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,
- Attention-Deficit / Hyperactivity Disorder (ADHD). Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/adhd/data.html Published September 21, 2018. Accessed September 26, 2018.
- Symptoms of ADHD. ADHD Institute. https://adhd-institute.com/assessment-diagnosis Published September 21, 2018. Accessed September 26, 2018.
- C. Verret, M. Guay, C. Berthiaume, P. Gardiner, & L. Béliveau, A Physical Activity Program Improves Behavior and Cognitive Functions in Children With ADHD, Journal Of Attention Disorders, 16(1) (2012) 71-80.
- S. Wigal, D. Nemet, J.M. Swanson, R. Regino, J. Trampush, M.G. Ziegler, & D.M. Cooper, Catecholamine response to exercise in children with attention deficit hyperactivity disorder, Pediatric Research, 53(5) (2003) 756-761.
- S. Wigal, N. Emmerson, J. Gehricke, and P. Galassetti, Exercise: Applications to Childhood ADHD, Journal of Attention Disorders, 17(4) (2012) 279-290.
- A. Poulton, Growth on stimulant medication; clarifying the confusion: a review, Archives of Disease in Childhood, 90(8) (2005) 801-806.
- G.H.H. van de Loo-Neus, N. Rommelse, & J.K. Buitelaar, To stop or not to stop? How long should medication treatment of attention-deficit hyperactivity disorder be extended?, European Neuropsychopharmacology, 21(8) (2011) 584-599.
- N. Al Ghriwati, J. Langberg, W. Gardner, J. Peugh, K. Kelleher, & R. Baum, W.B. Brinkman, P. Lichtenstein, J.F. Epstein, 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) (2017) 20-28.
- R. Vysniauske, L. Verburgh, J. Oosterlaan, M. Molendijk, The Effects of Physical Exercise on Functional Outcomes in the Treatment of ADHD: A Meta-Analysis, Journal of Attention Disorder, 24(5) (2020) 644-654.
- B. Hoza, C. Martin, A. Pirog, & E.K. Shoulberg, Using Physical Activity to Manage ADHD Symptoms:The State of the Evidence, Current Psychiatry Reports, 18(12) (2016) 113.
- B. Hoza, A.L. Smith, E.K. Shoulberg, K.S. Linnea, T.V. Dorsch, & J.A. Blazo, C.M. Alerding, G.P. McCabe, 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) (2016) 655-667.
- T. Archer, & R. Kostrzewa, Physical Exercise Alleviates ADHD Symptoms: Regional Deficits and Development Trajectory, Neurotoxicity Research, 21(2) (2011) 195-209.
- T. Portrie-Bethke, N. Hill, J. Bethke, 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) (2009) 323-337.
- Bridgeman G. Indoor (Gym) Climbing Basics. REI Co-op Journal, https://www.rei.com/learn/expert-advice/indoor-climbing.html Accessed September 3, 2018.
- M. Fend, J. Muras, J. Steffen, R. Battista, & A. Elfessi, Physiological Effects of Bouldering Activities in Upper Elementary School Students. Physical Educator, 68(4) (2011) 199-209.
- K. Kamijo, & Y. Takeda, Regular physical activity improves executive function during task switching in young adults, International Journal of Psychophysiology, 75(3) (2010) 304-311.
- J.A. Kennison, R. Watters, (1996), Therapy in the Mountains. Proceedings of the 1995 International Conference on Outdoor Recreation and Education.
- A. Tower, Get your climb on, Yoga Journal, (263) (2014) 56-63.
- M. Schram Christensen, T. Jensen, C.B. Voigt, J.B. Nielsen, J. Lorentzen, 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) (2017) 112.
- Kathryn N. Oriel, Jennifer Wood Kanupka, Adam T. Fuehrer, Kayla M. Klumpp, Katelyn N. Stoltz, Daniel W. Willey & Michael L. Decvalcante, 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) (2018) 113-126.
- Q. Ng, C. Ho, H. Chan, B. Yong, & W. Yeo, Managing childhood and adolescent attention-deficit/hyperactivity disorder (ADHD) with exercise: A systematic review, Complementary Therapies In Medicine, 34 (2017) 123-128.
- T. Tombaugh, Trail Making Test A and B: Normative data stratified by age and education, Archives of Clinical Neuropsychology, 19(2) (2004) 203-214.
- C. Reynolds, Comprehensive Trail Making Test (CTMT), Archives Of Clinical Neuropsychology, 19(5) (2004) 703-708.
- C.K. Conners, G. Sitarenios, J.D.A. Parker, J.N. Epstein, The revised Conners’ Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity, Journal of Abnormal Child Psychology, 26(4) (1998) 257–268.
- Margot Prior, Anne Leonard, Glenice Wood, A Comparison Study of Preschool Children Diagnosed as Hyperactive, Journal of Pediatric Psychology, Volume 8(2) (1983) 191–207.
- C.K. Conners, (2001). Conners rating scales-revised. Toronto: Multi-Health Systems.
- S.N. Elliott, & M.V.B. Treuting, The behavior intervention rating scale: Development and validation of a pretreatment acceptability and effectiveness measure, Journal of School Psychology, 29(1) (1991) 43-51.
- C.A. Finn, & I.E. Sladeczek, Assessing the social validity of behavioral interventions: A review of treatment acceptability measures, School Psychology Quarterly, 16(2) (2001) 176–206.
- ACSM’s Guidelines for Exercise Testing and Prescription. 9th ed. Baltimore, MD: Lippincott Williams Wilkins, 2014.