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从自闭症青年的角度理解身体和运动:一项混合方法研究。

Understanding one's body and movements from the perspective of young adults with autism: A mixed-methods study.

机构信息

Department of Health Sciences, Lund University, Box 157, S-221 00 Lund, Sweden; Habilitation & Health, The Habilitation, Skaraborgsgatan 19 A, S-541 50 Skovde, Sweden.

Department of Health Sciences, Lund University, Box 157, S-221 00 Lund, Sweden.

出版信息

Res Dev Disabil. 2018 Jul;78:44-54. doi: 10.1016/j.ridd.2018.05.002. Epub 2018 May 15.

Abstract

BACKGROUND

There are but a few studies of how persons with autism perceive their bodies and movements. Difficulties in perceiving the surrounding world along with disturbed motor coordination and executive functions may affect physical and psychological development.

AIMS

To explore the experiences of body and movements in young adults with autism and how two physiotherapeutic instruments may capture these experiences.

PROCEDURES

Eleven young adults (16-22 years) with autism were interviewed and assessed using Bruininks-Oseretsky Test of Motor Proficiency (BOT2) and Body Awareness Scale Movement Quality and Experience (BAS MQ-E). Following a mixed- methods design, the interviews were deductively analyzed and conceptually integrated to the results of the two assessments.

RESULTS

Experiencing conflicting feelings about their bodies/movements, led to low understanding of themselves. The assessments captured these experiences relatively well, presenting both movement quality and quantity. Positive experiences and better movement quality related to having access to more functional daily strategies.

CONCLUSION

Combining motor proficiency and body awareness assessments was optimal to understand the participants' experiences.

IMPLICATIONS

To capture body and movement functions in persons with autism in this standardized manner will lead to improved and reliable diagnoses, tailored interventions, increased body awareness and activity, and enhanced quality of life.

摘要

背景

目前仅有少数研究探讨自闭症患者如何感知自身身体和运动。感知周围世界的困难,加上运动协调和执行功能障碍,可能会影响身体和心理发育。

目的

探索自闭症青年对身体和运动的体验,以及两种物理治疗仪器如何捕捉这些体验。

方法

对 11 名自闭症青年(16-22 岁)进行访谈和评估,使用布鲁因克斯-奥塞尔斯基运动能力测试(BOT2)和身体意识量表运动质量和体验(BAS MQ-E)。采用混合方法设计,对访谈进行演绎分析,并将其与两项评估的结果进行概念整合。

结果

对身体/运动的矛盾感受导致他们对自己的理解较低。评估相对较好地捕捉到了这些体验,同时呈现了运动质量和数量。积极的体验和更好的运动质量与获得更多功能性日常策略有关。

结论

结合运动能力和身体意识评估,能够更好地理解参与者的体验。

意义

以这种标准化的方式捕捉自闭症患者的身体和运动功能,将有助于改善和可靠的诊断、量身定制的干预措施、提高身体意识和活动水平,并提升生活质量。

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