Quantifying the efficacy of physical activity on motor skills and stereotypies in children with autism spectrum disorder: A meta-analysis of randomized controlled trials from the last decade

IF 2.2 4区医学 Q1 EDUCATION, SPECIAL

Research in Autism Spectrum Disorders Pub Date : 2024-04-12 DOI:10.1016/j.rasd.2024.102395

Jingyuan Jiang , Guoxiang Wang , Qinwen Gu , Xue Wang , Jingxin Liu

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引用次数: 0

Abstract

Background

This study aimed to explore the effects of physical activity (PA) on motor skills and stereotypical behavior in children with autism spectrum disorder (ASD).

Methods

Studies were searched in PubMed, Web of Science, Embase, the Cochrane Library, and CNKI. A total of 14 studies with 345 participants were included in this study, and a random-effects model with the standard mean difference (SMD) was used to calculate the effect size. We include 6 scales to evaluate motor skills and 2 scales to evaluate stereotyped behavior.

Results

Compared with the baseline, the PA group showed a significantly improved Test of Gross Motor Skills (TGMD) [SMD = 1.90 (95%CI: 0.78 to 3.02), p < 0.001] and Brininx-Oresetsky Test (BOT) [SMD = 7.37 (95%CI: 1.72 to 13.02), p = 0.01], while the control group did not significantly change in TGMD. For stereotyped behavior, there was a significant reduction in GARS-2 [SMD = −0.64 (95%CI: −1.10 to −0.18), p = 0.01] in the PA group compared with the baseline, while the control group did not significantly change.

Conclusion

This meta-analysis confirmed the beneficial effects of PA on motor skills and stereotyped behavior in children with ASD. Engaging in activities like ball games at moderate intensity can be beneficial. Further research should examine the specific effects of various PA types and intensities to enhance PA-based interventions for ASD.

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量化体育活动对自闭症谱系障碍儿童运动技能和刻板行为的影响：过去十年随机对照试验的荟萃分析

背景本研究旨在探讨体育活动（PA）对自闭症谱系障碍（ASD）儿童运动技能和刻板行为的影响。方法在PubMed、Web of Science、Embase、Cochrane Library和CNKI中检索研究。本研究共纳入了 14 项研究，345 名参与者，并采用随机效应模型和标准均值差异（SMD）计算效应大小。结果与基线相比，PA 组的大运动技能测试（TGMD）[SMD = 1.90 (95%CI: 0.78 to 3.02)，p < 0.001]和布里宁克斯-奥雷斯基测试（BOT）[SMD = 7.37 (95%CI: 1.72 to 13.02)，p = 0.01]有显著改善，而对照组的大运动技能测试没有显著变化。在刻板行为方面，与基线相比，PA 组的 GARS-2 显著降低[SMD = -0.64 (95%CI: -1.10 to -0.18)，p = 0.01]，而对照组则无明显变化。参与中等强度的球类运动等活动是有益的。进一步的研究应探讨各种体育锻炼类型和强度的具体效果，以加强以体育锻炼为基础的 ASD 干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Autism Spectrum Disorders Multiple-

CiteScore

4.20

自引率

8.00%

发文量

108

期刊介绍： Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.