EFFECTIVENESS OF A FAMILY-ORIENTED PHYSICAL THERAPY PROGRAM FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS
DOI:
https://doi.org/10.32782/health-2024.4.11Keywords:
autism spectrum disorder, physical therapy, motor functions, family-oriented program, quality of life, rehabilitationAbstract
The article discusses the effectiveness of a family-oriented physical therapy program for preschool children with autism spectrum disorders (ASD). The authors emphasize the relevance of the problem associated with difficulties in motor functions in children with ASD, which affect their social interaction and quality of life. In Ukraine, there is a significant shortage of family-oriented rehabilitation programs, which emphasizes the need to study this topic.The aim of the study was to evaluate the effectiveness of a parent-involved physical therapy program in improving the motor functions of children with ASD, as well as the impact of this program on the quality of life of parents. The study involved 54 children diagnosed with ASD, who were divided into a main group (MG) and a comparison group (CG). Various assessment methods were used, such as the Pediatric Balance Scale (PBS), the PEDI Mobility Assessment Questionnaire, the Gross Motor Skills Questionnaire (GMQ), and the Short Form Quality of Life Questionnaire (SF-12).The results showed that after a 12-week physical therapy program, children with OG demonstrated statistically significant improvements in balance, mobility, and gross motor skills, while children with PG did not. Parents' quality of life, especially in terms of mental health, also improved in the OGs, indicating a positive impact of the program on the family.The authors emphasize the importance of parental involvement in the rehabilitation process, which ensures more sustainable results in the development of motor functions in children with ASD. The use of family-oriented programs can significantly improve rehabilitation outcomes and quality of life for both children and their families. The article calls for the implementation of such programs in Ukraine, which has the potential to develop inclusive approaches to the rehabilitation of children with ASD.
References
Masumi J., Gholamzadeh R., Kashefi Mehr B. Effects of rehabilitation interventions on motor skills of children with autism spectrum disorder: a narrative review. ResearchGate. 2023. 12. 2278-0513.
Payne V.G., Isaacs L.D. Human motor development: a lifespan approach. 9th ed. New York: Routledge. 2017. № 9(1). P. 1–22. DOI:org/10.4324/9781315213040
Colombo-Dougovito A.M., Block M.E. Fundamental motor skill interventions for children and adolescents on the autism spectrum: a literature review. Rev J Autism Dev Disord. 2019. № 6(3). P. 159–171. DOI: 10.1007/s40489-019-00161-2
Bremer E., Balogh R., Lloyd M. Effectiveness of a fundamental motor skill intervention for 4-year-old children with autism spectrum disorder: a pilot study. Autism. 2015. № 19(8). P. 980–991. DOI: 10.1177/1362361314557548
Bremer E., Lloyd M. School-based fundamental-motor-skill intervention for children with autism-like characteristics: an exploratory study. Adapt Phys Activ Q. 2016. № 33(1). P. 66–88. DOI: 10.1123/APAQ.2015-0009
Ketcheson L., Hauck J., Ulrich D. The effects of an early motor skill intervention on motor skills, levels of physical activity, and socialization in young children with autism spectrum disorder: a pilot study. Autism. 2017. № 21(4). P. 481–492. DOI: 10.1177/1362361316650611
Elliott L.K., Weiss J.A., Lloyd M. Beyond the motor domain: exploring the secondary effects of a fundamental motor skill intervention for children with autism spectrum disorder. Adapt Phys Activ Q. 2021. № 38(2). P. 195–214. DOI: 10.1123/apaq.2020-0024
Kirby A.V. Parent expectations mediate outcomes for young adults with autism spectrum disorder. J Autism Dev Disord. 2016. № 46(5). P. 1643–1655. DOI: 10.1007/s10803-015-2691-3
Hurley K.S., Burt T.L. Development of physical competence through motor skill acquisition for children and youth with disabilities: parental perceptions. Health Psychol Rep. 2015. № 3(1). P. 1–12. DOI: 10.5114/hpr.2015.47623
Altunsöz I.H., Goodway J.D. SKIPing to motor competence: the influence of project successful kinesthetic instruction for preschoolers on motor competence of disadvantaged preschoolers. Phys Educ Sport Pedagog. 2016. № 21. P. 366–385.
Hamilton M., Goodway J., Haubenstricker J. Parent-assisted instruction in a motor skill program for at-risk preschool children. Adapt Phys Act Q. 1999. № 16. P. 415–426. DOI: https://doi.org/10.1123/apaq.16.4.415
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5-TR). Updated Excerpts for Delirium Codes Major and Mild Neurocognitive Disorders. Arlington (VA): American Psychiatric Association. 2022. P. 9–15.
Franjoine M.R., Gunther J.S., Taylor M.J. Pediatric balance scale: a modified version of the Berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Ther. 2003. № 15(2). P. 114–128. DOI: 10.1097/01. PEP.0000068117.48023.18
Chi I-J., Lin L-Y. Using the Assessment of Motor and Process Skills and the Pediatric Evaluation of Disability Inventory to assess self-care performance among preschool children with autism spectrum disorder. Am J Occup Ther. 2022. № 76(2). DOI: 10.5014/ajot.2022.046326
Allik H., Larsson J.-O., Smedje H. Health-related quality of life in parents of school-age children with Asperger syndrome or high-functioning autism. Health Qual Life Outcomes. 2006. № 4(1). DOI: 10.1186/1477-7525-4-1
Характеристики асиметрії та ексцесу. Електронний ресурс Studfile.
Басенко Л, Тимрук-Скоропад К. Сімейно орієнтована програма фізичної терапії для дітей із розладами аутистичного спектра. Art of Medicine. 2024; № 3 (31). С. 189–195. 2024; DOI: 10.21802/artm.2024.3.31.189
Sloper P., Greco V., Beecham J., Webb R. Key worker services for disabled children: what characteristics of services lead to better outcomes for children and families? Child Care Health Dev. 2006. № 32(2) P. 147–157. DOI: 10.1111/j.1365-2214.2006.00592.x
Palisano R.J., Almarsi N., Chiarello L.A., Orlin M.N., Bagley A., Maggs J. Family needs of parents of children and youth with cerebral palsy. Child Care Health Dev. 2010. № 36(1). P. 85–92. DOI: 10.1111/j.1365-2214.2009.01030.x
Uskun E., Gundogar D. The levels of stress, depression and anxiety of parents of disabled children in Turkey. Disabil Rehabil. 2010. № 32(23). P. 1917–1927. DOI: 10.3109/09638281003763804
Aitken M.E., Korehbandi P., Parnell D., Parker J.G., Stefans V., Tompkins E., Schulz E.G. Experiences from the development of a comprehensive family support program for pediatric trauma and rehabilitation patients. Arch Phys Med Rehabil. 2005. № 86(1). P. 175–179. DOI: 10.1016/j.apmr.2004.02.026
King G., Chiarello L. Family-centered care for children with cerebral palsy: conceptual and practical considerations to advance care and practice. J Child Neurol. 2014. № 29(8). P. 1046–1054. DOI: 10.1177/0883073814533009
McConnell D., Parakkal M., Savage A., Rempel G. Parent-mediated intervention: adherence and adverse effects. Disabil Rehabil. 2015. № 37(10). P. 864–872. DOI: 10.3109/09638288.2014.946157
Djordjević M., Memisevic H., Potic S., Djuric U. Exercise-based interventions aimed at improving balance in children with autism spectrum disorder: a meta-analysis. Percept Mot Skills. 2022. № 129(1). P. 90–119. DOI: 10.1177/00315125211060231
Rinaldi A., Martins M.C.M., Oliveira A.C.D.A.M., Rinaldi S., Fontani V. Improving functional abilities in children and adolescents with autism spectrum disorder using non-invasive REAC neuro psycho physical optimization treatments: a PEDI-CAT study. J Pers Med. 2023. № 13(5). P. 792. DOI: 10.3390/jpm13050792
Rafiei Milajerdi H., Sheikh M., Ghayour Najafabadi M., Saghaei B., Naghdi N., Dewey D. The effects of physical activity and exergaming on motor skills and executive functions in children with autism spectrum disorder. Games Health J. 2021. № 10(1). P. 33–42. DOI: 10.1089/g4h.2019.0180
Krauth K.A. Family-oriented rehabilitation (FOR) and rehabilitation of adolescents and young adults (AYA) in pediatric oncology. Oncol Res Treat. 2017. № 40(12). P. 752–758. DOI: 10.1159/000484609
Jenkin T., D’Cruz K., Anderson V., Scheinberg A., Knight S. Family-centred service in paediatric acquired brain injury rehabilitation: perspectives of children and adolescents and their families. Disabil Rehabil. 2023. № 45(19). P. 3087–3098. DOI: 10.1080/09638288.2022.2121864
King G., Williams L., Hahn Goldberg S. Family-oriented services in pediatric rehabilitation: a scoping review and framework to promote parent and family wellness. Child Care Health Dev. 2017. № 43(3). P. 334–347. doi: 10.1111/cch.12435
