孤独症谱系障碍儿童运动干预的最佳证据总结
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1.佳木斯大学;2.山东中医药高等专科学校

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黑龙江省卫生健康委课题


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    摘要:

    目的 系统检索、提取并汇总孤独症谱系障碍(Autism Spectrum Disorder, ASD)儿童运动干预的最佳证据,旨为临床开展运动干预康复训练提供循证实践依据。方法 依照“6S”证据资源金字塔模型,系统检索UpToDate计算机决策系统、BMJ、国际指南协作网、世界卫生组织、英国国家卫生与临床优化研究所、美国指南网、澳大利亚乔安娜布里格斯研究所、美国医学会期刊、医脉通、英国国家自闭症协会、美国儿科协会、美国孤独症专业发展中心、Cochrane Library、PubMed、Embase、Web of Science、CHINAL、中国生物医学、中国知网、万方以及维普数据库中与ASD儿童运动干预相关的内容,包括指南、共识、临床决策、系统评价、随机对照试验等。检索时限为建库至2024年6月。由2名研究者独立对文献进行筛选、纳入与质量评价,并结合纳入文献内容进行证据的提取、汇总与分级。结果 共纳入15篇文献,其中临床决策3篇、指南1篇、证据总结1篇、系统评价4篇、Meta分析2篇、随机对照试验4篇。最终形成包括最终形成包括运动干预团队、运动干预原则、运动干预频率、运动干预类型 、相关干预方法以及注意事项6个方面,共19条最佳证据。结论 该研究总结了ASD儿童运动干预康复训练的最佳证据,为临床开展科学、规范、统一的运动干预康复训练提供实践指导。

    Abstract:

    Objective To systematically search, extract and summarize the best evidence of exercise intervention for children with Autism Spectrum Disorder (ASD), in order to provide evidence-based practical basis for clinical exercise intervention rehabilitation training. Methods According to the "6S" evidence resource pyramid model, Systematic search UpToDate Computer Decision System, BMJ, International Guidelines Collaboration Network, World Health Organization, National Institute for Health and Clinical Excellence, American Guidelines Network, Joanna Briggs Research Institute, Australia, Journal of the American Medical Association, Meitong, National Autistic Society, American Academy of Pediatrics, American Center for Autism Professional Development, Coch rane Library, PubMed, Embase, Web of Science, CHINAL, Chinese Biomedical Literature Database, CNKI, Wanfang and VIP database related to exercise intervention for children with ASD, including guidelines, consensus, clinical decision, systematic review, randomized controlled trial, etc. The search period is up to June 2024. The literature was screened, included and evaluated independently by two researchers, and the evidence was extracted, summarized and graded according to the contents of the included literature. Results A total of 15 literatures were included, including 3 clinical decisions, 1 guidelines, 1 evidence summary, 4 systematic reviews, 2 meta-analyses, and 4 randomized controlled trials. Finally, a total of 26 pieces of best evidence were formed from 5 aspects, including movement disorders in children with ASD, adverse consequences, exercise intervention treatment, treatment effect and precautions. Conclusion This study summarized the best evidence of exercise intervention rehabilitation training for children with ASD, and provided practical guidance for the clinical development of scientific, standardized and unified exercise intervention rehabilitation training.

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  • 收稿日期:2024-10-08
  • 最后修改日期:2024-11-21
  • 录用日期:2024-11-26
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