ObjectiveTo explore the improvement effects of vestibular function training combined with repetitive transcranial magnetic stimulation (rTMS) on core symptoms, sensory integration abilities, and executive function in children with attention deficit and hyperactive disorder (ADHD). MethodsA total of 98 ADHD children were randomly divided into training group (n=30), rTMS group (n=32), or combination group (n=36), and they received simple vestibular function training, simple rTMS, and vestibular function training combined with rTMS, respectively. The pre-treatment and 6-week post-treatment scores of Swanson, Nolan, and Pelham Scale in Version Ⅳ (SNAP-Ⅳ), Wechsler Intelligence Scale for Children-Fourth Edition (WISC-Ⅳ), and sensory integration assessment scale were compared between children of the three groups. ResultsAfter 6 weeks of treatment, the combination group exhibited superior scores of various factors of SNAP-Ⅳ, 4 tests of WISC-Ⅳ, and of sensory integration assessment scale to compared with before treatment, as well as superior scores of various factors of SNAP-Ⅳ, reckoning test and orderly recited digit span test of WISC-Ⅳ, and tactile defense dimension of sensory integration assessment scale to compare with the remaining two groups; furthermore, the combination group yielded superior scores of reversely orderly recited digit span test and decoding test of WISC-Ⅳ, as well as vestibular balance dimension and proprioceptive dimension of sensory integration assessment scale to compare with the training group (P＜0.05). ConclusionVestibular function training combined with rTMS can effectively alleviate ADHD children′s core symptoms of oppositional defiance, attention deficit, and hyperactivity/impulse, etc., improve their vestibular balance, proprioceptive ability, partial executive functions, and the effects are superior to simple vestibular function training or rTMS.

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