نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری گروه تخصصی رفتار حرکتی دانشکده علوم ورزشی دانشگاه فردوسی مشهد، مشهد، ایران

2 استاد گروه تخصصی رفتار حرکتی، دانشکده علوم ورزشی، دانشگاه فردوسی مشهد، مشهد، ایران.

3 استادیار گروه تخصصی فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه فردوسی مشهد، مشهد، ایران.

چکیده

پژوهش حاضر با هدف بررسی تمرینات شناختی و حرکتی Wii بر کارکردهای اجرایی کودکان کم‌توجه/بیش‌فعال انجام شد. جامعه آماری این پژوهش شامل دانش آموزان پسر 8 تا 11 سال مبتلا به اختلال نارسایی توجه/بیش‌فعال شهر مشهد بود. از جامعه مذکور، نمونه‌ای به حجم 27 نفر از بین مراجعه‌کنندگان به مرکز رشد آوند که واجد شرایط ورود به مطالعه بودند ،انتخاب و به صورت تصادفی در دو گروه تجربی و کنترل، قرار گرفتند. تمرینات گروه تجربی، به مدت هشت هفته، هر هفته سه جلسه و هر جلسه یک ساعت اجرا شد. همه آزمودنی‌ها قبل و بعد از مداخله، توسط آزمون های بلوک های تپنده کورسی، آزمون برو/نرو و آزمون برج لندن مورد ارزیابی قرار گرفتند. از نرم افزار R جهت تحلیل داده‌ها و از آزمون تحلیل کواریانس یکراهه و تحلیل کواریانس چندمتغیری برای بررسی تفاوت بین میانگین دو گروه استفاده شد. یافته‌های این تحقیق حاکی از عملکرد بهتر گروه آزمایشی در متغیرهای حافظه کاری و متغیر بازداری پاسخ، در مرحله پس‌آزمون بود. در متغیر برنامه‌ریزی و حل مسئله، فقط در مولفه امتیاز کلی، بین دو گروه تفاوت معنی‌داری وجود داشت اما در مولفه‌های مرتبط با زمان و سرعت برنامه‌ریزی، هیچ تفاوت معنی‌داری بین دو گروه مشاهده نشد (05/0p>). نتایج این تحقیق، پیشتهاد می‌کند که بازی‌های شناختی-حرکتی Wii می‌تواند به عنوان روشی آسان، کم هزینه و جذاب به بهبود کارکردهای اجرایی کودکان کم‌توجه/بیش‌فعال کمک کند.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of Nintendo Wii-based motor and cognitive training on executive function of children with attention-deficit/ hyperactivity disorder

نویسندگان [English]

  • azam ghazi 1
  • mehdi sohrabi 2
  • Hamidreza Taheri torbati 2
  • Mahdi Ghahramani moghadam 3

1 Department of Motor Behavior Faculty of Sport Sciences Ferdowsi University of Mashhad (FUM) Mashhad, Iran

2 Professor of Ferdowsi University of Mashhad, Mashhad, I. R. Iran

3 Department of Exercise Physiology Faculty of Sport Sciences Ferdowsi University of Mashhad (FUM) Mashhad Iran

چکیده [English]

This study was conducted to determine the effect of Nintendo Wii-based motor and cognitive training on executive function of children with attention-deficit/ hyperactivity disorder. Statistical population of this research included boys with ADHD, aged 8-11. Years. 27 eligible participants were selected from Avand development center and were randomly assigned and were randomly assigned to an experimental and control group. The experimental group participated in a selected gaming program for 24 sessions, 60 minutes per session. At the beginning of the study and after eight weeks of intervention, participants were assessed with Corsi-Block-Tapping test, GO/No-Go test and Tower of London (TOL) test. R Statistical software were used for data analysis. The resulting data were analyzed using ANCOVA and MANCOVA. The results showed that working memory and response inhibition in the experimental group were significantly improved in comparison to the control group, in assessing planning, there were significant differences between groups in TOL score that measured correct solved problems. But there were no differences in TOL scores that measure performance of planning time and planning speed (P >0.05).. These results suggest that Nintendo Wii game playing might be a simple and cost effective way for improving executive function of ADHD children.

کلیدواژه‌ها [English]

  • attention-deficit/ hyperactivity disorder
  • motor and cognitive training
  • executive function
  • Wii Consoles
منابع
پاشاشریفی، ح. (1395). نظریه و کاربرد آزمون های هوش و شخصیت. چاپ اول. تهران: سخن.
تقوی جلودار، م و حامی، م. (1397). اثر بخشی بازی‌های رایانه‌ای بر توانایی حل مسئله کودکان. آموزش و ارزشیابی (علوم تربیتی)، 11(42)، 55-70.
تقی زاده، ه .، سلطانی، ا .، منظری، ح و زین الدینی میمند، ز. (1396). مقایسه کنش‌‌های اجرایی حافظه کاری دیداری-فضایی، آزمون برج لندن و خطا‌های محاسباتی در کودکان مبتلا به اختلال حساب نارسایی تحولی و کودکان بهنجار. فصلنامه کودکان استثنایی، 17(3)، 97-110.
زارع، ح و جهان‌آرا، ع. (1392). تأثیر بازی‌های رایانه‌ای بر چگونگی پردازش اطلاعات نوجوانان. تفکر وکودک، 4(7)، 27-49.
صدرالسادات، ل.، هوشیاری، ز.، صدرالسادات، س.، محمدی، م.، روزبهانی، ا و شیرمردی، س. (1389). تعیین مشخصات روان سنجی مقیاس درجه‌بندی SNAP-IV اجرای معلمان. توانبخشی، 8(4)، 59-65.
علیزاده، ح.، منیژه، ک و حکیمی راد، ا. (1397). درمان اختلال نارسایی توجه/بیش‌فعالی (راهبردهای آموزشی و تربیتی). چاپ اول. تهران: ارسباران.
Baric, V. B., Hellberg, K., Kjellberg, A., & Hemmingsson, H. (2015). Internet Activities During Leisure A Comparison Between Adolescents With ADHD and Adolescents From the General Population. Journal of Attention Disorders, 1087054715613
Barkley, R. A. (2014). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment: Guilford Publications.
Benzing, V., & Schmidt, M. (2017). Cognitively and physically demanding exergaming to improve executive functions of children with attention deficit hyperactivity disorder: a randomised clinical trial. BMC pediatrics, 17(1), 8.
Bezdjian, S., Baker, L. A., Lozano, D. I., & Raine, A. (2009). Assessing inattention and impulsivity in children during the Go/NoGo task. British Journal of Developmental Psychology, 27(2), 365-383.
Chang Y-K, Labban JD, Gapin JI, Etnier JL. (2012). The effects of acute exercise on cognitive performance: a meta-analysis. Brain research. 1453,87-101.
 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(2), 225-237.
Clark, R. A., Bryant, A. L., Pua, Y., McCrory, P., Bennell, K., & Hunt, M. (2010). Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait & posture, 31(3), 307-310.
Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R. W., . . . Stringaris, A. (2015). Cognitive training for attention-deficit/hyperactivity disorder: meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 54(3), 164-174.
Davis CL, Tomporowski PD, McDowell JE, Austin BP, Miller PH, Yanasak NE, et al. Exercise improves executive function and achievement and alters brain activation in overweight children: a randomized, controlled trial. Health psychology. 2011;30(1):91.
dos Santos Mendes, F. A., Pompeu, J. E., Lobo, A. M., da Silva, K. G., de Paula Oliveira, T., Zomignani, A. P., & Piemonte, M. E. P. (2012). Motor learning, retention and transfer after virtual-reality-based training in Parkinson's disease–effect of motor and cognitive demands of games: a longitudinal, controlled clinical study. Physiotherapy, 98(3), 217-223.
Dye, M. W., Green, C. S., & Bavelier, D. (2009). Increasing speed of processing with action video games. Current directions in psychological science, 18(6), 321-326.
Esposito, M., Ruberto, M., Gimigliano, F., Marotta, R., Gallai, B., Parisi, L., . . . Carotenuto, M. (2013). Effectiveness and safety of Nintendo Wii Fit Plus™ training in children with migraine without aura: a preliminary study. Neuropsychiatric disease and treatment, 9, 1803.
Feng, J., Spence, I., & Pratt, J. (2007). Playing an action video game reduces gender differences in spatial cognition. Psychological science, 18(10), 850-855.
Graf, D. L., Pratt, L. V., Hester, C. N., & Short, K. R. (2009). Playing active video games increases energy expenditure in children. Pediatrics, 124(2), 534-540.
Halperin, J. M., & Healey, D. M. (2011). The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: can we alter the developmental trajectory of ADHD? Neuroscience & Biobehavioral Reviews, 35(3), 621-634.
Han, D. H., Lee, Y. S., Na, C., Ahn, J. Y., Chung, U. S., Daniels, M. A., . . . Renshaw, P. F. (2009). The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Comprehensive psychiatry, 50(3), 25.251-6.
Hartman, E., Houwen, S., Scherder, E., & Visscher, C. (2010). On the relationship between motor performance and executive functioning in children with intellectual disabilities. Journal of Intellectual Disability Research, 54(5), 468-477. 
Huang, C.-W., Huang, C.-J., Hung, C.-L., Shih, C.-H., & Hung, T.-M. (2015). Physical Fitness and Resting EEG in Children With Attention Deficit Hyperactivity Disorder. Journal of Psychophysiology
 Kantomaa, M. T., Stamatakis, E., Kankaanpää, A., Kaakinen, M., Rodriguez, A., Taanila, A., . . . Tammelin, T. (2013). Physical activity and obesity mediate the association between childhood motor function and adolescents’ academic achievement. Proceedings of the National Academy of Sciences, 110(5), 1917-1922.
Koepp, M. J., Gunn, R. N., Lawrence, A. D., Cunningham, V. J., Dagher, A., Jones, T., . . . Grasby, P. (1998). Evidence for striatal dopamine release during a video game. Nature, 393(6682), 266-268.
LeBlanc, A. G., Chaput, J.-P., McFarlane, A., Colley, R. C., Thivel, D., Biddle, S. J., . . . Tremblay, M. S. (2013). Active video games and health indicators in children and youth: a systematic review. PLoS One, 8(6).
Lipszyc, J., & Schachar, R. (2010). Inhibitory control and psychopathology: a meta-analysis of studies using the stop signal task. Journal of the International Neuropsychological Society, 16(6), 1064-1076.
Mathews, C. L., Morrell, H. E., & Molle, J. E. (2019). Video game addiction, ADHD symptomatology, and video game reinforcement. The American journal of drug and alcohol abuse, 45(1), 67-76.
Mirwald, R. L., Baxter-Jones, A. D., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine & Science in Sports & Exercise, 34(4), 689-694.
Neudecker, C., Mewes, N., Reimers, A. K., & Woll, A. (2015). Exercise Interventions in Children and Adolescents With ADHD A Systematic Review. Journal of Attention Disorders, 23 (4), 307-32.
Patros, C. H., Tarle, S. J., Alderson, R. M., Lea, S. E., & Arrington, E. F. (2019). Planning deficits in children with attention-deficit/hyperactivity disorder (ADHD): A meta-analytic review of tower task performance. Neuropsychology, 33(3), 425.
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.
Rhodes, S. M., Coghill, D. R., & Matthews, K. (2005). Neuropsychological functioning in stimulant-naive boys with hyperkinetic disorder. Psychological medicine, 35(8), 1109-1120.
Schmidt, M., Jäger, K., Egger, F., Roebers, C. M., & Conzelmann, A. (2015). Cognitively engaging chronic physical activity, but not aerobic exercise, affects executive functions in primary school children: a group-randomized controlled trial. Journal of Sport and Exercise Psychology, 37(6), 575-591.
Schubert, T., Finke, K., Redel, P., Kluckow, S., Müller, H., & Strobach, T. (2015). Video game experience and its influence on visual attention parameters: an investigation using the framework of the Theory of Visual Attention (TVA). Acta psychologica, 157, 200-214.
Staiano, A. E., Abraham, A. A., & Calvert, S. L. (2012). Competitive versus cooperative exergame play for African American adolescents' executive function skills: short-term effects in a long-term training intervention. Developmental psychology, 48(2), 337.
Swanson, J., Baler, R. D., & Volkow, N. D. (2011). Understanding the effects of stimulant medications on cognition in individuals with attention-deficit hyperactivity disorder: a decade of progress. Neuropsychopharmacology, 36(1), 207-226.
Tan, B. W., Pooley, J. A., & Speelman, C. P. (2016). A meta-analytic review of the efficacy of physical exercise interventions on cognition in individuals with autism spectrum disorder and ADHD. Journal of autism and developmental disorders, 46(9), 3126-3143.
Tsai, Y.-J., Hung, C.-L., Tsai, C.-L., Chang, Y.-K., Huang, C.-J., & Hung, T.-M. (2016). The relationship between physical fitness and inhibitory ability in children with attention deficit hyperactivity disorder: An event-related potential study. Psychology of Sport and Exercise, 31, 149-157.
Verret, C., Guay, M.-C., Berthiaume, C., Gardiner, P., & Béliveau, L. (2012). A physical activity program improves behaviour and cognitive functions in children with ADHD: An exploratory study. Journal of Attention Disorders, 16(1), 71-80.
Vysniauske, R., Verburgh, L., Oosterlaan, J., & Molendijk, M. L. (2016). The Effects of Physical Exercise on Functional Outcomes in the Treatment of ADHD A Meta-Analysis. Journal of Attention Disorders, 24(5), 644-654.
Waugh, C. M., Korff, T., Fath, F., & Blazevich, A. J. (2014). Effects of resistance training on tendon mechanical properties and rapid force production in prepubertal children. Journal of Applied Physiology, 117(3), 257-266.
Weiss, M. D., Baer, S., Allan, B. A., Saran, K., & Schibuk, H. (2011). The screens culture: impact on ADHD. ADHD Attention Deficit and Hyperactivity Disorders, 3(4), 327-334.
Willcutt, E. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: a meta-analytic review. Neurotherapeutics, 9(3), 490-499.
Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biological psychiatry, 57(11), 1336-1346.
Wouters, P., Van Nimwegen, C., Van Oostendorp, H., & Van Der Spek, E. D. (2013). A meta-analysis of the cognitive and motivational effects of serious games. Journal of educational psychology, 105(2), 249.
Xiong, S., Zhang, P., & Gao, Z. (2019). Effects of Exergaming on Preschoolers’ Executive Functions and Perceived Competence: A Pilot Randomized Trial. Journal of clinical medicine, 8(4), 469.
Ziereis, S., & Jansen, P. (2015). Effects of physical activity on executive function and motor performance in children with ADHD. Research in Developmental Disabilities, 38, 181-191.