Ding Xiaofen, Wu Jinlong, Li Dong, Liu Zexi
College of Physical Education, Hunan First Normal University, Changsha, China.
College of Physical Education, Southwest University, Chongqing, China.
Front Psychiatry. 2024 Sep 27;15:1436170. doi: 10.3389/fpsyt.2024.1436170. eCollection 2024.
Individuals with autism spectrum disorder (ASD) exhibit impaired behavior synchronization, which is associated with social deficits. Numerous studies have demonstrated that rhythm-based interventions can effectively mitigate social deficits by promoting behavioral synchronization in individuals with ASD. Therefore, a review of the current literature is warranted in this field. The objectives of this review were to explore the effects of rhythm-based interventions on overall social skills and to study the differences in the effects of rhythm-based interventions on specific social skills.
The databases PubMed, Web of Science, Scopus, and Psycinfo were systematically explored until March 2024. A total of eleven research studies, encompassing 408 participants diagnosed with ASD, were incorporated into the meta-analysis. Effect sizes (Hedges' g) were computed for each comparison and amalgamated using random-effects models to evaluate the social skills of individuals with ASD. The methodological quality of each study was evaluated using the Physiotherapy Evidence Database scale(PEDro).
Overall, some valuable observations were made. Rhythm-based interventions had a medium effect on the overall social skills for ASD (Hedges's=0.681; 95%CI[0.075 to 1.286], P < 0.05). Regarding domain-specific social skills, rhythm-based interventions had a large effect on social interaction (g = 1.299,95% CI [0.508 to 2.091]), a small effect on communication (g = 0.383, 95% CI [0.033 to 0.733], P < 0.05), and a large effect on emotion (g = 1.752, 95% CI [0.294 to 3.210], P < 0.05). However, we found a favorable but non-significant effect (g = 0.125, 95% CI [-0.039 to 0.289], P > 0.05) of rhythm-based interventions on empathy. All study qualities were high (score≥6) using the Physiotherapy Evidence Database (PEDro) scale assessment.
This result indicates the importance of rhythm in the clinical rehabilitation of individuals with ASD. We suggest adding appropriate rhythmic elements to clinical interventions, particularly for individuals with ASD who are less socially competent.
自闭症谱系障碍（ASD）患者表现出行为同步受损，这与社交缺陷有关。大量研究表明，基于节奏的干预措施可以通过促进ASD患者的行为同步来有效减轻社交缺陷。因此，有必要对该领域的现有文献进行综述。本综述的目的是探讨基于节奏的干预措施对整体社交技能的影响，并研究基于节奏的干预措施对特定社交技能影响的差异。
系统检索了PubMed、Web of Science、Scopus和Psycinfo数据库，直至2024年3月。共有11项研究纳入荟萃分析，涉及408名被诊断为ASD的参与者。计算每次比较的效应量（Hedges' g），并使用随机效应模型合并，以评估ASD患者的社交技能。使用物理治疗证据数据库量表（PEDro）评估每项研究的方法学质量。
总体而言，有一些有价值的发现。基于节奏的干预措施对ASD患者的整体社交技能有中等程度的影响（Hedges's = 0.681；95%CI[0.075至1.286]，P < 0.05）。关于特定领域的社交技能，基于节奏的干预措施对社交互动有较大影响（g = 1.299，95%CI[0.508至2.091]）对沟通有较小影响（g = 0.383，95%CI[0.033至0.733]，P < 0.05），对情感有较大影响（g = 1.752，95%CI[0.294至3.
