目的 了解孤独症谱系障碍(ASD)患儿运动功能发育情况,为ASD患儿的精准干预提供临床证据。方法 回顾性分析2017年3月-2019年12月在贵州省人民医院发育行为专科就诊的182例2～6岁ASD患儿认知和运动评估结果。结果 运动评估显示,ASD患儿粗大运动商平均为(69.9±13.7)分,精细运动商平均为(75.2±15.5)分,总运动商平均为(70.1±13.8)分。78.0%(142/182)ASD患儿存在粗大运动落后、61.5%(112/182)精细运动落后、75.8%(138/182)总运动落后。ASD患儿运动能力与智力发育水平呈明显正相关(r＝0.018~0.672, P＜0.01),精细运动各维度与智力发育水平的相关性最高。ASD女性患儿精细运动抓握能力维度优于男性患儿(P＜0.05),3岁以上患儿精细运动抓握能力维度落后明显(P＜0.05)。结论 ASD患儿存在明显的运动发育落后。对ASD患儿应尽早进行运动评估,便于制定精准化临床干预。
Abstract
Objective To investigate the motor function development in children with autism spectrum disorders (ASD), so as to provide clinical evidence for precise intervention for ASD children. Methods A total of 182 ASD children at developmental-behavioral pediatrics of Guizhou Provincial People's Hospital from March, 2017 to December, 2019 were included in this study.And their assessment results of motor function development were retrospectively analyzed. Results The motor function assessment revealed that the mean score of gross motor (GM) and fine motor (FM) and total motor (TM) was 69.9±13.7, 75.2±15.5, and 70.1±13.8, respectively. The rate of GM, FM and TM delays was 78.0%, 61.5% and 75.8%, respectively. There were significant positive correlations between motor function and intelligence in autism(r ranged from 0.018 to 0.672), the subscales of FM was the most highly correlated with intelligence. In addition, the grasping motor of FM in girls with ASD was superior to that in boys, and the grasping motor obviously lagging behind of children with ASD more than 3 years old. Conclusions ASD children have distinct motor development delays.Early assessment of motor function is urgently needed in ASD children to help make personalized intervention in clinical practice.
关键词
孤独症谱系障碍 /
运动功能评估 /
儿童
Key words
autism spectrum disorders /
motor function /
assessment /
children
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基金
贵州省人民医院博士基金(GZSYBS[2016]07号)
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