■自闭症谱系障碍(ASD)是一种在社交互动中具有独特差异的神经发育状况,通信,和一系列行为特征。在过去,由于主要关注社交和沟通问题,因此ASD患者的运动障碍并未被认为是重大的核心缺陷。然而,最近的研究表明,运动障碍确实与ASD的基本症状有关。由于对ASD儿童运动行为的研究有限,尤其是在中国,这项研究的目的是调查ASD儿童的基本运动技能(FMS)的发展,并将其与典型的发育儿童进行比较。
■这项研究招募了108名患有自闭症的儿童(87名男孩,来自武汉两个特殊教育康复中心的21名女孩),年龄在7-10岁之间,中国。为了比较,一个由108个典型发育中的儿童组成的对照组,年龄和性别相匹配,是从当地三所小学随机挑选的。使用儿童运动评估电池-第二版(MABC-2)评估FMS,评估手动灵活性,瞄准和捕捉,以及静态和动态平衡。使用描述性统计和Mann-WhitneyU检验分析MABC-2百分位数得分的组差异。为了实际意义,还计算了效应大小。
■研究结果表明,绝大多数,80%左右,ASD儿童要么表现出运动障碍,要么有发展这种延迟的风险。当与他们典型的发展中的同龄人相比时,ASD儿童在手灵活性方面得分明显较低,球技,以及静态和动态平衡(所有这些发现在p<0.001时具有统计学意义)。有趣的是,性别对这些结果没有显着影响(p>0.05)。
■除了解决ASD诊断手册中概述的其他技能发展领域外,诊断和治疗ASD儿童的临床医生还应评估是否存在运动技能发展。对于患有自闭症的个体来说,他们有共存的运动困难,提供适合其具体需求的循证干预措施至关重要.
UNASSIGNED: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with unique differences in social interaction, communication, and a spectrum of behavioral characteristics. In the past, motor disturbance in individuals with ASD has not been considered a significant core deficit due to the predominant focus on sociability and communication issues. However, recent studies indicate that motor deficits are indeed associated with the fundamental symptoms of ASD. As there is limited research on the motor behavior of children with ASD, particularly in China, the objective of this study is to investigate the development of fundamental movement skills (FMS) in children with ASD and compare them to typically developing children.
UNASSIGNED: The study recruited 108 children with ASD (87 boys, 21 girls) aged 7-10 years from two special education rehabilitation centers in Wuhan, China. For comparison, a control group of 108 typically developing children, matched by age and gender, was randomly selected from three local primary schools. FMS were assessed using the Movement Assessment Battery for Children - Second Edition (MABC-2), which evaluates manual dexterity, aiming and catching, as well as static and dynamic balance. Group differences on MABC-2 percentile scores were analyzed using descriptive statistics and Mann-Whitney U test. Effect sizes were also calculated for practical significance.
UNASSIGNED: Findings from the study showed that a significant majority, around 80%, of children with ASD either displayed motor challenges or were at risk of developing such delays. When comparing to their typically developing peers, children with ASD scored notably lower in areas of manual dexterity, ball skills, and both static and dynamic balance (with all these findings being statistically significant at p < 0.001). Interestingly, gender did not show a significant influence on these results (p > 0.05).
UNASSIGNED: In addition to addressing the other skill development areas outlined in the diagnostic manual for ASD, clinicians diagnosing and treating children with ASD should also assess the presence of motor skill development. For individuals with ASD who have co-existing motor difficulties, it is essential to offer evidence-based interventions tailored to their specific needs.