Retrospective Analysis of Motor Development in Infants at High and Low Risk for Autism Spectrum Disorder.

Retrospective Analysis of Motor Development in Infants at High and Low Risk for Autism Spectrum Disorder.
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DOI:
10.5014/ajot.2015.017525
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发表时间:
2015-09-01
期刊:
The American journal of occupational therapy : official publication of the American Occupational Therapy Association
影响因子:
--
通讯作者:
Lane, Alison E
Lane, Alison E
中科院分区:
其他
文献类型:
--
作者:
Heathcock, Jill C;Tanner, Kelly;Lane, Alison E

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目的:测量有或没有自闭症谱系障碍 (ASD) 危险因素的婴儿的上肢和粗大运动技能发育情况。方法:对参与纵向结构化早期发育评估的 39 名婴儿进行回顾性编码。 25 名婴儿属于 ASD 高风险,其余 14 名婴儿属于低风险。上肢和运动技能发展在 2、4 和 6 个月时进行编码。 5 名婴儿在 2-4 岁时接受了 ASD 诊断。 结果:与低风险组相比,ASD 高风险婴儿的上肢中线行为较少,并且运动技能发展迟缓。运动技能的差异在 4 个月时最为明显。 结论:有必要对 ASD 高风险婴儿的运动发育迟缓进行早期监测。中线控制和上肢运动以及整体运动技能发展是可能的评估和治疗目标。
OBJECTIVE: To measure upper-extremity and gross motor skill development in infants with and without risk factors for autism spectrum disorder (ASD).METHOD: Data were coded retrospectively from 39 infants who participated in longitudinal structured early developmental assessments. Twenty-five infants were at high risk for ASD, and the remaining 14 infants were classified as low risk. Upper-extremity and motor skill development were coded at ages 2, 4, and 6 mo. Five infants went on to receive an ASD diagnosis at age 2-4 yr.RESULTS: Infants at high risk for ASD demonstrated fewer midline behaviors with the upper extremities and delayed motor skill development than the low-risk group. Differences in motor skills were most apparent at age 4 mo.CONCLUSION: Early monitoring for motor delay in infants at high risk for ASD is warranted. Midline control and play with the upper extremities and overall motor skill development are possible assessment and therapeutic targets.