Busti Ceccarelli Silvia, Ferrante Camilla, Gazzola Erica, Marzocchi Gian Marco, Nobile Maria, Molteni Massimo, Crippa Alessandro
Child Psychopathology Unit, Scientific Institute, IRCCS E. Medea, 23842 Bosisio Parini, Italy.
Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy.
Children (Basel). 2020 Nov 23;7(11):250. doi: 10.3390/children7110250.
In the past decade, converging evidence has suggested that motor impairment is one of the most consistent markers, alongside sociocommunicative difficulties, for autism spectrum disorder (ASD). Indeed, widespread anomalies of movement have been described in the ASD context. These motor abnormalities could have critical implications for subsequent cognitive and social development. Nevertheless, this area of development is particularly underexamined in the autism-related context, and early intervention programs commonly focus on the core symptoms of the condition. In the present work, we review and discuss the findings from recent studies that investigated the effect of interventions regarding fundamental motor skills in autistic children. Although the limited nature of the literature prevents researchers from drawing definitive conclusions, the results from the studies discussed here demonstrated potentially significant improvements in the motor abilities of autistic children after the interventions. Only a subset of the reviewed studies explored possible changes in the sociocommunicative domain after the motor skills improvements, and they had not concordant, although promising, conclusions. Overall, in consideration of the well-documented motor impairment people with the condition, the present findings highlight the importance of including motor skills training within the rehabilitation programs designed for autistic children. Furthermore, this narrative review encourages future interventional trials to consider motor skills as a possible target for reducing activity limitations and participation restrictions of autistic children.
在过去十年中,越来越多的证据表明,运动障碍是自闭症谱系障碍(ASD)最一致的标志之一,与社会沟通困难一样。事实上,在自闭症背景下已经描述了广泛的运动异常。这些运动异常可能对随后的认知和社会发展产生关键影响。然而,在自闭症相关背景下,这一发展领域尤其未得到充分研究,早期干预项目通常侧重于该病症的核心症状。在本研究中,我们回顾并讨论了近期研究的结果,这些研究调查了针对自闭症儿童基本运动技能的干预效果。尽管文献的局限性使研究人员无法得出明确结论,但此处讨论的研究结果表明,干预后自闭症儿童的运动能力有潜在的显著改善。在回顾的研究中,只有一部分探讨了运动技能改善后社会沟通领域可能发生的变化,它们的结论虽有希望但并不一致。总体而言,考虑到该病症患者存在充分记录的运动障碍,目前的研究结果凸显了在为自闭症儿童设计的康复项目中纳入运动技能训练的重要性。此外,这篇叙述性综述鼓励未来的干预试验将运动技能视为减少自闭症儿童活动限制和参与限制的一个可能目标。