基于ICF-CY的适应性韵律体操活动对低功能孤独症谱系障碍儿童的效果

doi:10.3969/j.issn.1006-9771.2021.04.005

Abstract

Abstract: Objective

To study the effect of adapted rhythmic gymnastics based on International Classification of Functioning, Disability and Health-Children and Youth Version(ICF-CY) on the fundamental motor skill development for children with low function autism spectrum disorder (ASD).

Methods

Three boys aged 7.2 to 8 years with low function ASD (IQ 47 to 53) participated in the exercise since September, 2019. Their activities and motor function were analyzed with ICF-CY to develop a 12-week rehabilitation exercise, including physical fitness, gymnastics skills content and game. They were assessed with ICF-CY based Questionnaire and gross motor of Peabody Developmental Motor Scales(PDMS-2) before and after training.

Results

The qualifiers of body structure, body function, activity and participation improved somehow after training. The scores of gross motor skills of PDMS-2 improved.

Conclusion

The adapted rhythmic gymnastics training based on ICF-CY may improve the functioning, especially motor function, for children with low function ASD, which can be a kind of rehabilitation exercise.

Key words: autism spectrum disorder, children, low function, International Classification of Functioning, Disability and Health, motor, adapted rhythmic gymnastics

CLC Number:

R749.93

Chen-chen XU,Ming-yan YAO,Fu-bing QIU,Chuan-ping HAO,An-qiao LI,Wen YU,Yue-shuai JIANG,Ting ZHU. Adapted Rhythmic Gymnastics Based on ICF-CY for Children with Low Function Autism Spectrum Disorder[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(4): 412-419.

Figures/Tables 5

References 39

1	Duncan M J, Roscoe C M, Noon M, et al. Run, jump, throw and catch: how proficient are children attending English schools at the fundamental motor skills identified as key within the school curriculum? [J]. Eur Phys Educ Rev, 2020, 26(4): 814-826.
2	van der Fels I M, Te Wierike S C, Hartman E, et al. The relationship between motor skills and cognitive skills in 4-16 year old typically developing children: a systematic review [J]. J Sci Med Sport, 2015, 18(6): 697-703.
3	Lee J, Zhang T, Chu T L A, et al. Effects of a fundamental motor skill-based after school program on children's physical and cognitive health outcomes [J]. Inter J Envir Res Public Health, 2020, 17(3): 733.
4	Cummins A, Piek J P, Dyck M J. Motor coordination, empathy, and social behaviour in school-aged children [J]. Dev Med Child Neurol, 2005, 47(7): 437-442.
5	邹敏,孙宏伟,邱卓英,等. 基于ICD-11和ICF的智力残疾术语、诊断和分类研究[J]. 中国康复理论与实践, 2019, 25(1): 1-5.
	Zou M, Sun H W, Qiu Z Y, et al. Terminology, diagnosis and classification of intellectual disability using WHO ICD-11 and ICF [J]. Chin J Rehabil Theory Pract, 2019, 25(1): 1-5.
6	邹敏,邱卓英,孙宏伟,等. 基于ICF比较我国智力障碍的鉴定标准[J]. 中国康复理论与实践, 2019, 25(9): 1011-1015.
	Zou M, Qiu Z Y, Sun H W, et al. Comparison of standards of intellectual impairment in China using ICF [J]. Chin J Rehabil Theory Pract, 2019, 25(9): 1011-1015.
7	世界卫生组织. 健康服务体系中的康复[J]. 邱卓英,郭键勋,李伦,译. 中国康复理论与实践, 2020, 26(1): 1-14.
	World Health Organization. Rehabilitation in Health Service System [J]. Qiu Z Y, Kwok J K F, Li L, trans. Chin J Rehabil Theory Pract, 2020, 26(1): 1-14.
8	邱卓英,郭键勋,李伦,等. 世界卫生组织康复指南«健康服务体系中的康复»:背景、理论架构与方法、主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1): 16-20.
	Qiu Z Y, Kwok J K F, Li L, et al. WHO Rehabilitation in Health System: background, framework and approach, contents and implementation [J]. Chin J Rehabil Theory Pract, 2020, 26(1): 16-20.
9	邱卓英,郭键勋,杨剑,等. 康复2030:促进实现«联合国2030年可持续发展议程»相关目标[J]. 中国康复理论与实践, 2017, 23(4): 373-378.
	Qiu Z Y, Kwok J K F, Yang J, et al. Rehabilitation 2030: realization of United Nation Sustainable Development Goals 2030 [J]. Chin J Rehabil Theory Pract, 2017, 23(4): 373-378.
10	李毓秋,邱卓英,邹敏. 6~18岁重度智力残疾儿童的智力与适应性行为评定和分级方法研究[J]. 中国康复理论与实践, 2019, 25(1): 6-9.
	Li Y Q, Qiu Z Y, Zou M. Assessment and classification of severe intellectual disability for children aged 6-18 [J]. Chin J Rehabil Theory Pract, 2019, 25(1): 6-9.
11	王胜男,邱卓英,孙宏伟,等. 智力残疾人的职业康复:理论架构、方法与服务[J]. 中国康复理论与实践, 2019, 25(1): 22-28.
	Wang S N, Qiu Z Y, Sun H W, et al. Individualized services and support plan for people with intellectual disability based on ICF [J]. Chin J Rehabil Theory Pract, 2019, 25(1): 22-28.
12	王梅,施俊,邱卓英,等. 智力残疾儿童身体活动及其影响因素研究[J]. 中国康复理论与实践, 2019, 25(1): 29-33.
	Wang M, Shi J, Qiu Z Y, et al. Physical activities and its influential factors for children with intellectual disabilities [J]. Chin J Rehabil Theory Pract, 2019, 25(1): 29-33.
13	Fresiello L, Meyns B, Di Molfetta A, et al. A model of the cardiorespiratory response to aerobic exercise in healthy and heart failure conditions [J]. Front Physiol, 2016, 7(2):189-191.
14	Winnick J P. Adapted Physical Education And Sport [M]. J Hum Kinet, 2016.
15	Kadir M R, Irfanuddin I, Fediani Y, et al. The recommended aerobic gymnastics has better effects on improving cognitive and motoric ability in children [J]. Bio Sci Med: J Biomed Transl Res, 2018, 2(3): 25-34.
16	Karachle N, Dania A, Venetsanou F. Effects of a recreational gymnastics program on the motor proficiency of young children [J]. Sci Gym J, 2017, 9(1): 17-25.
17	Hassannejad A, Khalaj A, Mansournia M A, et al. The effect of aerobic or aerobic-strength exercise on body composition and functional capacity in patients with BMI ≥ 35 after bariatric surgery: a randomized control trial [J]. Obes Surg, 2017, 27(11): 2792-2801.
18	Kadir M R, Irfanuddin I, Fediani Y, et al. The recommended aerobic gymnastics has better effects on improving cognitive and motoric ability in children [J]. Bio Sci Med: J Biomed Transl Res, 2018, 2(3): 25-34.
19	Vogt T, Schneider S, Abeln V, et al. Exercise, mood and cognitive performance in intellectual disability: a neurophysiological approach [J]. Behav Brain Res, 2012, 226(2): 473-480.
20	Pastula R M, Stopka C B, Delisle A T, et al. Effect of moderate-intensity exercise training on the cognitive function of young adults with intellectual disabilities [J]. J Strength Condition Res, 2012, 26(12): 3441-3448.
21	Paoli A, Bianco A. What is fitness training? Definitions and implications: a systematic review article [J]. Iran J Public Health, 2015, 44(5): 602.
22	de Witte M, Spruit A, van Hooren S, et al. Effects of music interventions on stress-related outcomes: a systematic review and two meta-analyses [J]. Health Psychol Rev, 2020, 14(2): 294-324.
23	陈钢,王国祥. ICF-CY理念下特殊学校开展适应体育课程的思考[J]. 中国康复理论与实践, 2016, 22(6): 741-744.
	Chen G, Wang G X. Adaptive sports course in special schools under theory of ICF-CY [J]. Chin J Rehabil Theory Pract, 2016, 22(6): 741-744.
24	孙宏伟,邹敏,邱卓英,等. 基于ICF的智力残疾个别化服务与支持方案设计研究[J]. 中国康复理论与实践, 2019, 25(1): 10-14.
	Sun H W, Zou M, Qiu Z Y, et al. Individualized services and support plan for people with intellectual disability based on ICF [J]. Chin J Rehabil Theory Pract, 2019, 25(1): 10-14.
25	Tanasă R A, Dumitru I M, Budacă M V. The effects of gymnastics training on stactic balance among children aged 4 to 8 [J]. Sci Hum Kinet, 2020, 13(1): 111-118.
26	Xu C C, Yao M Y, Kang M X, et al. Improving physical fitness of children with intellectual and developmental disabilities through an adapted rhythmic gymnastics program in China [J]. Biomed Res Int, 2020, 8(10): 1-10.
27	姜静远,李安巧,邱服冰,等. 基于ICF-CY儿童青少年身体活动指南的内容分析与比较[J]. 中国康复理论与实践, 2020, 26(9): 993-1004.
	Jiang J Y, Li A Q, Qiu F B, et al. Content analysis and comparison of physical activity guidelines for children based on ICF-CY [J]. Chin J Rehabil Theory Pract, 2020, 26(9): 993-1004.
28	梁兵,马洪卓,邱卓英,等. 3~6岁脑性瘫痪、智力残疾、孤独症儿童活动和参与功能障碍比较[J]. 中国康复理论与实践, 2015, 21(9): 993-995.
	Liang B, Ma H Z, Qiu Z Y, et al. Comparison of barriers of activity and participation for 3-6 years aged children with cerebral palsy, intellectu-al disability, and autism using ICF-CY questionnaire [J]. Chin J Rehabil Theory Pract, 2015, 21(9): 993-995.
29	Jeoung B. Motor proficiency differences among students with intellectual disabilities, autism, and developmental disability [J]. J Exerc Rehabil, 2018, 14(2): 275.
30	Pedersen B K. Physical activity and muscle-brain crosstalk [J]. Nat Rev Endocrinol, 2019, 15(7): 383-387.
31	Chen K, Zheng Y, Wei J, et al. Exercise training improves motor skill learning via selective activation of mTOR [J]. Sci Adv, 2019, 5(7): 1888-1893.
32	Skopal L, Netto K, Aisbett B, et al. The effect of a rhythmic gymnastics-based power-flexibility program on the lower limb flexibility and power of contemporary dancers [J]. Inter J Sport Phys Ther, 2020, 15(3): 343-350.
33	Pop C, Ciomag V. The influence of aerobic gymnastics on the students' body image [J]. Pro-Soci Behav Sci, 2014, 117: 129-135.
34	Hsieh S S, Lin C C, Chang Y K, et al. Effects of childhood gymnastics program on spatial working memory [J]. Med Sci Sports Exerc, 2017, 49(12): 2537-2547.
35	Irfannuddin I, Siagian M, Jusman S, et al. Hurdle aerobic exercise increases angiogenesis and neuroplasticity in the hippocampus and improves the spatial memory ability of middle-aged mice [J]. Maced J Med Sci, 2020, 8(A): 395-402.
36	Andre M J G, Bernard P T, Alphonse M, et al. Effects of aerobic gymnastics practice and endurance race on body composition, cardiovascular and lipid profile among sub-saharan African menopausal women [J]. Menopause, 2019, 10(8): 9-15.
37	Kim B, Kim S. Influences of resistance versus aerobic exercise on physiological and physical fitness changes in previously inactive men with obesity: a prospective, single-blinded randomized controlled trial [J]. Diabetes Metab Syndr Obes, 2020, 13(2): 267-273.
38	Alzohary A A, Salim E M M, Gouda L M. Training effects of modern artistic exercises in improving some physical variables and sensory system among rhythmic gymnasts under (12) years [J]. J Sport Sci, 2020, 10(01): 38-52.
39	Ogino A, Uenoyama Y. Music playlist generation system for changing a listener's mood to a positive state [C]. Society of Kansei Engineering, Japan: International Symposium on Affective Science and Engineering ISASE2019, 2019.

编号	性别	年龄(岁)	ASD严重程度	韦氏智商/智力障碍程度	身高(cm)	体质量(kg)
1	男	7.2	三级	47/中	121	27
2	男	7.6	三级	50/中	126	27
3	男	8	二级	53/中	128	25

活动类别	活动内容	目标功能	活动强度
体适能类	基本韵律体操练习：律动踏步、节律拍手、屈伸膝、摆动上肢、屈伸肘、蹲起、双脚转换跳、方位并步跳	智力功能(b117)；心肺健康(b455)、心肺耐力(b410、b740)；肌肉力量(b730)；模仿能力(b147)；听觉、触觉、本体感、前庭觉(b156)	中高强度(3.0~6.0 MET)体适能活动每次≥ 20 min
	垫上体操动作练习方位爬行：跪撑爬、直臂直腿爬、仰撑爬、推车爬、支撑跳不经头颈的滚动：团身滚、冰棍滚、斜坡滚、陀螺滚	关节稳定(b710、b715)；上肢力量(b730)；耐力(b740)；协调(b760)；本体觉(b260)
	身体素质练习：手指点击、手掌拍击、悬吊杆；脚背、脚尖连续击拍地面、蹬车轮、仰卧起坐、俯卧背起、仰卧举腿、俯撑等	腕关节运动(b710)；上肢力量(b730)、协调性(b760)；控制力(b735)；核心力量、躯干力量(b730)；姿势控制(b147)
运动技能类	轻器械体操球类：方位举球、拍接球、弹接球、夹球举腿、抛接球及互传球弹力带抗阻练习：对抗跑、对抗拉圈类：连续钻圈、爬形钻圈、跳圈	身体协调(b760)和关节动作稳定(b710)；触觉功能(b265)、躯干力量(b730)；操控能力(b755)	中高等强度(个人能力的50%~80%)运动技能活动≥ 20 min
竞赛类	体操类游戏比赛：弹力带抗阻赛跑、投球入框赛、爬行赛	社会人际互动(b122)；注意力(b140)；动作熟练程度	中高强度(3.0~6.0 MET)竞赛、游戏活动≥ 10 min/次

类目	学生1		学生2		学生3
类目	初期	末期	初期	末期	初期	末期
身体结构
s7与运动有关的结构
s710头颈部位有问题?	0	0	0	0	0	0
s730臂和手有问题?	2	1	0	0	1	1
s750腿和脚有问题?	2	1	1	1	0	0
身体功能
b1精神功能
b110维持清醒有问题?	0	0	0	0	0	0
b163完成需要思考的任务有问题?	4	3	3	3	4	2
b134睡眠问题？	3	2	0	0	4	2
b140注意力问题？	4	3	4	3	4	2
b144记忆某事有问题?	3	3	3	3	3	2
b147协调身体各部位有问题?	3	2	3	2	3	1
b156辨别声音、形状是否有问题?	0	0	0	0	0	0
b2感觉功能和疼痛
b210前庭觉有问题？	3	2	3	2	2	1
b230听声音有问题?	0	0	0	0	0	0
b280比同龄儿童感受更多的疼？	4	2	0	0	4	2
b3发声和言语功能
发声和说话有问题?	3	3	4	4	3	2
b7神经肌肉骨骼和运动有关的功能
b710手腕、肘部、肩关节或膝关节有问题?	3	2	0	0	2	2
b730躯干、手臂、腿部肌肉问题?	3	2	3	2	2	2
b735身体躯干、手臂、腿部僵硬的问题?	0	0	0	0	3	1
b750肌肉反射问题?	2	1	0	0	0	0
b760控制手臂和腿部运动是否有问题?	4	2	3	2	4	2
b765是否有其他不寻常的运动?	4	2	3	3	4	2

类目	学生1		学生2		学生3
类目	初期	末期	初期	末期	初期	末期
d230进行日常事务	4/3	3/2	4/3	2/2	3/2	2/2
d250控制自身行为	4/4	3/2	4/3	3/3	4/4	2/2
d310交流-接收-口头讯息	4/4	3/3	4/4	3/3	3/2	2/2
d330说	4/4	2/3	4/3	3/3	4/3	3/2
d335非语言的讯息	4/3	2/2	4/3	3/2	4/3	3/2
d440精巧手的使用	3/3	2/3	3/3	3/3	3/3	2/2
d450步行	2/1	1/0	0/0	0/0	0/0	0/0
d710基本人际交往	4/4	2/3	3/4	3/3	4/4	3/2
d880参与游戏	4/4	3/2	4/3	3/2	4/4	2/2
d920娱乐与休闲	4/4	3/4	3/3	3/2	3/4	2/2

时间	学生1				学生2				学生3
时间	姿势控制	移动	实物操作	粗大动作商	姿势控制	移动	实物操作	粗大动作商	姿势控制	移动	实物操作	粗大动作商
T0	3	13	4	79	4	12	7	85	6	20	9	111
T1	3	15	4	83	4	12	7	85	8	20	9	115
T2	8	25	11	132	7	27	11	132	9	29	12	136

Adapted Rhythmic Gymnastics Based on ICF-CY for Children with Low Function Autism Spectrum Disorder

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