《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2023, Vol. 29 ›› Issue (10): 1117-1124.doi: 10.3969/j.issn.1006-9771.2023.10.001
Previous Articles Next Articles
Received:
2023-09-12
Published:
2023-10-25
Online:
2023-11-16
Contact:
YANG Jian, E-mail: yangjianxz@sina.com
Supported by:
CLC Number:
WANG Xinting, YANG Jian. Structured physical activity programs for children with autism spectrum disorders and their health benefits: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1117-1124.
"
人群 (Population) | 干预 (Intervention) | 比较 (Comparison) | 结局 (Outcome) |
---|---|---|---|
ASD 年龄:3~18岁 | 干预场所 学校 社区 康复机构 干预属性 预防 治疗 康复 健康促进 干预内容 根据身体活动的目标:认知+心理运动+情感+行为4个领域构建 根据个性化特点设计 干预处方 干预方式 干预频率 干预强度 干预持续时间 | 干预前后效果的比较 不同干预人群(不同ASD程度、智商)的比较 不同干预时间段效果的比较 | 身体成分 脂肪/体质量 肌肉 心肺功能 功能 言语和沟通技能 认知与执行功能(智力、记忆、注意力、执行功能) 运动功能(敏捷性、平衡性、灵活性) 身体活动相关的健康行为 锻炼动机(锻炼坚持性、体育活动参与度) 久坐行为 社会互动(社交、社会反应) 情绪调节(整体情绪、情绪表达、自我意识) 问题行为(刻板印象行为、自伤等) |
"
纳入文献 | 资格标准 | 随机分配 | 分配隐藏 | 基线相似 | 被试施盲 | 治疗师施盲 | 评估者施盲 | 被试流失率 ≤15% | 意向性分析 | 组间统计比较 | 变异性测量 | 总分 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Ketcheson等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 8 | ||
Kaur等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 9 | |
Ye等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Drüsedau等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Pierantozzi等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Arslan等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Drüsedau等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 8 |
"
纳入文献 | 国家 | 样本特征 | 干预场所 | 干预属性 | 干预处方 | 比较 | 健康结局指标 |
---|---|---|---|---|---|---|---|
Ketcheson等[ | 美国 | n = 25 年龄3~5岁 | 社区体育场馆 | 健康促进 | 干预内容:依据ASD儿童特点及TGMD-3设计运动(如跑动、跳跃)和球操(如踢球、击球、投掷)两方面的结构化身体活动内容,并对每个人进行个性化指导 干预频率:每次60 min,每周1次 干预强度:中等~剧烈 干预时长:12周 | 与干预前相比,TGMD-3球操技术得分显著增加; 与ASD症状较重的儿童相比,ASD症状较轻的儿童具有更高的功能性动作能力 | 身体成分 未提及 功能 未提及 身体活动相关的健康行为 球操运动技能和长俯卧撑显著改善 限制性和重复性行为显著减少 |
Kaur等[ | 美国 | n = 24 年龄5~13岁 | 特殊教育学校 | 治疗、康复 | 干预内容:旨在解决ASD儿童的运动障碍和诊断性社交障碍。培训课程包括传统的瑜伽活动,如呼吸、模仿姿势、伴侣姿势和放松,以及鼓励迎送歌曲、触摸/接触游戏和表情游戏等适当的社交活动 干预频率:每次40~45 min,每周4次 干预强度:轻度 干预时长:8周 | 与前测相比,瑜伽组总运动分测试、双侧协调分测试表现有所改善; 与早期训练相比,瑜伽训练降低中后期训练中模仿错误总百分比; 与智商较高ASD儿童相比,瑜伽组智商较低儿童训练后姿势模仿方面表现出更大的改善 | 身体成分 未提及 功能 未提及 身体活动相关的健康行为 瑜伽动作错误率显著降低 姿势模仿显著改善 社交行为显著改善 |
Ye等[ | 中国 | n = 24 年龄11~14岁 | 特殊教育学校 | 健康促进 | 干预内容:有氧运动、耐力运动和神经肌肉运动 干预频率:每次30~60 min,每周2~3次 干预强度:轻度~中度 干预时长:8周 | 与干预前相比,体质量下降,脂肪含量显著减少,与他人分享好感方面的得分显著增加; 与对照组相比,参与者语言和沟通交流明显改善 | 身体成分 体质量下降,脂肪含量显著减少 功能 语言和沟通交流能力明显改善 认知和感觉意识缺陷方面显著改善 身体活动相关的健康行为 社交能力显著提高 |
Drüsedau等[ | 德国 | n = 25 年龄6~12岁 | 儿童医院康复病区 | 治疗、康复、健康促进 | 干预内容:情绪和身体的正念感知训练 干预频率:每次90 min,每周1次 干预强度:未提及 干预时长:12周 | 与干预前相比,ASD儿童的非典型行为改善; 与个体疗法相比,团体疗法更有利于练习社交技能 | 身体成分 未提及 功能 未提及 身体活动相关的健康行为 非典型行为,如攻击性行为减少 日常生活改善 社交动机改善,社交行为增多 |
Pierantozzi等[ | 意大利 | n = 40 年龄8~12岁 | 社区体育场馆 | 健康促进 | 干预内容:根据ASD儿童特点设计的柔道训练计划,包括不同类型的动作和摔倒技巧、柔道分析技巧和柔道游戏、基本动作(拉、推、抱、举等) 干预频率:每次90 min,每周1次 干预强度:轻度~中度 干预时长:24周 | 与干预前相比,干预后ASD儿童心肺功能显著改善 | 身体成分 心肺功能显著改善 功能 未提及 身体活动相关的健康行为 未提及 |
Arslan等[ | 土耳其 | n = 28 年龄9~11岁 | 残疾儿童康复中心 | 治疗、康复 | 干预内容:跑步、跳远、走平衡木等 干预频率:每次60 min,每周3次 干预强度:轻度 干预时长:12周 | 与干预前相比,干预后体能测试中平衡能力、站立跳远、左右听觉反应和右手握力测试得分改善 | 身体成分 未提及 功能 身体敏捷性、平衡性和灵活性显著改善 身体活动相关的健康行为 跑步速度显著提高 握力增强 |
Drüsedau等[ | 德国 | n = 27 年龄8~12岁 | 社区体育场馆 | 健康促进 | 干预内容:朋友角色扮演、感官训练、校园课外活动 干预频率:每次90 min,每2周1次 干预强度:轻度 干预时长:40周 | 与干预前相比,ASD儿童情绪症状、多动和亲社会行为显著改善,日常生活能力显著改善 | 身体成分 未提及 功能 未提及 身体活动相关的健康行为 情绪症状、多动和亲社会行为显著改善 日常生活能力显著改善 |
[1] |
SIT C H P, YU J J, WONG S H S, et al. A school-based physical activity intervention for children with developmental coordination disorder: a randomized controlled trial[J]. Res Dev Disabil, 2019, 89(6): 1-9.
doi: 10.1016/j.ridd.2019.03.004 |
[2] |
OKELY A D, KONTSEVAYA A, NG J, et al. 2020 WHO guidelines on physical activity and sedentary behavior[J]. Sports Med Health Sci, 2021, 3(2): 115-118.
doi: 10.1016/j.smhs.2021.05.001 pmid: 35782159 |
[3] | World Health Organization. WHO guidelines on physical activity and sedentary behaviour[M]. Geneva: World Health Organization, 2020. |
[4] |
JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365.
doi: 10.1016/S2213-8587(22)00047-X |
[5] |
SALVADOR-GARCÍA C, CHIVA-BARTOLL Ó, BELAIRE-MELIÁ A, et al. Motor performance in school-aged children with autism spectrum disorder: effects of an extracurricular physical education program and socio-ecological correlates[J]. J Dev Phys Disabil, 2021, 34(3): 355-372.
doi: 10.1007/s10882-021-09802-z |
[6] |
BELMONTE M K. Motor symptoms in the ASD diagnostic criteria: a conservative perspective[J]. Autism Res, 2022, 15(9): 1582-1584.
doi: 10.1002/aur.2793 pmid: 35968612 |
[7] | AMONKAR N, SU W C, BHAT A N, et al. Effects of creative movement therapies on social communication, behavioral-affective, sensorimotor, cognitive, and functional participation skills of individuals with autism spectrum disorder: a systematic review[J]. Front Psychiatry, 2021, 12(7): 26-58. |
[8] |
KLUPP S, GROB A, MÖHRING W. Aerobic fitness and fine motor skills are related to switching and updating in typically developing children[J]. Psychol Res, 2023, 87(5): 1401-1416.
doi: 10.1007/s00426-022-01749-w |
[9] |
HOWELLS K, SIVARATNAM C, MAY T, et al. Efficacy of group-based organised physical activity participation for social outcomes in children with autism spectrum disorder: a systematic review and meta-analysis[J]. J Autism Dev Disord, 2019, 49(8): 3290-3308.
doi: 10.1007/s10803-019-04050-9 pmid: 31102193 |
[10] |
TSE C Y A, PANG C L, LEE P H. Choosing an appropriate physical exercise to reduce stereotypic behavior in children with autism spectrum disorders: a non-randomized crossover study[J]. J Autism Dev Disord, 2018, 48(5): 1666-1672.
doi: 10.1007/s10803-017-3419-3 pmid: 29196864 |
[11] |
HAMM J, YUN J. Influence of physical activity on the health-related quality of life of young adults with and without autism spectrum disorder[J]. Disabil Rehabil, 2017, 41(7): 1-7.
doi: 10.1080/09638288.2017.1370498 |
[12] |
CASHIN A G, MCAULEY J H. Clinimetrics: Physiotherapy Evidence Database (PEDro) Scale[J]. J Physiother, 2020, 66(1): 59.
doi: S1836-9553(19)30092-X pmid: 31521549 |
[13] |
KETCHESON L, STAPLES K, PITCHFORD E A, et al. Promoting positive health outcomes in an urban community-based physical activity intervention for preschool aged children on the autism spectrum[J]. J Autism Dev Disord, 2023, 53(2): 633-647.
doi: 10.1007/s10803-021-04871-7 |
[14] |
KAUR M, BHAT A. Creative yoga intervention improves motor and imitation skills of children with autism spectrum disorder[J]. Phys Ther, 2019, 99(11): 1520-1534.
doi: 10.1093/ptj/pzz115 pmid: 31765484 |
[15] | YE Q, HU G Y, CAI Y B, et al. Structural exercise-based intervention for health problems in individuals with autism spectrum disorders: a pilot study[J]. Eur Rev Med Pharmacol Sci, 2019, 23(10): 4313-4320. |
[16] | DRÜSEDAU L, SCHOBA A, CONZELMANN A, et al. A structured group intervention (TüTASS) with focus on self-perception and mindfulness for children with autism spectrum disorder, ASD. A pilot study[J]. Eur Arch Psy Clin N, 2022, 272(2): 177-185. |
[17] |
PIERANTOZZI E, MORALES J, FUKUDA D H, et al. Effects of a long-term adapted judo program on the health-related physical fitness of children with ASD[J]. Int J Environ Res Public Health, 2022, 19(24): 16731.
doi: 10.3390/ijerph192416731 |
[18] |
ARSLAN E, INCE G, AKYÜZ M. Effects of a 12-week structured circuit exercise program on physical fitness levels of children with autism spectrum condition and typically developing children[J]. Int J Dev Disabil, 2022, 68(4): 500-510.
doi: 10.1080/20473869.2020.1819943 pmid: 35937176 |
[19] |
DRÜSEDAU L L, GÖTZ A, KLEINE BÜNING L, et al. Tübinger Training for Autism Spectrum Disorders (TüTASS): a structured group intervention on self-perception and social skills of children with autism spectrum disorder (ASD)[J]. Eur Arch Psychiatry Clin Neurosci, 2023, 273(7): 1599-1613.
doi: 10.1007/s00406-022-01537-y |
[20] |
KOZLOWSKI K, LOPATA C, DONNELLY J, et al. Feasibility and associated physical performance outcomes of a high-intensity exercise program for children with autism[J]. Res Q Exerc Sport, 2020, 92(4): 1-12.
doi: 10.1080/02701367.2019.1699233 |
[21] | JACKSON S L J, ABEL E A, REIMER S, et al. Brief report: a specialized fitness program for individuals with autism spectrum disorder benefits physical, behavioral, and emotional outcomes[J]. J Autism Dev Disord, 2022, 70(5): 595-603. |
[22] |
COLUMNA L, PRIETO L A, BEACH P, et al. A randomized feasibility trial of a fundamental motor skill parent-mediated intervention for children with autism spectrum disorders[J]. Int J Environ Res Public Health, 2021, 18(23): 12398.
doi: 10.3390/ijerph182312398 |
[23] |
DONG L, SHEN B, PANG Y, et al. FMS effects of a motor program for children with autism spectrum disorders[J]. Percept Mot Skills, 2021, 128(4): 1421-1442.
doi: 10.1177/00315125211010053 |
[24] |
VAN CAPELLE A, BRODERICK C R, VAN DOORN N, et al. Interventions to improve fundamental motor skills in pre-school aged children: a systematic review and meta-analysis[J]. J Sci Med Sport, 2017, 20(7): 658-666.
doi: S1440-2440(17)30239-6 pmid: 28169146 |
[25] |
SHANKER S, PRADHAN B. Effect of yoga on children with autism spectrum disorder in special schools[J]. Ind Psychiatry J, 2022, 31(2): 367-369.
doi: 10.4103/ipj.ipj_212_21 pmid: 36419691 |
[26] |
SOTOODEH M S, ARABAMERI E, PANAHIBAKHSH M, et al. Effectiveness of yoga training program on the severity of autism[J]. Complement Ther Clin Pract, 2017, 28(6): 47-53.
doi: 10.1016/j.ctcp.2017.05.001 |
[27] |
ZACHOR D A, VARDI S, BARON-EITAN S, et al. The effectiveness of an outdoor adventure programme for young children with autism spectrum disorder: a controlled study[J]. Dev Med Child Neurol, 2017, 59(5): 550-556.
doi: 10.1111/dmcn.13337 pmid: 27911014 |
[1] | SONG Yiling, REN Yuanchun, ZHU Feilong, KUANG Dongqing, CAO Qingjiu, LIN Yang, WANG Fang. Characteristics and relationship between the development of gross motor skills and executive function in children with attention deficit hyperactivity disorder [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 1-9. |
[2] | SHAO Weiting, LEI Jianghua. Effect of response interruption and redirection as a behavioral intervention on vocal stereotypy in children with autism spectrum disorder: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 10-20. |
[3] | LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110. |
[4] | HAO Chuanping. Assistive technology application in educational contexts: policy framework and core areas [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 119-124. |
[5] | WANG Hangyu, GE Keke, FAN Yonghong, DU Lilu, ZOU Min, FENG Lei. Effect of active music therapy on cognitive function for older adults with cognitive impairment: a systematic review based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 36-43. |
[6] | WEN Jianing, JIN Qiuyan, ZHANG Qi, LI Jie, SI Qi. Effect of cognitively engaging physical activity on developing executive function of children and adolescents: a systematic review based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 44-53. |
[7] | GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60. |
[8] | ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011. |
[9] | WANG Junyu, YANG Yong, YUAN Xun, XIE Ting, ZHUANG Jie. Effect of high-intensity interval training on executive function for healthy children and adolescents: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1012-1020. |
[10] | WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028. |
[11] | BI Xiaoyu, ZHU Xiaotong, ZHU Feilong, KUANG Dongqing, SONG Yiling, FAN Biyao, REN Yuanchun. Sex difference of fine motor skills of school-age children with attention deficit hyperactivity disorder [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1029-1034. |
[12] | GENG Limeng, LIU Congcong, LI Ling, LÜ Panpan, WANG Xin, LIU Fang. Psychological and behavioral characteristics of children with autism spectrum disorder using Psycho-educational Profile (Third Edition) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1035-1039. |
[13] | YANG Yaru, YANG Jian. School-based physical activity-related health services and their health benefits within the World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1040-1047. |
[14] | WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056. |
[15] | SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|