A Study Of The Effects Of Primitive Reflex-based Integration Of Sports Games On Vestibular Function In ADHD-prone Children

Objectives:(1)To explore the effects of a physical game designed to promote vestibular development that integrates primitive reflexes on vestibular function in children with ADHD tendencies.(2)To explore the extent to which the level of vestibular function influences hyperactivity symptoms in ADHD-prone children.Methods: In this study,students in grades 1 and 2 of Longshan Central Primary School in Huoyang County,Huozhou City,Anhui Province,were used as the study subjects.16 children with ADHD tendency who had vestibular function problems were selected as the experimental group by questionnaire survey method,while 10 normal children matching the age of the experimental group subjects were selected as a blank control group excluding the natural maturation effect.The experimental method was used to apply a sports game intervention programme based on primitive reflex integration to the ADHD-prone children in the experimental group,while the control group did not undergo any intervention.For study aim(1),vestibular function was assessed using the vestibular function section of the CSRIS,and the Berg Balance Scale and the post-rotation nystagmus test were used to measure the subjects’ balance and nystagmus duration,respectively,to assess the vestibulospinal and vestibulo-oculomotor pathways,and the data measured before and after the experiment were processed and analysed using paired samples t-tests.,a one-way regression analysis of the pre-experimental vestibular function score(CSRIS)and the total hyperactivity score(TRS)of children with ADHD was conducted to assess the extent to which the level of vestibular function specifically influenced hyperactivity.Results:(1)After the primitive reflex integration-based sports game intervention,children with ADHD tendency showed significant improvement in vestibular function(p<0.05),overall balance(p<0.05)and dynamic balance(p<0.05).In contrast,there was no significant change in static balance ability,nystagmus duration and total TRS hyperactivity score compared to pre-intervention(p>0.05).(2)In the regression analysis of vestibular function level and total hyperactivity score,the regression coefficient was-0.534(t=-3.482,p<0.05),showing a negative effect relationship.Conclusion:(1)A sports game intervention based on primitive reflex integration can effectively improve vestibular function in ADHD-prone children and can have a positive impact on both the vestibular spinal cord and the vestibular oculomotor pathway in ADHD-prone children.(2)The level of vestibular function had a negative effect on the ADHD-prone child’s hyperactivity symptoms,as evidenced by the fact that the higher the level of vestibular function,the lower the level of hyperactivity.After 12 weeks of vestibular intervention,the ADHD-prone children’s hyperactivity symptoms also improved to some extent,but the effect was not significant.