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1年行为干预后患有天使综合征儿童的神经发育结局

Neurodevelopmental outcomes in children with Angelman syndrome after 1 year of behavioural intervention.

作者信息

Summers Jane

机构信息

McMaster Children's Hospital, Hamilton Health Sciences, Ontario, Canada.

出版信息

Dev Neurorehabil. 2012;15(4):239-52. doi: 10.3109/17518423.2012.676101. Epub 2012 May 30.

Abstract

OBJECTIVE

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).

METHODS

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.

RESULTS

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.

CONCLUSION

ABA-based intervention improved aspects of neurodevelopment for some children with AS and warrants further study.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

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