Surapaty Imtiaz Amrinusantara, Simadibrata Christina, Rejeki Ekky Sri, Mangunatmadja Irawan
Department of Medical Acupuncture, Faculty of Medicine, University of Indonesia, RSUPN Dr. Cipto Mangunkusumo National General Hospital, Central Jakarta, Indonesia.
RSPAD Gatot Soebroto, Central Jakarta, Indonesia.
Med Acupunct. 2020 Oct 1;32(5):300-309. doi: 10.1089/acu.2020.1417. Epub 2020 Oct 19.
Disorders of speech ability and social interaction are the most-common symptoms in children with autism spectrum disorder (ASD). Acupuncture, as an adjunctive therapy, is known to help improve speech ability and social interaction in children with this condition. One of the acupuncture modalities with minimal side-effects, and that is safe for children, is laser acupuncture or . This study's aim was to determine laserpuncture's effects on speech ability and social interactions in patients with ASD. This randomized, double-blinded clinical trial involved 46 patients in 2 groups. All respondents qualified, and none dropped out. The treatment group ( = 23) received sensory-occupational integrative therapy and verum laserpuncture therapy and the control group ( = 23) received sensory-occupational integrative therapy and placebo laserpuncture. The groups' speech ability and social interaction were evaluated with a WeeFIM questionnaire; parental reports were collected, using sensory profiles before and after treatment. There were improvements in speech ability and social interaction in the verum laserpuncture group more than in the placebo group after treatment. Perception score was < 0.001; odds ratio (): 18.8; 95% confidence interval (CI): 4.09-87.17. Expression score was < 0.001; 50.2; 95% CI: 5.61-450.2. Social interaction score was = 0.005; 7.2; 95% CI: 1.68-31.42. Parental report score was = 0.765. Verum laserpuncture in this clinical trial improved speech ability and social interaction scores more effectively than placebo laserpuncture did in patients with ASD.
言语能力和社交互动障碍是自闭症谱系障碍（ASD）儿童最常见的症状。针灸作为一种辅助疗法，已知有助于改善患有这种疾病的儿童的言语能力和社交互动。激光针灸是副作用最小且对儿童安全的针灸方式之一。本研究的目的是确定激光针刺对ASD患者言语能力和社交互动的影响。这项随机、双盲临床试验涉及46名患者，分为2组。所有受访者均符合条件，且无人退出。治疗组（n = 23）接受感觉-职业综合疗法和真激光针刺疗法，对照组（n = 23）接受感觉-职业综合疗法和安慰剂激光针刺。使用WeeFIM问卷评估两组的言语能力和社交互动；在治疗前后收集家长报告，使用感觉概况。治疗后，真激光针刺组的言语能力和社交互动改善程度高于安慰剂组。感知得分P < 0.001；优势比（OR）：18.8；95%置信区间（CI）：4.09 - 87.17。表达得分P < 0.001；OR：50.2；95%CI：5.61 - 450.2。社交互动得分P = 0.005；OR：7.2；95%CI：1.68 - 31.42。家长报告得分P = 0.765。在这项临床试验中，真激光针刺比安慰剂激光针刺更有效地改善了ASD患者的言语能力和社交互动得分。
