娱乐球类游戏对改善被诊断患有自闭症谱系障碍的学龄前儿童的社交沟通障碍有效：一项多组对照研究。

Recreational ball games are effective in improving social communication impairments among preschoolers diagnosed with autism spectrum disorder: a multi-arm controlled study.

作者信息

Qi Kai, Liu Yufei, Wang Zuopeng, Xiong Xuan, Cai Kelong, Xu Yifan, Shi Yifan, Sun Zhiyuan, Dong Xiaoxiao, Chen Aiguo

机构信息

Gdansk University of Physical Education and Sport, Gdansk, 80-336, Poland.

Jiamusi University, Jiamusi, Heilongjiang, 154007, China.

出版信息

BMC Sports Sci Med Rehabil. 2024 Aug 22;16(1):176. doi: 10.1186/s13102-024-00957-8.

DOI:10.1186/s13102-024-00957-8

PMID:39175073

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11342502/

Abstract

BACKGROUND

This study aimed to compare the effects of two 12-week training intervention experimental ball games combined with standard behavioral rehabilitation against a control group solely utilizing standard behavioral rehabilitation on social communication impairments (SCI) in preschool children with Autism Spectrum Disorder (ASD).

METHODS

A multi-arm controlled study design was implemented, involving 41 children diagnosed with ASD (mean age: 4.99 ± 0.76 years). 41 participants were randomized assigned to two experimental groups and a control group, The experimental group carried out ball combination training program group (BCTP) and mini-basketball training program group (MBTP) on the basis of routine behavioral rehabilitation, which underwent 12-week training interventions 5 times a week. The control group (n = 14) received only standard behavioral rehabilitation. Evaluations were conducted before and after interventions using the Social Responsiveness Scale, Second Edition (SRS-2).

RESULTS

The results suggest that both 12-week interventions, BCTP, and MBTP, led to significant improvements in social communication impairment among children with ASD (p < 0.05). Despite enhancing the overall scores on the SRS-2, these interventions displayed varying impacts across different sub-dimensions. BCTP primarily exhibited significant enhancements in social awareness and behavior pattern (p < 0.05), whereas MBTP significantly improved social cognition and social communication (p < 0.05). Both interventions showed slight improvements in social motivation.

CONCLUSIONS

The utilization of recreational ball games has showed to be effective in decreasing the impairment levels of children with ASD, while the control group experienced a worsening of outcomes. This suggests that irrespective of the specific ball game strategy employed, both can be employed on a weekly basis to complement standard behavioral rehabilitation and enhance the ability to improve the quality of life for children diagnosed with ASD.

TRIAL REGISTRATION

The trial is retrospectively registered on the Chinese Clinical Trial Registry (ChiCTR1900024973;August 5, 2019).

摘要

背景

本研究旨在比较两种为期12周的训练干预（实验性球类游戏结合标准行为康复）与仅采用标准行为康复的对照组对自闭症谱系障碍（ASD）学龄前儿童社交沟通障碍（SCI）的影响。

方法

采用多组对照研究设计，纳入41名被诊断为ASD的儿童（平均年龄：4.99±0.76岁）。41名参与者被随机分配到两个实验组和一个对照组，实验组在常规行为康复的基础上进行球类组合训练计划组（BCTP）和小篮球训练计划组（MBTP），每周进行5次，为期12周的训练干预。对照组（n = 14）仅接受标准行为康复。干预前后使用第二版社会反应量表（SRS-2）进行评估。

结果

结果表明，为期12周的BCTP和MBTP干预均使ASD儿童的社交沟通障碍有显著改善（p < 0.05）。尽管提高了SRS-2的总分，但这些干预在不同子维度上显示出不同的影响。BCTP主要在社会意识和行为模式方面有显著增强（p < 0.05），而MBTP显著改善了社会认知和社会沟通（p < 0.05）。两种干预在社会动机方面均有轻微改善。