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Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Study protocol

Cognitively and physically demanding exergaming to improve executive functions of children with attention deficit hyperactivity disorder: a randomised clinical trial

Authors: Valentin Benzing, Mirko Schmidt

Published in: BMC Pediatrics | Issue 1/2017

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Abstract

Background

Attention deficit hyperactivity disorder (ADHD) is one of the most common mental disorders observed in childhood and adolescence. Its key symptoms — reduced attention, poor control of impulses as well as increased motor activity — are associated with decreased executive functions performance, finally affecting academic achievement. Although drug treatments usually show some effect, alternative treatments are continually being sought, due to lack of commitment and possible side effects. Cognitive trainings are frequently used with the objectives of increasing executive function performance. However, since transfer effects are limited and novelty and diversity are frequently ignored, interventions combining physical and cognitive demands targeting a broader range of cognitive processes are demanded.

Methods

The aim of the study is to examine the effects of a cognitively and physically demanding exergame on executive functions of children with ADHD. In a randomised clinical trial, 66 girls and boys diagnosed with ADHD (age 8–12) will be assigned either to an 8-week exergame intervention group (three training sessions per week à 30 min) or a waiting-list control group. Before and afterwards, the executive function performance (computer-based tests), the sport motor performance and ADHD symptoms will be assessed.

Discussion

The current study will offer insights into the effectiveness of a combination of cognitive and physical training using exergaming. Positive effects on the executive functions, sport motor performance and ADHD symptoms are hypothesized. Beneficial effects would mean a large degree of scalability (simple and cost-effective) and high utility for patients with ADHD.

Trial registration

KEK BE 393/15 (March 8, 2016); DRKS00010171 (March 14, 2016)
Literature
1.
go back to reference Johnston C, Park JL. Interventions for attention-deficit hyperactivity disorder: a year in review. Curr Dev Disord Rep. 2015;2:38–45.CrossRef Johnston C, Park JL. Interventions for attention-deficit hyperactivity disorder: a year in review. Curr Dev Disord Rep. 2015;2:38–45.CrossRef
2.
go back to reference Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA. ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. Int J Epidemiol. 2014;43:434–42.CrossRefPubMedPubMedCentral Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA. ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. Int J Epidemiol. 2014;43:434–42.CrossRefPubMedPubMedCentral
3.
go back to reference Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–8.CrossRefPubMed Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–8.CrossRefPubMed
4.
go back to reference Gershon J, Gershon J. A meta-analytic review of gender differences in ADHD. J Atten Disord. 2002;5:143–54.CrossRefPubMed Gershon J, Gershon J. A meta-analytic review of gender differences in ADHD. J Atten Disord. 2002;5:143–54.CrossRefPubMed
5.
go back to reference Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M. Adult outcome of hyperactive boys: educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry. 1993;50:565–76.CrossRefPubMed Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M. Adult outcome of hyperactive boys: educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry. 1993;50:565–76.CrossRefPubMed
6.
go back to reference Boonstraa M, Oosterlaan J, Sergeant JA, Buitelaar JK. Executive functioning in adult ADHD: a meta-analytic review. Psychol Med. 2005;35:1097–135.CrossRef Boonstraa M, Oosterlaan J, Sergeant JA, Buitelaar JK. Executive functioning in adult ADHD: a meta-analytic review. Psychol Med. 2005;35:1097–135.CrossRef
7.
go back to reference Martin NC, Piek J, Baynam G, Levy F, Hay D. An examination of the relationship between movement problems and four common developmental disorders. Hum Mov Sci. 2010;29:799–808.CrossRefPubMed Martin NC, Piek J, Baynam G, Levy F, Hay D. An examination of the relationship between movement problems and four common developmental disorders. Hum Mov Sci. 2010;29:799–808.CrossRefPubMed
8.
go back to reference Piek JP, Pitcher TM, Hay DA. Motor coordination and kinaesthesis in boys with attention deficit-hyperactivity disorder. Dev Med Child Neurol. 1999;41:159–65.CrossRefPubMed Piek JP, Pitcher TM, Hay DA. Motor coordination and kinaesthesis in boys with attention deficit-hyperactivity disorder. Dev Med Child Neurol. 1999;41:159–65.CrossRefPubMed
9.
go back to reference Coghill DR, Seth S, Pedroso S, Usala T, Currie J, Gagliano A. Effects of methylphenidate on cognitive functions in children and adolescents with attention-deficit/hyperactivity disorder: evidence from a systematic review and a meta-analysis. Biol Psychiatry. 2014;76:603–15.CrossRefPubMed Coghill DR, Seth S, Pedroso S, Usala T, Currie J, Gagliano A. Effects of methylphenidate on cognitive functions in children and adolescents with attention-deficit/hyperactivity disorder: evidence from a systematic review and a meta-analysis. Biol Psychiatry. 2014;76:603–15.CrossRefPubMed
10.
go back to reference Connor DF. Stimulants. In: Barkley RA, editor. Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. New York: Guilford; 2006. p. 608–47. Connor DF. Stimulants. In: Barkley RA, editor. Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. New York: Guilford; 2006. p. 608–47.
11.
go back to reference Wigal SB, Emmerson N, Gehricke JG, Galassetti P. Exercise: applications to childhood ADHD. J Atten Disord. 2013;17:279–90.CrossRefPubMed Wigal SB, Emmerson N, Gehricke JG, Galassetti P. Exercise: applications to childhood ADHD. J Atten Disord. 2013;17:279–90.CrossRefPubMed
12.
go back to reference Faraone SV, Biederman J, Spencer TJ, Aleardi M. Comparing the efficacy of medications for ADHD using meta-analysis. Medscape Gen Med. 2006;8:4. Faraone SV, Biederman J, Spencer TJ, Aleardi M. Comparing the efficacy of medications for ADHD using meta-analysis. Medscape Gen Med. 2006;8:4.
13.
go back to reference Graham J, Banaschewski T, Buitelaar J, Coghill D, Danckaerts M, Dittmann RW, Döpfner M, Hamilton R, Hollis C, Holtmann M, Hulpke-Wette M, Lecendreux M, Rosenthal E, Rothenberger A, Santosh P, Sergeant J, Simonoff E, Sonuga-Barke E, Wong ICK, Zuddas A, Steinhausen H-C, Taylor E, European Guidelines Group. European guidelines on managing adverse effects of medication for ADHD. Eur Child Adolesc Psychiatry. 2011;20:17–37.CrossRefPubMed Graham J, Banaschewski T, Buitelaar J, Coghill D, Danckaerts M, Dittmann RW, Döpfner M, Hamilton R, Hollis C, Holtmann M, Hulpke-Wette M, Lecendreux M, Rosenthal E, Rothenberger A, Santosh P, Sergeant J, Simonoff E, Sonuga-Barke E, Wong ICK, Zuddas A, Steinhausen H-C, Taylor E, European Guidelines Group. European guidelines on managing adverse effects of medication for ADHD. Eur Child Adolesc Psychiatry. 2011;20:17–37.CrossRefPubMed
14.
go back to reference Adler LD, Nierenberg AA. Review of medication adherence in children and adults with ADHD. Postgrad Med. 2010;122:184–91.CrossRefPubMed Adler LD, Nierenberg AA. Review of medication adherence in children and adults with ADHD. Postgrad Med. 2010;122:184–91.CrossRefPubMed
15.
go back to reference MTA Cooperative Group. National institute of mental health multimodal treatment study of ADHD follow-up: 24-month outcomes of treatment strategies for attention-deficit/hyperactivity disorder. Pediatrics. 2004;113:754–61.CrossRef MTA Cooperative Group. National institute of mental health multimodal treatment study of ADHD follow-up: 24-month outcomes of treatment strategies for attention-deficit/hyperactivity disorder. Pediatrics. 2004;113:754–61.CrossRef
16.
go back to reference Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF. Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry. 2005;57:1336–46.CrossRefPubMed Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF. Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry. 2005;57:1336–46.CrossRefPubMed
17.
go back to reference Burgess GC, Depue BE, Ruzic L, Willcutt EG, Du YP, Banich MT. Attentional control activation relates to working memory in attention-deficit/hyperactivity disorder. Biol Psychiatry. 2010;67:632–40.CrossRefPubMedPubMedCentral Burgess GC, Depue BE, Ruzic L, Willcutt EG, Du YP, Banich MT. Attentional control activation relates to working memory in attention-deficit/hyperactivity disorder. Biol Psychiatry. 2010;67:632–40.CrossRefPubMedPubMedCentral
18.
go back to reference Crosbie J, Arnold P, Paterson A, Swanson J, Dupuis A, Li X, Shan J, Goodale T, Tam C, Strug LJ, Schachar RJ. Response inhibition and ADHD traits: correlates and heritability in a community sample. J Abnorm Child Psychol. 2013;41:497–507.CrossRefPubMedPubMedCentral Crosbie J, Arnold P, Paterson A, Swanson J, Dupuis A, Li X, Shan J, Goodale T, Tam C, Strug LJ, Schachar RJ. Response inhibition and ADHD traits: correlates and heritability in a community sample. J Abnorm Child Psychol. 2013;41:497–507.CrossRefPubMedPubMedCentral
19.
go back to reference Kofler MJ, Rapport MD, Bolden J, Sarver DE, Raiker JS. ADHD and working memory: the impact of central executive deficits and exceeding storage/rehearsal capacity on observed inattentive behavior. J Abnorm Child Psychol. 2010;38:149–61.CrossRefPubMed Kofler MJ, Rapport MD, Bolden J, Sarver DE, Raiker JS. ADHD and working memory: the impact of central executive deficits and exceeding storage/rehearsal capacity on observed inattentive behavior. J Abnorm Child Psychol. 2010;38:149–61.CrossRefPubMed
20.
go back to reference Raiker JS, Rapport MD, Kofler MJ, Sarver DE. Objectively-measured impulsivity and attention-deficit/hyperactivity disorder (ADHD): testing competing predictions from the working memory and behavioral inhibition models of ADHD. J Abnorm Child Psychol. 2012;40:699–713.CrossRefPubMed Raiker JS, Rapport MD, Kofler MJ, Sarver DE. Objectively-measured impulsivity and attention-deficit/hyperactivity disorder (ADHD): testing competing predictions from the working memory and behavioral inhibition models of ADHD. J Abnorm Child Psychol. 2012;40:699–713.CrossRefPubMed
21.
go back to reference Rapport MD, Bolden J, Kofler MJ, Sarver DE, Raiker JS, Alderson RM. Hyperactivity in boys with attention-deficit/hyperactivity disorder (ADHD): a ubiquitous core symptom or manifestation of working memory deficits? J Abnorm Child Psychol. 2009;37:521–34.CrossRefPubMed Rapport MD, Bolden J, Kofler MJ, Sarver DE, Raiker JS, Alderson RM. Hyperactivity in boys with attention-deficit/hyperactivity disorder (ADHD): a ubiquitous core symptom or manifestation of working memory deficits? J Abnorm Child Psychol. 2009;37:521–34.CrossRefPubMed
22.
go back to reference Tillman C, Eninger L, Forssman L, Bohlin G. The relation between working memory components and ADHD symptoms from a developmental perspective. Dev Neuropsychol. 2011;36:181–98.CrossRefPubMed Tillman C, Eninger L, Forssman L, Bohlin G. The relation between working memory components and ADHD symptoms from a developmental perspective. Dev Neuropsychol. 2011;36:181–98.CrossRefPubMed
24.
go back to reference Miyake A, Friedman NP, Emerson MJ, Witzki AH, Howerter A, Wager TD. The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: a latent variable analysis. Cogn Psychol. 2000;41:49–100.CrossRefPubMed Miyake A, Friedman NP, Emerson MJ, Witzki AH, Howerter A, Wager TD. The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: a latent variable analysis. Cogn Psychol. 2000;41:49–100.CrossRefPubMed
25.
go back to reference Mulder H, Cragg L. Executive functions and academic achievement: current research and future directions. Infant Child Dev. 2014;23:1–3.CrossRef Mulder H, Cragg L. Executive functions and academic achievement: current research and future directions. Infant Child Dev. 2014;23:1–3.CrossRef
26.
go back to reference Biederman J, Monuteaux MC, Doyle AE, Seidman LJ, Wilens TE, Ferrero F, Morgan CL, Faraone SV. Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. J Consult Clin Psychol. 2004;72:757–66.CrossRefPubMed Biederman J, Monuteaux MC, Doyle AE, Seidman LJ, Wilens TE, Ferrero F, Morgan CL, Faraone SV. Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. J Consult Clin Psychol. 2004;72:757–66.CrossRefPubMed
27.
go back to reference Chang YK, Labban JD, Gapin JI, Etnier JL. The effects of acute exercise on cognitive performance: a meta-analysis. Brain Res. 2012;1453:87–101.CrossRefPubMed Chang YK, Labban JD, Gapin JI, Etnier JL. The effects of acute exercise on cognitive performance: a meta-analysis. Brain Res. 2012;1453:87–101.CrossRefPubMed
28.
go back to reference Verburgh L, Konigs M, Scherder EJA, Oosterlaan J. Physical exercise and executive functions in preadolescent children, adolescents and young adults: a meta-analysis. Br J Sports Med. 2014;48:973–9.CrossRefPubMed Verburgh L, Konigs M, Scherder EJA, Oosterlaan J. Physical exercise and executive functions in preadolescent children, adolescents and young adults: a meta-analysis. Br J Sports Med. 2014;48:973–9.CrossRefPubMed
29.
go back to reference Barenberg J, Berse T, Dutke S. Executive functions in learning processes: do they benefit from physical activity? Educ Res Rev. 2011;6:208–22.CrossRef Barenberg J, Berse T, Dutke S. Executive functions in learning processes: do they benefit from physical activity? Educ Res Rev. 2011;6:208–22.CrossRef
30.
go back to reference Kaiser ML, Schoemaker MM, Albaret JM, Geuze RH. What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? systematic review of the literature. Res Dev Disabil. 2015;36:338–57.CrossRef Kaiser ML, Schoemaker MM, Albaret JM, Geuze RH. What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? systematic review of the literature. Res Dev Disabil. 2015;36:338–57.CrossRef
31.
go back to reference Vysniauske R, Verburgh L, Oosterlaan J, Molendijk ML. The effects of physical exercise on functional outcomes in the treatment of ADHD: a meta-analysis. J Atten Disord. 2016; doi:10.1177/1087054715627489. Vysniauske R, Verburgh L, Oosterlaan J, Molendijk ML. The effects of physical exercise on functional outcomes in the treatment of ADHD: a meta-analysis. J Atten Disord. 2016; doi:10.​1177/​1087054715627489​.
32.
go back to reference Davis AS, Pass LA, Finch WH, Dean RS, Woodcock RW. The canonical relationship between sensory-motor functioning and cognitive processing in children with attention-deficit/hyperactivity disorder. Arch Clin Neuropsychol. 2009;24:273–86.CrossRefPubMed Davis AS, Pass LA, Finch WH, Dean RS, Woodcock RW. The canonical relationship between sensory-motor functioning and cognitive processing in children with attention-deficit/hyperactivity disorder. Arch Clin Neuropsychol. 2009;24:273–86.CrossRefPubMed
34.
go back to reference Lehnert K. Der Einfluss von Sport auf kognitive Funktionen bei Kindern mit ADHS [The influence of exercise on cognitive functions in children with ADHD]. Z Sportpsychol. 2014;21:104–18. Lehnert K. Der Einfluss von Sport auf kognitive Funktionen bei Kindern mit ADHS [The influence of exercise on cognitive functions in children with ADHD]. Z Sportpsychol. 2014;21:104–18.
35.
go back to reference Chang YK, Hung CL, Huang CJ, Hatfield BD, Hung TM. Effects of an aquatic exercise program on inhibitory control in children with ADHD: a preliminary study. Arch Clin Neuropsychol. 2014;29:217–23.CrossRefPubMed Chang YK, Hung CL, Huang CJ, Hatfield BD, Hung TM. Effects of an aquatic exercise program on inhibitory control in children with ADHD: a preliminary study. Arch Clin Neuropsychol. 2014;29:217–23.CrossRefPubMed
36.
go back to reference Coi JW, Han DH, Kang KD, Jung HY, Renshaw PF. Aerobic exercise and attention deficit hyperactivity disorder. Med Sci Sport Exerc. 2015;47:33–9. Coi JW, Han DH, Kang KD, Jung HY, Renshaw PF. Aerobic exercise and attention deficit hyperactivity disorder. Med Sci Sport Exerc. 2015;47:33–9.
37.
go back to reference Kang K, Choi J, Kang S, Han D. Sports therapy for attention, cognitions and sociality. Int J Sports Med. 2011;32:953–9.CrossRefPubMed Kang K, Choi J, Kang S, Han D. Sports therapy for attention, cognitions and sociality. Int J Sports Med. 2011;32:953–9.CrossRefPubMed
38.
go back to reference Park MS, Byun KW, Park YK, Kim MH, Jung SH, Kim H. Effect of complex treatment using visual and auditory stimuli on the symptoms of attention deficit/hyperactivity disorder in children. J Exerc Rehabil. 2013;9:316–25.CrossRefPubMedPubMedCentral Park MS, Byun KW, Park YK, Kim MH, Jung SH, Kim H. Effect of complex treatment using visual and auditory stimuli on the symptoms of attention deficit/hyperactivity disorder in children. J Exerc Rehabil. 2013;9:316–25.CrossRefPubMedPubMedCentral
39.
go back to reference Smith AL, Hoza B, Linnea K, McQuade JD, Tomb M, Vaughn AJ, Shoulberg EK, Hook H. Pilot physical activity intervention reduces severity of ADHD symptoms in young children. J Atten Disord. 2013;17:70–82.CrossRefPubMed Smith AL, Hoza B, Linnea K, McQuade JD, Tomb M, Vaughn AJ, Shoulberg EK, Hook H. Pilot physical activity intervention reduces severity of ADHD symptoms in young children. J Atten Disord. 2013;17:70–82.CrossRefPubMed
40.
go back to reference Verret C, Guay MC, Berthiaume C, Gardiner P, Beliveau L. A physical activity program improves behavior and cognitive functions in children with ADHD: an exploratory study. J Atten Disord. 2012;16:71–80. Verret C, Guay MC, Berthiaume C, Gardiner P, Beliveau L. A physical activity program improves behavior and cognitive functions in children with ADHD: an exploratory study. J Atten Disord. 2012;16:71–80.
41.
go back to reference Ziereis S, Jansen P. Effects of physical activity on executive function and motor performance in children with ADHD. Res Dev Disabil. 2015;38:181–91.CrossRefPubMed Ziereis S, Jansen P. Effects of physical activity on executive function and motor performance in children with ADHD. Res Dev Disabil. 2015;38:181–91.CrossRefPubMed
42.
43.
44.
go back to reference Klingberg T, Forssberg H, Westerberg H. Training of working memory in children with ADHD. J Clin Exp Neuropsychol. 2002;24:781–91.CrossRefPubMed Klingberg T, Forssberg H, Westerberg H. Training of working memory in children with ADHD. J Clin Exp Neuropsychol. 2002;24:781–91.CrossRefPubMed
45.
go back to reference Cortese S, Ferrin M, Brandeis D, Buitelaar J, Daley D, Dittmann RW, Holtmann M, Santosh P, Stevenson J, Stringaris A, Zuddas A, Sonuga-Barke EJS. Cognitive training for attention-deficit/hyperactivity disorder: meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. J Am Acad Child Adolesc Psychiatry. 2015;54:164–74.CrossRefPubMedPubMedCentral Cortese S, Ferrin M, Brandeis D, Buitelaar J, Daley D, Dittmann RW, Holtmann M, Santosh P, Stevenson J, Stringaris A, Zuddas A, Sonuga-Barke EJS. Cognitive training for attention-deficit/hyperactivity disorder: meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. J Am Acad Child Adolesc Psychiatry. 2015;54:164–74.CrossRefPubMedPubMedCentral
46.
go back to reference Klingberg T, Fernell E, Olesen PJ, Johnson M, Gustafsson P, Dahlström K, Gillberg CG, Forssberg H, Westerberg H. Computerized training of working memory in children with ADHD–a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2005;44:177–86. Klingberg T, Fernell E, Olesen PJ, Johnson M, Gustafsson P, Dahlström K, Gillberg CG, Forssberg H, Westerberg H. Computerized training of working memory in children with ADHD–a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2005;44:177–86.
47.
go back to reference Dovis S, Van der Oord S, Wiers RW, Prins PJM. Improving executive functioning in children with ADHD: training multiple executive functions within the context of a computer game. a randomized double-blind placebo controlled trial. PLoS One. 2015;10:e0121651. Dovis S, Van der Oord S, Wiers RW, Prins PJM. Improving executive functioning in children with ADHD: training multiple executive functions within the context of a computer game. a randomized double-blind placebo controlled trial. PLoS One. 2015;10:e0121651.
48.
go back to reference Rapport MD, Orban SA, Kofler MJ, Friedman LM. Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? a meta-analytic review of cognitive, academic, and behavioral outcomes. Clin Psychol Rev. 2013;33:1237–52.CrossRefPubMed Rapport MD, Orban SA, Kofler MJ, Friedman LM. Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? a meta-analytic review of cognitive, academic, and behavioral outcomes. Clin Psychol Rev. 2013;33:1237–52.CrossRefPubMed
49.
go back to reference Schmidt M, Benzing V, Kamer M. Classroom-based physical activity breaks and children’s attention: cognitive engagement works! Front Psychol. 2016;7:1–13. Schmidt M, Benzing V, Kamer M. Classroom-based physical activity breaks and children’s attention: cognitive engagement works! Front Psychol. 2016;7:1–13.
50.
go back to reference Diamond A, Ling DS. Conclusions about interventions, programs, and approaches for improving executive functions that appear justified and those that, despite much hype, do not. Dev Cogn Neurosci. 2016;18:34–48.CrossRefPubMed Diamond A, Ling DS. Conclusions about interventions, programs, and approaches for improving executive functions that appear justified and those that, despite much hype, do not. Dev Cogn Neurosci. 2016;18:34–48.CrossRefPubMed
51.
go back to reference Schmidt M, Jäger K, Egger F, Roebers CM, Conzelmann A. Cognitively engaging chronic physical activity, but not aerobic exercise, affects executive functions in primary school children: a group-randomized controlled trial. J Sport Exerc Psychol. 2015;37:575–91.CrossRefPubMed Schmidt M, Jäger K, Egger F, Roebers CM, Conzelmann A. Cognitively engaging chronic physical activity, but not aerobic exercise, affects executive functions in primary school children: a group-randomized controlled trial. J Sport Exerc Psychol. 2015;37:575–91.CrossRefPubMed
52.
go back to reference Moreau D, Conway ARA. The case for an ecological approach to cognitive training. Trends Cogn Sci. 2014;18:334–6.CrossRefPubMed Moreau D, Conway ARA. The case for an ecological approach to cognitive training. Trends Cogn Sci. 2014;18:334–6.CrossRefPubMed
54.
go back to reference Deterding S, Sicart M, Nacke L, O’Hara K, Dixon D. Gamification. Using game-design elements in non-gaming contexts. In: CHI’11 Extended Abstracts on Human Factors in Computing Systems. New York: ACM; 2011. p. 2425–2428. Deterding S, Sicart M, Nacke L, O’Hara K, Dixon D. Gamification. Using game-design elements in non-gaming contexts. In: CHI’11 Extended Abstracts on Human Factors in Computing Systems. New York: ACM; 2011. p. 2425–2428.
55.
go back to reference Deterding S, Dixon D, Khaled R, Nacke L. From game design elements to gamefulness: defining gamification. In Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments. New York: ACM; 2011. p. 9–15. Deterding S, Dixon D, Khaled R, Nacke L. From game design elements to gamefulness: defining gamification. In Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments. New York: ACM; 2011. p. 9–15.
56.
go back to reference Dovis S, Van der Oord S, Wiers RW, Prins PJM. Can motivation normalize working memory and task persistence in children with attention-deficit/hyperactivity disorder? the effects of money and computer-gaming. J Abnorm Child Psychol. 2012;40:669–81.CrossRefPubMed Dovis S, Van der Oord S, Wiers RW, Prins PJM. Can motivation normalize working memory and task persistence in children with attention-deficit/hyperactivity disorder? the effects of money and computer-gaming. J Abnorm Child Psychol. 2012;40:669–81.CrossRefPubMed
57.
go back to reference Prins PJM, Dovis S, Ponsioen A, ten Brink E, van der Oord S. Does computerized working memory training with game elements enhance motivation and training efficacy in children with ADHD? Cyberpsychol Behav Soc Netw. 2011;14:115–22. Prins PJM, Dovis S, Ponsioen A, ten Brink E, van der Oord S. Does computerized working memory training with game elements enhance motivation and training efficacy in children with ADHD? Cyberpsychol Behav Soc Netw. 2011;14:115–22.
58.
go back to reference Primack BA, Carroll MV, McNamara M, Klem ML, King B, Rich M, Chan CW, Nayak S. Role of video games in improving health-related outcomes: a systematic review. Am J Prev Med. 2012;42:630–8.CrossRefPubMedPubMedCentral Primack BA, Carroll MV, McNamara M, Klem ML, King B, Rich M, Chan CW, Nayak S. Role of video games in improving health-related outcomes: a systematic review. Am J Prev Med. 2012;42:630–8.CrossRefPubMedPubMedCentral
59.
go back to reference Best JR. Exergaming immediately enhances children’s executive function. Dev Psychol. 2012;48:1501–10.CrossRefPubMed Best JR. Exergaming immediately enhances children’s executive function. Dev Psychol. 2012;48:1501–10.CrossRefPubMed
60.
go back to reference Flynn RM, Richert RA, Staiano AE, Wartella E, Calvert SL. Effects of exergame play on ef in children and adolescents at a summer camp for low income youth. J Educ Dev Psychol. 2014;4:209–25.CrossRef Flynn RM, Richert RA, Staiano AE, Wartella E, Calvert SL. Effects of exergame play on ef in children and adolescents at a summer camp for low income youth. J Educ Dev Psychol. 2014;4:209–25.CrossRef
61.
go back to reference Staiano AE, Abraham AA, Calvert SL. Competitive versus cooperative exergame play for African american adolescents’ executive function skills: short-term effects in a long-term training intervention. Dev Psychol. 2012;48:337–42.CrossRefPubMedPubMedCentral Staiano AE, Abraham AA, Calvert SL. Competitive versus cooperative exergame play for African american adolescents’ executive function skills: short-term effects in a long-term training intervention. Dev Psychol. 2012;48:337–42.CrossRefPubMedPubMedCentral
62.
63.
go back to reference Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.CrossRefPubMed
64.
go back to reference Cohen J. Statistical power analysis for the behavioral sciencies. Abingdon: Routledge; 1988. Cohen J. Statistical power analysis for the behavioral sciencies. Abingdon: Routledge; 1988.
65.
go back to reference Jäger K, Schmidt M, Conzelmann A, Roebers CM. Cognitive and physiological effects of an acute physical activity intervention in elementary school children. Front Psychol. 2014;5:1473.CrossRefPubMedPubMedCentral Jäger K, Schmidt M, Conzelmann A, Roebers CM. Cognitive and physiological effects of an acute physical activity intervention in elementary school children. Front Psychol. 2014;5:1473.CrossRefPubMedPubMedCentral
66.
go back to reference Schmid C, Zoelch C, Roebers CM. Das Arbeitsgedächtnis von 4- bis 5-jährigen Kindern: Theoretische und empirische Analyse seiner Funktionen [Working memory in 4- to 5-year-old children: theoretical issues and empirical findings]. Z Entwickl Padagogis. 2008;40:2–12. Schmid C, Zoelch C, Roebers CM. Das Arbeitsgedächtnis von 4- bis 5-jährigen Kindern: Theoretische und empirische Analyse seiner Funktionen [Working memory in 4- to 5-year-old children: theoretical issues and empirical findings]. Z Entwickl Padagogis. 2008;40:2–12.
67.
go back to reference Eriksen BA, Eriksen CW. Effects of noise letters upon the identification of a target letter in a nonsearch task. Percept Psychophys. 1974;16:143–9.CrossRef Eriksen BA, Eriksen CW. Effects of noise letters upon the identification of a target letter in a nonsearch task. Percept Psychophys. 1974;16:143–9.CrossRef
68.
go back to reference Röthlisberger M, Neuenschwander R, Cimeli P, Michel E, Roebers CM. Improving executive functions in 5- and 6-year-olds: evaluation of a small group intervention in prekindergarten and kindergarten children. Infant Child Dev. 2012;21:411–29.CrossRef Röthlisberger M, Neuenschwander R, Cimeli P, Michel E, Roebers CM. Improving executive functions in 5- and 6-year-olds: evaluation of a small group intervention in prekindergarten and kindergarten children. Infant Child Dev. 2012;21:411–29.CrossRef
69.
go back to reference Kauer M, Roebers CM. Kognitive Basisfunktionen und motorisch-koordinative Kompetenzen in Abhängigkeit des Peerstatus bei Kindern zu Beginn der Schulzeit [Cognitive and motor coordinative abilities in children of different peer status groups in the first school year]. Z Entwickl Padagogis. 2012;44:139–52. Kauer M, Roebers CM. Kognitive Basisfunktionen und motorisch-koordinative Kompetenzen in Abhängigkeit des Peerstatus bei Kindern zu Beginn der Schulzeit [Cognitive and motor coordinative abilities in children of different peer status groups in the first school year]. Z Entwickl Padagogis. 2012;44:139–52.
70.
go back to reference Jäger K, Schmidt M, Conzelmann A, Roebers CM. The effects of qualitatively different acute physical activity interventions in real-world settings on executive functions in preadolescent children. Ment Health Phys Act. 2015;9:1–9.CrossRef Jäger K, Schmidt M, Conzelmann A, Roebers CM. The effects of qualitatively different acute physical activity interventions in real-world settings on executive functions in preadolescent children. Ment Health Phys Act. 2015;9:1–9.CrossRef
71.
go back to reference Bös K, Schlenker L, Büsch D, Lämmle L, Müller H, Oberger J, Seidel, I, Tittelbach S. Deutscher Motorik-Test 6–18 (DMT 6–18) [German motor performance test (DMT 6–18)]. Hamburg: Czwalina; 2009. Bös K, Schlenker L, Büsch D, Lämmle L, Müller H, Oberger J, Seidel, I, Tittelbach S. Deutscher Motorik-Test 6–18 (DMT 6–18) [German motor performance test (DMT 6–18)]. Hamburg: Czwalina; 2009.
72.
go back to reference Jekauc D, Voelkle M, Wagner MO, Mewes N, Woll A. Reliability, validity, and measurement invariance of the German version of the physical activity enjoyment scale. J Pediatr Psychol. 2013;38:104–15.CrossRefPubMed Jekauc D, Voelkle M, Wagner MO, Mewes N, Woll A. Reliability, validity, and measurement invariance of the German version of the physical activity enjoyment scale. J Pediatr Psychol. 2013;38:104–15.CrossRefPubMed
73.
go back to reference Léger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 m shuttle run test for aerobic fitness. J Sports Sci. 1988;6:93–101.CrossRefPubMed Léger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 m shuttle run test for aerobic fitness. J Sports Sci. 1988;6:93–101.CrossRefPubMed
74.
go back to reference Lidzba K, Christiansen H, Drechsler R. Conners Skalen zu Aufmerksamkeit und Verhalten – 3 [Conners rating scales of attention and behavior]. Bern: Huber; 2013. Lidzba K, Christiansen H, Drechsler R. Conners Skalen zu Aufmerksamkeit und Verhalten – 3 [Conners rating scales of attention and behavior]. Bern: Huber; 2013.
75.
go back to reference Conners CK. Conners’ rating scales revised. Technical manual. North Tonawanda: Multi-Health Systems, Incorporated; 2001. Conners CK. Conners’ rating scales revised. Technical manual. North Tonawanda: Multi-Health Systems, Incorporated; 2001.
76.
go back to reference Mattejat F, Remschmidt H. Das Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK) [The inventory of life quality in children and adolescents ILC]. Bern: Huber; 2006. Mattejat F, Remschmidt H. Das Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK) [The inventory of life quality in children and adolescents ILC]. Bern: Huber; 2006.
77.
go back to reference Boudreau B, Poulin C. An examination of the validity of the family affluence scale II (FAS II) in a general adolescent population of Canada. Soc Indic Res. 2008;94:29–42.CrossRef Boudreau B, Poulin C. An examination of the validity of the family affluence scale II (FAS II) in a general adolescent population of Canada. Soc Indic Res. 2008;94:29–42.CrossRef
78.
go back to reference Fuchs R, Klaperski S, Gerber M, Seelig H. Messung der Bewegungs- und Sportaktivität mit dem BSA-Fragebogen [Measurement of physical activity and sport activity with the BSA questionnaire]. Z Gesundh. 2015;23:60–76. Fuchs R, Klaperski S, Gerber M, Seelig H. Messung der Bewegungs- und Sportaktivität mit dem BSA-Fragebogen [Measurement of physical activity and sport activity with the BSA questionnaire]. Z Gesundh. 2015;23:60–76.
79.
go back to reference Watzlawik M. Die Erfassung des Pubertätsstatus anhand der Pubertal Development Scale: Erste Schirtte zur Evaluation einer deutschen Übersetzung [Assessing pubertal status with the Pubertal Development Scale: first steps towards an evaluation of a German translation]. Diagnostica. 2009;55:55–65. Watzlawik M. Die Erfassung des Pubertätsstatus anhand der Pubertal Development Scale: Erste Schirtte zur Evaluation einer deutschen Übersetzung [Assessing pubertal status with the Pubertal Development Scale: first steps towards an evaluation of a German translation]. Diagnostica. 2009;55:55–65.
81.
go back to reference Weiss MD, Baer S, Allan BA, Saran K, Schibuk H. The screens culture: impact on ADHD. Atten Deficit Hyperact Disord. 2011;3:327–34.CrossRef Weiss MD, Baer S, Allan BA, Saran K, Schibuk H. The screens culture: impact on ADHD. Atten Deficit Hyperact Disord. 2011;3:327–34.CrossRef
82.
go back to reference O’Neill SC, Berwid OG, Bédard ACV. The exercise–cognition interaction and ADHD. In: Exercise-Cognition Interaction. San Diego: Academic; 2016. p. 375–98.CrossRef O’Neill SC, Berwid OG, Bédard ACV. The exercise–cognition interaction and ADHD. In: Exercise-Cognition Interaction. San Diego: Academic; 2016. p. 375–98.CrossRef
83.
go back to reference Carson V, Staiano AE, Katzmarzyk PT. Physical activity, screen time, and sitting among us adolescents. Pediatr Exerc Sci. 2015;27:151–9.CrossRefPubMed Carson V, Staiano AE, Katzmarzyk PT. Physical activity, screen time, and sitting among us adolescents. Pediatr Exerc Sci. 2015;27:151–9.CrossRefPubMed
84.
go back to reference Henson J, Yates T, Biddle SJH, Edwardson CL, Khunti K, Wilmot EG, Gray LJ, Gorely T, Nimmo MA, Davies MJ. Associations of objectively measured sedentary behaviour and physical activity with markers of cardiometabolic health. Diabetologia. 2013;56:1012–20.CrossRefPubMed Henson J, Yates T, Biddle SJH, Edwardson CL, Khunti K, Wilmot EG, Gray LJ, Gorely T, Nimmo MA, Davies MJ. Associations of objectively measured sedentary behaviour and physical activity with markers of cardiometabolic health. Diabetologia. 2013;56:1012–20.CrossRefPubMed
85.
go back to reference Marshall SJ, Biddle SJH, Gorely T, Cameron N, Murdey I. Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. Int J Obes. 2004;28:1238–46.CrossRef Marshall SJ, Biddle SJH, Gorely T, Cameron N, Murdey I. Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. Int J Obes. 2004;28:1238–46.CrossRef
86.
go back to reference Lee H, Causgrove Dunn J, Holt NL. Youth sport experiences of individuals with attention deficit/hyperactivity disorder. Adapt Phys Act Q. 2014;31:343–61.CrossRef Lee H, Causgrove Dunn J, Holt NL. Youth sport experiences of individuals with attention deficit/hyperactivity disorder. Adapt Phys Act Q. 2014;31:343–61.CrossRef
87.
go back to reference Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219–29.CrossRefPubMedPubMedCentral Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:219–29.CrossRefPubMedPubMedCentral
88.
go back to reference Kauhanen L, Jarvela L, Lahteenmaki PM, Arola M, Heinonen OJ, Axelin A, Lilius J, Vahlberg T, Salantera S. Active video games to promote physical activity in children with cancer: a randomized clinical trial with follow-up. BMC Pediatr. 2014;14:94.CrossRefPubMedPubMedCentral Kauhanen L, Jarvela L, Lahteenmaki PM, Arola M, Heinonen OJ, Axelin A, Lilius J, Vahlberg T, Salantera S. Active video games to promote physical activity in children with cancer: a randomized clinical trial with follow-up. BMC Pediatr. 2014;14:94.CrossRefPubMedPubMedCentral
Metadata
Title
Cognitively and physically demanding exergaming to improve executive functions of children with attention deficit hyperactivity disorder: a randomised clinical trial
Authors
Valentin Benzing
Mirko Schmidt
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-016-0757-9

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