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早期运动发育迟缓作为自闭症谱系障碍的诊断线索。

Early motor delays as diagnostic clues in autism spectrum disorder.

机构信息

Department of Physical Therapy, Faculty of Medicine, University of British Columbia, 212 - 2177 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Eur J Pediatr. 2017 Sep;176(9):1259-1262. doi: 10.1007/s00431-017-2951-7. Epub 2017 Jun 28.

Abstract

UNLABELLED

Early identification of autism facilitates referral for early intervention services, shown to be effective in enhancing parent-child interaction as well as adaptive behavior, communication, and socialization. Traditional hallmarks for the diagnosis of autism spectrum disorder (ASD) include deficits in social communication and social interaction as well as stereotypic or repetitive behavioral patterns. Research during the past decade suggests that developmental motor delays during early childhood may also be important predictors of this difficult-to-make diagnosis. The purpose of this short communication is to describe specific research findings about developmental motor delays and other neuromotor concerns that may contribute to the early diagnosis of ASD and thus hasten referral for early therapeutic intervention.

CONCLUSION

In that there is reasonable consensus that motor delays during the first year of life may represent a prodrome of ASD, pediatricians should not rule out the possibility of ASD in infants with concerning motor behaviors. What is Known: • Early identification of autism facilitates referral for early intervention services. • Traditional hallmarks for diagnosis of autism spectrum disorder (ASD) include deficits in social communication and social interaction as well as repetitive patterns of behavior. What is New: • Recent research suggests that developmental motor delays during early childhood may also be important predictors of ASD. • Pediatricians should consider the possibility of ASD in infants with motor delays or other concerning motor behaviors.

摘要

未标注

早期识别自闭症有助于转介接受早期干预服务,已证明这些服务可有效改善亲子互动以及适应行为、沟通和社交能力。自闭症谱系障碍(ASD)的传统诊断标准包括社交沟通和社交互动方面的缺陷,以及刻板或重复的行为模式。过去十年的研究表明,幼儿时期的发育性运动延迟也可能是这一难以确诊的疾病的重要预测因素。本简讯的目的是描述关于发育性运动延迟和其他神经运动问题的具体研究结果,这些问题可能有助于自闭症的早期诊断,从而加快早期治疗干预的转介。

结论

鉴于人们普遍认为生命第一年的运动延迟可能是自闭症的前驱症状,儿科医生不应排除运动行为异常的婴儿患有自闭症的可能性。

已知

• 早期识别自闭症有助于转介接受早期干预服务。• 自闭症谱系障碍(ASD)的传统诊断标准包括社交沟通和社交互动方面的缺陷,以及刻板或重复的行为模式。

新发现

• 最近的研究表明,幼儿时期的发育性运动延迟也可能是自闭症的重要预测因素。• 儿科医生应考虑运动延迟或其他运动行为异常的婴儿患有自闭症的可能性。

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