Dong Liangshan, Fan Rong, Shen Bo, Bo Jin, Pang Yanli, Song Yu
School of Physical Education, China University of Geoscience, Wuhan, China.
Division of Kinesiology, Wayne State University, Detroit, MI, United States.
Front Psychol. 2024 Mar 28;15:1287752. doi: 10.3389/fpsyg.2024.1287752. eCollection 2024.
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with unique differences in social interaction, communication, and a spectrum of behavioral characteristics. In the past, motor disturbance in individuals with ASD has not been considered a significant core deficit due to the predominant focus on sociability and communication issues. However, recent studies indicate that motor deficits are indeed associated with the fundamental symptoms of ASD. As there is limited research on the motor behavior of children with ASD, particularly in China, the objective of this study is to investigate the development of fundamental movement skills (FMS) in children with ASD and compare them to typically developing children.
The study recruited 108 children with ASD (87 boys, 21 girls) aged 7-10 years from two special education rehabilitation centers in Wuhan, China. For comparison, a control group of 108 typically developing children, matched by age and gender, was randomly selected from three local primary schools. FMS were assessed using the Movement Assessment Battery for Children - Second Edition (MABC-2), which evaluates manual dexterity, aiming and catching, as well as static and dynamic balance. Group differences on MABC-2 percentile scores were analyzed using descriptive statistics and Mann-Whitney U test. Effect sizes were also calculated for practical significance.
Findings from the study showed that a significant majority, around 80%, of children with ASD either displayed motor challenges or were at risk of developing such delays. When comparing to their typically developing peers, children with ASD scored notably lower in areas of manual dexterity, ball skills, and both static and dynamic balance (with all these findings being statistically significant at < 0.001). Interestingly, gender did not show a significant influence on these results ( > 0.05).
In addition to addressing the other skill development areas outlined in the diagnostic manual for ASD, clinicians diagnosing and treating children with ASD should also assess the presence of motor skill development. For individuals with ASD who have co-existing motor difficulties, it is essential to offer evidence-based interventions tailored to their specific needs.
自闭症谱系障碍(ASD)是一种神经发育疾病,在社交互动、沟通以及一系列行为特征方面存在独特差异。过去,由于主要关注社交能力和沟通问题,ASD患者的运动障碍未被视为显著的核心缺陷。然而,最近的研究表明,运动缺陷确实与ASD的基本症状相关。由于对ASD儿童的运动行为研究有限,尤其是在中国,本研究的目的是调查ASD儿童基本运动技能(FMS)的发展情况,并将他们与发育正常的儿童进行比较。
本研究从中国武汉的两个特殊教育康复中心招募了108名7至10岁的ASD儿童(87名男孩,21名女孩)。为了进行比较,从当地三所小学中随机挑选了108名年龄和性别匹配的发育正常儿童作为对照组。使用儿童运动评估量表第二版(MABC - 2)评估FMS,该量表评估手部灵巧性、瞄准和接球能力以及静态和动态平衡能力。使用描述性统计和曼 - 惠特尼U检验分析MABC - 2百分位分数的组间差异。还计算了效应量以评估实际意义。
研究结果显示,绝大多数(约80%)的ASD儿童存在运动挑战或有发展此类延迟的风险。与发育正常的同龄人相比,ASD儿童在手部灵巧性、球类技能以及静态和动态平衡方面的得分明显较低(所有这些结果在<0.001时具有统计学意义)。有趣的是,性别对这些结果没有显著影响(>0.05)。
除了解决ASD诊断手册中概述的其他技能发展领域外,诊断和治疗ASD儿童的临床医生还应评估运动技能发展情况。对于存在运动困难的ASD患者,提供基于证据的针对性干预措施至关重要。