基本运动技能干预对孤独症谱系障碍儿童运动障碍的康复效果分析  

Rehabilitation Effect of Basic Motor Skills Intervention on Motor Disorders in Children with Autism Spectrum Disorders

作　　者：熊英[1] 阳伟红[1] 欧阳云[1] 胡继红[1] XIONG Ying;YANG Wei-hong;OUYANG Yun(Hunan Children's Hospital,Changsha,Hunan,410007)

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《医学临床研究》2021年第12期1833-1836,共4页Journal of Clinical Research

摘　　要：【目的】探讨基本运动技能干预对孤独症谱系障碍(ASD)儿童运动障碍的康复效果。【方法】选取2018年11月至2021年1月在本院就诊的4~12岁ASD患儿100例,按随机数表法分为观察组和对照组,每组50例。对照组采用ASD常规治疗,并针对主要症状进行日常康复训练,观察组在对照组的基础上给予针对性的基本运动技能干预。干预前后采用粗大运动发育测试评估ASD患儿运动功能,采用操场同伴参与观察量表评估观察组ASD患儿社交技能改善情况,采用孤独症行为量表(Autism behavior checklist,ABC)评估两组患儿症状。【结果】干预前,两组患儿移动技能、运动控制技能评分及总分比较差异无统计学意义(P>0.05);干预后,观察组移动技能、运动控制技能评分及总分较干预前显著增高(P<0.05),且显著高于对照组(P<0.05)。与第1周比较,观察组干预第10周后孤独、旁观评分显著降低(P<0.05),联合参与评分显著升高(P<0.05),但接近、平行、平行感知及有规则的游戏等社交互动状态评分比较差异无统计学意义(P>0.05)。观察组患儿干预后ABC总分及各因子评分均显著低于干预前(P<0.05),且观察组患儿干预后躯体运动因子、社会交往因子、ABC总分均显著低于对照组,其差异均有统计学意义(P<0.05)。【结论】基本运动技能干预干预可显著改善ASD患儿的运动技能,并对ASD患儿的社交能力和临床症状有积极作用。【Objective】To explore the rehabilitation effect of basic motor skills intervention on motor disorders in children with autism spectrum disorder(ASD).【Methods】A total of 100 children with ASD aged 4~12 who were treated in our hospital from November 2018 to January 2021 was randomly divided into observation group and control group,with 50 cases in each group.The control group received routine treatment of ASD and daily rehabilitation training according to the main symptoms.The observation group was given targeted basic motor skills intervention on the basis of the control group.Before and after the intervention,the gross motor development test was used to evaluate the motor function of ASD children,and the playground peer participation observation scale was used to evaluate the improvement of social skills of ASD children in the observation group,The autistic behavior checklist(ABC)was used to evaluate the symptoms of children in the two groups.【Results】There was no significant difference in the scores and total scores of motor skills and motor control skills between the two groups before the intervention(P>0.05);after the intervention,the scores and total scores of motor skills and motor control skills in the observation group were significantly higher than those before the intervention(P<0.05).Compared with the first week,the scores of loneliness and bystander in the observation group decreased significantly after the 10th week of intervention(P<0.05),and the scores of joint participation increased significantly(P<0.05),but there was no significant difference in the scores of social interaction states such as proximity,parallel,parallel perception and regular games(P>0.05).After the intervention,the total score of ABC and the scores of each factor in the observation group were significantly lower than those before the intervention(P<0.05),and the total scores of body movement factor,social communication factor and ABC in the observation group were significantly lower than those in the control group.�

关 键 词：孤独性障碍 运动障碍/并发症 医院 康复 儿童 

分 类 号：R395.3[哲学宗教—心理学]