The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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Effects of Interactive Metronome Intervention on Behavior Symptoms, Timing, and Motor Function of Children With ADHD

상호작용식 메트로놈 중재가 주의력결핍과잉행동장애의 행동증상, 타이밍, 및 운동기능에 미치는 효과

  • Gu, Kippeum (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Kang, Jewook (Dept. of Psychiatry, Busan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Soomin (Dodam Developmental Center) ;
  • Kim, Kyeong-Mi (Dept. of Occupational Therapy, College of Health and Medical Affairs, Inje University)
  • 구기쁨 (인제대학교 대학원 작업치료학과) ;
  • 강제욱 (부산백병원 정신건강의학과) ;
  • 이수민 (도담 통합발달센터) ;
  • 김경미 (인제대학교 보건의료융합대학 작업치료학과)
  • Received : 2017.11.06
  • Accepted : 2017.12.15
  • Published : 2017.12.31
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Abstract

Objective : The purpose of this study is to investigate the effect of modified Interactive Metronome (IM) program which is applicable to clinical practice based on the IM protocol on the behavioral symptoms, timing and motor function of children with Attention Deficit Hyperactivity Disorder (ADHD). Method : This study used one-group pretest-posttest research design. 13 ADHD children aged 7-12 years in Busan were participated in this study. The participants were underwent 24 sessions of 30 minutes intervention, 3 times a week. Evaluations were performed before- and after the intervention. Measurements used in this study were Korean-ADHD Rating Scale for behavior symptom, Long Form Assessment (LFA) for the timing, and second version of Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) for the motor function. Results : There was a significant improvement in hyperactivity / impulsivity among the behavioral symptoms, and there was a statistically significant improvement in timing, hand coordination, and body coordination. Conclusion : Modified IM program for clinical application has significant effect on improving behavioral symptoms, timing and motor function of children with ADHD.

목적 : 본 연구는 주의력결핍과잉행동장애(Attention-Deficit/Hyperactivity Disorder; ADHD) 아동에게 사용되는 상호작용식 메트로놈(Interactive Metronome; IM) 프로토콜을 기반으로 임상에 적용 가능하도록 수정된 IM 프로그램이 ADHD 아동의 행동증상, 타이밍 및 운동기능에 미치는 효과를 알아보고자 한다. 연구방법 : 본 연구는 부산 소재의 기초정신건강증진센터 내에 있는 7-12세의 ADHD 아동 13명을 대상으로 단일 집단 사전-사후 설계(one group pretest-posttest design)를 사용하였다. 중재는 회당 30분, 주 3회, 24회기 동안 실시하였으며, 중재 전과 후의 행동증상, 타이밍 및 운동기능 변화를 비교하기 위해 부모보고형 한국어판 ADHD 평정척도, IM의 Long Form Assessment(LFA), Bruininks-Oseretsky Test of Motor Proficiency 2판(BOT-2)을 사용하였다. 결과 : 행동증상 중 과잉행동/충동성에서 유의미한 향상이 있었고, 타이밍과 손의 협응 및 신체협응에서 통계적으로 유의미한 향상이 있었다. 결론 : 임상에 적용 가능하도록 수정된 IM 프로그램이 ADHD 아동의 행동증상을 개선하고, 타이밍 및 운동기능 향상에 유의한 효과가 있다.

Keywords

References

  1. Alpiner, N. (2004). The role of fMRI in defining auditory-motor processing networks. White paper presented at National Physical Medicine and Rehabilitation Conference.
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorder (4th ed.-Test Revision(DSM-IV-TR)). Washington, DC: American Psychiatric Association.
  3. Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological bulletin, 121(1), 65-94. https://doi.org/10.1037/0033-2909.121.1.65
  4. Ben-Pazi, H., Gross-Tsur, V., Bergman, H., & Shalev, R. S. (2003). Abnormal rhythmic motor response in children with attention-deficit- hyperactivity disorder. Developmental Medicine and Child Neurology, 45(11), 743-745. https://doi.org/10.1111/j.1469-8749.2003.tb00883.x
  5. Biederman, J., Monuteaux, M. C., Mick, E., Spencer, T., Wilens, T. E., Silva, J. M., et al. (2006). Young adult outcome of attention deficit hyperactivity disorder: A controlled 10-year follow-up study. Psychological medicine, 36(2), 167-179. https://doi.org/10.1017/S0033291705006410
  6. Bruininks, R. H., & Bruininks, B. D. (2005). Bruininks-Oseretsky Test of Motor Proficiency. 2nd Edition. Minnesota: AGS Publishing.
  7. Bruininks, R. H., Steffens, K., Spiegel, A., & Werder, J. K. (1989). The Bruininks-Oseretsky Test of Motor Proficiency: Development, research, and intervention strategies. Better by moving: Proceedings of the 2nd International Symposium Psychomotor Therapy and Adapted Physical Activity. Lueven, Belgium: Acco.
  8. Cassily, J. F., & Jacokes, L. E. (2001). The Interactive Metronome; A new computer-based technology to measure and improve timing, rhythmically, motor planning, sequencing and cognitive capabilities. Paper presented at The Infancy and Early Childhood Training Course, Advanced Clinical Seminar, Arlington, Virgina.
  9. Chung, J. I. (2010). A comparative study of the Cognitive Enhancement Therapy and Interactive Metronome training effects on Attention and Impulsivity on Children with ADHD. Master's degree, Sungshin Women's University, Seoul.
  10. Cubillo, A., Halari, R., Smith, A., Giampietro, V., Taylor, E., & Rubia, K. (2012). Fronto-cortical and fronto-subcortical brain abnormalities in children and adults with ADHD: A review and evidence for fronto-striatal dysfunctions in adults with ADHD followed up from childhood during motivation and attention. Cortex, 48(2), 194-215. https://doi.org/10.1016/j.cortex.2011.04.007
  11. Cosper, S. M., Lee, G. P., Peters, S. B., & Bishop, E. (2009). Interactive Metronome training in children with attention deficit and developmental coordination disorders. International Journal of Rehabilitation Research, 32(4), 331-336. https://doi.org/10.1097/MRR.0b013e328325a8cf
  12. DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community-based sample. Journal of Clinical Child and Adolescent Psychology, 20(3), 245-253. https://doi.org/10.1207/s15374424jccp2003_3
  13. Gresham, F. (2001). Responsiveness to Intervention: An Alternative Approach to the Identification of Learning Disabilities. Mahwah, NJ: Erlbaum.
  14. Ilg, W., Giese, M. A., Gizewski, E. R., Schoch, B., & Timmann, D. (2008). The influence of focal cerebellar lesions on the control and adaptation of gait. Brain, 131(11), 2913-2927. https://doi.org/10.1093/brain/awn246
  15. Jang, S. Y., Park, J. W., Lee, S. W., Lee, J. H., Jang, K. M., Choi, B. N., et al. (2012). The effect of Interactive Metronome Training for increasing concentration of Attention Deficit-Hyperactive Disorder (ADHD) Child. Journal of Korean Society of Assistive Technology, 4(1), 73-97.
  16. Jung, J. H., & Kim, S., K. (2013). The effect of Interactive Metronome on bilateral coordination, balance, and upper extremity function for children with hemiplegic cerebral palsy: Single-subject research. Journal of Korean Society of Occupational Therapy, 21(2), 37-46. https://doi.org/10.14519/jksot.2013.21.4.04
  17. Kim, I. H. (2007). The effect of social skills training with attention-deficit hyperactivity disorder (ADHD). Journal of Korean Academy of Psychiatric Mental Health Nursing, 16(4), 420-428.
  18. Majewicz-Hefley, A., & Carlson, J. S. (2007). A meta-analysis of combined treatments for children diagnosed with ADHD. Journal of Attention Disorders, 10(3), 239-250. https://doi.org/10.1177/1087054706289934
  19. Melinda, L. B., & Robin, L. D. (2005). Interactive Metronome training for a 9-year-old boy with attention and motor coordination difficulties. Physiotherapy Theory and Practice, 21(4), 257-269. http://dx.doi.org/10.1080/09593980500321085
  20. Namgung, Y., Son, D. I,, & Kim, K, M. (2015). Effect of Interactive Metronome training on timing, attention and motor function of children with ADHD: Case report. Journal Korean Academy of Sensory Integration, 13(2), 63-72. http://dx.doi.org/ 10.18064/JKASI.2015.13.2.063.
  21. Noreika, V., Falter, C. M., & Rubia, K. (2013). Timing deficits in attention-deficit/hyperactivity disorder (ADHD): Evidence from neurocognitive and neuroimaging studies. Neuropsychologia, 51(2), 235-266. https://doi.org/10.1016/j.neuropsychologia.2012.09.036
  22. Rubia, K., & Smith, A. (2004). The neural correlates of cognitive time management: A review. Acta neurobiologiae experimentalis, 64(3), 329-340.
  23. Rubia, K. (2006). The neural correlates of timing functions. Timing the future: The case for a time-based prospective memory. NJ: World Scientific Publishing.
  24. Rubia, K. (2011). "Cool" inferior frontostriatal dysfunction in attention-deficit/hyperactivity disorder versus "hot" ventromedial orbitofrontallimbic dysfunction in conduct disorder: A review. Biological psychiatry, 69(12), 69-87. https://doi.org/10.1016/j.biopsych.2010.09.023
  25. Seok, I. S. (2009). Effects of Interactive Metronome training in children with impulsive and inattentive behavioral problem. Journal of Emotional and Behavior Disorder, 25(1), 109-122.
  26. Sergeant, J. A. (2005). Modeling attention-deficit/ hyperactivity disorder: A critical appraisal of the cognitive-energetic model. Biological psychiatry, 57(11), 1248-1255. https://doi.org/10.1016/j.biopsych.2004.09.010
  27. Shaffer, R. J., Jacokes, L. E., Cassily, J. F., Greenspan, S. I., Tuchman, R. F., & Stemmer, P. J. (2001). Effect of Interactive Metronome$^{(R)}$ training on children with ADHD. American Journal of Occupational Therapy, 55(2), 155-162. https://doi.org/10.5014/ajot.55.2.155
  28. Smith, A., Taylor, E., Warner Rogers, J., Newman, S., & Rubia, K. (2002). Evidence for a pure time perception deficit in children with ADHD. Journal of Child Psychology and Psychiatry, 43(4), 529-542. https://doi.org/10.1111/1469-7610.00043
  29. So, Y. K., Noh, J. S., Kim, Y. S., Ko, S. G., & Koh, Y. J. (2002). The reliability and validity of Korean parent and teacher ADHD rating scale. Journal of Korean Neuropsychiatric Association, 41(2), 283-289.
  30. Toplak, M. E., Dockstader, C., & Tannock, R. (2006). Temporal information processing in ADHD: Findings to date and new methods. Journal of neuroscience methods, 151(1), 15-29. https://doi.org/10.1016/j.jneumeth.2005.09.018
  31. Toplak, M. E., Rucklidge, J. J., Hetherington, R., John, S. C. F., & Tannock, R. (2003). Time perception deficits in attention‐deficit/hyperactivity disorder and comorbid reading difficulties in child and adolescent samples. Journal of Child Psychology and Psychiatry, 44(6), 888-903. https://doi.org/10.1111/1469-7610.00173
  32. Wiener, M., Turkeltaub, P., & Coslett, H. B. (2010). The image of time: A voxel-wise meta-analysis. Neuroimage, 49(2), 1728-1740. https://doi.org/10.1016/j.neuroimage.2009.09.064
  33. Yoon, C. Y.. (2001). Development of Korean version of ADHDT: A preliminary study. Journal of Emotional Disturbances & Learning Disabilities, 17(1), 107-120.