M. Kaur, PT, PhD, Department of Physical Therapy, MGH Institute of Health Professions, Charlestown, Massachusetts.
A. Bhat, PT, PhD, Department of Physical Therapy, Biomechanics and Movement Sciences Program, University of Delaware, 540 S College Avenue, Newark, DE 19713 (USA) and Department of Psychological and Brain Sciences, Behavioral Neuroscience program, University of Delaware.
Phys Ther. 2019 Nov 25;99(11):1520-1534. doi: 10.1093/ptj/pzz115.
There is growing evidence for motor impairments in children with autism spectrum disorder (ASD), including poor gross and fine motor performance, poor balance, and incoordination. However, there is limited evidence on the effects of motor interventions for this population.
In the present study, the effects of a physical therapy intervention using creative yoga on the motor and imitation skills of children with ASD were evaluated.
This study had a pretest-posttest control group design.
Twenty-four children with ASD aged between 5 and 13 years received 8 weeks of a physical therapist-delivered yoga or academic intervention. Children were tested before and after the intervention using a standardized motor measure, the Bruininks-Oseretsky Test of Motor Performance-2nd Edition (BOT-2). The imitation skills of children using familiar training-specific actions (ie, poses for the yoga group and building actions for the academic group) were also assessed.
After the intervention, children in the yoga group improved gross motor performance on the BOT-2 and displayed fewer imitation/praxis errors when copying training-specific yoga poses. In contrast, children in the academic group improved their fine motor performance on the BOT-2 and performed fewer imitation errors while completing the training-specific building actions.
The study limitations include small sample size and lack of long-term follow-up.
Overall, creative interventions, such as yoga, are promising tools for enhancing the motor and imitation skills of children with ASD.
越来越多的证据表明,自闭症谱系障碍(ASD)儿童存在运动障碍,包括粗大运动和精细运动表现不佳、平衡能力差和协调性差。然而,针对该人群的运动干预效果的证据有限。
本研究评估了使用创意瑜伽的物理治疗干预对 ASD 儿童运动和模仿技能的影响。
本研究采用了预测试-后测试对照组设计。
24 名 5 至 13 岁的 ASD 儿童接受了 8 周的物理治疗师提供的瑜伽或学术干预。在干预前后,使用标准化运动评估工具,即 Bruininks-Oseretsky 运动表现测试-第二版(BOT-2)对儿童进行测试。还评估了儿童使用熟悉的特定训练动作(即瑜伽组的姿势和学术组的构建动作)的模仿技能。
干预后,瑜伽组的儿童在 BOT-2 上的粗大运动表现有所改善,在模仿特定瑜伽姿势时出现的模仿/实践错误更少。相比之下,学术组的儿童在 BOT-2 上的精细运动表现有所提高,在完成特定的训练构建动作时,模仿错误更少。
该研究的局限性包括样本量小和缺乏长期随访。
总体而言,创意干预,如瑜伽,是增强 ASD 儿童运动和模仿技能的有前途的工具。