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探讨自闭症儿童身体锻炼与刻板行为的匹配关系。

Investigating the Matching Relationship between Physical Exercise and Stereotypic Behavior in Children with Autism.

机构信息

Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, CHINA.

School of Nursing, Hong Kong Polytechnic University, Hong Kong, CHINA.

出版信息

Med Sci Sports Exerc. 2021 Apr 1;53(4):770-775. doi: 10.1249/MSS.0000000000002525.

DOI:10.1249/MSS.0000000000002525
PMID:32991345
Abstract

PURPOSE

Physical exercise has been shown to be effective in reducing stereotypic behaviors in children with autism spectrum disorder. One possible mechanism concerns the matching hypothesis between exercise and behavior. The present study sought to examine this matching exercise-behavior relationship.

METHODS

Participants (N = 21, 17 males and 4 females, Mage = 11.07 ± 1.44 yr, Mheight = 1.46 ± 0.99 m, and Mweight = 40.60 ± 8.25 kg), with observable forms of hand-flapping and body-rocking stereotypic behaviors, underwent three separate days of conditions, one for the control condition, one for the 10-min ball-tapping exercise condition, and one for the 10-min jogging condition, in a randomized order. The frequency of each type of stereotypic behavior was videotaped from 15 min before to 60 min after the exercise.

RESULTS

Results revealed that only hand-flapping stereotypic behaviors were significantly reduced in the ball-tapping exercise condition (P < 0.017), whereas only body-rocking stereotypic behaviors were significantly reduced in the jogging exercise condition (P < 0.017). However, the behavioral benefit diminished at 45 min after the respective exercise.

CONCLUSION

Physical exercise should be topographically matched with stereotypic behavior to produce desirable behavioral benefits in children with autism spectrum disorder.

摘要

目的

运动已被证明可有效减少自闭症谱系障碍儿童的刻板行为。一种可能的机制涉及运动与行为之间的匹配假说。本研究旨在检验这种匹配的运动-行为关系。

方法

参与者(N=21,17 名男性和 4 名女性,Mage=11.07±1.44 岁,Mheight=1.46±0.99 米,Mweight=40.60±8.25 千克),表现出可观察到手拍和身体摇晃的刻板行为,在随机顺序下,分别进行三种条件的三天试验,一种是对照条件,一种是 10 分钟弹球运动条件,一种是 10 分钟慢跑条件。从运动前 15 分钟到运动后 60 分钟,对每种类型的刻板行为的频率进行录像。

结果

结果显示,只有弹球运动条件下的手拍刻板行为显著减少(P<0.017),而只有慢跑运动条件下的身体摇晃刻板行为显著减少(P<0.017)。然而,在各自的运动后 45 分钟,行为益处减少。

结论

为了在自闭症谱系障碍儿童中产生理想的行为益处,体育锻炼应与刻板行为在地形上相匹配。

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