Motor problems in autism: Co-occurrence or feature?
Motor problems in autism: Co-occurrence or feature?
复制标题
自闭症的运动问题：共现还是特征？
DOI：
10.1111/dmcn.15674
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发表时间：
2024
影响因子：
3.8
通讯作者：
Tamplain,PriscilaM
中科院分区：
文献类型：
--
作者：
Miller,HaylieL;Licari,MelissaK;Bhat,Anjana;Aziz-Zadeh,LisaS;VanDamme,Tine;Fears,NicholasE;Cermak,SharonA;Tamplain,PriscilaM
自闭症的运动特征早已被临床医生、研究人员和社区利益相关者所认识。目前的DSM-5和ICD-11指南允许临床医生为患有严重运动问题的自闭症患者指定发育[运动]协调障碍（DCD）的共现诊断。DCD的特征是运动能力差，在早期发育中出现症状。研究表明，在自闭症和DCD中观察到的行为运动特征有相当大的重叠。然而，其他研究表明，自闭症和DCD的运动问题可能源于不同的潜在感觉运动机制。无论自闭症是否具有独特的运动表型或与DCD重叠，都需要在临床管道中做出改变，以解决自闭症在识别，评估，诊断和干预阶段的运动问题。需要达成共识，以解决自闭症运动问题的病因学研究中未满足的需求及其与DCD的重叠，以优化临床实践指南。开发有效、可靠的运动障碍筛查和评估工具对自闭症患者至关重要，迫切需要建立一个基于证据的自闭症运动障碍临床治疗管道。本文补充：自闭症运动障碍非常普遍，但诊断不足，管理不善，迫切需要建立一个基于证据的自闭症运动障碍临床治疗管道。
Motor features of autism have long been acknowledged by clinicians, researchers, and community stakeholders. Current DSM‐5 and ICD‐11 guidelines allow clinicians to assign a co‐occurring diagnosis of developmental [motor] coordination disorder (DCD) for autistic individuals with significant motor problems. DCD is characterized by poor motor proficiency with an onset of symptoms in early development. Studies have shown considerable overlap in the behavioral motor features observed in autism and DCD. However, others indicate that motor problems in autism and DCD may stem from different underlying sensorimotor mechanisms. Regardless of whether autism has a unique motor phenotype or an overlap with DCD, changes need to be made in the clinical pipeline to address motor problems in autism at the stages of recognition, assessment, diagnosis, and intervention. Consensus is needed to address unmet needs in research on the etiology of motor problems in autism and their overlap with DCD, to optimize clinical practice guidelines. The development of screening and assessment tools for motor problems that are valid and reliable for use with autistic individuals is essential, and an evidence‐based clinical pipeline for motor problems in autism is urgently needed.What this paper addsMotor problems in autism are highly prevalent, yet underdiagnosed and poorly managed.An evidence‐based clinical pipeline for motor problems in autism is urgently needed.
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