Lee Seunghoon, Won Jinyoung, Park Sookyoung, Lee Sang-Rae, Chang Kyu-Tae, Kim Joo-Heon, Hong Yonggeun
Department of Rehabilitation Science, Graduate School of Inje University, Republic of Korea.
u-Healthcare & Anti-aging Research Center (u-HARC), Republic of Korea.
J Phys Ther Sci. 2017 Apr;29(4):760-762. doi: 10.1589/jpts.29.760. Epub 2017 Apr 20.
[Purpose] The purpose of the present review is to discuss recent published articles in the understanding of efficacy of interventional exercise on autistic Fragile X syndrome (FXS) with special emphasis on its significance in clinical application in patients. [Methods] This review article was identified scientifically and/or clinically relevant articles from PubMed that directly/indirectly met the inclusion criteria. [Results] Mutation of fragile X mental retardation 1 () gene on the X chromosome is related with loss of fragile X mental retardation protein (FMRP) that affecting physiological and behavioral abnormalities. Autistic FXS individuals exhibit disturbed sleep and altered circadian behavior. Although the underlying molecular mechanisms are not been fully explored, interventional exercise in autistic FXS has been clinically used for the treatment of physiological and behavioral abnormalities as well as psychiatric disorder in autistic FXS. [Conclusion] This review describes beneficial efficacy of interventional exercise and its controversy in patients with autistic FXS. This review also provides interventional strategies for clinicians and scientists that the way of neurophysiological approaches according to the level of physical and behavioral abnormalities.
[目的] 本综述的目的是讨论近期发表的关于理解干预性运动对自闭症脆性X综合征(FXS)疗效的文章,特别强调其在患者临床应用中的意义。[方法] 本综述文章从PubMed中筛选出科学和/或临床相关的文章,这些文章直接或间接符合纳入标准。[结果] X染色体上脆性X智力低下1()基因突变与脆性X智力低下蛋白(FMRP)缺失有关,这会影响生理和行为异常。自闭症FXS个体表现出睡眠障碍和昼夜行为改变。尽管潜在的分子机制尚未完全阐明,但干预性运动在自闭症FXS的临床治疗中已被用于治疗生理和行为异常以及精神障碍。[结论] 本综述描述了干预性运动对自闭症FXS患者的有益疗效及其争议。本综述还为临床医生和科学家提供了干预策略,即根据身体和行为异常的程度采用神经生理学方法。