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研究生: 洪巧菱
Hung, Chiao-Ling
論文名稱: 中等強度急性健身運動對ADHD兒童作業轉換之影響
Effects of Acute Exercise on Task Switching in Children with Attention-Deficit/Hyperactivity Disorder
指導教授: 洪聰敏
Hung, Tsung-Min
學位類別: 博士
Doctor
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2015
畢業學年度: 103
語文別: 中文
論文頁數: 86
中文關鍵詞: 事件關聯電位工作記憶轉換成本執行功能
英文關鍵詞: ERP, working memory, switch cost, executive function
論文種類: 學術論文
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  • 本系列研究主要目的為了解急性健身運動對ADHD執行作業轉換之影響。研究一比較ADHD與健康對照組兒童作業轉換之差異。20位ADHD及20位配對健康對照組執行作業轉換並記錄腦波。結果顯示ADHD相較於對照組有較長之RT及較低正確率,尤其是混合試做情境。ERP部分ADHD在整體轉換效應則顯示較小P300振幅及較長之潛伏時間。研究二進一步檢驗急性健身運動對ADHD兒童執行作業轉換之影響。實驗設計採組內平衡消去法,34位ADHD兒童分次完成30分鐘跑步機快走,及控制 (影片觀賞) 兩階段。結果顯示相較於控制情境,30分鐘急性運動後ADHD兒童有較小的整體轉換成本RT,運動後混合情境比起單一情境有較大之P300振幅,控制階段則未觀察到此差異。本研究發現指出一次性中等強度急性運動對ADHD兒童的工作記憶面向可能有正向助益,尤其是需要大量執行控制之作業。此研究結果擴展了過去的研究發現,支持一次性運動促進ADHD兒童與作業轉換有關之執行功能。

    The main purpose of this series of studies was to examine the effect of acute, moderate intensity exercise on task-switching in children with attention deficit hyperactivity disorder (ADHD). In study 1, we compared the task-switching performance in children with and without ADHD. Twenty children with ADHD and 20 matched controls performed task-switching while EEG was recorded. Results indicated that children with ADHD demonstrated significantly longer RT and less accuracy compared to controls, especially in mixed condition. ERPs of ADHD participants showed smaller amplitudes and longer latencies of P300 in globe switch effects. In study 2, we further examined the effect of acute bout of aerobic exercise on task switching in children with ADHD. Thirty four children with ADHD performed a task switching paradigm after 30 min of moderate intensity aerobic exercise on a treadmill, and control (seated watching video) sessions, using a within-subjects design during 2 separate, counterbalanced sessions. The results revealed that following a single 30-minute bout of exercise, children with ADHD exhibited smaller global switch cost on RT compared with control session. P300 amplitude increased only following exercise in mixed condition relative to pure condition, whereas no effects were found in the control session. These findings suggest that single bout of moderate intensity aerobic exercise may have positive impacts on working memory in children with ADHD, especially when the task requires greater amounts of executive control. These findings extend the current knowledge by indicating that acute bouts of exercise improve task switching aspect of executive function in children with ADHD.

    目 次 口試委員與系主任簽字之論文通過簽名表………….….……………………………………i 論文授權書…………….……………………………………….…..…………………………ii 中文摘要…………………………………..…………………….……………………………iii 英文摘要……………………………………………………………..………………………..iv 謝誌………………………………………………………………………….………………vi 目次………………………………………………………………….…………...…………vii 表次…………………………………………………………………………………..………x 圖次…………………………………………………………………................……….……xi 第壹章 緒論…...………………………………………………………………1 第一節 前言…...……………………………………….………………………………1 第二節 研究目的…...…………………………………………………………………4 第三節 研究假設…...…………………………………………………………………4 第四節 研究範圍與限制….……..……………………………………………………4 第五節 名詞操作性定義…...…………………………………………………………5 第貳章 文獻探討…...…………………………………..……………………6 第一節 ADHD執行功能與神經生理缺陷...…………………………………………6 第二節 作業轉換典範…...……………………………………………………………10 第三節 ADHD與作業轉換………...………………………………………………11 第四節 運動與作業轉換之研究...……...…...….....………………..…..…………13 第五節 運動與ADHD兒童症狀之研究………………………..…………..………16 第六節 運動改善ADHD兒童症狀之可能機轉……………………………………20 第七節 文獻總結…...…………………………………………………………………22 第叁章 研究一...……………………………………………………………24 第一節 研究一研究架構……………………………….……………………………24 第二節 研究對象…...………………………………………………………………24 第三節 研究工具…...………………………………………………………………25 第四節 實驗流程…………….…..…………………………………………………28 第五節 資料處理與統計分析………………………………………………………29 第六節 結果………...………………………………………………………………31 第七節 討論………...………………………………………………………………41 第肆章 研究二...……………………………………………………………46 第一節 研究二研究架構……………………………….……………………………46 第二節 研究對象…...………………………………………………………………46 第三節 研究工具…...…………………………………………………………………47 第四節 實驗流程……………….…..…………………………………………………48 第五節 資料處理與統計分析………………………………………………………49 第六節 結果………...…………………………………………………………………51 第七節 討論…………...………………………………………………………………59 第八節 綜合討論……...………………………………………………………………63 第伍章 結論與未來研究方向………………………………………………65 第一節 結論…………………………………………….……………………………65 第二節 未來研究方向………………………………………………………………65 引用文獻……………………………………………………………………68 附錄………………………………………………………………………81 附錄一 參與者知情同意書…………………………….……………………………81 附錄二 社經地位指數計算公式……………………….……………………………85 附錄三 身體活動預備問卷…………………………….……………………………86 表 次 表3-1 ADHD與對照組各背景變項資料及統計摘要表…………………………………32 表3-2 ADHD與對照組於整體轉換及局部轉換情境之RT與正確率…………………33 表3-3 研究一作業行為表現統計分析摘要表……………….……………………………35 表3-4 ADHD與對照組在各作業情境之ERP接受及拒絕之試做數……………………35 表4-1 實驗參與者各背景變項資料………………………….……………………………51 表4-2 運動與影片階段之運動強度與HR……………….………………………………52 表4-3 運動及影片階段整體轉換及局部轉換情境之RT與正確率……………………54 表4-4 運動與影片階段於各作業情境之ERP接受及拒絕之試做數…………………55 圖 次 圖3-1 研究一研究架構圖…………………………………….……………………………24 圖3-2 作業刺激呈現順序…………………………………….……………………………28 圖3-3 研究一實驗流程圖…………………………………….……………………………29 圖3-4 ADHD與對照組在單一及混合情境之作業表現正確率…………………………34 圖3-5 ADHD與對照組在三個電極位置之P300平均振幅.……………………………36 圖3-6 ADHD與對照組在單一及混合情境之P300潛伏時間……………………………37 圖3-7 ADHD與對照組在整體轉換效應三個電極點之ERP圖形………………………39 圖3-8 ADHD與對照組在局部轉換效應三個電極點之ERP圖形………………………40 圖4-1 研究二之研究架構圖………………………………….……………………………46 圖4-2 研究二之實驗流程…………………………………….……………………………49 圖4-3 運動與影片階段在單一與混合作業情境間RT…….……………………………53 圖4-4 運動與影片階段在混合與單一情境P300三個電極位置之平均振幅……………56 圖4-5 運動與影片階段在整體轉換效應三個電極點之ERP圖形………………………57 圖4-6 運動與影片階段在局部轉換效應三個電極點之ERP圖形………………………58

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