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自闭症谱系障碍儿童的言语和精细运动协调评估。

Assessment of speech and fine motor coordination in children with autism spectrum disorder.

作者信息

Talkar Tanya, Williamson James R, Hannon Daniel, Rao Hrishikesh M, Yuditskaya Sophia, Claypool Kajal, Sturim Douglas, Nowinski Lisa, Saro Hannah, Stamm Carol, Mody Maria, McDougle Christopher J, Quatieri Thomas F

机构信息

Speech and Hearing Bioscience & Technology, Division of Medical Sciences, Harvard Medical School, Boston, MA 02115, USA.

Human Health and Performance Systems, Massachusetts Institute of Technology Lincoln Laboratory, Lexington, MA 02142, USA.

出版信息

IEEE Access. 2020;8:127535-127545. doi: 10.1109/ACCESS.2020.3007348. Epub 2020 Jul 10.

Abstract

Autism Spectrum Disorder (ASD) is a developmental disorder characterized by difficulty in communication, which includes a high incidence of speech production errors. We hypothesize that these errors are partly due to underlying deficits in motor coordination and control, which are also manifested in degraded fine motor control of facial expressions and purposeful hand movements. In this pilot study, we computed correlations of acoustic, video, and handwriting time-series derived from five children with ASD and five children with neurotypical development during speech and handwriting tasks. These correlations and eigenvalues derived from the correlations act as a proxy for motor coordination across articulatory, laryngeal, and respiratory speech production systems and for fine motor skills. We utilized features derived from these correlations to discriminate between children with and without ASD. Eigenvalues derived from these correlations highlighted differences in complexity of coordination across speech subsystems and during handwriting, and helped discriminate between the two subject groups. These results suggest differences in coupling within speech production and fine motor skill systems in children with ASD. Our long-term goal is to create a platform assessing motor coordination in children with ASD in order to track progress from speech and motor interventions administered by clinicians.

摘要

自闭症谱系障碍(ASD)是一种发育障碍,其特征在于沟通困难,其中包括言语产生错误的高发生率。我们假设这些错误部分归因于潜在的运动协调和控制缺陷,这些缺陷也表现为面部表情和有目的的手部动作的精细运动控制退化。在这项初步研究中,我们计算了来自五名自闭症谱系障碍儿童和五名神经发育正常儿童在言语和书写任务期间的声学、视频和手写时间序列的相关性。这些相关性以及从相关性中得出的特征值可作为跨发音、喉部和呼吸言语产生系统的运动协调以及精细运动技能的代理指标。我们利用从这些相关性中得出的特征来区分患有和未患有自闭症谱系障碍的儿童。从这些相关性中得出的特征值突出了言语子系统之间以及书写过程中协调复杂性的差异,并有助于区分这两个受试者组。这些结果表明自闭症谱系障碍儿童在言语产生和精细运动技能系统内的耦合存在差异。我们的长期目标是创建一个评估自闭症谱系障碍儿童运动协调的平台,以便跟踪临床医生实施的言语和运动干预的进展情况。

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