A further study of relations between motor impairment and social communication, cognitive, language, functional impairments, and repetitive behavior severity in children with ASD using the SPARK study dataset.
A further study of relations between motor impairment and social communication, cognitive, language, functional impairments, and repetitive behavior severity in children with ASD using the SPARK study dataset.
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DOI：
10.1002/aur.2711
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发表时间：
2022-06
期刊：
影响因子：
4.7
通讯作者：
Tulsky, David S.
中科院分区：
文献类型：
--
作者：
Bhat, Anjana N.;Boulton, Aaron J.;Tulsky, David S.
运动障碍在自闭症谱系障碍(ASD)儿童中普遍存在，并在整个童年和青春期持续存在。根据最近对5至15岁ASD儿童运动障碍的研究(即SPARK研究样本)，这一人群中有87%-88%的人存在运动障碍的风险，这些问题持续到15年，并与他们的核心(社交技能和重复行为)和共病(语言、认知和功能)障碍有关。持续到青春期/成年期的运动障碍可能会对他们独立的日常生活技能、身体健康/活动水平以及身体/心理健康产生负面影响。虽然已有多项研究研究了自闭症儿童的运动维度与核心/共病损害之间的关系，但很少有研究研究自闭症学龄儿童/青少年的这种关系。本文对哪些运动领域(即粗大运动包括视觉运动或多肢协调/规划、精细运动或一般协调技能)进行了进一步的多维研究，以最好地区分患有自闭症的学龄儿童/青少年亚群，并在考虑年龄和性别后帮助预测核心和共病损害。视觉运动、精细运动和某些一般协调技能更好地解释/预测社交沟通障碍的变化，而精细运动技能则略好于解释/预测重复行为严重程度的变化。多肢协调/计划和精细运动技能解释了认知延迟的变化/预测，而视觉运动和精细运动技能解释了语言延迟的变化并更好地预测了语言延迟。所有3个运动维度都解释了功能延迟/预测功能延迟的差异。这项研究为将运动障碍纳入ASD定义(标准或指标)提供了进一步的证据。粗大运动技能与自闭症儿童的社会交流和功能延迟有关(与语言延迟有关的视觉运动技能和与认知延迟有关的多肢协调/规划技能)。精细运动技能与ASD的重复行为严重程度、语言、认知和功能延迟有关。诊断医生应建议对ASD高危儿童和诊断为ASD的儿童进行系统的运动筛查、进一步评估和治疗。需要运动宣传和提高公众/临床社区的认识，以满足自闭症儿童未得到满足的运动需求。
Motor impairments are pervasive and persistent in children with Autism Spectrum Disorder (ASD) throughout childhood and adolescence. Based on recent studies examining motor impairments in children with ASD between 5 and 15 years (i.e. SPARK study sample), 87–88% of this population is at-risk for a motor impairment, these problems persisted until 15 years, and related to their core (social communication skills and repetitive behaviors) and comorbid (language, cognitive, and functional) impairments. Persistent motor impairments extending into adolescence/adulthood could negatively impact their independent daily living skills, physical fitness/activity levels, and physical/mental health. While multiple studies have examined relations between motor dimensions and core/comorbid impairments in young children with ASD, few studies have examined such relations in school-age children/adolescents with ASD. This paper conducts a further multidimensional study of which motor domains (i.e., gross-motor including visuo-motor or multi-limb coordination/planning, fine-motor or general coordination skills) best distinguish subgroups of school-age children/adolescents with ASD and help predict core and comorbid impairments after accounting for age and sex. Visuomotor, fine-motor and certain general coordination skills were better at explaining variations in / predicting social communication impairments whereas fine-motor skills were slightly better at explaining variations in / predicting repetitive behavior severity. Multi-limb coordination/planning and fine-motor skills explained variations in /predicted cognitive delays whereas visuomotor and fine-motor skills explained variations in and better predicted language delays. All 3 motor dimensions explained variations in / predicted functional delays. This study provides further evidence for inclusion of motor impairments within the ASD definition (criteria or specifiers). Gross-motor skills were related to social communication and functional delays of children with ASD (visuomotor skills related to language delays and multilimb coordination/planning skills related to cognitive delays). Fine-motor skills were related to repetitive behavior severity, language, cognitive, and functional delays in ASD. Diagnosticians should recommend systematic motor screening, further evaluations, and treatments for children at-risk for and diagnosed with ASD. Motor advocacy and enhanced public/clinical community awareness is needed to fulfill the unmet motor needs of children with ASD.
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DOI：
10.1002/aur.2029
发表时间：
2018-12
期刊：
Autism research : official journal of the International Society for Autism Research
影响因子：
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