Middle school children who cannot sit still in class and have frequent fidgeting can be improved by adjusting the learning environment, cultivating concentration training, establishing behavioral contracts, conducting sensory integration training, and psychological intervention if necessary. This type of behavior is often related to factors such as immature attention development, insufficient classroom attractiveness, sensory dysregulation, inappropriate parenting styles, and potential neurodevelopmental differences.

1. Adjust the learning environment
Reduce the placement of desk clutter and use soundproof earplugs to reduce environmental interference. Negotiate with the teacher to adjust the seat to the central area of the front row, avoiding distracting positions such as doors and windows. Classrooms can use warm toned lighting to avoid direct exposure to fluorescent lights. Prepare compliant small tools such as stress relieving grippers or silent fingertip gyroscopes to replace unconscious fidgeting.
2. Concentration Training
Perform 15 minutes of mindfulness breathing exercises every day, using an hourglass timer to cultivate time perception. Using the tomato work method to break down learning tasks into 25 minute units, combined with a timer to enhance focused rhythm. Enhance attention span through visual tracking games such as Schulte Grid and Find Different. When reading with parents, interactive questioning is used to maintain cognitive activity.
3. Conduct Contract Development
Agree with the child on classroom behavior goals, such as raising hands no more than 3 times per class. Using a token system to record compliance, accumulate 10 tokens to redeem for reasonable rewards. Avoid using general criticism and describe in detail the behavior that needs improvement. Hold weekly family meetings to review progress and keep behavioral observation records for tracking changes.

4. Sensory integration training intervention
Daily vestibular sensory training such as balance beam walking and rotating chair games. Tactile desensitization can be achieved through finger pressure walking, brush massage, and other methods. Coordinated exercises such as skipping rope, basketball dribbling, etc. are arranged for large muscle groups. It is recommended to engage in proprioceptive activation activities such as wall pushing exercises or squats and jumps during break time to help improve body perception ability.
5. Professional psychological assessment
shows no improvement for 6 months and requires standardized attention testing to rule out attention deficit hyperactivity disorder. Psychological counseling can use cognitive-behavioral therapy to improve impulse control, and sandplay therapy can help with emotional expression. Sensory integration assessment can detect specific sensory channel abnormalities, and if necessary, cooperate with EEG biofeedback training. Schools can apply for personalized education plans to adjust their academic requirements. Parents need to maintain patience in observing the needs behind their behavior and avoid labeling accusations. Ensure sufficient sleep and protein intake daily, and reduce the intake of high sugar snacks. Arrange outdoor activities such as hiking or swimming to release energy on weekends, establish a regular schedule, and strengthen biological rhythms. Maintain communication and collaboration with teachers, regularly review the effectiveness of intervention plans, and seek professional support from school psychologists when necessary. Pay attention to discovering children's strengths and abilities in fields such as art and sports, and enhance self-control motivation through successful experiences.

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