Analysis of motor assessment in children with autism spectrum disorders

doi:10.11852/zgetbjzz2020-0511

Abstract

Abstract: Objective To investigate the motor function development in children with autism spectrum disorders (ASD), so as to provide clinical evidence for precise intervention for ASD children. Methods A total of 182 ASD children at developmental-behavioral pediatrics of Guizhou Provincial People's Hospital from March, 2017 to December, 2019 were included in this study.And their assessment results of motor function development were retrospectively analyzed. Results The motor function assessment revealed that the mean score of gross motor (GM) and fine motor (FM) and total motor (TM) was 69.9±13.7, 75.2±15.5, and 70.1±13.8, respectively. The rate of GM, FM and TM delays was 78.0%, 61.5% and 75.8%, respectively. There were significant positive correlations between motor function and intelligence in autism(r ranged from 0.018 to 0.672), the subscales of FM was the most highly correlated with intelligence. In addition, the grasping motor of FM in girls with ASD was superior to that in boys, and the grasping motor obviously lagging behind of children with ASD more than 3 years old. Conclusions ASD children have distinct motor development delays.Early assessment of motor function is urgently needed in ASD children to help make personalized intervention in clinical practice.

Key words: autism spectrum disorders, motor function, assessment, children

摘要： 目的了解孤独症谱系障碍(ASD)患儿运动功能发育情况,为ASD患儿的精准干预提供临床证据。方法回顾性分析2017年3月-2019年12月在贵州省人民医院发育行为专科就诊的182例2～6岁ASD患儿认知和运动评估结果。结果运动评估显示,ASD患儿粗大运动商平均为(69.9±13.7)分,精细运动商平均为(75.2±15.5)分,总运动商平均为(70.1±13.8)分。78.0%(142/182)ASD患儿存在粗大运动落后、61.5%(112/182)精细运动落后、75.8%(138/182)总运动落后。ASD患儿运动能力与智力发育水平呈明显正相关(r＝0.018~0.672, P＜0.01),精细运动各维度与智力发育水平的相关性最高。ASD女性患儿精细运动抓握能力维度优于男性患儿(P＜0.05),3岁以上患儿精细运动抓握能力维度落后明显(P＜0.05)。结论 ASD患儿存在明显的运动发育落后。对ASD患儿应尽早进行运动评估,便于制定精准化临床干预。

关键词: 孤独症谱系障碍, 运动功能评估, 儿童

CLC Number:

:R749.94

XIONG Cai-yun, YANG Yuan-yuan, LI Jia-qiong, WANG Yao-zhou, LUO Lin-yin, YANG Zai-lan, JIANG Lu, ZHOU Hao. Analysis of motor assessment in children with autism spectrum disorders[J]. journal1, 2020, 28(11): 1205-1208.

熊才运, 杨媛媛, 李家琼, 王耀州, 罗林荫, 杨再兰, 江露, 周浩. 儿童孤独症谱系障碍运动功能评定分析[J]. 中国儿童保健杂志, 2020, 28(11): 1205-1208.

References

[1] Lord C, Brugha TS, Charman T, et al.Autism spectrum disorder[J].Nat Rev Dis Primers,2020,6(1):5.
[2] 刘贤,林穗方,陈文雄,等.中国儿童孤独症谱系障碍患病率Meta分析[J].中国儿童保健杂志,2018,26(4):402-406.
[3] Rojas V, Rivera A, Nilo N.Update in diagnosis and early intervention of autistic spectrum disorder[J].Rev Chil Pediatr,2019,90(5):478-484.
[4] Lefter R, Ciobica A, Timofte D, et al.A descriptive review on the prevalence of gastrointestinal disturbances and their multiple associations in autism spectrum disorder[J].Medicina (Kaunas),2019,56(1):11.
[5] Yamawaki K, Ishitsuka K, Suyama S, et al.Clinical characteristics of boys with comorbid autism spectrum disorder and attention deficit/hyperactivity disorder[J].Pediatr Int,2020,62(2):151-157.
[6] Cortese S, Wang F, Angriman M, et al.Sleep disorders in children and adolescents with autism spectrum disorder:Diagnosis, epidemiology, and management[J].CNS Drugs,2020,34(4):415-423.
[7] Cook J.From movement kinematics to social cognition:the case of autism[J].Philos Trans R Soc Lond B Biol Sci,2016,371(1693).doi:10.1098/rstb.2015.0372.
[8] Silverstein MW, Petri JM, Kramer LB, et al.An item response theory analysis of the PTSD checklist for DSM-5:implications for DSM-5 and ICD-11[J].J Anxiety Disord,2020,70:102190.
[9] 周浩,王艺.中文版儿童孤独症谱系障碍评估工具的现况分析[J].临床儿科杂志,2017,35(12):949-953.
[10] 刘烨,李家琼,熊才运,等.发育筛查量表的评价者间信度和共聚效度分析[J].中国当代医药,2018,25(11):4-7.
[11] 唐秋萍,龚耀先,戴晓阳,等.中国幼儿智力量表的编制Ⅱ.效度研究[J].中国临床心理学杂志,1998,6(2):15-19.
[12] 徐璇,陈茉弦,唐欣,等.Peabody运动发育量表在脑性瘫痪中的应用研究进展[J].中国康复医学杂志,2019,34(9):1121-1124.
[13] 郑毅.孤独症的共病问题及其对诊疗的影响[J].中国儿童保健杂志,2018,26(4):349-351.
[14] Munnich A.Unraveling the etiological complexity of autism spectrum disorders[J].Dev Med Child Neurol,2020,62(4):404.
[15] Licari MK, Alvares GA, Varcin K, et al.Prevalence of motor difficulties in autism spectrum disorder:analysis of a population-based cohort[J].Autism Res,2020,13(2):298-306.
[16] Powell JL, Pringle L, Greig M.Investigation of the association between motor stereotypy behavior with fundamental movement skills, adaptive functioning, and autistic spectrum disorder symptomology in children with intellectual disabilities[J].J Child Neurol,2017,32(2):222-229.
[17] De Jong M, Punt M, De Groot E, et al.Minor neurological dysfunction in children with autism spectrum disorder[J].Dev Med Child Neurol,2011,53(7):641-646.
[18] Beggiato A, Peyre H, Maruani A, et al.Gender differences in autism spectrum disorders:divergence among specific core symptoms[J].Autism Res,2017,10(4):680-689.
[19] Kaur M,Srinivasan SM,Bhat AN.Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD)[J].Res Dev Disabil,2018,72:79-95.
[20] Hannant P.Receptive language is associated with visual perception in typically developing children and sensorimotor skills in autism spectrum conditions[J].Hum Mov Sci,2018,58:297-306.