目的 分析身体活动对孤独症(ASD)儿童神经认知功能的影响,以期为ASD儿童的临床认知功能康复实践提供理论依据和具体指导。方法 在中国知网、万方、Web of Science、EBSCO等数据库,以主题词检索身体活动对ASD儿童神经认知功能影响的相关文献,检索时间为建库至2024年3月。筛选后提取作者、国家、文章发表时间、研究对象、诊断标准、干预措施、测量工具以及研究结果等信息,同时采用物理治疗证据数据库(PEDro)量表对文章进行方法学质量评估,并进行系统评价。结果 研究共纳入17篇文献,均为英文文献,大多数文献质量良好。研究设计包括随机对照试验10篇、准实验设计4篇和前后测设计3篇。身体活动对ASD儿童的康复效果主要表现在提升注意力、执行功能,以及改善脑结构和脑功能等方面。在体能类和技能类项目中,ASD儿童展现出不同的认知干预效果,尤其是篮球和乒乓球等技能类项目对认知功能的改善效果更为明显。结论 身体活动是一项有效的锻炼方式,不仅有助于提高ASD儿童的注意力、执行功能等认知能力,还能改善大脑结构和大脑功能。
Effect of physical activity on neurocognitive function in children with autism spectrum disorder:a systematic review
Objective To analyse the effects of physical activity on neurocognitive function in children with autism spectrum dis-order(ASD),so as to provide a theoretical basis and specific guidance for the clinical cognitive function rehabilitation practice of ASD children.Methods Relevant literature on the effects of physical activity on neurocognitive function in children with ASD were searched in the China National Knowledge Infrastructure(CNKI),Wanfang,Web of Science,and EBSCO databases from their in-ception to March 2024 using specific subject terms.Information on authors,countries,publication dates,study populations,diag-nostic criterion,interventions,measurement tools and study results were extracted post-screening.The methodological quality of the articles was assessed using the PEDro Scale,followed by a systematic review.Results A total of seventeen articles and were in-cluded in the study and English literature,most of them were of good quality.The study included 10 randomized controlled trials,4 quasi-experimental designs,and 3 pre-and post-test designs.The rehabilitative effects of physical activity on children with ASD were primarily observed in enhanced attention and executive function,as well as improvements in brain structure and function.Children with ASD showed varying cognitive effects in physical and skill-based programs,with skill-based activities like basketball and table tennis notably improving cognitive function.Conclusion Physical activity is an effective intervention that enhances cognitive abili-ties such as attention and executive function,as well as brain structure and function in children with ASD.
Motor activityAutistic disorderCognitionMental healthDatabases,bibliographicChild