Comparative Analysis Of The Effects Of Specific Exercise Intervention On Children With ASD

Objective: In recent years,the incidence of autistic spectrum disorders(ASD)has been increasing rapidly,resulting in serious economic burden to the family and the society.In the past,interventions for children with ASD were mainly drug therapy and educational intervention.With the deepening of research on this disease,scholars realized that exercise intervention plays an indispensable role in the treatment and rehabilitation of children with ASD.Here we applied different exercise interventions to children with ASD aged 3-6 so as to explore the effects of different exercise methods on ASD children,which may contribute to providing new experimental and theoretical basis for clinical intervention of ASD children and ameliorating the life quality of ASD children.Methods: Thirty two ASD children aged 3-6 years were randomly divided into one control group and three experimental groups.Educational intervention based on the principle of applied behavior analysis was applied on control group.Educational intervention combined with exercise intervention based on the principle of perceptual motor training was applied on perceptual motor training group.Educational intervention combined with exercise intervention based on the principle of sensory integration training was applied on sensory integration training group.Educational intervention combined with two modes of exercise intervention was applied on combined group.Three scales were used before and after the 3-month experiment: the children with ASD were evaluated by the Clancy Autism Behavior Scale(CABS),the Autism Treatment Evaluation Checklist(ATEC),and the Autism Behavior Checklist(ABC).The intervention effects of ASD children within and between groups were compared respectively.Results: The average change rate of CABS scores in the control group was-33.22%±13.17%,P<0.0001;the average change rate of CABS scores in the perceptual motor training group was-35.89±19.82%,P<0.0001;the average change rate of CABS scores in the sensory integration training group was-41.12±11.06%,P<0.0001;the average change rate of CABS scores in the combined group was-41.08±2.24%,P<0.0001.After the experiment,the average change rate of ATEC scores in the control group was-30.55%±7.33%,P<0.0001;the average change rate of ATEC scores in the perceptual motor training group was-44.05%±13.11%,P<0.0001;the average change rate of ATEC scores in the sensory integration training group was-44.99%±12.99%,P<0.0001;the average change rate of ATEC scores in the combined group was-38.25%±17.28%,P<0.0001.After the experiment,the average change rate of ABC scores in the control group was-27.87%±12.93%,P<0.0001;the average change rate of ATEC scores in the perceptual motor training group was-42.51%±17.69%,P<0.0001;the average change rate of ATEC scores in the sensory integration training group was-43.92%±20.59%,P<0.0001;the average change rate of ATEC scores in the combined group was-33.13%±15.05%,P<0.0001.To compare scores in different parts of the ATEC,in the aspect of "speech/ language/ communication",the sensory integration training group was 24.98% higher than control group,P=0.035;in the aspect of "perception/ cognition/ consciousness",the improvement of the perceptual motor training group was 24.30% higher than control group,P=0.042;in the aspect of "health/ body/ behavior",the perceptual motor training group was 28.95% higher than control group,P=0.016.In the aspect of "perception/ cognition/ consciousness" of the ATEC,the combined group was 15.42% lower than that of the perceptual motor training group,P=0.043;in the aspect of "health/ body/ behavior" of the ATEC,the combined group was 17% lower than that of the perceptual motor training group,P=0.047;in the aspect of the overall scores of ATEC,the combined group was 5.80% lower than that of the perceptual motor training group and 6.74% lower than that of the sensory integration training group,respectively,P=0.038;in the aspect of the overall scores of the ABC,the combined group was 9.38% lower than that of the perceptual motor training group and 10.79% lower than that of the sensory integration training group,respectively,P=0.041.Conclusions: Educational intervention based on the principle of applied behavior analysis has a significant effect on children with ASD;on the basis of educational intervention,specific sensory integration training has a significant effect on the oral language intervention of ASD children;on the basis of educational intervention,specific perceptual motor training has significant effects on cognition,perception,stereotypical behavior and adaptive behavior of children with ASD;on the basis of educational intervention,sensory integration training combined with perceptual motor training has inhibitory interaction.