilcoxon signed-rank tests were used to test median differences within groups. Executive function improvements were greater for AE compared to VE in activation (MDNAE = 162 vs. MDNVE = 308, U = .00, p = .076, ES = .79); planning (MDNAE = 51.0 vs. MDNAE = 40.5, U = .00, p = .083, ES = .77); attention (MDNAE = 13.0 vs. MDNVE = 10.0, U = .00, p = .083, ES = .77); and working memory (MDNAE = 10.0 vs. MDNVE = 6.5, U = .00, p = .076, ES = .79). Motor function improvements were greater for AE compared to VE in manual dexterity (MDNAE = 18 vs. MDNVE = 15.8, U = .00, p = .083, ES = .77); bimanual coordination (MDNAE = 28.0 vs. MDNVE = 25.3, U = .00, p = .083, ES = .77); and gross motor movements of the fingers, hands, and arms (MDNAE = 61.7 vs. MDNVE = 56.0, U = .00, p = .083, ES = .77). Deficits in executive and motor functioning have been linked to lifelong social and psychological impairments in individuals with ADHD. Finding ways to improve functioning in these areas is important for cognitive, emotional and social stability. Compared to VE, AE is a more effective strategy for improving executive and motor functioning in young adult females with ADHD.