الفهرس | Only 14 pages are availabe for public view |
Abstract ADHD is a common neuropsychiatric problem affecting 7-9% of children, the defining features of ADHD are inattention, hyperactivity and impulsivity, commonly present early in life and cause impairment before age 7 year. These behavioral manifestations contribute to diminished academic, occupational and social functioning having neurobiological bases. There are 3 subtypes 1-Hyperactive impulsive subtype. 2 –Inattentive subtype. 3-Combined(hyperactive/ impulsive and inattentive)subtype. Since the origin of ADHD is unclear which limit the pharmacological effectiveness and makes adverse effects common researchers are developing more effective and safe treatments. This study was conducted upon 50 patients having a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) of any subtype according to Diagnostic and Statistical Manual of Mental Disorder (DSM IV), 44 boys (88%) and 6 girls (12%) their ages ranged between 6 and 12 years with a mean value of 8.0±1.41 The children were recruited from both Psychiatric Outpatient Clinics of children with special needs carein the Institute ofPost Graduate Childhood Studies ( IPCS), Ain Shams University, and a Acupuncture Outpatient Clinic inNational Research Centre (NRC),after approval of the medical ethical committees of bothNRC and IPCS, Ain ShamsUniversity,Also written consent was taken from all patient s guardiance prior to the study. Patients with psychiatric comorbidity with ADHD (except learning disorders) like mental retardation, epilepsy or chronic medical illness were excluded from the study. Medical history taking,thorough clinical and psychiatric examination, investigations in the form of EEG, IQ test and Connors Rating scale were done for all patients. Acupuncture protocol was applied to the 50 patients. The ADHD studied patients were divided into two groups: group I: Received medical treatment with acupuncture with therapy (n=38 patients). group II: Received acupuncture therapy only (n=12 patients).The two groups are compared as regard hyperactivity, impulsivity and inattention scores on Conner‘s Rating Scale. Acupuncture therapy using filiform disposable needles in selected points according to Traditional Chinese Medicine and YNSA were implemented specific for ADHD. All patients received 12 acupuncture sessions, two times per week for 6 weeks each session takes from 20-30 minutes. In this study the treatment efficacy of acupuncture therapy for ADHD patients using Conner‘s parent questioner was 88% of the studied group who showed improvement with variable degrees while 12% of the studied group, showed no improvement. The present study showed that the efficacy of acupuncture treatment was more evident in the hyperactive subtype followed by the mixed and inattentive subtype with statistically significant difference between the 3 subtypes. Also it was found that acupuncture therapy was more effective in younger children than in older patients. |