The Effect of Manipulation Activity of Vestibular System on The Visual Spatial Memory ‎of Hyperactive Children with Attention Deficit

Document Type : Original Article

Authors

1 Department of Motor Behavior, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran

2 Department of Motor Behavior, Faculty of Sports and Health Sciences, Shahid Beheshti University, Tehran, Iran

Abstract

Purpose:
Attention Deficit Hyperactivity Disorder is a chronic and common disorder in children. The disorder is characterized by inadequate levels of activity, uncontrolled behaviors, and memory impairment. The aim of this study was to investigate the effect of manipulation of vestibular system activity on visual spatial memory of Attention Deficit Hyperactivity children.
Methods:
24 children with Attention Deficit Hyperactivity were participated in the present study. Participants were selected after completing the Conners’ teacher Questionnaire and Clinical interview with parents based on the inclusion criteria. Children were divided into two experimental and control groups. The present study tool was CBT (Corsi Block Test) to measure the visual spatial memory variable. Also, for the experimental group, 10 sessions of rotational, linear, balance and combination exercise were considered to enhance the activity of the vestibular system. Participants were placed in the pre-test and post-test sessions and their results were recorded. Data were analyzed by SPSS version 21 software.
Results:
The results of the present study showed that there was no significant difference between the scores of the groups in the visual memory space variable in the pre-test stage (p> 0.05). The analysis of variance with repeated measures showed that the main effect of the evaluation process (pre-test, post-test) is statistically significant (p <0.05). Also, the main effect of the group F (1.21) =4.93 was statistically significant. Comparison of the means showed that the subjects in the experimental group had a better visual memory score than the control group. The interactive effect of group × evaluation steps is also statistically significant. The results of the Bonfroni test showed that the mean score of the visual memory space of the experimental group in the post-test stage was better than the control group.
Conclusion:
Therefore, it can be concluded that rotational, linear, balance and combination exercise improve the visual spatial memory in hyperactive children with attention deficit. Therefore, training based on increasing the activity of the vestibular system can be useful for improving the visual spatial memory of these children.

Keywords


  1. Epstein JN, Loren RE. Changes in the definition of ADHD in DSM-5: subtle but important. Neuropsychiatry 2013; 3(5):455-458.
  2. Hautmann C, Rothenberger A, Döpfner M. Daily symptom profiles of children with ADHD treated with modified-release methylphenidate: An observational study. J Atten Disord 2017; 21(2):120-128.
  3. Karalunas SL, Geurts HM, Konrad K, Bender S, et al. Reaction time variability in ADHD and autism spectrum disorders: Measurement and mechanisms of a proposed trans-diagnostic phenotype. J Child Psychol Psychiatry 2014; 55(6): 685-710.
  4. Kentros CG, Agnihotri NT, Streater S, Hawkins RD, et al. Increased attention to spatial context increases both place field stability and spatial memory. Neuron 2004; 42(2): 283-295.
  5. Scholtens S, Diamantopoulou S, Tillman CM, Rydell AM. Effects of symptoms of ADHD, ODD, and cognitive functioning on social acceptance and the positive illusory bias in children. J Atten Disord 2012; 16(8): 685-896.
  6. Westerberg H, Hirvikoski T, Forssberg H, Klingberg T. Visuo-spatial working memory span: a sensitive measure of cognitive deficits in children with ADHD. Child Neuropsychol 2004; 10(3): 155-161.
  7. Bigelow RT, Agrawal Y. Vestibular involvement in cognition: visuospatial ability, attention, executive function, and memory. J Vestib Res 2015; 25(2): 73-89.
  8. Finke K, Bublak P, Zihl J. Visual spatial and visual pattern working memory: Neuropsychological evidence for a differential role of left and right dorsal visual brain. Neuropsychologia 2006; 44(4): 649-661.
  9. Mawjee K, Woltering S, Lai N, Gotlieb H, et al. Working memory training in ADHD: controlling for engagement, motivation, and expectancy of improvement (pilot study). J Atten Disord 2017; 21(11): 956-968.
  10. Kinomura S, Larsson J, Gulyas B, Roland PE. Activation by attention of the human reticular formation and thalamic intralaminar nuclei. Science 1996; 271(5248):  512-515.
  11. Rajagopalan A, Jinu KV, Sailesh KS, Mishra S, et al. Understanding the links between vestibular and limbic systems regulating emotions. J Nat Sci Biol Med 2017; 8(1): 11-15.
  12. Smith PF. Vestibular–hippocampal interactions. Hippocampus 1997; 7(5): 465-471.
  13. Smith PF, Brandt T, Strupp M, Darlington CL, Zheng Y. Balance before reason in rats and humans. Ann N Y Acad Sci 2009; 1164(1): 127-133.
  14. Dieterich M, Brandt T. Functional brain imaging of peripheral and central vestibular disorders. Brain 2008; 131(10): 2538-2552.
  15. Hanes DA, McCollum G. Cognitive-vestibular interactions: a review of patient difficulties and possible mechanisms. J Vestib Res 2006; 16(3): 75-91.
  16. Smith PF, Horii A, Russell N, Bilkey DK, et al. The effects of vestibular lesions on hippocampal function in rats. Prog Neurobiol 2005; 75(6): 391-405.
  17. Indovina I, Maffei V, Bosco G, Zago M, et al. Representation of visual gravitational motion in the human vestibular cortex. Science 2005; 308(5720): 416-419.
  18. Smith PF. The vestibular system and cognition. Curr Opin Neurol 2017;30(1):84-89.
  19. Clark DL, Arnold LE, Crowl L, Bozzolo H, et al. Vestibular Stimulation for ADHD: randomized controlled trial of Comprehensive Motion Apparatus. J Atten Disord 2008; 11(5): 599-611.
  20. Niklasson M, Niklasson I, Norlander T. Sensorimotor therapy: using stereotypic movements and vestibular stimulation to increase sensorimotor proficiency of children with attentional and motor difficulties. Percept Mot Skills 2009; 108(3): 643-669.
  21. 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(3): 273-286.
  22. Schiff ND, Pulver M. Does vestibular stimulation activate thalamocortical mechanisms that reintegrate impaired cortical regions?. Proc. R. Soc. Lond. B1999; 266(1417): 421-423.
  23. Ghuman JK, Ghuman HS. ADHD in Preschool Children: Assessment and Treatment, Oxford university press 2014; 251- 257. 
  24. Konicarova J, Bob P, Raboch J. Balance deficits and ADHD symptoms in medication-naïve school-aged boys. Neuropsychiatr Dis Treat 2014;15(10):85-88.
  25. Sadock BJ, Sadock VA. Synopsis of psychiatry, Behavioral Sciences/Clinical sychiatry. Rafie H, Sobhanian K. Tehran: Arjmand press 2003; 342-368.
  26. Conners CK, Erhardt D, Sparrow EP. Conners' adult ADHD rating scales (CAARS): technical manual. North Tonawanda, NY: Multi-Health Systems; 1999.1-10.
  27. Shahim S, yousefi F, shaheyan. Normalization and psychometric properties of conners grading scale teacher form. JEDUS 2007 14(1):1-26. [Persian]
  28. Claessen MH, Van Der Ham IJ, Van Zandvoort MJ. Computerization of the standard Corsi block-tapping task affects its underlying cognitive concepts: a pilot study. Appl Neuropsychol Adult 2015; 22(3) :180-188.
  29. Fischer MH. Probing spatial working memory with the Corsi blocks task. Brain Cogn 2001; 45(2): 143-154.
  30. Kessels RP, Van Zandvoort  MJ, Postma A, Kappelle LJ, et al. The Corsi block-tapping task: standardization and normative data. Appl Neuropsychol Child 2000; 7(4): 252-258.
  31. Barnett R, Maruff P, Vance A. An investigation of visuospatial memory impairment in children with attention deficit hyperactivity disorder (ADHD), combined type. Psychol Med 2005; 35(10): 1433-1443.
  32. Brandt T, Schautzer F, Hamilton DA, Brüning R, et al. Vestibular loss causes hippocampal atrophy and impaired spatial memory in humans. Brain 2005; 128(11): 2732-2741.
  33. Moghadam SF, Haghgoo HA, Pishyareh E, Bakhshi E, et al. Vestibular therapy improved motor planning, attention, and balance in children with attention deficit hyperactivity disorders: a randomized controlled trial. Phys Med Rehabil Res 2018; 3(2): 1-6.
  34. Barrantes FJ, Borroni V, Vallés S. Neuronal nicotinic acetylcholine receptor–cholesterol crosstalk in Alzheimer’s disease. FEBS letters 2010;584(9):1856-1863.
  35. Salamati A, Hosseini SA, Haghgou H. Effectiveness of vestibular stimulation on visual attention in children with attention deficit hyperactivity disorder. J Rehabil 2014; 15(3): 18-25.
  36. Smith PF, Darlington CL, Zheng Y. Move it or lose it--is stimulation of the vestibular system necessary for normal spatial memory? Hippocampus 2010; 20(1): 36-43.
  37. Guidetti G, Guidetti R, Manfredi M, Manfredi M. Vestibular pathology and spatial working memory. Acta Otorhinolaryngol Ital 2020; 40(1): 72-78.
  38. Dieterich M, Brandt T. Functional brain imaging of peripheral and central vestibular disorders. Brain 2008; 131(10): 2538-2552.
  39. Ratey JJ, Loehr JE. The positive impact of physical activity on cognition during adulthood: a review of underlying mechanisms, evidence and recommendations. Rev Neurosci 2011; 22(2): 171-185.
  40. Bigelow RT, Agrawal Y. Vestibular involvement in cognition: Visuospatial ability, attention, executive function, and memory. J Vestib Res 2015; 25(2): 73-89. 
  41. Lotfi Y, Rezazadeh N, Moossavi A, Haghgoo HA, et al. Preliminary evidence of improved cognitive performance following vestibular rehabilitation in children with combined ADHD (cADHD) and concurrent vestibular impairment. Auris Nasus Larynx 2017; 44(6): 700-707.