Early motor delays as diagnostic clues in autism spectrum disorder

Early motor delays as diagnostic clues in autism spectrum disorder
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DOI:
10.1007/s00431-017-2951-7
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发表时间:
2017-09-01
影响因子:
3.6
通讯作者:
Harris, Susan R.
Harris, Susan R.
中科院分区:
医学3区
文献类型:
--
作者:
Harris, Susan R.

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自闭症的早期识别有助于转介到早期干预服务,这在加强亲子互动以及适应性行为、沟通和社会化方面是有效的。诊断自闭症谱系障碍(ASD)的传统标志包括社会沟通和社会互动方面的缺陷,以及刻板印象或重复的行为模式。过去十年的研究表明,儿童早期的发育运动迟缓也可能是这种难以诊断的疾病的重要预测因素。这篇简短的交流的目的是描述关于发育运动迟缓和其他神经运动问题的具体研究发现,这些发现可能有助于ASD的早期诊断,从而加快早期治疗干预的转诊。结论:由于有合理的共识,即一岁运动迟缓可能是ASD的前驱症状,儿科医生不应排除有相关运动行为的婴儿患ASD的可能性。已知情况:早期识别自闭症有助于转介早期干预服务。诊断自闭症谱系障碍(ASD)的传统标志包括社会沟通和社会互动的缺陷以及重复的行为模式。最新消息:最近的研究表明,儿童早期的发育运动迟缓也可能是ASD的重要预测因素。儿科医生应该考虑有运动迟缓或其他相关运动行为的婴儿患自闭症的可能性。
Early identification of autism facilitates referral for early intervention services, shown to be effective in enhancing parent-child interaction as well as adaptive behavior, communication, and socialization. Traditional hallmarks for the diagnosis of autism spectrum disorder (ASD) include deficits in social communication and social interaction as well as stereotypic or repetitive behavioral patterns. Research during the past decade suggests that developmental motor delays during early childhood may also be important predictors of this difficult-to-make diagnosis. The purpose of this short communication is to describe specific research findings about developmental motor delays and other neuromotor concerns that may contribute to the early diagnosis of ASD and thus hasten referral for early therapeutic intervention.Conclusion: In that there is reasonable consensus that motor delays during the first year of life may represent a prodrome of ASD, pediatricians should not rule out the possibility of ASD in infants with concerning motor behaviors.What is Known:Early identification of autism facilitates referral for early intervention services.Traditional hallmarks for diagnosis of autism spectrum disorder (ASD) include deficits in social communication and social interaction as well as repetitive patterns of behavior.What is New:Recent research suggests that developmental motor delays during early childhood may also be important predictors of ASD.Pediatricians should consider the possibility of ASD in infants with motor delays or other concerning motor behaviors.