身体活动改善孤独症谱系障碍儿童神经认知功能的系统评价

张强; 钟晓珂; 黄辰; 蒋长好

doi:10.16835/j.cnki.1000-9817.2024218

身体活动改善孤独症谱系障碍儿童神经认知功能的系统评价

doi: 10.16835/j.cnki.1000-9817.2024218

张强¹,
钟晓珂²,
黄辰¹,
蒋长好^1, ,

1.
首都体育学院运动科学与健康学院，北京 100191
2.
福建师范大学体育科学学院

基金项目:

北京市社会科学基金项目 19YTA001

首都体育学院体育医学工程学新兴交叉学科平台研究项目 20230929

详细信息

作者简介:
张强(1985-)，男，山东泰安人，在读博士，主要研究方向为青少年身体运动功能训练

通讯作者:
蒋长好，E-mail：jiangchanghao@cupes.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R176 G806 B844.1 Q427
计量
- 文章访问数: 160
- HTML全文浏览量: 79
- PDF下载量: 12
- 被引次数: 0
出版历程
- 收稿日期: 2024-03-12
- 修回日期: 2024-05-28
- 网络出版日期: 2024-07-27
- 刊出日期: 2024-07-25

Effect of physical activity on neurocognitive function in children with autism spectrum disorder: a systematic review

1.
School of Sports Science and Health, Capital University of Physical Education and Sports, Beijing (100191), China

摘要

摘要: 目的分析身体活动对孤独症(ASD)儿童神经认知功能的影响，以期为ASD儿童的临床认知功能康复实践提供理论依据和具体指导。方法在中国知网、万方、Web of Science、EBSCO等数据库，以主题词检索身体活动对ASD儿童神经认知功能影响的相关文献，检索时间为建库至2024年3月。筛选后提取作者、国家、文章发表时间、研究对象、诊断标准、干预措施、测量工具以及研究结果等信息，同时采用物理治疗证据数据库(PEDro)量表对文章进行方法学质量评估，并进行系统评价。结果研究共纳入17篇文献，均为英文文献，大多数文献质量良好。研究设计包括随机对照试验10篇、准实验设计4篇和前后测设计3篇。身体活动对ASD儿童的康复效果主要表现在提升注意力、执行功能，以及改善脑结构和脑功能等方面。在体能类和技能类项目中，ASD儿童展现出不同的认知干预效果，尤其是篮球和乒乓球等技能类项目对认知功能的改善效果更为明显。结论身体活动是一项有效的锻炼方式，不仅有助于提高ASD儿童的注意力、执行功能等认知能力，还能改善大脑结构和大脑功能。
- 运动活动 /
- 孤独性障碍 /
- 认知 /
- 精神卫生 /
- 数据库，文献型 /
- 儿童
Abstract: Objective To analyse the effects of physical activity on neurocognitive function in children with autism spectrum disorder (ASD), so as to provide a theoretical basis and specific guidance for the clinical cognitive function rehabilitation practice of ASD children. Methods Relevant literature on the effects of physical activity on neurocognitive function in children with ASD were searched in the China National Knowledge Infrastructure (CNKI), Wanfang, Web of Science, and EBSCO databases from their inception to March 2024 using specific subject terms. Information on authors, countries, publication dates, study populations, diagnostic criterion, interventions, measurement tools and study results were extracted post-screening. The methodological quality of the articles was assessed using the PEDro Scale, followed by a systematic review. Results A total of seventeen articles and were included in the study and English literature, most of them were of good quality. The study included 10 randomized controlled trials, 4 quasi-experimental designs, and 3 pre-and post-test designs. The rehabilitative effects of physical activity on children with ASD were primarily observed in enhanced attention and executive function, as well as improvements in brain structure and function. Children with ASD showed varying cognitive effects in physical and skill-based programs, with skill-based activities like basketball and table tennis notably improving cognitive function. Conclusion Physical activity is an effective intervention that enhances cognitive abilities such as attention and executive function, as well as brain structure and function in children with ASD.
- Motor activity /
- Autistic disorder /
- Cognition /
- Mental health /
- Databases, bibliographic /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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图 1 文献筛选流程

Figure 1. Document screening flowchart

下载: 全尺寸图片幻灯片

表 1 纳入文献基本特征

Table 1. Basic characteristics of included studies

纳入文献	国家	研究设计	人数	年龄/岁	诊断标准	干预形式	干预地点	干预强度/频率	测量工具	干预效果
Toscano等^[12] (2022)	巴西	准实验设计	229	7.4±2.8	DSM-Ⅴ	体能	社区	中等强度，30 min/次，每周2次，共48周	ATA、CARS	社交问题、注意力缺陷改善
Yang等^[13] (2021)	中国	随机对照试验	30	5.03±0.55	DSM-Ⅴ	迷你篮球	医院	中等强度，40 min/d，5 d/周，共12周	SRS-2、MRI	社交沟通能力和执行控制网络改善
Tse等^[14] (2021)	中国	随机对照试验	62	9.55±1.57	DSM-Ⅴ	自行车	实验室	中等强度, 每周5节，每节60 min，共2周	TOL、CBTT、FDS、BDS、SCWT、GNG task	执行功能组成部分都有显著改善
Macoun等^[15] (2021)	加拿大	随机对照试验	20	8.67±2.23	DSM-Ⅳ	游戏	学校	中等强度, 8~10周，共12 h	BRIEF、GARS-2	注意力、执行功能、情绪调节、灵活性方面提高
Litchke等^[16] (2021)	加拿大	准实验设计	29	3~4	NR	击鼓和瑜伽	学校	中等强度, 2次/周，60 min/次，共5周	PANAS-C、SPRS	解决问题、记忆改善
Kaur等^[17] (2021)	美国	随机对照试验	23	7.80±0.70	ADOS-2	瑜伽	家庭	中小强度, 2次/周，7 min/次，共8周	JTAT	共同注意力改善
Wang等^[18] (2020)	中国	准实验设计	33	5.11±0.65	DSM-Ⅳ	迷你篮球	学校	中等强度, 5节课/周，40 min/节，共12周	CHEXI、SRS-2、RBS-R	执行功能和核心症状改善
Cai等^[19] (2020)	中国	准实验设计	29	4.68±0.72	DSM-Ⅴ	迷你篮球	体育馆	中等强度, 5节/周，40 min/节，共12周	CARS、SRS-2	改善白质完整性
Bremer等^[20] (2020)	加拿大	随机实验设计	8	11.1±1.3	NR	跑步机	实验室	中等强度, 3个20 min的条件(循环锻炼、跑步机步行和久坐控制)	fNIRS、Borg’s CR-10 Scale、BRIEF	执行功能改善
Tse等^[21] (2020)	中国	随机对照试验	40	9.81±1.17	DSM-Ⅴ	篮球	礼堂/体育馆	中等强度, 2节课/周，45 min/节，共12周	SRS-2、GNG task、CBTT、FDS、BDS	工作记忆改善
Nakutin等^[22] (2019)	美国	前后测设计	3	6~7	NR	慢跑	学校	2周中等强度的慢跑，持续时间为12 min，放松5 min	GNG task、FDS、BDS、STP	未发现对执行功能有显著影响
Pan等^[23] (2017)	中国	随机对照试验	22	8.49±1.76	DSM-Ⅳ	乒乓球	社区	中等强度, 2节/周，70 min/节，共12周	BOT-2、WCST	执行功能改善
Hilton等^[24] (2014)	美国	前后测设计	7	7~14	DSM-Ⅳ	运动式游戏	医院	中等强度, ≥3次/周，2 min/次，共30次	BRIEF、BOT-2	反应速度、工作记忆和元认知能力提高
Phung等^[25] (2019)	美国	随机对照试验	34	9.52±1.07	ADOS-2	综合格斗	体育馆	中等强度, 26节课，45 min/节，共13周	Hearts & Flowers test、BRIEF	执行功能改善
Greco等^[26] (2020)	意大利	随机对照试验	28	9.43±1.02	ADOS-2	空手道	体育馆	中等强度, 2次/周，45 min/次，共12周	SSIS-RS、BRIEF	执行功能改善
Greco^[27] (2020)	意大利	随机对照试验	24	9.42±0.90	ADOS-2	球类和体能练习	体育馆	中等强度, 2次/周，70 min/次，共12周	BOT-2、BRIEF	运动技能提高、执行功能改善
Yu等^[28] (2021)	中国	随机对照试验	31	4.89±0.80	DSM-Ⅴ、CARS-2	迷你篮球	学校	中等强度, 5次/周，40 min/周，共12周	SRS-2、MRI	SRS-2评分下降、前额叶内侧皮层的自我抑制增强
注： ATA，自闭症特征评估量表；CARS，儿童自闭症评分量表；SRS-2，社会反应量表；MRI，核磁共振成像；TOL，伦敦塔测试；CBTT，Corsi积木敲击任务；FDS，向前指距测试；BDS，向后指距测试；SCWT，斯特鲁普颜色和文字测试；GNF，(GO/No-go)任务；BRIEF，执行功能评估量表；PANAS-C，正面和负面影响量表-儿童版；SPRS，社会人际关系量表；JTAT，共同注意测验；CHEXI，儿童执行功能量表；RBS-R，重复行为量表修订版；fNIRS，功能近红外光谱；Borg's CR-10 scale，Borg评分量表；STP，治疗感知量表；BOT-2，布尼氏动作熟练度测试；Hearts & Flowers test，心花测试；SSIS-RS，社交能力改进系统评估表。

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