تأثیر تمرینات تعادلی مبتنی بر تحریک وستیبولار بر ثبات قامتی و بهبود عملکرد مهارت‌های اجتماعی کودکان طیف اوتیسم

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشگاه فردوسی مشهد

2 دانشگاه علوم پزشکی مشهد

چکیده

هدف: با توجه به فراگیر شدن اختلالات ثبات قامتی و تأثیر آن بر عملکرد حرکتی کودکان طیف اوتیسم، هدف از این مطالعه بررسی اثر مداخلات تعادلی مبتنی بر تحریک وستیبولار بر عملکرد ثبات قامتی و  عملکرد اجتماعی این کودکان بودروش‌شناسی: با توجه به معیارهای ورود 24 کودک (5 تا 12 سال) به‌صورت تصادفی در 3 گروه 8 نفرِ قرار گرفتند برنامه تمرینی تعادلی شامل 30 جلسه تمرین تعادلی (30 تا 45 دقیقه/3 بار در هفته) بود، هم‌زمان گروه کنترل برنامه‌ی آموزشی مدرسه را دریافت می‌کردند و گروه بازی آزاد هم‌زمان در کنار گروه مداخله قرار گرفتند. برای ارزیابی ثبات قامتی از دستگاه صفحه نیرو، و برای ارزیابی عملکرد اجتماعی از  مقیاس عملکرد اجتماعی اسکات بلینی استفاده شد.یافته ها: نتایج این مطالعه نشان داد که میزان نوسانات ثبات قامتی در دو محور انتریوپاستریور و مدیولترال در دوپای راست و چپ در پس‌آزمون کاهش معناداری داشت (p <0/05)، عملکرد اجتماعی نیز نسبت به دو گروه دیگر بهبود معناداری یافت p <0/05)).بحث: تمرینات تعادلی باهمراهی تمرینات مبتنی بر تحریک سیستم وستیبولار توانسته است بر تمام عوامل مؤثر بر تعادل کودکان اوتیسم تأثیر گزار باشد. به نظر می‌رسد این مداخله برای بهبود تعادل این کودکان و افزایش عملکرد اجتماعی آنان مفید است. 

کلیدواژه‌ها


عنوان مقاله [English]

The effect of balance training based on vestibular system stimulation on postural stability and social skills performance in children with autism spectrum disorders

نویسندگان [English]

  • vahideh velayati haghighi 1
  • Alireza Saberi Kakhki 1
  • Mahdi Sohrabi 1
  • Fateme Alirezaee 1
  • Sadegh Jafarzade 2
1 Ferdowsi University of Mashhad
2 Mashhad University of Medical Sciences
چکیده [English]

Purpose: The aim was to investigate the effect of balance interventions along with the vestibular stimulation training on postural stability and social function, considering the incidence of abnormal stability and its effect on motor performance of children in the autism spectrum. Methods: According to the entry criteria, 24 children (5-12 years old) were randomly assigned into 3 groups of 8 people. The balance training program included 30 sessions of balance training (30 to 45 minutes / 3 sessions a week), while the control group received school education and the free play group was free to play its natural age games. To assess the stability, the force plate device and to evaluate social performance, Scott Bellini's social performance scale were used. Results: The results showed that there was a significant decrease in postural stability fluctuations in the right and left foot in the Anterio-Posterior and Mediolateral axis in the post-test (P <0.05), social function was significantly improved in comparison to the other two groups (P <0.05). Conclusion: Balance exercises have been able to influence the balance system of ASD children. This intervention seems to be beneficial for improving the balance and enhancing their social performance.

کلیدواژه‌ها [English]

  • Static and dynamic postural stability
  • Equilibrium system
  • Children with autism spectrum
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