The Effectiveness of Physical Therapy in Children with Autism

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THE EFFECTIVENESS OF PHYSICAL THERAPY IN CHILDREN WITH AUTISM

5DGRVáDZ Sroka

Szczecin University, Faculty of Physical Culture and Health Promotion, Poland

A _{Study Design;}B _{Data Collection;}C_{Statistical Analysis;}D0DQXVFULSW3UHSDUDWLRQE_{Funds Collection}

Address for correspondence:

5DGRVáDZ6URND

Szczecin University, Faculty of Physical Culture and Health Promotion $O3LDVWyZ%EXLOGLQJ6]F]HFLQ3RODQG Phone: +48 91 444 27 59 (PDLOUDGRVODZVURND#XQLYV]F]HFLQSO

Abstract.

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Key words:

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Introduction

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of a FKLOG,WGHOLYHUVQHFHVVDU\LQIRUPDWLRQRQWKHRYHUDOOGHYHORSPHQWRID child, and enables for the assessment of

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et al. 1995). The test consists of a GHYHORSPHQWDOVFDOHGLYLGHGLQWRVHYHQGLIIHUHQWVSKHUHVLPLWDWLRQSHUFHSWLRQ

fine motor skills, gross motor skills, motor coordination, cognition, communication), as well as a EHKDYLRUSDWWHUQV

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meet the true needs and abilities of a FKLOG'XULQJWKHSURJUDPLPSOHPHQWDWLRQVSHFLILFWDVNRULHQWHG7(($&+

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Methods

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,QWKHH[DPLQDWLRQ3(35WHVWFRPSRVHGRIWDVNVLQWKHDUHDRIJURVVPRWRUVNLOOVZDVXWLOL]HGPRGLILHG by the Pomeranian Educational Centre.

Results

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Table 1.

7KH3(35WHVWUHVXOWVLQWKHJURVVPRWRUVNLOOVDUHDLQWKHH[DPLQHGFKLOGUHQZLWKDXWLVPLQ PEP task No. 7DVNGHVFULSWLRQ Month of age – norm Results C1 45 month of age C2 49 month of age C3 52 month of age C4 month of age C5 68 month of age C6 73 month of age C7 85 month of age 47 Moving a ball 13–16 C C C C P C C 48 Pushing a ball 13–17 C C C C C C C

Sitting down on a chair 14–19 C C C C C C C

37 :DONLQJLQGHSHQGHQWO\ 14–22 C C C C C C C

68 Moving an object from one hand to another 14–22 C P C C C C C

Drinking from a mug 14–24 P C C C C C C

44 Throwing a ball 19–27 C C C C C C C

51 Pushing a walker 21–28 C C C C C C C

24 &URVVLQJWKHD[LVRIWKHERG\ 24–28 C P C C C C C

38 &ODSSLQJKDQGV 24–31 C C C C C C C

7ZRIHHWMXPSV 24–31 U P C C. C C C

72 One hand dominance 28–33 C U C C C P C.

45 Kicking a ball 28–35 C C P C C C C

39 Standing on one leg 29–36 P P P P P C C

46 Leg dominance ± C U P C C C C

43 Catching a ball 46–51 P P U C C C C

64 Ball swinging on a lace 46–51 P C U C C C C

49 :DONLQJXSWKHVWDLUV 61–65 C U C C C C C

Source: own research

,QRXWRIWKHWRWDOWDVNVRIWKHPZHUHFDUULHGRXWSURSHUW\E\DOOWKHFKLOGUHQQDPHO\SXVKLQJ a ball, sitting on a FKDLUZDONLQJLQGHSHQGHQWO\WKURZLQJD EDOOSXVKLQJD ZDONHUFODSSLQJKDQGV7KHPRVWGLIILFXOW IRUWKHH[DPLQHGFKLOGUHQZDVVWDQGLQJRQRQHOHJWDVNZLWK&DQG3PDUNV2XWRIDOOWKHH[DPLQHGFKLOGUHQ RQO\RQHSHUIRUPHGDOOWDVNVFRUUHFWO\7KUHHRIWKHH[DPLQHGER\VDFTXLUHG&3DQG8 results. Among the UHPDLQLQJH[DPLQHGFKLOGUHQWKHUHVXOWVZHUHPXFKPRUHGLYHUVLILHGZLWKHDFKRIWKHPDFTXLULQJGLIIHUHQWUHVXOWV &±3±8&±3±8&±3±8&±3±8

,QWDVNVZHUHSHUIRUPHGSURSHUO\E\DOOWKHFKLOGUHQQDPHO\SXVKLQJD ball, sitting on a chair, walking LQGHSHQGHQWO\PRYLQJDQREMHFWIURPRQHKDQGWRDQRWKHUGULQNLQJIURPD PXJSXVKLQJD ZDONHUFURVVLQJWKHD[LV RIWKHERG\FODSSLQJKDQGV7KHPRVWGLIILFXOWIRUWKHH[DPLQHGFKLOGUHQZDVEDOOVZLQJLQJRQD lace task (4 C, 2 P, and 1 U PDUNVDFFRUGLQJO\2XWRIDOOWKHH[DPLQHGER\VIRXURIWKHPFDUULHGRXWDOOWKHWDVNVFRUUHFWO\7ZRER\V VFRUHG&±3±8DQGRQHRIWKHER\VVFRUHG&±3±8 ,QWKHQHDUHVWGHYHORSPHQWDOVSKHUHWKDWLVWKHWDVNVWKDWZHUHHYDOXDWHGDVSURPLVLQJRQO\LQ&RQHWDVN ZDVQRWPDVWHUHGWDVNQR7KUHHER\VKRZHYHUZKRKDGWKHLUWDVNVSDVVHGLQKDGWKHVDPHWDVNV HYDOXDWHGDVSURPLVLQJLQWKHIROORZLQJ\HDU&±WDVNVQR&DQG&±WDVNQR0RUHRYHU&QRWHG VRPHUHJUHVVLRQLQWKHFDVHRIWDVNQRLQ±3DQGLQ±8

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Table 2.

7KH3(35WHVWUHVXOWVLQWKHJURVVPRWRUVNLOOVDUHDLQWKHH[DPLQHGFKLOGUHQZLWKDXWLVPLQ PEP task No. 7DVNGHVFULSWLRQ Month of age – norm Results C1 57 month of age C2 62 month of age C3 63 month of age C4 71 month of age C5 68 month of age C6 84 month of age C7 97 month of age 47 Moving a ball 13–16 P C C C C C C 48 Pushing a ball 13–17 C C C C C C C

Sitting down on a chair 14–19 C C C C C C C

37 :DONLQJLQGHSHQGHQWO\ 14–22 C C C C C C C

68 Moving an object from one hand to another 14–22 C C C C C C C

Drinking from a mug 14–24 C C C C C C C

44 Throwing a ball 19–27 P C C C C C C

51 Pushing a walker 21–28 C C C C C C C

24 &URVVLQJWKHD[LVRIWKHERG\ 24–28 C C C C C C C

38 &ODSSLQJKDQGV 24–31 C C C C C C C

7ZRIHHWMXPSV 24–31 C C C C C C C

72 One hand dominance 28–33 C C C C C C C

45 Kicking a ball 28–35 C C C C C C C

39 Standing on one leg 29–36 P C C C C. C C

46 Leg dominance ± C C C C C C C

43 Catching a ball 46–51 C C C C C C C

64 Ball swinging on a lace 46–51 U C P C C P C

49 :DONLQJXSWKHVWDLUV 61–65 C C C C C C C

$IWHUVXPPLQJXSDOOWKHFRPSOHWHGWDVNVDQGFRPSDULQJWKHUHVXOWVZLWKDSSUR[LPDWHDJHUDQJHIRUWKH SDVVHGWDVNVLQWKHDUHDRIJURVVPRWRUVNLOOVWKHHYDOXDWHGGHYHORSPHQWDODJHLQWKHDUHDRIJURVVPRWRUVNLOOVIRU individual children was set – Tables 3 and 4.

,QRQHFKLOGZDVFKDUDFWHUL]HGZLWKDQHTXDORUKLJKHUGHYHORSPHQWDODJHLQWKHJURVVPRWRUVNLOOV DUHDLQFRPSDULVRQZLWKWKHLUELRORJLFDODJH,QWKHUHPDLQLQJFKLOGUHQWKHLUGHYHORSPHQWDODJHZDVORZHUWKDQWKHLU ELRORJLFDODJH,QWKHGHYHORSPHQWDODJHLQWKHJURVVPRWRUVNLOOVDUHDZDVHTXDORUKLJKHULQIRXUER\VDQG lower than biological age in three of the boys.

2XWRIVHYHQH[DPLQHGFKLOGUHQLQVL[RIWKHPD YLVLEOHSURJUHVVLQPRWRUGHYHORSPHQWZDVVHHQWKURXJKRXW

a RQH\HDUSHULRGZLWK&KDYLQJWKHJUHDWHVWREVHUYHGSURJUHVV+LVGHYHORSPHQWDODJHIRUWKHJURVVPRWRU

VNLOOVDGGHGWR±PRQWKVLQDQGZDV±PRQWKVORZHUWKDQKLVELRORJLFDODJH,QWKH\HDUKLV GHYHORSPHQWDODJHIRUWKHJURVVPRWRUVNLOOVDYHUDJHG±PRQWKVDQGZDVDGHTXDWHWRKLVELRORJLFDODJH

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Table 3.

7KHGLIIHUHQFHVEHWZHHQELRORJLFDODQGDFWXDOGHYHORSPHQWDODJHLQWKHJURVVPRWRUVNLOOVDUHDLQWKHH[DPLQHGFKLOGUHQZLWK DXWLVPLQ

Child Biol. age (month of age) 3(35UHVXOWIRUJURVVPRWRUVNLOOV 7KHJURVVPRWRUVNLOOVGHYHORSPHQWDODJH (month of age) C P U C1 45 13 4 1 25–27 C2 49 5 3 ± C3 52 13 3 2 25–27 C4 17 1 ± C5 68 16 2 34–39 C6 73 17 1 ± C7 85 18 ±RUKLJKHU

Table 4.

7KHGLIIHUHQFHVEHWZHHQELRORJLFDODQGDFWXDOGHYHORSPHQWDODJHLQWKHJURVVPRWRUVNLOOVDUHDLQWKHH[DPLQHGFKLOGUHQZLWK DXWLVPLQ

Child Biol. age (month of age) 3(35UHVXOWIRUJURVVPRWRUVNLOOV 7KHJURVVPRWRUVNLOOVGHYHORSPHQWDODJH (month of age) C P U C1 57 14 3 1 ± C2 62 18 ±RUKLJKHU C3 63 17 1 ± C4 71 18 ±RUKLJKHU C5 18 ±RUKLJKHU C6 84 17 1 ± C7 97 18 ±RUKLJKHU

Summary

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Taking into account the fact that there is a YHU\UHVWULFWHGOLWHUDWXUHRQWKHWRSLFRISK\VLFDOLPSURYHPHQWLQ

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Conclusions

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3. Children with autism are often characterized by the regression in the motor skills area, which they had SUHYLRXVO\PDVWHUHG 3URSHUSK\VLFDOWKHUDS\DOORZVWRPDVWHUWKHVNLOOVIURPWKHQHDUHVWGHYHORSPHQWDOVSKHUHRID child. 1RWZLWKVWDQGLQJWKHDJHDQGWKHWKHUDS\DSSOLHGWKHGHYHORSPHQWRIJURVVPRWRUVNLOOVLQFKLOGUHQZLWK DXWLVPJRHVXQHYHQO\±WKH\DUHDEOHWRSHUIRUPPRUHGLIILFXOWWDVNVLQWHQGHGIRUROGHUFKLOGUHQEXWDWWKHVDPH WLPHDUHXQDEOHWRFDUU\RXWVLPSOHWDVNVLQWHQGHGIRU\RXQJHUFKLOGUHQ

References

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Cite this article as:

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