Purpura Giulia, Fulceri Francesca, Puglisi Vittoria, Masoni Patrizia, Contaldo Annarita
IRCCS Stella Maris Foundation, Pisa, Italy.
IRCCS Stella Maris Foundation, Pisa, Italy -
Minerva Pediatr. 2020 Feb;72(1):22-29. doi: 10.23736/S0026-4946.16.04633-8. Epub 2016 Oct 12.
Some research suggests that children with autism spectrum disorder (ASD) experience diverse motor difficulties that appear closely related to the severity of symptomatology, including repetitive behaviors. Therefore, motor assessment in ASD has crucial relevance in order to plan a specific intervention. The aim of this study is to assess and describe the motor functioning in school-aged children with ASD and to evaluate the relationship between their motor profile and clinical features.
The Movement Assessment Battery for Children - second edition (M-ABC2) Checklist was administered to twenty children with ASD, aged between 5 and 13.5 years. The motor profile of the sample was analyzed and then the relationship between the motor functioning and the clinical characteristics of subjects (age, treatment duration, intellectual functioning and repetitive behaviors) was investigated.
Seventy percent of our sample has motor difficulties, especially in aiming and catching skills, balance and manual dexterity. Poorer performance was related to a higher frequency and intensity of repetitive and stereotyped behaviors.
Motor difficulties in children with ASD affect specific skills that imply the ability to integrate the perception with the action for anticipating and controlling the movement in a well-coordinated way. This result, along with the finding of an increased severity of repetitive and stereotyped behaviors in these children, emphasizes the close link between motor and "core" symptoms in ASD.
一些研究表明,患有自闭症谱系障碍(ASD)的儿童存在多种运动困难,这些困难似乎与症状的严重程度密切相关,包括重复行为。因此,ASD中的运动评估对于规划特定干预措施至关重要。本研究的目的是评估和描述学龄期ASD儿童的运动功能,并评估他们的运动特征与临床特征之间的关系。
对20名年龄在5至13.5岁之间的ASD儿童进行了儿童运动评估量表第二版(M-ABC2)清单测试。分析了样本的运动特征,然后研究了运动功能与受试者临床特征(年龄、治疗时间、智力功能和重复行为)之间的关系。
我们样本中的70%存在运动困难,尤其是在目标瞄准和接球技能、平衡和手动灵活性方面。较差的表现与重复和刻板行为的较高频率和强度有关。
ASD儿童的运动困难影响特定技能,这些技能意味着将感知与行动整合以协调地预测和控制运动的能力。这一结果,连同这些儿童重复和刻板行为严重程度增加的发现,强调了ASD中运动与“核心”症状之间的紧密联系。