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首页> 外文期刊>International Journal of Therapeutic Massage & Bodywork >Treatment of Tactile Impairment in Young Children with Autism: Results with Qigong Massage
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Treatment of Tactile Impairment in Young Children with Autism: Results with Qigong Massage

机译:自闭症幼儿的触觉障碍治疗:气功按摩的结果

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Background: Following the inclusion of sensory abnormalities in the diagnostic criteria for autism, evidence has emerged showing that tactile abnormalities in young children with autism are severe, universally present, and directly related to delay of early self-regulation milestones required for social development. Parent touch is the most effective means of stimulating early self-regulation, yet parents of children with autism avoid touch because their children respond abnormally to it. This suggests that tactile abnormalities pose a barrier to parent touch in autism, and that treatment of tactile abnormalities may improve developmental outcomes. We have developed a qigong massage treatment for tactile abnormalities in young children with autism. Here we evaluate whether tactile abnormalities decrease following treatment, and whether treatment results in improved selfregulatory outcomes. Methods: We retrospectively analyzed our qigong massage database for treatment effect on tactile abnormalities, self-regulatory delay, and parenting stress. Five-month interval data were available for 129 children with autism aged 3–6 years. Of these 129, 97 received treatment and 32 were in the wait-list control condition. There were no differences between treatment and control groups by age, gender, or severity of tactile impairment. Results: Treatment resulted in significant decreases of tactile impairment, self-regulatory delay, and parenting stress (p < .001 on all paired t-tests); mean decreases were 25.5%, 24.5%, and 35.8%, respectively. Results were significant compared to controls [F(3,122) = 11.27, p < .001]. In the pretreatment data, tactile impairment was directly related to self-regulatory delay; post-treatment, both variables decreased proportionally. Conclusion: Results demonstrate that tactile impairment in young children with autism is treatable with a qigong massage protocol. The direct relationship between tactile impairment and self-regulatory delay pretreatment, and the proportional decrease of both following treatment, suggest that tactile impairment is a cause of self-regulatory delay, and that qigong massage is a promising avenue to improve developmental outcomes in autism.
机译:背景:自闭症的诊断标准中包括感觉异常后,已有证据表明自闭症幼儿的触觉异常严重,普遍存在,并与社会发展所需的早期自我调节里程碑的延迟直接相关。父母抚摸是刺激早期自我调节的最有效方法,但是自闭症儿童的父母避免抚摸,因为他们的孩子对它的反应异常。这表明触觉异常对自闭症父母的接触构成障碍,并且触觉异常的治疗可能会改善发育结果。我们开发了一种气功按摩疗法,可治疗自闭症幼儿的触觉异常。在这里,我们评估了治疗后触觉异常是否减少,以及治疗是否可改善自我调节结果。方法:我们回顾性分析气功按摩数据库对触觉异常,自我调节延迟和育儿压力的治疗效果。有129个3-6岁的自闭症儿童可获得5个月的时间间隔数据。在这129名患者中,有97名接受了治疗,有32名处于等待名单控制状态。治疗组和对照组之间在年龄,性别或触觉障碍的严重程度方面没有差异。结果:治疗导致触觉障碍,自我调节延迟和育儿压力显着降低(在所有配对t检验中,p <0.001);平均下降分别为25.5%,24.5%和35.8%。与对照组相比,结果显着[F(3,122)= 11.27,p <.001]。在预处理数据中,触觉障碍与自我调节延迟直接相关。治疗后,两个变量均成比例下降。结论:结果表明,使用气功按摩方案可治疗自闭症幼儿的触觉障碍。触觉障碍和自我调节延迟预处理之间的直接关系,以及随后两种治疗的比例减少,表明触觉障碍是自我调节延迟的原因,而气功按摩是改善自闭症发展结果的有希望的途径。

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