感觉运动训练对孤独症谱系障碍患儿运动技能的影响

Effect of sensorimotor training on motor skills of children with autism spectrum disorder

目的探讨感觉运动训练对孤独症谱系障碍(ASD)患儿感觉发育、运动技能的影响。方法选择2018年1月至2019年10月在本院康复中心诊断为ASD进行住院康复治疗患儿60例,随机分为观察组和对照组各30例。对照组接受常规康复训练,观察组在常规康复训练基础上进行感觉运动训练。治疗前及治疗3个月,分别采用儿童感觉统合能力发展评定量表评估患儿感觉统合能力(前庭功能失衡、触觉防御过分、本体感觉失调、学习能力发展不足),采用Peabody运动发育评定量表粗大运动部分及精细运动部分评定粗大、精细运动能力。结果治疗3个月后,两组感觉统合能力发展评定量表评分及粗大、精细运动功能评分高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论感觉运动训练能够促进ASD儿童感觉系统发育,提高运动技能。

Objective To explore the effect of sensorimotor training on sensory development and motor skills in children with autism spectrum disorder(ASD).Methods Totally 60 children with ASD diagnosed in the rehabilitation center of our hospital from January 2018 to October 2019 were randomly divided into treatment group(n=30)and control group(n=30).The control group received routine rehabilitation training,and the treatment group received sensorimotor training in addition to routine rehabilitation training.Before treatment and 3 months after treatment,the children's sensory integration ability(vestibular dysfunction,excessive tactile defense,proprioceptive disorder,in sufficient development of learning ability)was evaluated according to the children's sensory integration ability development scale,and the gross and fine motor abilities were evaluated according to the Peabody motor development scale.Results After 3 months of treatment,the scores of sensory integration development scale and gross and fine motor function scores of the two groups were significantly higher than those before treatment,and the treatment group was higher than the control group,and there were significant differences(P<0.05).Conclusion Sensorimotor training can promote the development of sensory system and improve motor skills in children with ASD.