School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Phys Ther. 2021 May 4;101(5). doi: 10.1093/ptj/pzab033.
Few studies have examined the relationship between language abilities and specific motor skills in toddlers with autism spectrum disorder (ASD). The aim of this study was to compare the relationship of receptive language (RL) and expressive language (EL) abilities with motor functioning in toddlers with ASD aged 24 to 36 months and their peers with typical development (TD). Furthermore, the study compared multidimensional motor functioning in toddlers with ASD with delayed RL and EL development and toddlers with ASD and typical RL and EL development. The predictive powers of the motor skills were examined for the group with delayed RL and EL development.
The language abilities of 38 toddlers with ASD and 38 age-matched toddlers with TD were evaluated using the Receptive and Expressive Language Subscales of the Mullen Scale of Early Learning, and their motor skills were assessed using the Peabody Developmental Motor Scales, Second Edition.
Significant correlations between language ability and motor functioning were observed in the ASD and TD groups. The ASD group with delayed RL and EL development had lower scores for multidimensional motor functioning than the ASD group with typical RL and EL development and the TD group. Moreover, the risks of delayed EL and RL development could be predicted by the lower motor scores in toddlers with ASD.
The positive correlation between language abilities and motor functioning in toddlers with ASD indicated potential connections between the early onsets of motor and speech-language impairments in these toddlers.
The results may have implications for the development of motor-based interventions targeting language development in young children with ASD.
鲜有研究探讨自闭症谱系障碍(ASD)幼儿的语言能力与特定运动技能之间的关系。本研究旨在比较 24 至 36 个月 ASD 幼儿及其具有典型发育(TD)的同龄儿的接受性语言(RL)和表达性语言(EL)能力与运动功能之间的关系。此外,本研究还比较了 RL 和 EL 发育延迟与 ASD 幼儿以及 RL 和 EL 发育正常的 ASD 幼儿的多维运动功能。还检查了 RL 和 EL 发育延迟组的运动技能的预测能力。
使用 Mullen 早期学习量表的接受性和表达性语言分量表评估 38 名 ASD 幼儿和 38 名年龄匹配的 TD 幼儿的语言能力,使用 Peabody 发育性运动量表第二版评估其运动技能。
ASD 组和 TD 组的语言能力与运动功能之间存在显著相关性。RL 和 EL 发育延迟的 ASD 组的多维运动功能得分低于 RL 和 EL 发育正常的 ASD 组和 TD 组。此外,ASD 幼儿的运动得分较低可预测 EL 和 RL 发育延迟的风险。
ASD 幼儿的语言能力与运动功能之间的正相关表明这些幼儿的运动和言语语言损伤的早期发作之间存在潜在联系。
研究结果可能对针对 ASD 幼儿的基于运动的语言发展干预措施的发展具有启示意义。