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Effects of Ball Combination Exercise Combined with cTBS Intervention on Sleep Problems in Children with Autism
Decheng Xu1, Zhiyuan Sun1, Yahui Yang1
1College of Physical Education, Yangzhou University, Yangzhou, 225127, China.
Insights
This study found that exercise, continuous theta burst stimulation (cTBS), and combined interventions improved sleep problems in children with autism spectrum disorder (ASD). The combined approach showed the most significant benefits for overall sleep quality and anxiety.
Area of Science:
- Neuroscience
- Pediatrics
- Behavioral Science
Background:
- Sleep problems are prevalent in children with autism spectrum disorder (ASD), significantly impacting their quality of life.
- Non-pharmacological interventions are increasingly explored to address these sleep disturbances.
Purpose of the Study:
- To evaluate the efficacy of a 12-week ball combination exercise, continuous theta burst stimulation (cTBS), and a combined intervention on sleep problems in children with ASD.
- To compare the effectiveness of these interventions against a control group.
Main Methods:
- Forty-five children with ASD were allocated into three intervention groups (ball exercise, cTBS, combined) and a control group.
- Interventions lasted 12 weeks, with the control group maintaining usual activities.
- Sleep problems were assessed using the Children's Sleep Habits Questionnaire (CSHQ) scale.
Main Results:
- All three interventions (exercise, cTBS, combined) significantly reduced sleep problems in children with ASD compared to baseline.
- The cTBS and combined groups showed significant reductions in overall CSHQ scores.
- Significant improvements in sleep anxiety were observed in the exercise and combined groups.
- The combined intervention demonstrated superior effectiveness in overall sleep quality (CSHQ scores) and sleep anxiety compared to single interventions.
Conclusions:
- Ball combination exercise, cTBS, and combined interventions are effective non-pharmacological strategies for improving sleep problems in children with ASD.
- The combined intervention appears to be the most effective approach for enhancing sleep quality and reducing sleep anxiety in this population.
- Further research is warranted to elucidate the underlying mechanisms of these interventions on sleep in ASD.
Abstract:
Sleep problems significantly affect the quality of life of autism spectrum disorder (ASD) children. This study aimed to evaluate the effects of a 12-week ball combination exercise, continuous theta burst stimulation (cTBS) stimulation, and combined intervention on sleep problems in children with ASD. Forty-five ASD children were divided into three intervention groups (ball combination exercise(n = 12), cTBS stimulation(n = 10), combined (n = 12) and a control group (n = 11). The intervention groups underwent intervention, while the control group maintained daily activities. The effects were assessed using the Children's Sleep Habits Questionnaire (CSHQ) scale. The results revealed that after 12 weeks of intervention, three programs reduced sleep problems in children with ASD. The post-test scores of the cTBS group (p = 0.002) and the combined group (p < 0.001) were significantly lower than the baseline scores on the CSHQ scale. The exercise group (p = 0.002) and the combined group (p < 0.001) showed significant improvement in sleep anxiety, while there was no statistically significant difference in the effectiveness of the three interventions for sleep-onset delay. The combined group outperformed the single intervention groups in the CSHQ score and sleep anxiety sub-dimensions. The combined intervention group showed slightly superior performance in sleep onset latency, however, there was no significant difference. Three interventions alleviated sleep issues in ASD children, with the combined method proving more effective. This study validates non-pharmacologic and combined approaches for ASD sleep problems. Future research should delve deeper into the mechanisms of these interventions in ASD children's sleep improvement.
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