Hannant Penelope, Tavassoli Teresa, Cassidy Sarah
Centre for Research in Psychology, Behaviour and Achievement, Coventry University , Coventry , UK.
Seaver Autism Centre, Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Front Neurol. 2016 Aug 10;7:124. doi: 10.3389/fneur.2016.00124. eCollection 2016.
In addition to difficulties in social communication, current diagnostic criteria for autism spectrum conditions (ASC) also incorporate sensorimotor difficulties, repetitive motor movements, and atypical reactivity to sensory input (1). This paper explores whether sensorimotor difficulties are associated with the development and maintenance of symptoms in ASC. First, studies have shown difficulties coordinating sensory input into planning and executing movement effectively in ASC. Second, studies have shown associations between sensory reactivity and motor coordination with core ASC symptoms, suggesting these areas each strongly influence the development of social and communication skills. Third, studies have begun to demonstrate that sensorimotor difficulties in ASC could account for reduced social attention early in development, with a cascading effect on later social, communicative and emotional development. These results suggest that sensorimotor difficulties not only contribute to non-social difficulties such as narrow circumscribed interests, but also to the development of social behaviors such as effectively coordinating eye contact with speech and gesture, interpreting others' behavior, and responding appropriately. Further research is needed to explore the link between sensory and motor difficulties in ASC and their contribution to the development and maintenance of ASC.
除了社交沟通方面的困难外,目前自闭症谱系障碍(ASC)的诊断标准还包括感觉运动困难、重复性运动动作以及对感觉输入的非典型反应(1)。本文探讨感觉运动困难是否与ASC症状的发展和维持有关。首先,研究表明,在ASC患者中,将感觉输入有效地协调到动作规划和执行过程存在困难。其次,研究表明感觉反应性和运动协调性与ASC核心症状之间存在关联,这表明这些方面均对社交和沟通技能的发展有强烈影响。第三,研究已开始证明,ASC患者的感觉运动困难可能是导致其在发育早期社会关注度降低的原因,并对后期的社交、沟通和情感发展产生连锁效应。这些结果表明,感觉运动困难不仅导致诸如兴趣范围狭窄等非社交方面的困难,还影响诸如有效地将眼神交流与言语和手势相协调、解读他人行为以及做出适当反应等社交行为的发展。需要进一步研究以探索ASC患者感觉和运动困难之间的联系及其对ASC发展和维持的作用。