Systematic Review and Meta-Analysis of the Effect of Motor Intervention on Cognition, Communication, and Social Interaction in Children with Autism Spectrum Disorder.

IF 1.5 4区医学 Q2 PEDIATRICS

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-04 DOI:10.1080/01942638.2025.2498357

Marcelo R Rosales, Christiana Dodd Butera, Rujuta B Wilson, Judy Zhou, Elizabeth Maus, Hongyang Zhao, Jason C Chow, Annie Dao, Julia Freeman, Stacey C Dusing

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引用次数: 0

Abstract

Aims: Conduct a systematic review and meta-analysis on the effects of motor intervention on social, communication, and cognitive skills in individuals (0-21 years) with autism spectrum disorder (ASD).

Methods: Seven databases were used to search for randomized control trials (RCT) implementing a motor intervention for children with ASD; and measured social, communication, and cognitive outcomes. Twenty-three RCTs were selected with 66 outcomes and 636 participants (range of mean age: 4.3 - 12.3 years).

Results: Motor interventions had a significant, positive effect on (1) all outcomes combined (i.e. social, communication, and cognitive) (SSMD: 0.41, p = .01), (2) social (SSMD: 0.46, p = .012) and (3) combined social/communication (SSMD: 0.47, p = .01) domains, but not for the motor domain (SSMD: 0.45, p = .25) or cognitive domain alone (SSMD: 0.22, p = .18). In children above age nine, a 1-year increase in age corresponded to a 0.29 decrease in SSMD (less effective).

Conclusions: Motor interventions have a positive impact and should be considered when planning interventions for children with ASD.

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运动干预对自闭症谱系障碍儿童认知、沟通和社会互动影响的系统回顾和meta分析。

目的：对运动干预对自闭症谱系障碍（ASD）个体（0-21岁）社交、沟通和认知技能的影响进行系统回顾和meta分析。方法：使用7个数据库检索实施ASD儿童运动干预的随机对照试验（RCT）；并测量了社交，沟通和认知结果。共选择23项随机对照试验，66个结局，636名参与者（平均年龄范围：4.3 - 12.3岁）。结果：运动干预在(1)所有结果综合（即社会、沟通和认知）（SSMD: 0.41, p = 0.01）、(2)社会（SSMD: 0.46, p = 0.012）和(3)社会/沟通综合（SSMD: 0.47, p = 0.01）领域有显著的积极影响，但在运动领域（SSMD: 0.45, p = 0.25）或单独的认知领域（SSMD: 0.22, p = 0.18）没有显著的积极影响。在9岁以上的儿童中，年龄增加1岁对应于SSMD减少0.29（效果较差）。结论：运动干预具有积极的影响，在为ASD儿童制定干预计划时应予以考虑。

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

Physical & Occupational Therapy in Pediatrics PEDIATRICS-REHABILITATION

CiteScore

3.70

自引率

4.80%

发文量

审稿时长

>12 weeks

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