Neurodevelopmental Disorders

Presentation Slides

Chinese Medicine Research Hub

Meta-Analysis

Acupuncture, either as an add-on or standalone treatment, improved conduct problems, learning issues, and hyperactivity symptoms in children with attention-deficit hyperactivity disorder.

2023 Medicina Acupuncture for Treating Attention Deficit Hyperactivity Disorder in Children: A Systematic Review and Meta-Analysis
Ang L, Kim JT, Kim K, Lee HW, Choi JY, Kim E, Lee MS

Chinese Medicine Research Hub

Randomised Controlled Trial

Parent-administered pediatric tuina is effective at reducing core symptoms of ADHD in preschool children and improves child appetite and sleep quality.

2022 Phytomedicine Parent-administered pediatric Tuina for attention deficit/hyperactivity disorder symptoms in preschool children: A pilot randomized controlled trial embedded with a process evaluation
Chen SC, Yu J, Wang HS, Wang DD, Sun Y, Cheng HL, Suen LKP, Yeung WF

Chinese Medicine Research Hub

Clinical Study

Consumption of pumpkin seeds enhances the nutritional status and improves the attention deficit of deaf female children exhibiting ADHD symptoms.

2021 African Journal of Biological Sciences Improvement of attention deficit hyperactive disorder for deaf female children by intake pumpkin seeds
Ataya H

Chinese Medicine Research Hub

Review Article

Omega-3 polyunsaturated fatty acids supplementation during the prenatal and perinatal period could have a protective effect on neurodevelopmental disorders including ADHD, ASD, and MDD in youth.

2020 Clinical Psychopharmacology and Neuroscience Nutritional Neuroscience as Mainstream of Psychiatry: The Evidence- Based Treatment Guidelines for Using Omega-3 Fatty Acids as a New Treatment for Psychiatric Disorders in Children and Adolescents
Chang JPC, Su KP

Chinese Medicine Research Hub

Meta-Analysis

Massage therapy proves more beneficial in improving ADHD symptoms in children and adolescents than traditional Ritalin treatment.

2019 Complementary Therapies in Medicine Massage therapy for the treatment of attention deficit/hyperactivity disorder (ADHD) in children and adolescents: A systematic review and meta-analysis
Chen SC, Yu BYM, Suen LKP, Yu J, Ho FYY, Yang JJ, Yeung WF

Chinese Medicine Research Hub

Review Article

Shu Di Huang, traditionally used in Chinese medicine, may effectively treat attention deficit hyperactivity disorder by rectifying neurodevelopmental abnormalities, neuronal apoptosis, and energy metabolism failures.

2018 Evidence-Based Complementary and Alternative Medicine The Therapeutic Effect of the Chinese Herbal Medicine, Rehmanniae Radix Preparata, in Attention Deficit Hyperactivity Disorder via Reversal of Structural Abnormalities in the Cortex
Yuan H, Yang M, Han X, Ni X

Chinese Medicine Research Hub

Review Article

Serotonin function, influenced by vitamin D and omega-3 fatty acids, plays a critical role in neuropsychiatric disorders and certain behavioral functions.

2015 The FASEB Journal Vitamin D and the omega‐3 fatty acids control serotonin synthesis and action, part 2: relevance for ADHD, bipolar disorder, schizophrenia, and impulsive behavior
Patrick RP, Ames BN

Chinese Medicine Research Hub

Systematic Review

Acupuncture might result in improvement in some outcomes in children with autism spectrum disorders.

2011 Cochrane Database of Systematic Reviews Acupuncture for autism spectrum disorders (ASD)
Cheuk DKL, Wong V, Chen WX

Executive Summary

Write an executive summary in the form of a blog article on the topic of "Research into Chinese medicine treatment for Neurodevelopmental Disorders" summarising the research below and using language that can be easily understood by patients and avoiding medical jargon using a professional and caring tone of voice.

Write an executive summary in the form of a blog article on the topic of "Researched Chinese medicine treatments for Neurodevelopmental Disorders" summarising the research below in an objective and easy to understand way, and using language that can be easily understood by patients. Group the article into Chinese medicine treatments first, followed by nutrition and other treatments. Avoid using medical jargon and use a professional and caring tone of voice.

Write me a concise but easy to understand executive summary on the topic of "Chinese medicine treatments for Neurodevelopmental Disorders" based on the following research that I will give you. Your summary should be 2 paragraphs long in Australian English spelling and include references to the studies.

A Meta-Analysis published in 2023 in the journal Medicina found that Acupuncture, either as an add-on or standalone treatment, improved conduct problems, learning issues, and hyperactivity symptoms in children with attention-deficit hyperactivity disorder. In the research, nine databases were searched extensively, covering their inceptions to July 28, 2022. Two authors independently sorted relevant studies, and a rigorous quality assessment was performed on selected studies using a well-established risk-of-bias tool for randomized trials. Features of the incorporated studies were laid out in a table, and then a thorough meta-analysis was conducted to examine the impact of acupuncture on attention-deficit hyperactivity disorder symptoms. The results derived from fourteen selected studies involving 1185 participants showcased acupuncture's efficacy in treating attention-deficit hyperactivity disorder. When used alongside conventional medicine, acupuncture had a notably positive impact on reducing conduct problems, learning difficulties, and hyperactivity symptoms. Moreover, even acupuncture in isolation helped mitigate learning issues, hyperactivity and hyperactivity impulsivity. It further exhibited superior total treatment efficacy than conventional medicine alone. Throughout the trials, no major adverse events were recorded. However, it is significant to mention that the risk of bias in these included studies raised general concerns.

A Randomised Controlled Trial published in 2022 in the journal Phytomedicine found that Parent-administered pediatric tuina is effective at reducing core symptoms of ADHD in preschool children and improves child appetite and sleep quality. This research involved a two-arm, parallel, open-label, pilot Randomized Controlled Trial, where 64 participants were assigned to two separate groups. Parents in the first group attended an online course teaching them pediatric tuina for ADHD, which they would then apply to their children at home. The second group of parents went through online training about a progressive muscle relaxation exercise and engaged in interactive physical activities with their children at home. Both groups carried out their respective interventions every other day for two month, each session lasting at least 20 minutes. The project measured the rate of recruitment, consent, participant adherence, retention and any adverse events. Upon investigation, both groups demonstrated improvements, with moderate effect size within each group. This was reflected in improvements in core hyperactivity and impulsivity symptoms. Parents also noticed positive changes in their children’s eating habits, sleep quality, and overall parent-child relationship. No serious issues were reported in relation to implementing the parent-administered pediatric tuina or from the interactive physical activity sessions.

A Clinical Study published in 2021 in the journal African Journal of Biological Sciences found that Consumption of pumpkin seeds enhances the nutritional status and improves the attention deficit of deaf female children exhibiting ADHD symptoms. This study investigated 40 deaf female children, aged between 10 and 12 years, who exhibited symptoms of attention-deficit hyperactivity disorder (ADHD). These children were selected from El Amal school for the deaf and divided into two groups; control and experimental. Various data were gathered on personal and socio-economic factors, food habits, diet history, and clinical signs, along with performing the Attention Deficit Disorder Connected with Hyperactivity for Deaf Children test. The experimental group underwent a dietary intervention, consuming 50g of magnesium and iron-rich pumpkin seeds daily over three months. The results indicated an improvement in both iron and magnesium levels within the experimental group following the dietary intervention. Notably, compared to the control group, the levels of magnesium and iron were significantly higher in the experimental group after introducing pumpkin seeds into their diet. Furthermore, on evaluating the ADHD symptoms via the Attention Deficit Disorder Connected with Hyperactivity for Deaf Children test, the experimental group showed a more substantial improvement after dietary intervention than the control group. Over time, the findings demonstrated the potential beneficial effects of consuming pumpkin seeds on the nutritional status and ADHD symptoms in the studied population.

A Review Article published in 2020 in the journal Clinical Psychopharmacology and Neuroscience found that Omega-3 polyunsaturated fatty acids supplementation during the prenatal and perinatal period could have a protective effect on neurodevelopmental disorders including ADHD, ASD, and MDD in youth. The research implemented supplementation of omega-3 polyunsaturated fatty acids also known as Omega-3 PUFAs, in different quantities and durations to youth with attention deficit hyperactivity disorder (ADHD), major depressive disorder (MDD) and autism spectrum disorder (ASD). This was carried out based on suggested dosage and duration from various randomized controlled trials and systemic literature reviews. It was observed that omega-3 PUFAs were essential nutrients not just for physical health but also for mental health, more so during the prenatal and perinatal stages of development. The results demonstrated that clinical symptoms improved in youth with ADHD, MDD and ASD after they were supplemented with Omega-3 PUFAs, especially in cases where there was high inflammation or low baseline Omega-3 index present. The research showed very promising evidence that Omega-3 PUFAs had positive effects on lethargy and hyperactivity symptoms in ASD. There was also an inclination that Omega-3 PUFAs levels and inflammation could be potential markers for treatment response in ADHD and MDD.

A Meta-Analysis published in 2019 in the journal Complementary Therapies in Medicine found that Massage therapy proves more beneficial in improving ADHD symptoms in children and adolescents than traditional Ritalin treatment. This study used a systematic review incorporating eight randomized controlled trials and three case series studies. Out of these trials, a meta-analysis of four was conducted. The pooled analysis revealed massage therapy brought about a significant improvement in ADHD symptoms. Individual trials indicated massage was significantly different from waiting, showing great improvement specifically in conditions related to anxious-passive behaviour and antisocial behaviour.

A Review Article published in 2018 in the journal Evidence-Based Complementary and Alternative Medicine found that Shu Di Huang, traditionally used in Chinese medicine, may effectively treat attention deficit hyperactivity disorder by rectifying neurodevelopmental abnormalities, neuronal apoptosis, and energy metabolism failures. Rehmanniae radix preparata, a scrophulariaceae plant that has been used for millennia for nourishing kidney-yin, essence and filling marrow in traditional Chinese medicine, has been discovered to have antioxidant, antisenescence, anti-inflammatory, and neuroprotective properties. Particularly telling is the active component, Catalpol, evidently helps elevate brain-derived neurotrophic factor and curbs neuronal apoptosis and energy metabolism failure. The results visualized with this study rest on an analysis of Rehmanniae radix preparata's effects on both mice and rats, wherein it inhibited spontaneous activity, improved learning and memory subsequent to thalamic arcuate nucleus injury, and revealed antidepressant effects. This leads us to the conclusion that the properties of Rehmanniae radix preparata align with the areas of dysfunction seen in ADHD, which exhibits hyperactivity-impulsivity and impairments in learning and memory, issues tied fundamentally to anomalies in the cortex mediated by dysfunction in neuronal development, apoptosis, and energy metabolism.

A Review Article published in 2015 in the journal The FASEB Journal found that Serotonin function, influenced by vitamin D and omega-3 fatty acids, plays a critical role in neuropsychiatric disorders and certain behavioral functions. The paper synthesizes prior research into serotonin's role in managing various brain functions and behaviours, and how its dysfunction is commonly seen in conditions like attention deficit hyperactivity disorder, bipolar disorder, schizophrenia, and impulsive behavior. The researchers then put forward potential mechanisms showing the influence of vitamin D and the marine omega-3 fatty acids, eicosapentaenoic acid and docosahexaenoic acid, on serotonin synthesis, release, and function in the brain. Serotonin in the brain is synthesized from tryptophan by tryptophan hydroxylase 2, a process that is activated by a vitamin D hormone. Possible mechanisms proposed include eicosapentaenoic acid increasing serotonin release from presynaptic neurons by lowering E2 series prostaglandins, and docosahexaenoic acid affecting serotonin receptor action by increasing cell membrane fluidity in postsynaptic neurons. The study posits that suboptimal levels of vitamin D and omega-3 fatty acids, in combination with genetic factors at key developmental stages, could lead to dysfunctional serotonin activation and function – a possible underlying mechanism behind neuropsychiatric disorders and depression. The paper suggests that optimizing vitamin D and marine omega-3 fatty acid intake could potentially curtail and modulate the severity of brain dysfunction.

A Systematic Review published in 2011 in the journal Cochrane Database of Systematic Reviews found that Acupuncture might result in improvement in some outcomes in children with autism spectrum disorders. When needle acupuncture plus conventional treatment was compared to sham acupuncture plus conventional treatment, the intervention seemed to result in better language comprehension, cognition, self‐care, social function and a higher likelihood of greater than or equal to 25% improvement in global function. Compared to conventional treatment alone, needle acupuncture plus conventional treatment might result in an overall improvement in autistic features, speech, cognition, global functioning, self‐care, sensory functioning, imitation, repetitive behaviour, and physical health. Compared to conventional treatment alone, acupressure plus conventional treatment might result in improvement in overall global functioning, communication attitude, non‐verbal communication and matching, and language and social interaction.

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