Fadlalmola Hammad Ali, Abedelwahed Huda Hassabelrasool, Hamid Hawa Ibrahim, Ali Anwar Balla, Algadi Halima Abd Alrahim, Farg Somia Jadalla, Ali Nasreldeen Mohamed Ahmed, Elbashir Ashraf Abdelrahman, Mohammed Maria Hassan, Mohmmed Suhair Salah, Mousa Salwa Ali, Gaafar Dali Ahmed, Eltyeb Amna Ahmed
Department of Community Health Nursing, Nursing College, Taibah University, Medina, Saudi Arabia.
Department of Nursing, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi Arabia.
Int J Ther Massage Bodywork. 2024 Dec 12;17(4):4-19. doi: 10.3822/ijtmb.v17i4.1079. eCollection 2024 Dec.
The Centers for Disease Control and Prevention stated that about 1 in every 44 children between the ages of 4 and 8 years old had been identified with autism spectrum disorder (ASD). Complementary interventions such as massage are crucial for the improvement of the health outcomes of ASD patients, such as abnormal sensory response; Autism Behavior Checklist; parenting stress, self-regulatory difficulties, social, language, and communication abilities; tactile or oral abnormalities; Vineland daily living skills; Vineland socialization; Childhood Autism Rating Scale; Preschool Language Scale 5th Edition (PLS-5) auditory communication; and PLS-5 expressive communication.
We aim to systematically investigate the effects of different types of massage on self-regulatory difficulties, tactile and oral abnormalities, and parenting stress in children with ASD.
PubMed, Cochrane Library, Scopus, and Web of Science were scoured from their inception through November 15, 2022. Research comparing massage efficacy in children with ASD to other methods or a control group was included. For randomized controlled trials (RCTs), we utilized the Cochrane risk of bias tool; and for cohort studies, we used the tool developed by the National Institutes of Health. Meta-analysis was carried out with Review Manager 5.4. For our continuous data, we calculated the mean difference (MD) and 95% confidence interval (95% CI).
We included 10 studies with a total number of 485 children with autism. Our analysis showed a significant decrease in the massage group regarding self-regulatory difficulties (MD = -9.15; 95% CI (-13.69 to -4.60), p < 0.0001). Also, the massage group showed a significant decrease in tactile or oral abnormalities compared with the control group (MD = -4.83; 95% CI (-7.86 to -1.80), p = 0.002). Moreover, parenting stress significantly decreased in the massage group compared to the control group (MD = -4.31; 95% CI (-7.02 to -1.61), p = 0.002).
Qigong and traditional Thai massage improved self-regulatory difficulties and decreased tactile or oral abnormalities in children with autism. Moreover, they decreased parenting stress. However, we need more RCTs with larger sample sizes with high quality to assess the different types of massage effects on autistic children and produce more valid results. So, Qigong and traditional Thai massage could be used as a complement to educational and training interventions in children with autism.
美国疾病控制与预防中心指出，在4至8岁的儿童中，约每44人就有1人被确诊患有自闭症谱系障碍（ASD）。诸如按摩等辅助干预措施对于改善ASD患者的健康状况至关重要，这些状况包括异常的感觉反应、《自闭症行为检查表》、育儿压力、自我调节困难、社交、语言和沟通能力、触觉或口腔异常、《文兰日常生活技能量表》、《文兰社会化量表》、《儿童自闭症评定量表》、《学前语言量表》第5版（PLS - 5）听觉沟通以及PLS - 5表达性沟通。
我们旨在系统地研究不同类型的按摩对ASD儿童自我调节困难、触觉和口腔异常以及育儿压力的影响。
对PubMed、Cochrane图书馆、Scopus和科学网从创建至2022年11月15日的文献进行了检索。纳入了比较ASD儿童按摩疗效与其他方法或对照组的研究。对于随机对照试验（RCT），我们使用Cochrane偏倚风险工具；对于队列研究，我们使用美国国立卫生研究院开发的工具。使用Review Manager 5.4进行荟萃分析。对于我们的连续数据，我们计算了平均差（MD）和95%置信区间（95%CI）。
我们纳入了10项研究，共有485名自闭症儿童。我们的分析表明，按摩组在自我调节困难方面有显著下降（MD = -9.15；95%CI（-13.69至-4.60），p < 0.0001）。此外，与对照组相比，按摩组在触觉或口腔异常方面也有显著下降（MD = -4.83；95%CI（-7.86至-1.80），p = 0.002）。而且，与对照组相比，按摩组的育儿压力显著降低（MD = -4.31；95%CI（-7.02至-1.61），p = 0.0
