治疗性聆听联合作业治疗对孤独症谱系障碍儿童的影响

The Impact of Integrating Therapeutic Listening Combined with Occupational Therapy on Childrenwith Autism Spectrum Disorder

目的 观察治疗性聆听联合作业治疗对孤独症谱系障碍(ASD)儿童精细动作和日常生活能力方面的疗效。方法选择2022年4月~2023年4月北京博爱医院儿童康复科2.6~6岁ASD儿童38例,随机分为试验组(n=19)和对照组(n=19),两组均接受基础康复治疗和作业治疗,试验组在常规治疗基础上进行治疗性聆听,治疗周期10周。治疗前后两组均采用儿童障碍评估量表(pediatric evaluation of disability inventory,PEDI)、Peabody运动发育量表(peabody developmental motor scales 2,PDMS-2)、孤独症行为量表(autism behavior checklist,ABC)进行评价。结果 治疗后,两组PEDI得分、PDMS-2抓握分测试、PDMS-2视觉-运动整合分测试评估分显著提高,ABC评分显著降低,且试验组与对照组在量表后测分数上具有显著差异(P<0.05),试验组的治疗效果优于对照组。结论 治疗性聆听联合作业治疗可更好促进ASD儿童双手精细运动发育和日常生活能力的提高。

Objective To observe the effect of therapeutic listening combined with occupational therapy on fine motor skills and activities of daily living in children with autism spectrum disorder(ASD).Methods From April,2022 to April,2023,Beijing Bo'ai Hospital,2.6-6 children with 38 cases,randomly divided into a trial group(n=19)and control group(n=19).Both groups received basic rehabilitation treatment and accupational therapy,the control group receive therapeutic listening on the basis of routine treatment for 10 weeks.The Pediatric Evaluation of Disability Inventory(PEDI),Peabody Developmental Motor Scales 2(PDMS-2),and Autism Behavior Checklist(ABC)scales were the used to evaluate both groups before and after treatment.Results After treatment,the PEDI score,PDMS-2 grip score,and PDMS-2 visual motor integration score of the two groups significantly increased,while the ABC score significantly decreased.The treatment effect of the experimental group was significanty better than that of the control group(P<0.05).Conclusion Therapeutic listening combined with Occupational therapy can better promote the development of fine motor movements and the improvement of daily living ability in children with ASD.