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针对一名患有高功能自闭症(阿斯伯格综合征)的成年人的游泳与水疗联合干预的长期适应性:一项案例研究。

The Long-Term Adaptations of a Combined Swimming and Aquatic Therapy Intervention in an Adult Person with High-Functioning Autism (Asperger's Syndrome): A Case Study.

作者信息

Koumenidou Maria, Kotzamanidou Mariana C, Panoutsakopoulos Vassilios, Siaperas Panagiotis, Misailidou Victoria, Tsalis George A

机构信息

Faculty of Health Sciences, Metropolitan College of Thessaloniki, 546 24 Thessaloniki, Greece.

Institute of Occupational Science & Rehabilitation, Metropolitan College, 151 25 Athens, Greece.

出版信息

Healthcare (Basel). 2023 Nov 19;11(22):2986. doi: 10.3390/healthcare11222986.

Abstract

Individuals with High-Functioning Autism present impairments in communication, social interaction, and motor development. A low level of motor skills, namely difficulties in gross and fine mobility, and in motor control, discourage individuals with High-Functioning Autism from being involved in physical activities, resulting in fewer opportunities for social interaction. There is not much evidence available about the effects of regular swimming exercise and/or aquatic therapy on health promotion in adults with High-Functioning Autism. An adult male (22 yrs) diagnosed with High-Functioning Autism participated in a combined 6-month swimming and aquatic therapy program (two sessions/week, 60 min each). The pre- and post-intervention assessments consisted of physical fitness, balance, functional ability, and psychomotor tests. The post-intervention assessments showed improvements in the standing long jump (+100%), hand grip force (+71.7%), bend arm hang test (+123.1%), and the physiological parameters in the 6 min walk test (+10.2%). On the opposite, decrements in the sit-up (-12%) and sit-and-reach test (-6.3%) were observed. It was noted that the participant frequently lost interest and focus quickly, resulting in the abandonment of the exercise. Conclusively, there is a great need for further research on this topic examining a larger adult population.

摘要

高功能自闭症患者在沟通、社交互动和运动发展方面存在障碍。运动技能水平较低,即在大肌肉和精细动作的灵活性以及运动控制方面存在困难,使得高功能自闭症患者不愿参与体育活动,从而导致社交互动机会减少。关于定期游泳锻炼和/或水疗对高功能自闭症成年人健康促进的影响,目前可用的证据不多。一名被诊断为高功能自闭症的成年男性(22岁)参加了为期6个月的游泳和水疗联合项目(每周两次,每次60分钟)。干预前后的评估包括体能、平衡、功能能力和心理运动测试。干预后的评估显示,立定跳远(提高了100%)、握力(提高了71.7%)、悬垂举腿测试(提高了123.1%)以及6分钟步行测试中的生理参数(提高了10.2%)都有改善。相反,仰卧起坐测试(下降了12%)和坐位体前屈测试(下降了6.3%)出现了下降。值得注意的是,该参与者经常很快失去兴趣和注意力,导致放弃锻炼。总之,迫切需要对这一主题进行进一步研究,以调查更多的成年人群体。

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