长期身体活动对孤独症谱系障碍儿童执行功能效果的系统综述

doi:10.3969/j.issn.1006-9771.2024.05.006

Abstract

Abstract:

Objective To establish the categories and structure of physical activity in children with autism spectrum disorder (ASD), and systematically evaluate the long-term effect of physical activity on the executive function of children with ASD, based on the theoretical and methodological framework of the International Classification of Functioning, Disability, and Health-Children and Youth version (ICF-CY).

Methods A search was conducted in databases such as Wanfang data, CNKI, PubMed, Web of Science and ProQuest, to collect literatures about long-term physical activity for executive function of children with ASD published from 2014 to 2023. The literatures were reviewed based on inclusion and exclusion criteria, following PRISMA guidelines for systematic review, and the quality of the included literatures were assessed with the Physiotherapy Evidence Database (PEDro) scale.

Results Totally, ten articles were included, consisting of nine randomized controlled trials (RCTs) and one non-randomized controlled trial, with a total of 351 children diagnosed as ASD, aged three to 18 years, came from Italy, Canada, South Korea, China and the United States, published mainly after 2016. Physical activity primarily included sports activities (such as baseball, basketball, table tennis and equine-assisted activities), skill-based activities (such as cycling, cognitive-motor training and active gaming), physical fitness activities (SPARK), as well as combat-related activities (martial arts and karate); 30 to 70 minutes a time (mainly 45 minutes), one to five times a week (mainly twice a week), for two to 24 weeks (mainly twelve weeks). Long-term physical activities had been found to improve inhibitory control and cognitive flexibility in children with ASD, although the effect on working memory was inconsistent.

Conclusion Long-term physical activity may positively impact on executive function in children with ASD, especially inhibitory control and cognitive flexibility. However, the effect on working memory need more researches.

Key words: autism spectrum disorder, children, physical activity, executive function, systematic review

CLC Number:

R749.93

ZHONG Xiaoke, WANG Qi, CHANG Siqin, JIANG Changhao. Effect of long-term physical activity on executive function of children with autism spectrum disorder: a systematic review[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(5): 535-542.

Figures/Tables 4

Table 1

Figure 1

Table 2

Table 3

Basic characteristics of included literature"

纳入文献	国家	年龄/岁	样本量	设计	干预方式	干预时间	ASD诊断标准	结局指标	测量工具
Borgi等^[26](2016)	意大利	6~12	试验组(n = 15) 对照组(n = 13)	RCT	马术活动	每次60 min，每周1次，共24周	未说明	执行功能	TOL
Greco等^[27](2020)	意大利	8~11	试验组(n = 14) 对照组(n = 14)	RCT	空手道训练	每次45 min，每周2次，共24周	AODS-2	执行功能	BRIEF-P
Macoun等^[28] (2021)	加拿大	6~12	试验组(n = 9) 对照组(n = 11)	RCT	认知运动训练	每次30 min，每周3次，共8周	DSM-IV	工作记忆	WISC-IV
Nekar等^[29](2022)	韩国	6~18	试验组(n = 12) 对照组(n = 12)	RCT	认知运动训练	每次45 min，每周2次，共12周	未说明	抑制控制工作记忆认知灵活性	SCWT、FDS、WCST
Pan等^[30] (2017)	中国	6~12	试验组(n = 11) 对照组(n = 11)	RCT	乒乓球	每次70 min，每周2次，共12周	DSM-IV	认知灵活性	WCST
Phung等^[31](2019)	美国	8~11	试验组(n = 14) 对照组(n = 20)	RCT	格斗训练	每次45 min，每周2次，共13周	AODS-2	抑制控制工作记忆认知灵活性	Hearts & Flowers test、BRIEF-P
Rafiei等^[32](2021)	意大利	6~10	试验组1 (n = 20) 试验组(n = 20) 对照组(n = 20)	RCT	SPARK、游戏运动	每次35 min，每周3次，共8周	AODS-2	认知灵活性	WCST
Tse等^[33] (2019)	中国	8~12	试验组(n = 19) 对照组(n = 21)	RCT	棒球	每次45 min，每周2次，共12周	DSM-5	抑制控制工作记忆	Go/No Go、CBTT、BDS
Tse等^[34] (2021)	中国	8~12	试验组1 (n = 22) 试验组2 (n = 20) 对照组(n = 20)	RCT	自行车	每次60 min，每周5次，共24周	DSM-5 AODS-2	抑制控制工作记忆认知灵活性	Go/No Go、CBTT、FDS、BDS、SCWT、TOL
Wang等^[35](2020)	中国	3~6	试验组(n = 18) 对照组(n = 15)	非RCT	迷你篮球	每次40 min，每周5次，共12周	DSM-5	抑制控制工作记忆认知灵活性	CHEXI

Table 3

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纳入文献	资格标准	随机分配	分配隐藏	基线相似	被试施盲	治疗师施盲	评估者施盲	被试流失率≤15%	意向性分析	组间统计比较	变异性测量	总分
Borgi等^[26](2016)	√	√		√		√	√	√	√	√	√	8
Greco等^[27](2020)	√	√	√	√	√	√	√	√	√	√	√	10
Macoun等^[28](2021)	√	√		√	√	√	√	√	√	√	√	9
Nekar等^[29](2022)	√	√		√				√	√	√	√	6
Pan等^[30](2017)	√	√		√				√	√	√	√	6
Phung等^[31](2019)	√	√	√	√	√	√	√	√	√	√	√	10
Rafiei等^[32](2021)	√	√		√				√	√	√	√	6
Tse等^[33](2019)	√	√		√	√	√	√	√	√	√	√	9
Tse等^[34](2021)	√	√		√	√	√	√	√	√	√	√	9
Wang等^[35](2020)	√			√	√			√	√	√	√	6

Effect of long-term physical activity on executive function of children with autism spectrum disorder: a systematic review

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