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自闭症谱系障碍儿童及青少年与发育正常同龄人姿势的生理特征评估

Physiological Profile Assessment of Posture in Children and Adolescents with Autism Spectrum Disorder and Typically Developing Peers.

作者信息

Perin Cecilia, Valagussa Giulio, Mazzucchelli Miryam, Gariboldi Valentina, Cerri Cesare Giuseppe, Meroni Roberto, Grossi Enzo, Cornaggia Cesare Maria, Menant Jasmine, Piscitelli Daniele

机构信息

School of Medicine and Surgery, University of Milano Bicocca, 20126 Milan, Italy.

Autism Research Unit, "Villa Santa Maria" Foundation, 22038 Como, Italy.

出版信息

Brain Sci. 2020 Sep 27;10(10):681. doi: 10.3390/brainsci10100681.

Abstract

A sound postural system requires sensorimotor integration. Evidence suggests that individuals with Autism Spectrum Disorder (ASD) present sensorimotor integration impairments. The Physiological Profile Assessment (PPA) can be used to evaluate postural capacity assessing five physiological subsets (i.e., vision, reaction time, peripheral sensation, lower limb strength, balance); however, no studies applied the PPA in young individuals. Therefore, this study aimed to investigate the PPA in children and adolescents with ASD compared with age-matched typically developing (TD) individuals and examine the relationship between the PPA subset within the ASD and TD participants according to different age groups. Percentiles from the PPA were obtained from the TD children and adolescents ( = 135) for each test. Performances of the individuals with ASD ( = 18) were examined relative to the TD percentiles. ASD participants' scores were above the 90th percentile (i.e., poor performance) in most sensory, motor and balance parameters. Performance in most of the PPA tests significantly improved with older age in the TD group but not in the ASD group. The study findings support the use of the PPA in TD children and adolescents while further research should investigate postural capacity in a larger ASD sample to enhance the understanding of sensorimotor systems contributing to compromised postural control.

摘要

一个健全的姿势系统需要感觉运动整合。有证据表明,自闭症谱系障碍(ASD)患者存在感觉运动整合障碍。生理特征评估(PPA)可用于评估姿势能力,评估五个生理子集(即视觉、反应时间、外周感觉、下肢力量、平衡);然而,尚无研究将PPA应用于年轻人。因此,本研究旨在调查与年龄匹配的发育正常(TD)个体相比,ASD儿童和青少年的PPA,并根据不同年龄组检查ASD和TD参与者中PPA子集之间的关系。对于每项测试,从TD儿童和青少年(n = 135)中获得PPA的百分位数。相对于TD百分位数,检查了ASD个体(n = 18)的表现。在大多数感觉、运动和平衡参数方面,ASD参与者的得分高于第90百分位数(即表现较差)。在TD组中,大多数PPA测试的表现随着年龄增长而显著改善,但在ASD组中则不然。研究结果支持在TD儿童和青少年中使用PPA,而进一步的研究应调查更大ASD样本中的姿势能力,以增强对导致姿势控制受损的感觉运动系统的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e8/7601261/5e217c6c9728/brainsci-10-00681-g001.jpg

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