首页|跳绳运动干预对孤独症儿童的执行功能和脑电影响研究——一项随机对照试验

跳绳运动干预对孤独症儿童的执行功能和脑电影响研究——一项随机对照试验

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目的:观察跳绳运动对孤独症(ASD)儿童执行功能的干预效果及探讨脑电作用机制.方法:2021年5月至2021年9月,淮北市星梦园、宝贝亲康复机构轻中度ASD儿童30例随机分为干预组和控制组,各15例.干预期间分别流失2人和7人,最终纳入为21例(干预组13人、控制组8人).两组均接受机构常规康复,干预组为期10周,每周5次,每次60 min的跳绳运动干预.无关变量为症状程度、睡眠、饮食和体质.干预前后,采用执行功能量表(CHEXI)、静息态脑电相对功率(δ和α波段)进行评定.结果:CHEXI量表总分、刷新子功能和转换子功能在干预前、后的时间×组别交互效应(P<0.05),均存在显著差异,进一步简单效应分析发现CHEXI量表总分和转换子功能的时间效应显著(干预组后测低于前测P<0.05).静息态脑电相对功率结果:在δ波段,5个脑区在干预后出现降低,其中左颞叶(P=0.036<0.05)、右颞叶(P=0.027<0.05)和顶叶(P=0.006<0.01)的降低显著;在α波段,所有脑区在干预后均显示升高,其中左颞叶(P=0.018<0.05)、右颞叶(P=0.001<0.01)、顶叶(P=0.012<0.05)、枕叶(P=0.021<0.05)的升高显著.转换子功能与δ波段的FT7、F8、T8通道存在显著正相关(r=0.888,r=0.936,r=0.944);与α波段FT7、F8、O1通道存在显著负相关(r=-0.940,r=-0.915,r=-0.922).结论:本研究观察到综合性跳绳运动干预对ASD儿童的执行功能有提升效应,且外在执行功能的改善与脑电相对功率的变化存在相关性.ASD儿童静息态脑电相对功率在δ和α波段发生的改变可能是跳绳运动干预提升外在执行功能效果的内在机制之一.
Effect of Skipping Exercise on Executive Function and EEG of Autistic Children:A Randomized Controlled Trial
Objective:To observe the intervention effect of rope skipping on the executive function of children with autism spectrum disorder(ASD)and explore the brain electrical mechanism.Methods:From May 2021 to September 2021,30 children with mild to moderate ASD from Xingmengyuan and Baobeiqin Rehabilitation Institutions in Huaibei City were randomly divided into intervention groups and control groups,with 15 cases in each group.During the intervention period,2 and 7 people were lost respectively,and 21 cases were finally included(13 people in the intervention group and 8 people in the control group).Both groups received routine rehabilitation in the institution,and the intervention group received additional skipping exercise intervention for 10 weeks,5 times a week,60 minutes each time.Extraneous varia-bles were symptom severity,sleep,diet,and physical fitness.Before and after the intervention,the executive function scale(CHEXI)and resting-state EEG relative power(δ and α bands)were used to evaluate.Results:There were significant differences in the total score of the CHEXI scale,the refreshing sub-function and the conversion sub-function before and after the intervention in the time x group interac-tion effect(P<0.05).Further simple effect analysis found that the total score of the CHEXI scale and the time of the conversion sub-function was significant(the post-test of the intervention group was lower than the pre-test,P<0.05).Resting state EEG relative power results:In the δ band,5 brain regions decreased after the intervention,including the left temporal lobe(P=0.036<0.05),right temporal lobe(P=0.027<0.05)and parietal lobe(P=0.006<0.01)was significantly reduced;in the α band,all brain regions showed an in-crease after the intervention,including the left temporal lobe(P=0.018<0.05),right temporal lobe(P=0.001<0.01),parietal lobe(P=0.012<0.05)and occipital lobe(P=0.021<0.05)was significantly increased.There is a significant positive correlation between the conversion sub-function and the FT7,F8,and T8 channels of the δ-band(r=0.888,r=0.936,r=0.944);there is a significant negative correlation with the FT7,F8,and O1 channels of the α-band(r=-0.940,r=-0.915,r=-0.922).Conclusion:This study observed that comprehensive rope skipping exercise intervention has an improvement effect on the executive functions of children with ASD,and there is a correlation between the improvement of external executive functions and the changes in relative EEG power.The changes in the relative power of resting-state EEG in children with ASD in the δ and α bands may be one of the intrinsic mechanisms of rope skipping exer-cise intervention in improving external executive function.

ASD childrenrope skipping exerciseexecutive functionEEGrelative power

李蕾、王宏、张爽、邓欢

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淮北师范大学教育学院,安徽淮北 235065

淮南联合大学公共教育学院,安徽淮南 232038

河南科技职业大学公共基础教学部,河南周口 453003

ASD儿童 跳绳运动 执行功能 脑电 相对功率

全国教育科学规划教育部青年项目

EBA200392

2024

南京体育学院学报
南京体育学院

南京体育学院学报

影响因子:0.437
ISSN:2096-5648
年,卷(期):2024.23(1)
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