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  Česky / Czech version Čes. a slov. Psychiat., 99, 2003, No. 6, pp. 317 - 323.
 
Effect of Alternative Therapeutic Procedures in Children with ADHD 
Drtílková I. 

Psychiatrická klinika LF MU a FN, Brno, přednosta prof. MUDr. E. Češková, CSc.
 


Summary:

       Some alternative treatments proved to be effective or possibly effective in ADHD, but mostly in certain subgroups of restricted etiology. The efficiency of oligoantigenic or restricted diet was convincing in multicentric double-blind studies, but only is strictly selected subgroups. Glyconutritional supplements, chromium and magnesium supplementation, the use of Chinese herbs, EEG biofeedback, mirror feedback and vestibular stimulation provided promising prospective data. Laser acupuncture offered promising, but not yet published pilot data. The supplementation of essential fatty acids offered stimulating results only in systemic case reports, but the studies are not unequivocal. Efficiency was not proved in three controlled studies oriented on the effect of vitamin megadoses and the risk of such treatment is pointed out. A simple restriction of sugar and hypnosis are apparently without effect. The treatment with thyroidal preparations is effective only in such cases, if thyroidal abnormities are established, but not in other cases. Although most alternative treatments may not necessarily be more dangerous than the standard treatment, the main risk lays in the delay of efficient therapy, if alternative procedures prove to be ineffective.

        Key words: ADHD, hyperkinetic disorder, alternative treatment, scientific value, children.
       

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