创意运动、一般运动或坐姿游戏干预对自闭症谱系障碍儿童运动表现的影响:随机对照试验

IF 2.2 4区 医学 Q1 EDUCATION, SPECIAL Research in Autism Spectrum Disorders Pub Date : 2024-10-30 DOI:10.1016/j.rasd.2024.102501
W.C. Su , S. Srinivasan , A.N. Bhat
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引用次数: 0

摘要

背景患有 ASD 的儿童面临着巨大的粗大运动挑战,这些挑战可以通过运动干预措施来解决。方法在目前的试验性研究中,我们评估了两种全身运动干预(创造性运动(CM)或一般运动(GM))后各种运动结果(即粗/细运动协调、运动技能、功能耐力和练习/模仿表现)的变化,并将它们与专注于改善 ASD 儿童精细运动技能的静坐游戏(SP)干预进行了比较。45名患有ASD的儿童(平均年龄±SE:8.7±0.3,38名男性)被随机分配到CM组、GM组或SP组,并接受了为期8周的特定组别训练。结果CM组和GM组的干预措施都使儿童的粗大运动表现得到了中到大的改善,包括身体协调性、力量/敏捷性、运动技能和行走耐力的提高。此外,CM 组的儿童还在练习表现方面取得了中等至较大的进步,而 SP 组的儿童则在精细动作表现方面取得了进步。结论研究人员和临床医生应将针对粗大运动技能的全身干预纳入自闭症儿童的护理计划中。
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Effects of creative movement, general movement, or seated play interventions on motor performance in children with autism spectrum disorder: A pilot randomized controlled trial

Background

Children with ASD experience significant gross motor challenges that could be addressed using motor interventions. However, contemporary ASD interventions that are sedentary in nature often target communication and fine motor skills and not children’s gross motor difficulties.

Methods

In the current pilot RCT, we evaluated changes in various motor outcomes (i.e., gross/fine motor coordination, locomotor skills, functional endurance, and praxis/imitation performance) following two types of whole-body motor interventions (Creative Movement (CM) or General Movement (GM)) and compared them to a Sedentary Play (SP) intervention focused on improving fine motor skills in children with ASD. Forty-five children with ASD (Mean Age ±SE: 8.7 ± 0.3, 38 males) were randomly assigned to the CM, GM, or SP groups and received 8 weeks of group-specific training.

Results

Both CM and GM interventions led to medium-to-large improvements in gross motor performance, including improved body coordination, strength/agility, locomotor skills, and walking endurance. Children in the CM group additionally showed medium-to-large-sized improvements in praxis performance, while children in the SP group showed improvements in fine motor performance. These training-related improvements were supported by improvements reported via parental questionnaires.

Conclusions

Researchers and clinicians should incorporate whole-body interventions targeting gross motor skills in the plan of care for children with ASD.
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来源期刊
CiteScore
4.20
自引率
8.00%
发文量
108
期刊介绍: Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.
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