镜像反馈对自闭症儿童姿势控制的影响
|
摘要
研究目的:探讨不同形式的镜像视觉反馈对自闭症儿童姿势控制能力的影响。研究方法:使用Wii Balance Board对14名自闭症男童进行3种视觉条件(正常视觉、投影镜像反馈和镜像反馈)*2种本体感觉条件(正常本体感觉和本体感觉干扰)共6种条件的站姿稳定性测试,测试时间为20s。使用两因素协方差分析各指标在各组间的差异,检验水平α=0.05。研究结果:视觉和本体感觉在任何指标都不存在交互。成对比较显示,镜像视觉条件在COP_v_ap指标上与正常视觉条件和投影镜像条件相比有显著差异(P<0.05)。本体感觉干扰条件在COP_v_ml指标上与正常本体感觉条件相比有显著差异(P<0.05)。结论与建议:镜子镜像反馈降低自闭症儿童姿势控制能力;为自闭症儿童提供视觉信息时投影镜像反馈作用优于镜子镜像反馈。
Objective: To explore the effects of different forms of mirror visual feedback on the posture control of children with ASD. Methods:Eight boys with ASD participated in this study using Wii Balance Board with customized software to measure postural ways under conditions designed to enhance or modify visual and proprioception input. Two-factor analysis of covariance was used to analyze the differences between the index in each group, and the test level α=0.05. Result: visual and proprioception do not interact. Pairwise comparison showed that the mirror visual condition was significantly different from the normal visual condition and projection mirror condition in the COP_v_ap index(P<0.05). The modified proprioceptive condition was significantly different between the COP_v_ml index and the normal proprioceptive condition(P<0.05). Conclusion: Mirror-based mirror feedback reduces postural control in children with autism. Screen-based mirror feedback is superior to mirror-based mirror feedback when providing visual information for children with autism.
Objective: To explore the effects of different forms of mirror visual feedback on the posture control of children with ASD. Methods:Eight boys with ASD participated in this study using Wii Balance Board with customized software to measure postural ways under conditions designed to enhance or modify visual and proprioception input. Two-factor analysis of covariance was used to analyze the differences between the index in each group, and the test level α=0.05. Result: visual and proprioception do not interact. Pairwise comparison showed that the mirror visual condition was significantly different from the normal visual condition and projection mirror condition in the COP_v_ap index(P<0.05). The modified proprioceptive condition was significantly different between the COP_v_ml index and the normal proprioceptive condition(P<0.05). Conclusion: Mirror-based mirror feedback reduces postural control in children with autism. Screen-based mirror feedback is superior to mirror-based mirror feedback when providing visual information for children with autism.
引文
[1] SEGAL D L,MARTY M A,COOLIDGE F L.Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition (DSM-5)[J].International Journal of Offender Therapy & Comparative Criminology.2013,57(12):1546-1548.
[2] MINSHEW N J,WILLIAMS D L,MCFADDEN K.Information Processing,Neural Connectivity,and Neuronal Organization[M].2008.
[3] LIM Y H,PARTRIDGE K,GIRDLER S,et al.Standing Postural Control in Individuals with Autism Spectrum Disorder:Systematic Review and Meta-analysis[J].J Autism Dev Disord.2017,47(7):2238-2253.
[4] MASSION J.Postural control system[J].Current Opinion in Neurobiology.1994,4(6):877-887.
[5] BALTIMORE M W A W.Motor Control_Theory and Practical Applications.[M].1995.
[6] CHELDAVI H,SHAKERIAN S,SHETAB BOSHEHRI S N,et al.The effects of balance training intervention on postural control of children with autism spectrum disorder:Role of sensory information[J].Research in Autism Spectrum Disorders.2014,8(1):8-14.
[7] 贾桂锋.人体平衡能力定量评估方法研究[D].杭州:浙江大学,2015.
[8] HORAK F B.Postural orientation and equilibrium:what do we need to know about neural control of balance to prevent falls?[J].Age & Ageing.2006,35(35 Suppl 2):i7.
[9] CASARTELLI L,MOLTENI M,RONCONI L.SO CLOSE YET SO FAR:MOTOR ANOMALIES IMPACTING ON SOCIAL FUNCTIONING IN AUTISM SPECTRUM DISORDER[J].Neuroscience & Biobehavioral Reviews.2016,63:98-105.
[10] VAILLANT J,VUILLERME N,JANVY A,et al.Mirror versus stationary cross feedback in controlling the center of foot pressure displacement in quiet standing in elderly subjects[J].Archives of Physical Medicine and Rehabilitation.2004,85(12):1962-1965.
[11] WATSON M,PECK M.A pilot study of the immediate effects of mirror feedback on sitting postural control in normal healthy adults[J].Physiotherapy Research International.2010,13(4):204.
[12] HLAVACKOVA P M P,FRISTIOS J D,CUISINIER R P,et al.Effects of Mirror Feedback on Upright Stance Control in Elderly Transfemoral Amputees[J].Archives of Physical Medicine and Rehabilitation.2009,90(11):1960-1963.
[13] ROOT N B,CASE L K,BURRUS C J,et al.External self-representations improve self-awareness in a child with autism[J].Neurocase.2015,21(2):206-210.
[14] CHEN J Y C,DUN Y C,LIN L Y,et al.A feasibility study of the clinical application of Wii balance board for balance assessment[J].Physiotherapy.2015,101(1):e225.
[15] COOPER J S K A A.BrainBLoX:Brain and Biomechanics Lab in a Box Software (Version 1.0) [DB/CD].2014.
[16] ROUGIER P.[How mirror feedback improves undisturbed upright stance control].[J].Annales De Réadaptation Et De Médecine Physique.2002,45(2):77-85.
[17] DOUMAS M,MCKENNA R,MURPHY B.Postural Control Deficits in Autism Spectrum Disorder:The Role of Sensory Integration[J].J Autism Dev Disord.2016,46(3):853-861.
[2] MINSHEW N J,WILLIAMS D L,MCFADDEN K.Information Processing,Neural Connectivity,and Neuronal Organization[M].2008.
[3] LIM Y H,PARTRIDGE K,GIRDLER S,et al.Standing Postural Control in Individuals with Autism Spectrum Disorder:Systematic Review and Meta-analysis[J].J Autism Dev Disord.2017,47(7):2238-2253.
[4] MASSION J.Postural control system[J].Current Opinion in Neurobiology.1994,4(6):877-887.
[5] BALTIMORE M W A W.Motor Control_Theory and Practical Applications.[M].1995.
[6] CHELDAVI H,SHAKERIAN S,SHETAB BOSHEHRI S N,et al.The effects of balance training intervention on postural control of children with autism spectrum disorder:Role of sensory information[J].Research in Autism Spectrum Disorders.2014,8(1):8-14.
[7] 贾桂锋.人体平衡能力定量评估方法研究[D].杭州:浙江大学,2015.
[8] HORAK F B.Postural orientation and equilibrium:what do we need to know about neural control of balance to prevent falls?[J].Age & Ageing.2006,35(35 Suppl 2):i7.
[9] CASARTELLI L,MOLTENI M,RONCONI L.SO CLOSE YET SO FAR:MOTOR ANOMALIES IMPACTING ON SOCIAL FUNCTIONING IN AUTISM SPECTRUM DISORDER[J].Neuroscience & Biobehavioral Reviews.2016,63:98-105.
[10] VAILLANT J,VUILLERME N,JANVY A,et al.Mirror versus stationary cross feedback in controlling the center of foot pressure displacement in quiet standing in elderly subjects[J].Archives of Physical Medicine and Rehabilitation.2004,85(12):1962-1965.
[11] WATSON M,PECK M.A pilot study of the immediate effects of mirror feedback on sitting postural control in normal healthy adults[J].Physiotherapy Research International.2010,13(4):204.
[12] HLAVACKOVA P M P,FRISTIOS J D,CUISINIER R P,et al.Effects of Mirror Feedback on Upright Stance Control in Elderly Transfemoral Amputees[J].Archives of Physical Medicine and Rehabilitation.2009,90(11):1960-1963.
[13] ROOT N B,CASE L K,BURRUS C J,et al.External self-representations improve self-awareness in a child with autism[J].Neurocase.2015,21(2):206-210.
[14] CHEN J Y C,DUN Y C,LIN L Y,et al.A feasibility study of the clinical application of Wii balance board for balance assessment[J].Physiotherapy.2015,101(1):e225.
[15] COOPER J S K A A.BrainBLoX:Brain and Biomechanics Lab in a Box Software (Version 1.0) [DB/CD].2014.
[16] ROUGIER P.[How mirror feedback improves undisturbed upright stance control].[J].Annales De Réadaptation Et De Médecine Physique.2002,45(2):77-85.
[17] DOUMAS M,MCKENNA R,MURPHY B.Postural Control Deficits in Autism Spectrum Disorder:The Role of Sensory Integration[J].J Autism Dev Disord.2016,46(3):853-861.