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Aim and Background: Sensory integration improves children&#039;s ability to process and organize sensory information. The outcome of the brain&rsquo;s ability to organize sensory information is improved performance and life skills, emotional growth, and general development. The aim of the current research was to investigate the efficacy of sensory integration on neuropsychological skills of children with attention deficit hyperactivity disorder (ADHD). Methods and Materials: This experimental study was conducted through pretest and posttest and with a control group on 20 elementary school students in Isfahan, Iran, with ADHD. The participants were selected using random cluster sampling method, and then assigned randomly to experimental and control groups. The data collection tools consisted of Conner&rsquo;s Parent and Teacher Rating Scales and Conner&rsquo;s Neuropsychology Questionnaire. The collected data were analyzed in SPSS using covariance analysis. Findings: A significant difference was observed in the posttest stage between the control and experimental groups in terms of neuropsychological skills (P < 0.001). Conclusions: It can be concluded that sensory integration training affects children&#039;s neuropsychological skills, and thus, can be used in rehabilitation and education of children with ADHD. The use of this training method in preschools is recommended in order to prevent the incidence of ADHD.

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Aim and Background: Deficiency in balance functions of individuals with attention deficit hyperactivity disorder (ADHD) have been highlighted in the body of literature. There is also a close relationship between physical activities and alleviation in behavioral disorders. The aim of this study was to investigate the effects of endurance training along with methylphenidate consumption on balance in rats with ADHD. Methods and Materials: The present study was a laboratory research. The samples were 35 Wistar rats (weight: 181.66 ± 8.69 g) which were randomly categorized into 5 groups (each group = 7 rats). To induce ADHD in the rats, they were injected 10 mg/kg of L-NAME for 8 weeks and 6 days per week based on the weight of the rats. The groups included 1 control group and 4 groups of ADHD (MPH consumption, endurance training, MPH consumption and endurance training, and ADHD). Open field, balance beam, and 5-band treadmill tests were used as research tools. Balance test was taken after 4 weeks of training. The medication group received 1 mg oral methylphenidate per kg weight of rats daily. The rats received training at a rate of 2 to 20 m/minute for 5 days a week for 28 days. The duration of the training in each session in the first week and the familiarization time was 2 meters/minute and overtime per week was 20 meters/minute. Data were analyzed using ANOVA. Findings: Analysis of data showed that there is no significant difference between the pretest and posttest in the control group (P = 0.17) and the ADHD group (P = 0.17). However, there was a significant difference between pretest and posttest in the ADHD + training, ADHD + methylphenidate, and ADHD + methylphenidate + exercise groups (P = 0.001). Furthermore, Tukey's post hoc test results showed that the control group's balance was better than all other groups (P < 0.001). The balance of all groups except the control group was better than ADHD group (P <0.001). There was no significant difference between ADHD + endurance exercises group and ADHD + methylphenidate group, and ADHD + methylphenidate and ADHD + endurance training + methylphenidate consumption groups in terms of balance (P < 0.001). Conclusions: It seems that it can be concluded that 30 minutes of endurance training per day can be a suitable alternative for methylphenidate among rats with ADHD.

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Aim and Background: While Parents affect other members of the family, children also have effects on their parents with their own personal, behavioral and growth characteristics reciprocally. The behavioral disorder of one of the children, such as attention deficit hyperactivity disorder (ADHD), is usually conceived as a stressful element which can affect all aspects of family, including the relationship between mothers and their spouses. The aim of this study was to survey of stress management group training effectiveness, using acceptance and commitment therapy (ACT) method, on the relationship between mothers of ADHD children and their spouses. Methods and Materials: The research method was quasi-experimental, pre-test, post-test and 9-month follow-up with control group. The population of the research was included all mothers of children with ADHD in Esfahan who referred to clinics and psychologists offices in 2013. Thirty mothers which had highest score of stress in relationship with spouse from parenting stress index (PSI) were selected and assigned into two groups of test and control. Eight 90-minute sessions of acceptance and commitment stress management training was performed for the test group, while the control group had no intervention. PSI subscale of relationship with spouse from parent characteristics was used in order to review the hypothesis of the study, which was completed before and after intervention by mothers. Data were analyzed by covariance statistical methods using SPSS software. Findings: There was a considerable difference between scores of pre-test and post-test of the test group in comparison with control group (P = 0.001), reflecting the improvement of relationship with spouses in mothers. Conclusions: ACT-based stress management group training could improve the relationship between the mothers of ADHD children and their spouses.

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Aim and Background: Today different doses of drugs are used in the treatment of Attention Deficit Hyperactivity Disorder (ADHD). Non-medical treatments such as physical activity have recently been considered. The purpose of this study was to investigate the effects of endurance training along with methylphenidate consumption on Behavioral symptoms in male rats with ADHD.

Methods and Materials: A laboratory research method was used. The subjects were 40 Wistar rats (mean and standard deviation of 181.78 ± 8.39 g) and aged 8-12 weeks. A 5-member group (mean and standard deviation of 182.6 ± 51.6 g) were randomly selected for sampling and blood sampling, and 35 rats (mean and standard deviation of 181.66 ± 8.09 g) to 5 Group 7 (control group and 4 groups of attention deficit hyperactivity disorder: methylphenidate use, endurance training, methylphenidate use and endurance training, without methylphenidate and no endurance training). 10 mg L-NAME for 8 weeks and 6 days per week for each rat was injected sub peritoneally for the attention deficit-hyperactivity disorder in rats. Angiotensin converting enzyme (ACE) and nitrite oxide (NO) were used to detect hypertension in rats after L-NAME injection. The open field test for over-active detection, and 5-band treadmill for endurance training of rats were used. The balance test was taken before and after 4 weeks of training. The drug group received 2 mg of methylphenidate daily per kg of body weight orally. The rats ran for 28 days each day (5 days a week) for 28 days. The practice load for training groups included running at speeds of 2 to 8 m / min for 30 minutes. Descriptive statistics were used to determine mean, mean, standard deviation, drawing tables and charts. For normalization of the distribution of dependent variables from the Kolmogorov-Smirnov and one-way variance for intra-group variation.

Findings: The results showed that the number of stands in the control group was higher than in all other groups and the number of traveled squares was less (p<0.001). The number of stands in the ADHD group was lower than in all other groups and the number of traveled squares was higher (p<0.001). There was no significant difference between the number of stands and the number of traveled squares in the ADHD group + Endurance exercises with ADHD + methylphenidate and also the ADHD group + methylphenidate + endurance training (p<0.001).

Conclusions: It seems that endurance training and methylphenidate consumption affect the behavioral patterns of the animal model of ADHD and it can be recommended that physical activity be used as an effective method to replace the use of methylphenidate.

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Aim and Background: Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common psychiatric disorder that causes educational, social and family problems. The main aim of present study was to compare the efficacy of neurofeedback and neurofeedback along with Barkly parental training on visual attention dimensions and comprehension of children with ADHD.

Methods and Materials: This study was an experimental study with two experiment and one sham control groups in three stages of pre- post and ten weeks follow up tests. The population included all elementary ADHD boys in Isfahan city in academic year 2017-2018. Among those who attended in education and training clinic, forty-two were selected along with their mothers by purposive sampling. There were assigned in two experiment and one control groups randomly. All the participants were assessed in three stages by continues visual and auditory performance test (IVA). Data were analyzed by repeated measure ANOVA analysis.

Findings: The results showed that there were no significant difference between two experiment groups in visual vigilance (p≤0.96), focus (p≤0.76), speed (p≤0.87) and visual comprehension (p≤0.42) in post-test and follow up stages; but in compare to control group visual attention dimensions and comprehension increased significantly in both experiment groups.

Conclusions: Neurofeedback training and neurofeedback along with Barkly parental training equally increase visual attention dimension and comprehension in ADHD children.

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Aim and Background: Some studies have looked at the effects of drugs such as methylphenidate on sexual parameters, testicular development, sperm motility and spermatogenesis, and the negative effects of these drugs have been shown on this variable. Therefore, the purpose of this study was the comparison of two approach of exercise training and therapeutic on some structural changes in testicular tissue in rats with Attention Deficit-Hyperactivity Disorder (ADHD).

Methods and Materials: A Laboratory research method was used. The research design was a post-test type with experimental and control group. 40 male Wistar rats (4-6 weeks) were divided into two control groups (7 heads for comparison with L-NAME injection group) and the L-NAME injection in the first stage. In the second stage, the L-NAME injection group at the age of 8 to 12 weeks (mean and standard deviation of 184.23± 7.83 g) was divided into 5 groups (for blood sampling and angiogenesis and nitrite oxide converting enzyme evaluation before Intervention group) and 4 groups of 7 ADHD groups without medication and no endurance training (compared with intervention groups), and intervention groups including ADHD+ endurance training, ADHD+ methylphenidate, ADHD+ endurance training+ methylphenidate intake. ADHD+ Methylphenidate and ADHD+ Endurance Exercise+ Methylphenidate 2 mg daily methylphenidate was given daily for 5 days per week orally. The open field test for overactive detection, and 5-band treadmill for endurance exercises in rats were used. The practice load for training groups after 5 days of introduction in the first week was 20 m/min, the second and third weeks were 25 m/min, the fifth was 30 m/min, and the sixth and seventh weeks were 35 m/min.

Findings: The results showed that there was no significant difference between the diameter of the seminiferous and spermatogenic tubules and the lidik cells in the control group compared to the ADHD+ endurance training group, but between the control group and the other groups (ADHD without exercise and without methylphenidate, ADHD+ methylphenidate consumption, ADHD+ methylphenidate consumption+ endurance training) had a significant difference (P≤.001). Also, there was a significant difference between the sertoli cells of the control group and ADHD without exercise and without methylphenidate (P ≤.001), but compared with other groups (ADHD+ endurance training, ADHD+ methylphenidate consumption+ endurance training, ADHD+ methylphenidate consumption), there was no significant difference (P≥.05).

Conclusions: It seems that Endurance exercises can to replace the use of methylphenidate in relation to structural changes in the testicular tissue in the animal model of ADHD.

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Aim and Background: Research has shown that energy depletion in children with ADHD can have good results on daily functioning. Therefore, the aim of this study was to the Effectiveness Floor Time Play Therapy on Emotion Management, Self-Control, and Executive Functions in Students with ADHD.
Methods and Materials: The method of the present study is a quasi-experimental type of pre-test-post-test-multi-group follow-up plans with a control group. Counseling centers in Arak, 24 subjects were selected by purposive sampling method and considering the criteria for entry and exit to the research and were randomly assigned to experimental and control groups, both research groups at the beginning of the intervention (Floor Time play therapy), Completion of the intervention and two months after the end of treatment were evaluated. Research instruments included the Child Emotion Management Skills Questionnaire Ziman et al. (2001), the Perceived Self-Control Questionnaire Humphrey Children (2000) and Children and Adolescents Executive Performance Scale Barclay (2012). Data were evaluated using repeated measures analysis of variance.
Findings: The results showed that Floor Time play therapy had a significant effect on emotion management, behavior control and executive functions (P≤0.001).
Conclusions: It seems that Floor Time play therapy can be considered as an effective intervention to improve executive functions, control behavior and emotion management in children with attention deficit hyperactivity disorder.