朱岩, 张小燕, 刘晓辉, 刘秋实, 葛娇娇, 郭美彤, 甄志平. 基于体脑综合评价的3~6岁ASD儿童动作技能测评体系构建与实证研究[J]. 北京师范大学学报(自然科学版). DOI: 10.12202/j.0476-0301.2022297
引用本文: 朱岩, 张小燕, 刘晓辉, 刘秋实, 葛娇娇, 郭美彤, 甄志平. 基于体脑综合评价的3~6岁ASD儿童动作技能测评体系构建与实证研究[J]. 北京师范大学学报(自然科学版). DOI: 10.12202/j.0476-0301.2022297
ZHU Yan, ZHANG Xiaoyan, LIU Xiaohui, LIU Qiushi, GE Jiaojiao, GUO Meitong, ZHEN Zhiping. The Construction and Empirical Study of Motor Skills Evaluation System for 3~6 Year Old ASD Children Based on Body Brain Comprehensive Evaluation[J]. Journal of Beijing Normal University(Natural Science). DOI: 10.12202/j.0476-0301.2022297
Citation: ZHU Yan, ZHANG Xiaoyan, LIU Xiaohui, LIU Qiushi, GE Jiaojiao, GUO Meitong, ZHEN Zhiping. The Construction and Empirical Study of Motor Skills Evaluation System for 3~6 Year Old ASD Children Based on Body Brain Comprehensive Evaluation[J]. Journal of Beijing Normal University(Natural Science). DOI: 10.12202/j.0476-0301.2022297

基于体脑综合评价的3~6岁ASD儿童动作技能测评体系构建与实证研究

The Construction and Empirical Study of Motor Skills Evaluation System for 3~6 Year Old ASD Children Based on Body Brain Comprehensive Evaluation

  • 摘要: 目的:采用德尔菲法(Delphi)构建3~6岁ASD儿童动作技能测评体系(Children's Movement Skills Evaluation System,CMSES);运用运动认知神经科学的思路探究综合评估和干预3~6岁ASD儿童体脑发育水平的教育策略.方法:采用Delphi法和层次分析法(AHP)构建3~6岁ASD儿童动作技能测评体系;采用实验法对8名3~6岁轻度ASD儿童(M∶F=6∶2)进行动作技能、体质水平和脑电图(EEG)的综合分析.结果:⑴3~6岁ASD儿童动作技能测评体系包括4项一级指标,15项二级指标和39项三级指标.⑵ASD儿童的动作技能均分依次为身体控制技能(Body Control Skills,BCS)>身体移动技能(Body Movement Skills,BMS)>物体控制技能(Object Control Skills,OCS)>手部精细技能(Hand Fine Skills,HFS),OCS和HFS受ASD疾病特征与认知发展影响较大.ASD儿童体质评定不合格率为87.5%.⑶ASD儿童功率较高的脑区和波段分别为前额叶和枕叶delta波,顶叶、前额叶和枕叶的theta波,顶叶alpha波,左右颞叶beta波和gamma波.全脑相对功率地形图显示,ASD儿童全脑delta波、theta波能量占比较高,alpha波、gamma波占比较低.结论:⑴依据儿童生长发育里程碑、动作发展顺序规律、ASD儿童核心症状和生活技能发展,采用Delphi法构建3~6岁ASD动作技能测评体系,包括一级指标4项、二级指标15项,三级指标39项.本研究立足ASD儿童动作技能教育与干预建立测评指标,是针对ASD儿童发育规律和核心症状开展评测→干预→教育→反馈→提升的结合体.测评体系通过信效度检验,具有科学性和实用性,便于一线ASD融合教育工作者开展测评和教育活动.⑵ASD儿童存在显著的动作技能、体质水平、脑电活动的异常和低下状态.其动作技能均分依次为BCS>BMS>OCS>HFS,OCS和HFS受认知发展影响大.各脑区多波段的异常激活、delta和theta波能量高,alpha波能量低,导致儿童注意力无法集中、感觉加工异常.体质评分及格率低,影响ASD儿童健康相关入学准备水平和未来参与学校教育的能力.ASD儿童亟待开展以动作技能为切入点的体脑发育综合干预和教育,以促进ASD儿童融入学校教育,获得康复和发展.

     

    Abstract:
    Objective To establish a motor skill evaluation system for 3~6 years old ASD children by Delphi method; Using the thinking of motor cognitive neuroscience, this paper explores the educational strategy of comprehensive evaluation and intervention on the level of body and brain development of 3~6 years old ASD children.
    Methods Delphi method and analytic hierarchy process were used to establish a motor skill evaluation system for 3~6 years old ASD children; Eight children with mild ASD (M∶F=6∶2) aged 3-6 years old were studied on their motor skills, physical fitness and EEG.
    Results (1) The motor skill evaluation system for 3~6 years old ASD children includes 4 first level indicators, 15 second level indicators and 39 third level indicators. (2) The motor skills of ASD children are divided into body control skills (BCS)>body movement skills (BMS)>object control skills (OCS)>hand fine skills (HFS). OCS and HFS are greatly affected by ASD disease characteristics and cognitive development. The unqualified rate of ASD children was 87.5%. (3) The brain regions and wave bands with higher power in ASD children were prefrontal and occipital delta waves, theta waves in parietal, prefrontal and occipital lobes, alpha waves in parietal lobes, beta waves and gamma waves in left and right temporal lobes, respectively. The whole brain relative power topographic map shows that the energy of delta and theta waves in the whole brain of ASD children is relatively high, while the energy of alpha and gamma waves is relatively low.
    Conclusion ⑴ According to the milestones of children's growth and development, the order of action development, the core symptoms of ASD children and the development of life skills, the Delphi method was used to build an ASD action skills evaluation system for children aged 3-6 years, including 4 primary indicators, 15 secondary indicators, and 39 tertiary indicators. Based on the ASD children's motor skill education and intervention, this study establishes evaluation indicators, which is a combination of evaluation→intervention→education→feedback→improvement for the ASD children's development laws and core symptoms. The evaluation system has passed the reliability and validity test and is scientific and practical, which is convenient for front-line ASD integration educators to carry out evaluation and education activities. ⑵ ASD children have significant motor skills, physical level, abnormal and low EEG activity. The average score of motor skills was BCS>BMS>OCS>HFS, and OCS and HFS were greatly affected by cognitive development. The abnormal activation of multiple wavebands in various brain regions, high energy of delta and theta waves, and low energy of alpha waves lead to children's inability to focus and abnormal sensory processing. The low passing rate of physical score affects the health related school readiness level of ASD children and their ability to participate in school education in the future. It is urgent for ASD children to carry out comprehensive intervention and education on body and brain development with motor skills as the starting point, so as to promote the integration of ASD children into school education, rehabilitation and development.

     

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