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Balance-based Attentive Rehabilitation of Attention Networks (BARAN) improves executive functions and ameliorates behavioral symptoms in children with ADHD [with consumer summary]
Nejati V
Complementary Therapies in Medicine 2021 Aug;60:102759
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Balance as a motor activity requires integrating different sensory information to maintain the center of gravity above the base of support through proper motor strategies in the light of cognitive processing. METHODS: In the present study, twenty-nine children with attention deficit- hyperactivity disorder (ADHD) were recruited in a random clinical trial design in two intervention and active control groups. The N-Back, Wisconsin Card Sorting, Go/No-Go tasks, and Conners' Teacher and Parent Rating Scales were performed in baseline, post-intervention, and follow-up sessions. The intervention group received Balance-based Attentive Rehabilitation of Attention (BARAN), and the active control group received aerobic exercise and running in 12 to 15 sessions. RESULTS: BARAN improves working memory (p < 0.05), cognitive flexibility (p < 0.01), and inhibitory control (p < 0.05) and ameliorates ADHD symptoms at home (p < 0.01) and school (p < 0.05). CONCLUSION: Dual-balance and cognitive tasks improve executive functions and ameliorate symptoms in children with ADHD.

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