Trastorno del espectro autista

  • 文章类型: Systematic Review
    背景:沟通和语言技能是自闭症谱系障碍(ASD)患者受影响最严重的领域之一。当被诊断患有ASD的孩子生活在双语环境中时,父母经常担心他们的孩子是否应该同时学习两种语言,向专家寻求建议。尽管缺乏任何负面影响的证据,一些专业人士在这个问题上意见不一。在这篇系统综述中,我们研究了双语是否会影响ASD儿童的语言发展。
    方法:我们回顾了在4个不同数据库中发表的文献。应用一系列选择标准后,我们选择了12篇科学文章,包括328名被诊断患有ASD的儿童(169名双语和159名单语),年龄从3到12岁不等。使用涵盖多个领域的不同接受和表达性语言评估工具对这些患者进行了评估。评估是直接对孩子们进行的,尽管在一些研究中也对父母进行了间接评估.
    结论:关于双语不会给3岁以下ASD儿童的语言发展带来任何额外困难的说法,似乎已经达成共识。
    BACKGROUND: Communication and language skills are among the most severely affected domains in individuals with autistic spectrum disorder (ASD). When a child diagnosed with ASD lives in a bilingual environment, the parents often express concerns about whether their child should learn both languages simultaneously, turning to specialists for advice. Despite the lack of evidence of any negative effect, some professionals disagree on this subject. In this systematic review we study whether bilingualism affects language development in children with ASD.
    METHODS: We reviewed the literature published in 4 different databases. After applying a series of selection criteria, we selected 12 scientific articles, including a total of 328 children diagnosed with ASD (169 bilingual and 159 monolingual), with ages ranging from 3 to 12 years. These patients were evaluated with different receptive and expressive language assessment instruments covering several areas. The assessments were performed directly on the children, although indirect assessment of parents was also performed in some studies.
    CONCLUSIONS: There seems to be consensus regarding the assertion that bilingualism does not entail any additional difficulty for language development in children with ASD from the age of 3.
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  • 文章类型: Systematic Review
    自闭症谱系障碍(ASD)具有不同的特征,对社会产生影响,交流和感觉运动(SM)水平。SM特征是姿势控制(PC)问题。有各种运动干预策略(MIS),但相对于LC的好处是没有被广泛分析的。目的是在ASD儿童和青少年的PC上描述MIS及其结果。搜索PubMed,Scopus,进行了WebofScience和Cochrane。共有8篇文章符合资格标准。所有MIS对PC的改进均显示出有益的结果。管理信息系统性质各异(舞蹈练习,个性化的身体活动,视频游戏,太极拳,跆拳道和虚拟现实)。有必要改进设计并考虑偏差的风险,因为它们限制了结果的范围。
    Autism spectrum disorder (ASD) has varied characteristics with an impact at the social, communicative and sensorimotor (SM) level. An SM feature is postural control (PC) problems. There are various motor intervention strategies (MIS), but the benefit over LC is something that has been analyzed less extensively. The objective was to describe the MIS and its results on the PC of children and adolescents with ASD. A search of PubMed, Scopus, Web of Science and Cochrane was performed. A total of eight articles met the eligibility criteria. All MIS showed beneficial results on the improvement of PC. The MIS were of a varied nature (dance practice, personalized physical activity, video games, Tai Chi Chuan, Taekwondo and virtual reality). It is necessary to improve the designs and consider the risks of bias, since they limit the scope of the results.
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  • 文章类型: Journal Article
    背景:沟通和语言技能是自闭症谱系障碍(ASD)患者受影响最严重的领域之一。当被诊断患有ASD的孩子生活在双语环境中时,父母经常担心他们的孩子是否应该同时学习两种语言,向专家寻求建议。尽管缺乏任何负面影响的证据,一些专业人士在这个问题上意见不一。在这篇系统综述中,我们研究了双语是否会影响ASD儿童的语言发展。
    方法:我们回顾了在4个不同数据库中发表的文献。应用一系列选择标准后,我们选择了12篇科学文章,包括328名被诊断患有ASD的儿童(169名双语和159名单语),年龄从3到12岁不等。使用涵盖多个领域的不同接受和表达性语言评估工具对这些患者进行了评估。评估是直接对孩子们进行的,尽管在一些研究中也对父母进行了间接评估.
    结论:关于双语不会给3岁以下ASD儿童的语言发展带来任何额外困难的说法,似乎已经达成共识。
    BACKGROUND: Communication and language skills are among the most severely affected domains in individuals with autistic spectrum disorder (ASD). When a child diagnosed with ASD lives in a bilingual environment, the parents often express concerns about whether their child should learn both languages simultaneously, turning to specialists for advice. Despite the lack of evidence of any negative effect, some professionals disagree on this subject. In this systematic review we study whether bilingualism affects language development in children with ASD.
    METHODS: We reviewed the literature published in 4 different databases. After applying a series of selection criteria, we selected 12 scientific articles, including a total of 328 children diagnosed with ASD (169 bilingual and 159 monolingual), with ages ranging from 3 to 12 years. These patients were evaluated with different receptive and expressive language assessment instruments covering several areas. The assessments were performed directly on the children, although indirect assessment of parents was also performed in some studies.
    CONCLUSIONS: There seems to be consensus regarding the assertion that bilingualism does not entail any additional difficulty for language development in children with ASD from the age of 3.
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  • 文章类型: Journal Article
    In recent years, there has been an increase in studies of the implications of the gut microbiota (GM) in children with autism spectrum disorder (ASD). There is a hypothesis which propose a relationship between the emotional state and the abundance of intestinal microbes through the so-called microbiota-intestine-brain axis. In this sense, dysbiotic GM could be a contributing factor to the appearance of ASD. This systematic review article analyzes the results of the intervention using prebiotics (carrot powder, vitamin A, partially hydrolyzed guar gum, galactooligosaccharides, etc.), probiotics (mainly: Lactobacillus, Bifidobacterium, etc.) and transplantation of fecal microbiota in ASD children. In conclusion, the results of the initial studies suggest changes in ASD symptoms, gastro-intestinal symptoms and GM composition after the interventions. However, the results should be taken with caution because there are very few studies that analyze the efficacy of long-term treatments and the different combinations of them.
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