Summers Jane
McMaster Children's Hospital, Hamilton Health Sciences, Ontario, Canada.
Dev Neurorehabil. 2012;15(4):239-52. doi: 10.3109/17518423.2012.676101. Epub 2012 May 30.
To examine the impact of teaching approaches based on the principles of applied behaviour analysis (ABA) on neurodevelopmental outcomes in children with Angelman syndrome (AS).
A non-randomized pre-test-post-test control group design was used. The intervention group consisted of four children with AS aged 3.1-9.2 years. Controls were other children with AS who were individually matched on the basis of chronological age, gender and molecular sub-type. Children in the intervention group were provided two-to-three ABA-based therapy sessions per week over a 1-year period. Standardized measures of cognitive, adaptive and language functioning were administered at baseline and after 1 year.
There were no statistically significant differences between the two groups at baseline or after 1 year. However, positive trends were observed in the intervention group for some cognitive and adaptive measures.
ABA-based intervention improved aspects of neurodevelopment for some children with AS and warrants further study.
探讨基于应用行为分析(ABA)原则的教学方法对天使综合征(AS)患儿神经发育结局的影响。
采用非随机前后测对照组设计。干预组由4名年龄在3.1至9.2岁的AS患儿组成。对照组为其他AS患儿,根据实际年龄、性别和分子亚型进行个体匹配。干预组患儿在1年的时间里每周接受两到三次基于ABA的治疗。在基线和1年后进行认知、适应和语言功能的标准化测量。
两组在基线时或1年后均无统计学上的显著差异。然而,干预组在一些认知和适应测量方面观察到了积极趋势。
基于ABA的干预改善了一些AS患儿的神经发育方面,值得进一步研究。