Department of Physical Education, Dong-A University, 37 Nakdong-Daero 550Beon-Gil, Saha-Gu, Busan, Republic of Korea.
Department of Physical Education, Basic Teaching Center, Ocean University of China, Qingdao, China.
Eur J Pediatr. 2024 Nov 15;184(1):18. doi: 10.1007/s00431-024-05858-z.
To investigate the impact of different types of exercise modalities on children and adolescents with developmental disorders. Data were obtained from randomized controlled trials retrieved from five databases. Following the PRISMA NMA guidelines, a Bayesian framework-based Markov chain Monte Carlo simulation was used for aggregation and analysis. The included studies were assessed for risk of bias and quality evaluation. A total of 68 studies were included. Moderate-quality evidence suggests that combative sports may be the best exercise for enhancing gross motor skills, ball sports are the most effective for improving executive function, neurodevelopmental motor training is the most effective for improving social skills, and aquatic exercise is the most effective for improving behavioral problems.
Combat sports, ball sports, neurodevelopmental motor training, and aquatic exercise may be effective exercise modalities for improving symptoms in children and adolescents with developmental disorders. However, the degree of improvement can vary among individuals with specific developmental disorders. Therefore, precise assessment of the individual symptoms of children or adolescents is crucial before selecting specific exercise interventions.
PROSPERO (CRD42024545673).
• Many studies indicate that exercise as an intervention can have positive effects on individuals with developmental disorders, such as ADHD and autism. However, reported effects vary, and there is no clear consensus on the optimal exercise intervention method yet.
• Through a comprehensive network meta-analysis, various exercise interventions for children and adolescents with developmental disorders were compared to determine the optimal approach. The study found that combat sports, ball sports, neurodevelopmental motor training, and aquatic exercise could potentially be effective modalities for improving symptoms in this population.
探讨不同运动方式对发育障碍儿童和青少年的影响。资料来源于五个数据库中的随机对照试验。采用贝叶斯框架下的Markov 链蒙特卡罗模拟法进行汇总和分析，遵循 PRISMA NMA 指南，对纳入研究进行偏倚风险和质量评估。
纳入 68 项研究。高质量证据表明，格斗运动可能是增强粗大运动技能的最佳运动，球类运动对改善执行功能最有效，神经发育运动训练对改善社会技能最有效，水上运动对改善行为问题最有效。
格斗运动、球类运动、神经发育运动训练和水上运动可能是改善发育障碍儿童和青少年症状的有效运动方式。然而，特定发育障碍个体的改善程度可能存在差异。因此，在选择特定运动干预措施之前，对儿童或青少年的个体症状进行精确评估至关重要。
PROSPERO（CRD42024545673）。
许多研究表明，运动作为一种干预措施可以对患有发育障碍（如 ADHD 和自闭症）的个体产生积极影响。然而，报告的效果各不相同，目前对于最佳运动干预方法尚无明确共识。
通过全面的网络荟萃分析，比较了各种针对发育障碍儿童和青少年的运动干预措施，以确定最佳方法。研究发现，格斗运动、球类运动、神经发育运动训练和水上运动可能是改善该人群症状的有效方式。
