Gross motor impairments in autism

Katarzyna Czech, Justyna Paprocka

Katarzyna Czech, Justyna Paprocka –Gross motor impairments in autism. Fizjoterapia Polska 2021; 21(5); 152-159

Abstract
Gross motor impairments occurring in children with autism spectrum disorders result from abnormal distribution of muscle tone and abnormalities in sensory processing, mainly in the vestibular and proprioceptive systems. The very important role of exercise therapy and sensory integration therapy in children with autism is emphasized for the improvement of the child’s functioning.
Key words:
autism, gross motor impairments, dyspraxia, praxis, abnormalities in processing sensory processes, sensory integration
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Evaluation of effectiveness of the therapeutic program combining elements of occupational therapy and Veronica Sherborne’s Developmental Movement approach in autistic children. A preliminary study

Dominika Zawadzka, Paulina Zawadzka, Rafał Bugaj, Marta Curyło, Anna Gumułka

Dominika Zawadzka, Paulina Zawadzka, Rafał Bugaj, Marta Curyło, Anna Gumułka – Evaluation of effectiveness of the therapeutic program combining elements of occupational therapy and Veronica Sherborne’s Developmental Movement approach in autistic children. A preliminary study. Fizjoterapia Polska 2012; 12(4); 405-416

Abstract
Therapy of autistic children aims at minimizing the problems typical for this condition, including the symptoms resulting from the so called autistic triad. The goal of this study was to assess the effectiveness of the implemented therapeutic program, taking advantage of the elements of occupational therapy and the Veronica Sherborne Developmental Movement approach, applied in autistic children. The sample included 20 children diagnosed with autism (the age compartment ranged from 3 to 6 years). The project was implemented within one year. During the first six months the program was applied in 10 children. During the next six months, the next group of 10 children was subjected to the treatment. The results obtained from each group were statistically analysed and the progress was compared between the groups. Due to the lack of significant between group differences, the final analysis was carried out for the entire study sample. The patients were recruited from the population of children undergoing treatment at the mental Health Clinic in Wroclaw and the Centre of Rehabilitation and Neuropsychiatry “Celestyn” in Mikoszow. The basic diagnostic tool applied in the study was the Scale of Observation of Autistic Children Actions (SOACA), developed by Bogdanowicz. This involved observation of the changes occurring in five aspects of psychomotor development; the four aspects are considered basic ones. These are: the cognitive, emotional, social and motor aspect. The applied therapeutic program most effectively affected the emotional, social and cognitive aspects in autistic children. The treatment proved most effective in the following aspects of psychomotor development: the mood, physical contact, attitude to the activities and attitude to the partner in pair work. The proposed therapeutic program combining the elements of occupational therapy and Veronica Sherborne Developmental Movement approach proved effective; it supports psychomotor development in autistic children. The program can be included in the therapy of autistic children. However, the program should be carried out in an extended period of time to enable assessment of the long-term effects of the treatment.
Key words:
autism, autistic children therapy, a method of Veronica Sherborne, occupational therapy
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Wpływ hipoterapii na wybrane czynniki fizyczne i psychiczne u dzieci z autyzmem

Włodzisław Kuliński, Łukasz Bomba

W. Kuliński, Ł. Bomba – The effect of hippotherapy on children with autism – physical and psychological factors. Fizjoterapia Polska 2020; 20(3); 142-156

Streszczenie
Wstęp. Autyzm jest uznawany za zaburzenie rozwojowe, prawdopodobnie determinowane biologicznie i przejawiające się w różnych sferach funkcjonowania dziecka.
Cel. Celem badań była ocena wpływu rocznej hipoterapii na funkcjonowanie fizyczne i psychiczne u dzieci z autyzmem w wybranych obszarach.
Materiał i metody. Rodzice i dzieci chore na autyzm w wieku 5–7 lat, którzy w ostatnich 2 latach przebyły terapię z wykorzystaniem hipoterapii. W celu dokonania oceny wpływu rocznych oddziaływań wychowawczo-edukacyjnych na poszczególne sfery rozwojowe dzieci z autyzmem skorzystano ze zmodyfikowanej skali PEP-R, uzupełnionej kwestionariuszem własnej konstrukcji na temat cech demograficzno-społecznych oraz w zakresie przebiegu choroby. W analizie statystycznej stosowano test t-Studenta oraz współczynnik korelacji Pearsona. Za statystycznie znamienne przyjmowano te wyniki testów, dla których poziom istotności był mniejszy lub równy 0,05 (p < 0,05).
Wyniki. W toku rocznego procesu terapeutycznego z wykorzystaniem hipoterapii nastąpiła poprawa w rozwoju motoryki i reakcji emocjonalnych u dzieci z autyzmem. Wysoka motoryka dzieci z autyzmem ma pozytywny wpływ na sferą emocjonalną. Niższy stopień autyzmu cechuje wyższy poziom funkcjonowania fizycznego i psychicznego dzieci z autyzmem niż dzieci z umiarkowanym i dużym stopniem autyzmu.
Wnioski. Hipoterapia jest jednym z obszarów terapii osób z autyzmem.
Słowa kluczowe:
autyzm, leczenie, hipoterapia
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5-7岁间患自闭症谱系障碍儿童的平衡评估

Alicja Salwach, Aleksandra Czaplińska, Sylwia Potępa, Małgorzata Domagalska-Szopa, Andrzej Szopa

A. Salwach, A. Czaplińska, S. Potępa, M. Domagalska-Szopa, A. Szopa – Evaluation of balance in 5-7-year-old children with autism spectrum disorder. Fizjoterapia Polska 2019; 19(1); 38-44

摘要
自闭症谱系障碍为一系列广泛症状,呈现出在沟通、社会发展和陈规定型行为模式等领域上的缺乏。自闭症的症状也出现在社交互动、情绪障碍、体感障碍及注意力问题等问题上,患自闭症的儿童经常被诊断出有感觉处理障碍。儿童发展中非常重要的能力是保持平衡,使其能在支撑平面上控制重心,适当的平衡为顺利完成多项日常活动所不可或缺的因素,平衡发展的延迟将阻碍日后的运动发展,并影响孩童与同龄人交流的机会。
研究目的在客观评估患自闭症谱系障碍儿童的同等技能。
材料及方法:共30名5-7岁患自闭症谱系障碍的儿童参与试验,其中包括22名男孩及8名女孩,采用富勒頓高級平衡計分錶規模 (FAB) 测试作为平衡评估。
结果:各年龄组间取得的测试结果不同,但这些差异并不显著,而在各年龄组的串联步态测试中则出现显著差异。
结果:患自闭症谱系障碍的儿童中出现同等技能失调。

关键词:
自闭症、平衡、姿势控制

 

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Comparative analysis physiotherapy in children with atypical autism

Natalia Habik, Paweł Wieczorkowski, Zbigniew Śliwiński

N. Habik, P. Wieczorkowski, Z. Śliwiński – Comparative analysis physiotherapy in children with atypical autism. FP 2016;16(4);72-81

Abstract

Introduction. The autism is an all-embracing development disorder that affects all areas of the child functioning. It causes disturbances in the interpersonal communication. It leads to difficulties in submission to social rules due to the lack of their understanding.
Material and Methods. In this research the case of two children has been described, Zazanna and Aleksander, who took part in the physiotherapeutic sessions with the physiotherapist at the National Autistic Society in Kielce, once a week for 1 hour.  The research was held in the period from November 2015 to March 2016. The children were 4 years old. The PEP model with a scale 0-5 was used to evaluate the children.
Results. The children with atypical autism have disturbances in perception, communication and speech.  The least difficult are for them tasks related with gross motor and visual-motor coordination. The examined boy was more promising comparing to the girl.
Conclusions. The children with diagnosed atypical autism differ in terms of psychophysical development depending on their gender. According to the psychoeducational profile PEP, the physiotherapy reduces disorders resulting from the diagnosed autism spectrum. The gender has significant influence on the fine and gross motor development in children with ASD.

Keywords:

autism, ASD, physiotherapy, psychoeducational profile

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