专题 ICF研究与应用

应用ICF-CY研究孤独症儿童的功能状态与体育活动和运动康复

  • 孙慧珍 ,
  • 王国祥 ,
  • 邱卓英 ,
  • 杨桃 ,
  • 殷荣宾
展开
  • 1.苏州大学体育学院,残疾功能评定与运动康复研究中心,江苏苏州市 215021;
    2.中国康复研究中心康复信息研究所,世界卫生组织国际分类家族中国合作中心,北京市 100068
孙慧珍(1992-),女,汉族,江苏宿迁市人,硕士研究生,主要研究方向:体育与健康、运动康复。

收稿日期: 2017-05-12

  修回日期: 2017-09-28

  网络出版日期: 2017-11-03

基金资助

中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No.2017CZ-7)

Application of ICF-CY in Analysis of Functioning and Disability, and Physical Activity and Sport Rehabilitation for Children with Autism Spectrum Disorder

  • SUN Hui-zhen ,
  • WANG Guo-xiang ,
  • QIU Zhuo-ying ,
  • YANG Tao ,
  • YIN Rong-bin
Expand
  • 1. School of Physical Education and Sport Sciences, Research Center of Disability Evaluation and Sport Rehabilitation, Soochow University, Suzhou, Jiangsu 215021, China;
    2. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, WHO Family of International Classifications Collaborating Center in China, Beijing 100068, China

Received date: 2017-05-12

  Revised date: 2017-09-28

  Online published: 2017-11-03

摘要

目的 应用ICF-CY相关工具分析孤独症儿童的功能障碍,探讨体育活动和运动康复的可能效果和方法。方法 应用ICF-CY相关理论与方法以及文献研究方法对孤独症儿童的主要功能障碍进行分析,探讨体育活动以及运动康复对改善孤独症儿童功能及促进全面发展的作用。结果 孤独症儿童典型障碍体现在社会交流障碍和重复刻板行为两个方面。在身体功能方面,表现为特殊精神功能和运动功能障碍;在活动和参与方面,表现为人际交往、手和手臂的灵活使用、步行和移动等障碍。针对孤独症儿童的功能障碍设计个别化的体育活动方案,促进运动技能的发展,改善相关的功能,促进全面发展。结论 应用ICF-CY理论方法,分析孤独症儿童的整体功能,构建个别化的适应性体育活动与运动康复方法,以改善孤独症儿童的整体功能,促进其全面发展。

本文引用格式

孙慧珍 , 王国祥 , 邱卓英 , 杨桃 , 殷荣宾 . 应用ICF-CY研究孤独症儿童的功能状态与体育活动和运动康复[J]. 中国康复理论与实践, 2017 , 23(10) : 1123 -1129 . DOI: 10.3969/j.issn.1006-9771.2017.10.002

Abstract

Objective To analyze the characteristics of functioning in children with autism spectrum disorder (ASD) based on the ICF-CY, to discuss the approaches of physical activity and exercise rehabilitation for them.Methods The typical disabilities in children with ASD were analyze based on ICF-CY and literature review. The approaches of physical activity and exercise rehabilitation were discussed.Results There were two kinds of behaviors including repetitive behavior and communication impairments. The main functioning of children with ASD included special mental function and motor function in body function and body structure; interpersonal interactions, hand and arm flexibly use, walking and moving in activity and participation. Individualized physical activity plan for children with ASD should promote the development of motor skills, improve relevant functions and promote all-round developments.Conclusion It is useful to analyze the functioning and disability, to develop individualized plans of physical activity and sport rehabilitation, to improve total functioning and to promote all-round developments.

参考文献

[1] 世界卫生组织. 国际功能、残疾和健康分类(儿童和青少年版)[M]. 邱卓英,译. 日内瓦:世界卫生组织, 2013.
[2] 邱卓英,王朴,王博. 《国际功能、残疾和健康分类》的发展和应用进展[J]. 中国康复理论与实践, 2008, 14(1): 85-86.
[3] Stucki G,Cieza A,Melvin J, et al. 《国际功能、残疾和健康分类》:对物理和康复医学进行统一概念描述的模式[J]. 卢雯,李智玲,邱卓英,译. 中国康复理论与实践, 2008, 14(12): 1108-1111.
[4] 段云峰,吴晓丽,金峰. 自闭症的病因和治疗方法研究进展[J]. 中国科学, 2015, 45(9): 820-844.
[5] American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders [M]. 5th ed. Washington D.C.: American Psychiatric Publishing, 2013.
[6] Neik TTX, Lee LW, Low HM, et al. Prevalence diagnosis, treatment and research on autism spectrum disorders in Singapore and Malaysia [J]. Inter J Special Educ, 2014, 29: 82-92.
[7] 中国教育学会家庭教育专业委员会自闭症研究指导中心,五彩鹿儿童行为矫正中心,新华公益. 中国自闭症儿童现状分析报告[DB/OL]. [2014-10-18]. http://politics.people.com.cn/n/2014/1018/c707312-25859301.html.
[8] 邱卓英,李欣,刘冯铂,等. 基于ICF的智力残疾模式、测量方法及社会支持系统研究[J]. 中国康复理论与实践, 2016, 22(4): 373-377.
[9] 邱卓英,李沁燚,陈迪,等. ICF-CY理论架构、方法、分类体系及其应用[J]. 中国康复理论与实践, 2014, 20(1): 1-5.
[10] de Schipper E, Mahdi S, Vries P, et al. Functioning and disability in autism spectrum disorder: a worldwide survey of experts [J]. Autism Res, 2016, 9(9): 959-969.
[11] 邱卓英,张爱民. 《国际功能、残疾和健康分类》应用指导(一)[J]. 中国康复理论与实践, 2003, 9(1): 20-33.
[12] Vissers?ME, Cohen MX, Geurts HM. Brain connectivity and high functioning autism: a promising path of research that needs refined models, methodological convergence, and stronger behavioral links [J]. Neurosci Biobehav Rev, 2012, 36(1): 604-625.
[13] Kana RK, Uddin LQ, Kenet T, et al. Brain connectivity in autism [J]. Front Hum Neurosci, 2014, 8: 349.
[14] Redcay E, Moran JM, Mavros PL, et al. Intrinsic functional network organization in high-functioning adolescents with autism spectrum disorder [J]. Front Hum Neurosci, 2013, 7: 573.
[15] Raznahan A, Toro R, Daly E, et al. Cortical anatomy in autism spectrum disorder: an in vivo MRI study on the effect of age [J]. Cereb Cortex, 2010, 20(6): 1332-1340.
[16] Weinstein M, Bensira L, Levy Y, et al. Abnormal white matter integrity in young children with autism [J]. Hum Brain Mapp, 2011, 32(4): 534-543.
[17] Khan AJ, Nair A, Keown CL, et al. Cerebro-cerebellar resting-state functional connectivity in children and adolescents with autism spectrum disorder [J]. Biol Psychiatry, 2015, 78(9): 625-634.
[18] Fatemi SH, Aldinger KA, Ashwood P, et al. Consensus paper: Pathological role of the cerebellum in autism [J]. Cerebellum, 2012, 11(3): 777-807.
[19] Srinivasan SM, Pescatello LS, Bhat AN. Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorders [J]. Phys Ther, 2014, 94(6): 875-889.
[20] 邹小兵. 美国精神疾病诊断分类手册第5版“孤独症谱系障碍诊断标准”解读[J]. 中国实用儿科杂志, 2013, 28(8): 561-563.
[21] Mazurek MO, Sohl K. Sleep and behavioral problems in children with autism spectrum disorder [J]. J Autism Dev Disord, 2016, 46(6): 1906-1915.
[22] Maski K, Holbrook H, Manoach D, et al. Sleep dependent memory consolidation in children with autism spectrum disorder [J]. Sleep, 2015, 38(12): 1955-1963.
[23] Kelly RJ, Elsheikh M. Reciprocal relations between children's sleep and their adjustment over time [J]. Dev Psychol, 2014, 50(4): 1137-1147.
[24] Yoo SS, Gujar N, Hu P, et al. The human emotional brain without sleep–a prefrontal amygdala disconnect [J]. Curr Biol, 2007, 17(20): R877-R878.
[25] 鲁明辉,缪玉,杨广学. 自闭症谱系障碍共病研究现状与启示[J]. 现代特殊教育, 2015(1): 34-40.
[26] Beers AN, McBoyle M, Kakande E, et al. Autism and peripheral hearing loss: a systematic review [J]. Int J Pediatr Otorhinolaryngol, 2014, 78(1): 96-101.
[27] Silva LM, Schalock M, Gabrielsen KR, et al. Early intervention with a parent-delivered massage protocol directed at tactile abnormalities decreases severity of autism and improves child-to-parent interactions: a replication study [J]. Autism Res Treat, 2015, 2015: 904585.
[28] Aasen G, Nærland T. Enhancing activity by means of tactile symbols: a study of a heterogeneous group of pupils with congenital blindness, intellectual disability and autism spectrum disorder [J]. J Intellect Disabil, 2014, 18(1): 61-75.
[29] Silva LM, Schalock M, Gabrielsen KR. About face: evaluating and managing tactile impairment at the time of autism diagnosis [J]. Autism Res Treat, 2015, 2015: 612507.
[30] Allely CS. Pain sensitivity and observer perception of pain in individuals with autistic spectrum disorder [J]. Scientific World Journal, 2013, 2013: 916178.
[31] Heberling CA, Dhurjati PS, Sasser M. Hypothesis for a systems connectivity model of autism spectrum disorder pathogenesis: links to gut bacteria, oxidative stress, and intestinal permeability [J]. Med Hypotheses, 2013, 80(3): 264-270.
[32] Adams JB, Johansen LJ, Powell LD, et al. Gastrointestinal flora and gastrointestinal status in children with autism–comparisons to typical children and correlation with autism severity [J]. BMC Gastroenterol, 2011, 11: 22.
[33] Schieve LA, Gonzalez V, Boulet SL, et al. Concurrent medical conditions and health care use and needs among children with learning and behavioral developmental disabilities [J]. Res Dev Disabil, 2012, 33(2): 467-476.
[34] Mazefsky CA, Schreiber DR, Olino TM, et al. The association between emotional and behavioral problems and gastrointestinal symptoms among children with high-functioning autism [J]. Autism, 2014, 18(5): 493-501.
[35] Adams JB, Tapan A, Sharon MDM, et al. Effect of a vitamin/mineral supplement on children and adults with autism [J]. BMC Pediatr, 2011, 11: 111.
[36] Must A, Phillips SM, Curtin C, et al. Comparison of sedentary behaviors between children with autism spectrum disorders and typically developing children [J]. Autism, 2014, 18(4): 376-384.
[37] Musalem LL, Stankovic T, Glisic D, et al. Biomechanical and electromyographic comparisons of isometric trunk flexor endurance test postures: prone plank versus V-sit [J]. J Appl Biomech, 2015, 31(6): 469-475.
[38] American Psychiatric Association. Autism Spectrum Disorder [DB/OL]. [2013-05-18]. http://www.dsm5.org/Documents/Autism Spectrum Disorder Fact Sheet.pdf.
[39] 王国祥,梁兵,陶蓉,等. 基于ICF-CY的脑性瘫痪儿童运动功能评定及水疗方案[J]. 中国康复理论与实践, 2017, 23(2): 146-150.
[40] Lane A, Harpster K, Heathcock J. Motor characteristics of young children referred for possible autism spectrum disorder [J]. Pediatr Phys Ther, 2012, 24(1): 21-29.
[41] Lloyd M, Macdonald M, Lord C. Motor skills of toddlers with autism spectrum disorders [J]. Autism, 2013, 17(2): 133-146.
[42] Bădescu GM, Fîlfan M, Sandu RE, et al. Molecular mechanisms underlying neurodevelopmental disorders, ADHD and autism [J]. Rom J Morphol Embryol, 2016, 57(2): 361-366.
[43] Fournier KA, Kimberg CI, Radonovich KJ, et al. Decreased static and dynamic postural control in children with autism spectrum disorders [J]. Gait Posture, 2010, 32(1): 6-9.
[44] Bhat AN, Landa RJ, Galloway JC. Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorders [J]. Phys Ther, 2011, 91(7): 1116-1129.
[45] Gaunaurd?I, Gailey R, Hafner BJ, et al. Postural asymmetries in transfemoral amputees [J]. Prosthet Orthot Int, 2011, 35(2): 171-180.
[46] Capecci M, Serpicelli?C, Fiorentini L, et al. Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson's disease [J]. Arch Phys Med Rehabil, 2014, 95(6): 1067-1075.
[47] Weiss MJ, Moran MF, Parker ME, et al. Gait analysis of teenagers and young adults diagnosed with autism and severe verbal communication disorders [J]. Front Integr Neurosci, 2013, 7: 33.
[48] Miller M, Chukoskie L, Zinni M, et al. Dyspraxia, motor function and visual-motor integration in autism [J]. Behav Brain Res, 2014, 269: 95-102.
[49] Downey R, Rapport MJ. Motor activity in children with autism: a review of current literature [J]. Pediatr Phys Ther, 2012, 24(1): 2-20.
[50] Kourkoulou A, Kuhn G, Findlay JM, et al. Eye movement difficulties in autism spectrum disorder: implications for implicit contextual learning [J]. Autism Res, 2013, 6(3): 177-189.
[51] Fournier KA, Hass CJ, Naik SK, et al. Motor coordination in autism spectrum disorders: a synthesis and meta-analysis [J]. J Autism Dev Disord, 2010, 40(10): 1227-1240.
[52] 郭德华,杨广学. 环境因素与自闭症[J]. 中国慢性病预防与控制, 2012, 20(5): 599-603.
[53] Eaker ED. Social support and physical health: understanding the health consequences of relationships [J]. Am J Epidemiol, 2004, 10(3): 102-111.
[54] Gan SM, Tung LC, Yeh CY, et al. ICF-CY based assessment tool for children with autism [J]. Disabil Rehabil, 2013, 35(8): 678-685.
[55] Weiss MJ. Harrdiness and social support as predictors of stress in mothers of typical children, children with autism,and children with mental retardation [J]. Autism, 2002, 6(1): 115-130.
[56] Hall HR, Graff JC. The relationships among adaptive behaviors of children with autism, family support, parenting stress, and coping [J]. Issues Compr Pediatr Nurs, 2010, 34(1): 4-25.
[57] de Schipper E, Lundequist A, Coghill D, et al. Ability and disability in autism spectrum disorder: a systematic literature review employing the International Classification of Functioning, Disability and Health-Children and Youth Version [J]. Autism Res, 2015, 8(6): 782-794.
[58] 王晋伟. 孤独症儿童体育干预策略研究[J]. 陇东学院学报, 2016, 27(1): 108-111.
[59] Staal WG. Autism, DRD3 and repetitive and stereotyped behavior, an overview of the current knowledge [J]. Eur Neuropsychopharmacol, 2015, 25(9): 1421-1426.
[60] Stratis EA, Lecavalier L. Restricted and repetitive behaviors and psychiatric symptoms in youth wih autism spectrum disorders [J]. Res Autism Spectrum Disord, 2013, 7(6): 757-766.
[61] 宁宁,张永盛,杨广学,等. 自闭症谱系障碍儿童重复刻板行为研究综述[J]. 中国特殊教育, 2015(2): 46-51.
[62] Liu T, Breslin CM. Fine and gross motor performance of the MABC-2 by children with autism spectrum disorder and typically developing children [J]. Res Autism Spectrum Disord, 2013, 7(10): 1244-1249.
[63] Vonder Hulls DS, Walker LK, Powell JM. Clinicians'perceptions of the benefits of aquatic therapy for young children with autism: a preliminary study [J]. Phys Occup Ther Pediatr, 2006, 26(1-2): 13-22.
[64] Serge B, Stefanie J, Edith HT, et al. Impact of aerobic exercise on sleep and motor skills in children with autism spectrum disorders–a pilot study [J]. Neuropsychiatr Dis Treat, 2015, 11(4): 1911-1920.
[65] Casey AF, Quenneville-Himbeault G, Normore A, et al. A therapeutic skating intervention for children with autism spectrum disorder [J]. Pediatr Phys Ther, 2015, 27(2): 170-177.
[66] Neely L, Rispoli M, Gerow S, et al. Effects of antecedent exercise on academic engagement and stereotypy during instruction [J]. Behav Modif, 2015, 39(1): 98-116.
[67] Bahrami F, Movahedi A, Marandi SM, et al. The effect of Karate techniques training on communication deficit of children with autism spectrum disorders [J]. J Autism Dev Disord, 2016, 46(3): 978-986.
[68] Rafie F, Ghasemi A, Zamani JA, et al. Effect of exercise intervention on the perceptual-motor skills in adolescents with autism [J]. J Sports Med Phys Fit, 2016, 57(1-2): 53-59.
[69] Steiner H, Kertesz Z. Effects of therapeutic horse riding on gait cycle parameters and some aspects of behavior of children with autism [J]. Acta Physiol Hung, 2015, 102(3):324-335.
[70] 王维廉. 体育游戏概谈[J]. 体育与科学, 1995(2): 39-41.
[71] 郭雷祥. 自闭症儿童的问题行为表现及体育游戏干预[J]. 宜春学院学报, 2012, 34(12): 139-141.
[72] 张志勇,邓淑红. 自闭症儿童体育游戏干预个案研究[J]. 体育科学, 2010, 30(8): 49-56.
[73] 郭德华,杨广学. 《国际功能、残疾和健康分类(儿童和青年版)》在自闭症研究和康复实践中的应用[J]. 中国特殊教育, 2013(10): 33-38.
[74] 曹仪钦,王国祥. 基于ICF核心分类组合肥胖症功能特点分析与运动康复策略研究[J]. 中国康复理论与实践, 2015, 21(9): 1006-1011.
文章导航

/

〈 〉