Effect of psychostimulant medications on functional balance performance in persons with Attention-Deficit/Hyperactivity Disorder: A systematic review.

Autor: Alotaibi MM; Department of Physical Therapy, College of Applied Medical Sciences, Northern Border University, Arar, Saudi Arabia. Electronic address: mansour.alotaibi@nbu.edu.sa., Stavrinos D; Department of Psychology, College of Arts and Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: dstavrin@uab.edu., Motl RW; Department of Kinesiology and Nutrition, College of Applied Health Sciences, The University of Illinois Chicago. Chicago, IL, USA. Electronic address: robmotl@uic.edu., Bell M; UAB Libraries, Lister Hill Library of the Health Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: mmbell@uab.edu., Snyder SW; Department of Human Studies, School of Education, The University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: ssnyder@uab.edu., Hurt CP; Department of Physical Therapy, School of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: cphurt@uab.edu., Singh H; Department of Physical Therapy, School of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: hsingh@uab.edu., Lein DH Jr; Department of Physical Therapy, School of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: dlein@uab.edu.
Jazyk: angličtina
Zdroj: Gait & posture [Gait Posture] 2023 May; Vol. 102, pp. 146-158. Date of Electronic Publication: 2023 Mar 30.
DOI: 10.1016/j.gaitpost.2023.03.019
Abstrakt: Rationale: Balance impairments are highly prevalent and underscreened in individuals with Attention-deficit/hyperactivity disorder (ADHD). Psychostimulant medications, used to treat ADHD symptoms, may improve balance performance in this population as demonstrated by a growing literature; however, there has not been a systematic investigation to understand the effects of psychostimulant medications on balance performance in individuals with ADHD. This systematic review examined the existing evidence to determine if psychostimulant medications improve balance performance in this population.
Methods: We searched PubMed, CINAHL, SPORTDiscus, Scopus, Embase and Cochrane in March 2021 and in January 2022 to locate articles relevant to the topic. Two reviewers evaluated the methodological quality of included articles using the Study Quality Assessment Tools and the PEDro scale. The reviewers rated articles for the level of evidence based on the American Academy of Neurology (AAN) criteria. The reviewers further offered recommendations for research and clinical practice based on the strength of the reviewed articles using the AAN criteria. Additionally, the reviewers gleaned important characteristics from each article, such as study design, balance domain and study results.
Results: Nine articles addressed the role of psychostimulant medications on balance outcomes. These articles included two Class II studies, two Class III studies and five Class IV studies. Based on study quality, this systematic review indicated low confidence in the use of psychostimulant medications for improving balance performance based on AAN criteria.
Conclusion: Psychostimulant medications trends to enhance balance performance in individuals with ADHD. However, the lack of well-designed studies and heterogeneity of balance measures warrant additional research.
Competing Interests: Declarations The authors declare no conflicts of interest.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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