Altemeier William A, Altemeier Leah E
University of Missouri School of Medicine, USA.
Pediatr Ann. 2009 Mar;38(3):167-70, 172. doi: 10.3928/00904481-20090301-01.
Autism spectrum disorder is 90% genetic but responds dramatically to intensive early training. Recent reports indicate many of the genetic variations associated with ASD involve activity-dependent regulation in the brain, or synapse development that depends on postnatal learning and experience. Intensive training can apparently overcome the effects of these genetic variations, but this should be started as early as 12 months of age for best results. The proposed reason is the decline in brain plasticity after about 6 years. In addition, the problems caused by ASD may cascade on a trajectory toward full expression of the disorder, making it important to interrupt this sequence before it builds. The possibility of reopening plasticity to increase effectiveness of intervention later in life is discussed.
自闭症谱系障碍90%由基因决定,但对早期强化训练反应显著。最近的报告表明,许多与自闭症谱系障碍相关的基因变异涉及大脑中依赖活动的调节,或依赖出生后学习和经验的突触发育。强化训练显然可以克服这些基因变异的影响,但为了获得最佳效果,应在12个月大时尽早开始。提出的原因是大约6岁后脑可塑性下降。此外,自闭症谱系障碍引起的问题可能会在疾病完全表现的轨迹上层层递进,因此在其形成之前中断这一序列很重要。本文还讨论了在生命后期重新开启可塑性以提高干预效果的可能性。