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.

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.
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DOI:
10.3389/fpsyt.2021.722874
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发表时间:
2021
影响因子:
4.7
通讯作者:
Srinivasan SM
Srinivasan SM
中科院分区:
医学3区
文献类型:
--
作者:
Amonkar N;Su WC;Bhat AN;Srinivasan SM

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自闭症谱系障碍(ASD)是一种神经发育障碍,影响多个发育领域,包括社会沟通,行为情感,感觉运动和认知系统。越来越多的证据表明,使用整体,全身,创造性运动疗法(CMT),如音乐,舞蹈,瑜伽,戏剧和武术,以解决ASD中的多系统损伤。我们对迄今为止关于CMT对ASD患者多系统影响的证据进行了全面的定量和定性审查。最有力的证据,无论是在数量和质量方面,存在的音乐和武术为基础的干预措施,其次是瑜伽和戏剧,与舞蹈为基础的方法非常有限的研究。我们对72项研究的回顾(N = 1,939名参与者),年龄范围为3至65岁的ASD参与者表明,目前有一致的高质量研究证据表明,音乐和武术治疗后社交沟通技能有小到大的改善,瑜伽和武术训练后运动和认知技能有中到大的改善,迄今为止,没有足够的证据表明CMT后情感,感觉和功能参与领域的收益。虽然很有希望,但我们的综述呼吁进行更严格的高质量研究,以评估CMT在ASD中的多系统效应。基于现有的文献,我们讨论了我们的研究结果对自闭症研究人员的影响,并为临床医生提供了循证指南,将CMT方法纳入ASD患者的护理计划。
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder affecting multiple developmental domains including social communication, behavioral-affective, sensorimotor, and cognitive systems. There is growing evidence for the use of holistic, whole-body, Creative Movement Therapies (CMT) such as music, dance, yoga, theater, and martial arts in addressing the multisystem impairments in ASD. We conducted a comprehensive quantitative and qualitative review of the evidence to date on the effects of CMT on multiple systems in individuals with ASD. The strongest evidence, both in terms of quantity and quality, exists for music and martial arts-based interventions followed by yoga and theater, with very limited research on dance-based approaches. Our review of 72 studies (N = 1,939 participants) across participants with ASD ranging from 3 to 65 years of age suggests that at present there is consistent evidence from high quality studies for small-to-large sized improvements in social communication skills following music and martial arts therapies and medium-to-large improvements in motor and cognitive skills following yoga and martial arts training, with insufficient evidence to date for gains in affective, sensory, and functional participation domains following CMT. Although promising, our review serves as a call for more rigorous high-quality research to assess the multisystem effects of CMT in ASD. Based on the existing literature, we discuss implications of our findings for autism researchers and also provide evidence-based guidelines for clinicians to incorporate CMT approaches in their plan of care for individuals with ASD.
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