Attention-Deficit/Hyperactivity Disorder impacts children’s participation in activities that require attention to instruction, sustained mental effort, and executive functioning. Physical activity has been correlated to improvement in attention in children with ADHD. Rock climbing challenges muscular endurance, attention, and route planning. Five participants, aged 8-13, participated in the climbing program. Attention was measured pre and post climbing intervention with Trail Making Test B (TMT-B) for time to complete. Exercise intensity was measured by heart rate. Parent feedback on behavior was collected with the Conner’s Parent Rating Scale (CPRS). The social validity of the intervention was measured by the IRP-15 measures. Statistically, significant intrasession attention improvements were noted in all 5 climbers (p=.43). Two climbers were consistently working at a moderate intensity (40-60% HRmax) while 3 climbers maintained a light level of intensity (20-40% HRmax). No statistically significant improvements were found on the CPRS, although improvements are noted with qualitative reports from parents. The IRP-15 showed 100% of parents believed rock climbing was an effective intervention for their children with ADHD. Rock climbing at a light to moderate intensity is associated with improvements in attention and behavior in children with ADHD.
KeywordsClimbing ADHD Attention
- ACSM’s Guidelines for Exercise Testing andPrescription. (2014). Lippincott Williams Wilkins.
- Al Ghriwati, N., Langberg, J., Gardner, W., Peugh, J., Kelleher, K., Baum, R., Brinkman, W., Lichtenstein, P., & Epstein, J. (2017). Impact of Mental Health Comorbidities on the Community-Based Pediatric Treatment and Outcomes of Children with Attention Deficit Hyperactivity Disorder. Journal of Developmental & Behavioral Pediatrics, 38(1). https://doi.org/https://doi.org/10.1097/dbp.0000000000000359
- Archer, T., & Kostrzewa, R. M. (2011). Physical Exercise Alleviates ADHD Symptoms: Regional Deficits and Development Trajectory. Neurotoxicity Research, 21(2). https://doi.org/https://doi.org/10.1007/s12640-011-9260-0
- Attention-Deficit / Hyperactivity Disorder (ADHD). (2018). Centers for Disease Control and Prevention.
- Conners, C. Conners rating scalesrevised.
- Conners, C., Sitarenios, G., Parker, J., & Epstein, J. (1998). The revised Conners’ Parent RatingScale (CPRS-R): factor structure, reliability, andcriterion validity. Journal of Abnormal Child Psychology, 26(4).
- Elliott, S. N., & Treuting, M. V. B. (1991). The behavior intervention rating scale: Development and validation of a pretreatment acceptability and effectiveness measure. Journal of School Psychology, 29(1). https://doi.org/https://doi.org/10.1016/0022-4405(91)90014-i
- Fend, M., Muras, J., Steffen, J., Battista, R., & Elfessi, A. (2011). Physiological Effects of BoulderingActivities in Upper Elementary School Students. Physical Educator, 68(4).
- Finn, C. A., & Sladeczek, I. E. (2001). Assessing the social validity of behavioral interventions: A review of treatment acceptability measures. School Psychology Quarterly, 16(2). https://doi.org/https://doi.org/10.1521/scpq.184.108.40.20603
- Hoza, B., Martin, C. P., Pirog, A., & Shoulberg, E. K. (2016). Using Physical Activity to Manage ADHD Symptoms:The State of the Evidence. Current Psychiatry Reports, 18(12). https://doi.org/https://doi.org/10.1007/s11920-016-0749-3
- Hoza, B., Smith, A. L., Shoulberg, E. K., Linnea, K. S., Dorsch, T. E., Blazo, J. A., Alerding, C. M., & McCabe, G. P. (2014). A Randomized Trial Examining the Effects of Aerobic Physical Activity on Attention-Deficit/Hyperactivity Disorder Symptoms in Young Children. Journal of Abnormal Child Psychology, 43(4). https://doi.org/https://doi.org/10.1007/s10802-014-9929-y
- Indoor (Gym) Climbing Basics. Co-Op Journal.
- Kamijo, K., & Takeda, Y. (2010). Regular physical activity improves executive function during task switching in young adults. International Journal of Psychophysiology, 75(3). https://doi.org/https://doi.org/10.1016/j.ijpsycho.2010.01.002
- Kennison, J., & Watters, R. Therapy inthe Mountains.
- Ng, Q. X., Ho, C. Y. X., Chan, H. W., Yong, B. Z. J., & Yeo, W.-S. (2017). Managing childhood and adolescent attention-deficit/hyperactivity disorder (ADHD) with exercise: A systematic review. Complementary Therapies in Medicine, 34. https://doi.org/https://doi.org/10.1016/j.ctim.2017.08.018
- Oriel, K. N., Kanupka, J. W., Fuehrer, A. T., Klumpp, K. M., Stoltz, K. N., Willey, D. W., & Decvalcante, M. L. (2018). The Impact of a Rock Climbing Program for Adolescents with Autism Spectrum Disorder: A Pilot Study. International Journal of Kinesiology in Higher Education, 2(4). https://doi.org/https://doi.org/10.1080/24711616.2018.1425601
- Portrie-Bethke, T., Hill, N., & Bethke, J. (2009). Strength-Based Mental Health Counseling for Children with ADHD: An Integrative Model of Adventure-Based Counseling and Adlerian Play Therapy. Journal of Mental Health Counseling, 31(4). https://doi.org/https://doi.org/10.17744/mehc.31.4.908822151555t5x7
- Poulton, A. (2005). Growth on stimulant medication; clarifying the confusion: a review. Archives of Disease in Childhood, 90(8). https://doi.org/https://doi.org/10.1136/adc.2004.056952
- Prior, M., Leonard, A., & Wood, G. (1983). A Comparison Study of Preschool Children Diagnosed as Hyperactive. Journal of Pediatric Psychology, 8(2). https://doi.org/https://doi.org/10.1093/jpepsy/8.2.191
- Reynolds, C. (2004). Comprehensive Trail Making Test(CTMT). Archives of Clinical Neuropsychology, 19(5). https://doi.org/https://doi.org/10.1016/j.acn.2004.02.004
- Schram Christensen, M., Jensen, T., Voigt, C. B., Nielsen, J. B., & Lorentzen, J. (2017). To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children. BMC Neurology, 17(1). https://doi.org/https://doi.org/10.1186/s12883-017-0889-z
- Symptoms of ADHD. (2018). ADHD Institute.
- Tombaugh, T. (2004). Trail Making Test A and B: Normative data stratified by age and education. Archives of Clinical Neuropsychology, 19(2). https://doi.org/https://doi.org/10.1016/s0887-6177(03)00039-8
- Tower, A. (2014). Get your climb on. Yoga Journal, 263.
- van de Loo-Neus, G. H., Rommelse, N., & Buitelaar, J. K. (2011). To stop or not to stop? How long should medication treatment of attention-deficit hyperactivity disorder be extended?. European Neuropsychopharmacology, 21(8). https://doi.org/https://doi.org/10.1016/j.euroneuro.2011.03.008
- Verret, C., Guay, M.-C., Berthiaume, C., Gardiner, P., & Béliveau, L. (2010). A Physical Activity Program Improves Behavior and Cognitive Functions in Children With ADHD. Journal of Attention Disorders, 16(1). https://doi.org/https://doi.org/10.1177/1087054710379735
- Vysniauske, R., Verburgh, L., Oosterlaan, J., & Molendijk, M. L. (2016). The Effects of Physical Exercise on Functional Outcomes in the Treatment of ADHD: A Meta-Analysis. Journal of Attention Disorders, 24(5). https://doi.org/https://doi.org/10.1177/1087054715627489
- Wigal, S. B., Emmerson, N., Gehricke, J.-G., & Galassetti, P. (2012). Exercise. Journal of Attention Disorders, 17(4). https://doi.org/https://doi.org/10.1177/1087054712454192
- Wigal, S. B., Nemet, D., Swanson, J. M., Regino, R., Trampush, J., Ziegler, M. G., & Cooper, D. M. (2003). Catecholamine Response to Exercise in Children with Attention Deficit Hyperactivity Disorder. Pediatric Research, 53(5). https://doi.org/https://doi.org/10.1203/01.pdr.0000061750.71168.23