PLAY SKILLS AND DEVELOPMENTAL TRAJECTORY IN PRESCHOOL CHILDREN WITH MILD TO MODERATE AUTISM SPECTRUM DISORDERS

Shailaja Jaywant, Tushika Ganesh, Hrucha Samir Varadkar, Ashwini Maruti Ghode, Priya Ingale
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Abstract

Autism Spectrum Disorder (ASD) is characterized by decits in social interaction, impaired communication abilities, restricted and repetitive behaviors and reduced interest and engagement in social activities, all of which impact their developmental and play skills. The purpose of this study was to observe the play skills and developmental trajectory, as well as to explore their correlation, among children diagnosed with mild to moderate ASD. The play abilities of twenty preschool children, with ages ranging from 2 to 6 years, who have been diagnosed with mild to moderate Autism Spectrum Disorder, were assessed using the Knox Preschool Play scale. The assessment of developmental trajectory was conducted utilizing the Ages & Stages Questionnaire-III (ASQIII). The relationship between them was examined through the application of the Pearson correlation test. The play skills affected to moderate level scores ranging from -0.47 to 0.75 out of maximum score 2 and the developmental domains such as communication, ne motor skills, problem solving abilities & personal social development showed moderate to severe involvement scoring between 8.75 to 28.36 out of maximum score of 60 in each domain. Space and Material Management displayed a moderate level of impairment. There is a notable impairment in both participation and pretense/symbolic play. The impact on the development of personal social skills and problem-solving abilities was notable when compared to children with typical development. This suggests a deviation from the usual trajectory of overall development and play capabilities. Researchers have noted a moderate positive correlation between material management and the development of both ne motor skills and problem-solving ability. Participation has been observed to exhibit a similar correlation with ne motor skills. The signicance of executive functions, planning, and ne motor development in the development of play skills is emphasized by these ndings, suggesting the necessity of Occupational Therapy intervention for child development.
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轻度至中度自闭症谱系障碍学龄前儿童的游戏技能和发展轨迹
自闭症谱系障碍(ASD)的特点是社交互动失,沟通能力受损,行为受限和重复,对社交活动的兴趣和参与度降低,所有这些都会影响他们的发展和游戏技能。本研究旨在观察被诊断为轻度至中度自闭症谱系障碍的儿童的游戏技能和发展轨迹,并探讨它们之间的相关性。研究使用诺克斯学前游戏量表(Knox Preschool Play scale)对 20 名年龄在 2-6 岁之间、被诊断为轻度至中度自闭症谱系障碍的学龄前儿童的游戏能力进行了评估。年龄与阶段问卷-III(ASQIII)对发育轨迹进行了评估。游戏技能受影响程度为中度,得分介于-0.47至0.75(最高分2分)之间,而沟通、,运动技能、解决问题能力和个人社交发展等发展领域受影响程度为中度至重度,每个领域的得分介于8.75至28.36(最高分60分)之间。空间和材料管理受影响程度为中度。空间和材料管理表现出中度障碍,参与和意义/象征性游戏都有明显的障碍。与发育正常的儿童相比,他们的个人社交能力和解决问题的能力的发展受到了明显的影响。这表明他们的整体发展和游戏能力偏离了正常轨迹。研究人员注意到,材料管理与  运动技能和解决问题能力的发展之间存在适度的正相关。据观察,参与也与 ne 运动技能表现出类似的相关性。这些,强调了执行功能、计划和ne 运动技能发展在游戏技能发展中的重要,表明职业疗法干预对儿童发展的必要性。
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