Ferreira Heloisa Adhmann, Pacheco Paula Mello, Santos Thais Helena Ferreira, Molini-Avejonas Daniela Regina
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo - USP - São Paulo (SP), Brasil.
Codas. 2025 Aug 1;37(4):e20240245. doi: 10.1590/2317-1782/e20240245pt. eCollection 2025.
To analyze the results of speech therapy intervention based on the principles of the DIR/Floortime model in early childhood in children with Autism Spectrum Disorder.
A longitudinal, quantitative, and prospective manner with direct and indirect intervention, whose target population was children up to three years and eleven months of age, with atypical language development associated with Autism Spectrum Disorder. It led twenty-four speech therapy early intervention sessions based on the DIR Floortime model, in addition to two initial assessment sessions, and two sessions for final assessment.
Twenty children completed the research, with an average age of 29 months at the initial assessment and 36 months in the final assessment. Among the children, 90% already had a diagnosis of Infantile Autism (F84.0). Comparing the results of the Pragmatic Profile, There was an average increase of 0.8 communicative acts and 6.66% in the occupation of the communicative space with statistical significance, as well as a decrease in the use of gestures. There was also a positive glow with moderate significance between "Intentional two-way communication" and the number of acts expressed per minute (the greater the capacity for intentional two-way communication, the greater the number of acts per minute).
When analyzing the pre- and post-intervention results, a consistent and statistically significant evolution is observed. In social communication, skills are interconnected and need to be worked on in a correlational manner, observing the individual needs of each child.
分析基于DIR/Floortime模型原则的言语治疗干预对幼儿自闭症谱系障碍患儿的效果。
采用纵向、定量和前瞻性研究方法,进行直接和间接干预,目标人群为年龄在三岁零十一个月以下、伴有自闭症谱系障碍的非典型语言发育儿童。除了两次初始评估和两次最终评估外,还开展了基于DIR Floortime模型的24次言语治疗早期干预课程。
20名儿童完成了研究,初始评估时平均年龄为29个月,最终评估时为36个月。其中90%的儿童已被诊断为儿童自闭症(F84.0)。比较语用概况结果,交际行为平均增加0.8次,交际空间占有率提高6.66%,具有统计学意义,同时手势使用减少。“意向性双向交流”与每分钟表达的行为数量之间也存在中度显著的正相关(意向性双向交流能力越强,每分钟的行为数量越多)。
分析干预前后的结果时,可观察到一致且具有统计学意义的进展。在社会交往中,各项技能相互关联,需要以相关联的方式进行训练,并观察每个孩子的个体需求。