认知导向对日常工作的有效性 自闭症儿童与发育协调障碍的职业表现
Melika Kangarani-Farahani1,2, Sandy Thompson-Hodgetts3, Jill G Zwicker2,4,5
1Graduate Programs in Rehabilitation Sciences, University of British Columbia, Vancouver, Canada.
Developmental medicine and child neurology
|August 14, 2024
概括
对日常职业表现的认知导向 (CO-OP) 干预显著改善了发展协调障碍 (DCD) 的自闭症儿童的运动技能. 这些收益在3个月的随访中得到维持.
科学领域:
- 儿科职业治疗 儿科职业治疗
- 自闭症谱系障碍研究研究
- 发展协调 障碍干预 发展协调 障碍干预
背景情况:
- 自闭症谱系障碍 (ASD) 经常与发育协调障碍 (DCD) 发生并发,影响日常功能.
- 患有DCD的儿童在获得和执行运动技能方面表现出困难.
- 职业治疗干预的目的是加强参与和表现有意义的活动.
研究的目的:
- 评估认知导向对日常职业表现 (CO-OP) 干预措施的有效性,以改善患有DCD的自闭症儿童的运动技能.
- 评估维护运动技能的改善3个月干预后.
主要方法:
- 一个准实验性设计涉及27名自闭症儿童 (8-12岁) 患有DCD.
- 参与者被分配到即时治疗组或等候名单对照组.
- 干预包括10次每周的CO-OP课程,重点是儿童选择的运动目标. 结果措施包括加拿大职业绩效衡量标准,绩效质量评级表和布鲁宁克斯-奥塞雷茨基运动能力测试.
主要成果:
- 在CO-OP干预后的所有结果指标中观察到显著的改善 (p < 0.013).
- 后续评估证实了运动性能,满意度和运动质量的持续改善 (p < 0.001).
- 虽然在随访时发现了轻微的下降,但与基线相比,总体改善仍然明显.
结论:
- CO-OP干预是一种有效的方法,可以增强DCD的自闭症儿童的运动技能.
- 对运动技能的CO-OP干预的积极影响是持久的,在治疗结束后至少持续3个月.
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