Ketcheson Leah, Hauck Janet, Ulrich Dale
1 Sunfield Center for Autism, ADHD and Behavioral Health, USA.
2 Michigan State University, East Lansing, MI, USA.
Autism. 2017 May;21(4):481-492. doi: 10.1177/1362361316650611. Epub 2016 Jun 26.
Despite evidence suggesting one of the earliest indicators of an eventual autism spectrum disorder diagnoses is an early motor delay, there remain very few interventions targeting motor behavior as the primary outcome for young children with autism spectrum disorder. The aim of this pilot study was to measure the efficacy of an intensive motor skill intervention on motor skills (Test of Gross Motor Development-2), physical activity (accelerometers), and socialization (Playground Observation of Peer Engagement) in young children with autism spectrum disorder. A total of 20 children with autism spectrum disorder aged 4-6 years participated. The experimental group ( n = 11) participated in an 8-week intervention consisting of motor skill instruction for 4 h/day, 5 days/week. The control group ( n = 9) did not receive the intervention. A repeated-measures analysis of covariance revealed statistically significant differences between groups in all three motor outcomes, locomotor ( F(1, 14) = 10.07, p < 0.001, partial η = 0.42), object control ( F(1, 14) = 12.90, p < 0.001, partial η = 0.48), and gross quotient ( F(1, 14) = 15.61, p < 0.01, partial η = 0.53). Findings shed light on the importance of including motor programming as part of the early intervention services delivered to young children with autism spectrum disorder.
尽管有证据表明,最终被诊断为自闭症谱系障碍的最早指标之一是早期运动发育迟缓,但针对自闭症谱系障碍幼儿,以运动行为作为主要干预目标的措施仍然非常少。这项试点研究的目的是衡量一项强化运动技能干预对自闭症谱系障碍幼儿运动技能(粗大运动发育测试第二版)、身体活动(加速度计)和社交能力(操场同伴互动观察)的效果。共有20名4至6岁的自闭症谱系障碍儿童参与。实验组(n = 11)参加了为期8周、每周5天、每天4小时的运动技能指导干预。对照组(n = 9)未接受干预。重复测量协方差分析显示,在所有三项运动结果上,两组之间存在统计学上的显著差异,即大肌肉动作(F(1, 14) = 10.07, p < 0.001, 偏 η = 0.42)、物体控制(F(1, 14) = 12.90, p < 0.001, 偏 η = 0.48)和总商数(F(1, 14) = 15.61, p < 0.01, 偏 η = 0.53)。研究结果揭示了将运动规划纳入为自闭症谱系障碍幼儿提供的早期干预服务的重要性。