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自闭症和非自闭症青少年的联合步态和抓握能力。

Combined Gait and Grasping in Autistic and Non-Autistic Youths.

机构信息

Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, USA.

Program in Occupational Therapy, University of Wisconsin-Madison, Madison, WI, USA.

出版信息

Dev Neurorehabil. 2022 Oct;25(7):452-461. doi: 10.1080/17518423.2022.2052375. Epub 2022 Mar 15.

DOI:10.1080/17518423.2022.2052375
PMID:35289701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9972923/
Abstract

This study was designed to extend research on motor skill development in autism spectrum disorder using a dual-task skill. Nine autistic and 18 non-autistic youths walked without grasping or while reaching to grasp a small or large object. Step extremity ratio, percent time in double support, and normalized speed were quantified. We hypothesized that gait would differ between autistic and non-autistic youth and that differences would be moderated by the phase (approach and grasp) and the complexity of the task (walking and grasping versus walking alone). Although gait parameters were similar during the walking-only trials, the combined task resulted in slower speed and shorter steps in autistic youth, particularly during the grasp phase. These findings, while in a small sample, offer preliminary evidence that autistic youth who show typical gait during simple assessments of motor ability may have difficulties in more complex tasks that require the coordination of movements.

摘要

本研究旨在通过双任务技能拓展自闭症谱系障碍中运动技能发展的研究。9 名自闭症和 18 名非自闭症青少年在不抓握或伸手抓小或大物体时行走。量化了步幅比、双支撑时间百分比和标准化速度。我们假设自闭症和非自闭症青少年的步态会有所不同,并且差异会受到任务阶段(接近和抓取)和任务复杂性(行走和抓取与单独行走)的调节。虽然在仅行走试验中步态参数相似,但在组合任务中,自闭症青少年的速度较慢,步幅较短,尤其是在抓取阶段。这些发现虽然样本较小,但初步表明,在运动能力的简单评估中表现出典型步态的自闭症青少年,在需要协调运动的更复杂任务中可能会遇到困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/5f3adc5e39a1/nihms-1862166-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/256bc47b8fa7/nihms-1862166-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/f160cbf3209e/nihms-1862166-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/9f0a55ebe0b5/nihms-1862166-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/5f3adc5e39a1/nihms-1862166-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/256bc47b8fa7/nihms-1862166-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/f160cbf3209e/nihms-1862166-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/9f0a55ebe0b5/nihms-1862166-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388b/9972923/5f3adc5e39a1/nihms-1862166-f0004.jpg

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本文引用的文献

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Walking lower extremity biomechanics of adolescents with autism spectrum disorder.自闭症谱系障碍青少年的下肢步行生物力学。
J Biomech. 2021 Apr 15;119:110332. doi: 10.1016/j.jbiomech.2021.110332. Epub 2021 Feb 27.
3
Motor Impairment Increases in Children With Autism Spectrum Disorder as a Function of Social Communication, Cognitive and Functional Impairment, Repetitive Behavior Severity, and Comorbid Diagnoses: A SPARK Study Report.自闭症谱系障碍儿童的运动障碍随着社会沟通、认知和功能障碍、重复行为严重程度以及合并诊断的增加而增加:SPARK 研究报告。
Autism Res. 2021 Jan;14(1):202-219. doi: 10.1002/aur.2453. Epub 2020 Dec 9.
4
Meta-Analysis Reveals Gait Anomalies in Autism.荟萃分析揭示自闭症患者的步态异常。
Autism Res. 2020 Dec 1. doi: 10.1002/aur.2443.
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Impaired motor skills and atypical functional connectivity of the sensorimotor system in 40- to 65-year-old adults with autism spectrum disorders.40 至 65 岁自闭症谱系障碍成年人的运动技能受损和感觉运动系统的非典型功能连接。
Neurobiol Aging. 2020 Jan;85:104-112. doi: 10.1016/j.neurobiolaging.2019.09.018. Epub 2019 Sep 27.
6
Bimanual Reach to Grasp Movements in Youth With and Without Autism Spectrum Disorder.有和没有自闭症谱系障碍的青少年的双手抓握动作
Front Psychol. 2019 Jan 17;9:2720. doi: 10.3389/fpsyg.2018.02720. eCollection 2018.
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Gait in children with infantile/atypical autism: Age-dependent decrease in gait variability and associations with motor skills.儿童孤独症的步态:与运动技能相关的随年龄变化的步态可变性降低。
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J Autism Dev Disord. 2019 Dec;49(12):4731-4739. doi: 10.1007/s10803-018-3634-6.
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