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一项针对自闭症谱系障碍儿童的指压/针灸干预的试点观察研究。

A Pilot Observational Study of an Acupressure/Acupuncture Intervention in Children with Autism Spectrum Disorder.

作者信息

Warren Lana R, Rao Patricia A, Paton David C

机构信息

1 Clinical Programs, Kennedy Krieger Institute , Baltimore, MD.

2 Center for Autism and Related Disorders, Kennedy Krieger Institute , Baltimore, MD.

出版信息

J Altern Complement Med. 2017 Nov;23(11):844-851. doi: 10.1089/acm.2016.0257. Epub 2017 May 22.

DOI:10.1089/acm.2016.0257
PMID:28530441
Abstract

OBJECTIVES

To determine whether children with autism spectrum disorder (ASD) would tolerate an acupressure/acupuncture intervention and whether parents would adhere to a twice-weekly, 8-week intervention protocol. Second, to further understand best measures to use to capture impact of intervention on behavioral and regulatory functions.

DESIGN

This is an observational pilot study with pre-, mid-, and postintervention measures.

SETTINGS/LOCATION: The intervention was carried out in a private practice office in a large metropolitan area.

SUBJECTS

A total of 10 children of ages 3-10 years with ASD and one of their parents participated.

INTERVENTIONS

A total of 16 biweekly treatment sessions of acupressure and/or acupuncture were carried out by a licensed acupuncturist, and a daily home-based acupressure intervention was carried out by a parent.

OUTCOME MEASURES

Attendance, tolerance of intervention, parent compliance with home program, and parent compliance in completing daily diary and five standardized measures of behavioral and regulatory functions pre-, mid-, and postintervention were recorded.

RESULTS

The 10 children in this observational study, collectively, tolerated the intervention and parents adhered to the 16 sessions, biweekly protocol, and home protocol, as well as completing daily diary and five standardized measures at three different time intervals. The five measurements appeared to be sensitive to behavioral and regulatory functions that may improve with this type of intervention.

CONCLUSIONS

The results of this observational pilot study suggest that acupressure/acupuncture is a feasible intervention for children with ASD that merits rigorous evaluation through a randomized controlled trial.

摘要

目的

确定自闭症谱系障碍(ASD)儿童是否能耐受指压/针灸干预,以及家长是否会坚持每周两次、为期8周的干预方案。其次,进一步了解用于评估干预对行为和调节功能影响的最佳测量方法。

设计

这是一项采用干预前、干预中期和干预后测量的观察性试点研究。

地点

干预在一个大城市的私人诊所进行。

受试者

共有10名3至10岁的ASD儿童及其一名家长参与。

干预措施

由一名持牌针灸师进行总共16次每两周一次的指压和/或针灸治疗,家长进行每日家庭指压干预。

观察指标

记录出勤情况、对干预的耐受性、家长对家庭方案的依从性、家长完成每日日记的依从性,以及干预前、干预中期和干预后行为和调节功能的五项标准化测量指标。

结果

在这项观察性研究中的10名儿童总体上耐受了干预,家长坚持了16次每两周一次的方案、家庭方案,以及在三个不同时间间隔完成每日日记和五项标准化测量。这五项测量似乎对可能因这种干预而改善的行为和调节功能敏感。

结论

这项观察性试点研究的结果表明,指压/针灸对ASD儿童是一种可行的干预措施,值得通过随机对照试验进行严格评估。

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