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目的:探讨在Halliwick技术指导下,为期4周的水中运动对自闭症儿童行为的影响。方法:选取40名轻中度自闭症患者,试验组在Halliwick技术指导下进行为期4周的水中运动技能学习,周一—周五1.5 h/天;对照组进行日常生活模式。试验前后,运用《水中技能习得量表》(HAAR)对水中运动技能学习进行评测,《自闭症儿童行为检查量表》(ABC)对2组自闭症儿童的行为进行评估。结果:(1)试验后2组HAAR评估结果显示,阶段2入水、阶段3旋转、阶段4平衡和控制、阶段5水中独立运动有显著性差异(P<0.05),阶段1心理调适没有显著性差异(P>0.05);(2)试验后2组ABC评估结果显示,B(躯体运动能力)、S2(自我照顾)以及总分均值差均有显著性意义(P<0.05),S(感觉能力)、R(交往能力)、L(语言能力)没有显著性意义(P>0.05);(3)试验组干预后B(躯体运动能力)、S2(自我照顾)有显著性差异(P<0.05);S(感觉能力)、R(交往能力)、L(语言能力)、总分均没有显著性差异(P>0.05),对照组均没有显著性差异,ABC的分值与障碍程度呈正相关,试验组治疗后总分值呈下降局势。结论:Halliwick技术是指导自闭症儿童水中运动技能习得的有效教学方法;Halliwick技术为指导的水中运动对自闭症儿童的行为干预有积极的效果;Halliwick技术对自闭症儿童社会交往能力有改善趋势。
Abstract：The purpose of this study was to evaluate the effectiveness of a 4 week swimming program guided by Halliwick on children with ASDs on behavior and aquatic skills. Methods:This study selected 40 patients with mild to moderate autism,The experimental group conducted Halliwick study for four weeks(1.5 h/d,from Monday to Friday). The control group just did in routine life mode;Before and after the experiment,we used the Autism Behavior Checklist(ABC)to the behavior evaluation and Humphries Assessment of Aquatic Readiness(HAAR)to the aquatic skills evaluation. Results:After the experiment the results of HAAR assessment of the two groups showed that there were significant differences in stage two water inflow,stage three rotation,stage four balance and control,stage five independent movement in water(P<0.05),but no significant differences in stage one psychological adjustment(P>0.05);After the experiment,the results of ABC assessment of two groups showed that there was significant difference between B(body movement),S2(self-care)and the mean score(P<0.05);but no significant differences in S(sensory ability),R Language ability)(P>0.05). After experiment,in the experimental group,there were significant differences of ABC scores in B(body movement)and S2(self-care)(P<0.05)and no significant difference in S(feeling),R(skills)and L(language)(P>0.05).There was no significant difference in the control group. The score of ABC was positively correlated with the degree of disorder,and the total score of experimental group decreased after treatment. Conclusions:Halliwick is an effective teaching method to guide the learning of water sports skills in autistic children. Halliwick has a positive effect on behavioral interventions in children with autism. Halliwick tends to improve social interaction skills in children with autism
[1]任丽,李云建,李军.儿童自闭症谱系障碍发病现状及早期干预[J].社区医学杂志,2015,13(18):78-79
[2]刘可智,梁雪梅,郭兰婷.儿童自闭症的遗传学研究进展[J].实用儿科临床杂志,2010,25(23):1768-1770.
[3]樊越波.自闭症干预方法有效性循证研究述评:基于《自闭症谱系障碍循证干预指南》[J].残疾人研究,2014(2):49-53
[4]钱旭强.适应体育理念下的自闭症幼儿体育干预研究综述[J].绥化学院学报,2013(04):99-103
[5]崔尧,丛芳,金龙.Halliwick理念及其在水疗康复中的应用[J].中国康复理论与实践,2013(03):239-245
[6]MORTIMER R,PRIVOPOULOS M,KUMAR S.The effectiveness of hydrotherapy in the treatment of social and behavioral aspects of children with autism spectrum disorders:a systematic review[J].J Multidiscip Healthc,2014,7:93-104.
[7]GRESSWELL A,MHUIRI A N,KNUDSEN B F,et al.The Halliwick concept 2010[EB/OL].http://www.halliwick.org.cn.
[8]李建华,钟建民,蔡兰云,等.三种儿童孤独症行为评定量表临床应用比较[J].中国当代儿科杂志,2005,7(1):59-62.
[9]陶国泰.儿童少年精神医学[M].南京:江苏科学技术出版社,1999:124-125.
[10]李雪荣.现代儿童精神医学[M].长沙:湖南科技出版社,1994:180-184.
[11]HUMPHRIES K M.Humphries'assessment of aquatic readiness[D].Den-ton:Texas Woman's University,2008.
[12]纪树荣.康复疗法学[M].北京:华夏出版社,2005:185-191.
[13]简坤林,孙学川.水中运动生理学[J].现代康复,20015(1):1-3.
[14]JOSEPH P.Adapted physical education and sport(4thed)[M].New York:Mc Graw-Hill,2005:436.
[15]SUSAN J,GROSSE.Water Freedom for All:The Halliwick Method[J].International Journal of Aquatic Research&Education,2010,4:199-207.
[16]PAN C Y.Effects of water exercise swimming program on aquatic skills and social behaviors in children with autism spectrum disorders[J].Autism,2010,14(1):9-28.
[17]VONDER HNLLS D S,WALKER L K,POWELL J M.Clinicians'perceptions of the benefits of aquatic therapy for young children with autism:a prelim inary study[J].Phys Occup Ther Pediatr,2006,26(1-2):13-22.
[18]YILMAZ I,YANANRDAG M,BIRKAN B,et al.Effects of swimming trainingon physical fitness and water orientation in autism[J].Pediatr Int,2004,46(5):624-626.
[19]LAMBECK J,GAMPERU.The Halliwick concept[M]//BECKER B E,COLE A J.Comprehensive Aquatic Therapy.3rd ed.Pullman WA:Washington State University Publishing,2010:1-31.
[20]左秋芳,胡晓毅.国外自闭症谱系障碍儿童刻板行为的干预研究综述[J].中国特殊教育,2012(08):35-42.
[21]BEST J F,JONER J G.Movement therapy in the treatment of autistic children[J].Aust Occup Ther J,1974,21(2):72-86.
[22]ZANDT F,PRIOR M,KYRIOS M.Repetitive behavior in children with high functioning autism and obsessive compulsive disorder[J].Journal o f Autism and Developmental Disorders,2007,37(2):251-259.
[23]金容.动作障碍儿童训练新指引[M].湖北:湖北科学技术出版社,2014:1-11.
[24]MC CRACKEN J T,MC GOUGH J,SHAH B,et al.Risperidone in children with autism and serious behavioral problems[J].N Engl J Med,2002,347(5):314-321.
[25]张英波.动作学习与控制[M].北京:北京体育大学出版社,2014:10-15.
[26]王姣艳.自闭症儿童社会性发展障碍的干预体系之设想[J].教育教学论坛,2011(36):113-115.
[27]BOYD B A,CONROY M A,ASMUS J M,et al.Descriptive analysis of classroom setting events on the social behaviors of children with autism spectrum disorder[J].Educ Train Dev Disabil,2008,43(2):186-197.
[28]BARON-COHEN S.Autism:research into causes and intervention[J].Pediatr Rehabil,2004,7(2):73-78.
[29]BELLINI S,AKULLIAN J.A meta-analysis of video modeling and video self-modeling interventions for children and adolescents with autism spectrum disorders[J].Except Child,2007,73(3):264-287.
[30]WELSH M,PARKE R D,WIDAMAN K,et al.Linkages between children's social and academic competence:A longitudinal analysis[J].J Sch Psychol,2001,39(6):463-482.
[31]HUETTIG C,DARDEN-MELTON B.Acquisition of aquatic skills by childrenwith autism[J].Palaestra,2004,20(2):20-25.
[32]SRSEN K G,PIKL M,VRECAR I.Preliminary results on content validity and interrater reliability of swim[J].Dev Med Child Neurol,2011,53:43.
[33]HABERFELLNER H.JAMES MC MILLAN.M.B.E.(1913-1994)-swimming as the'point'of archimedes.Another view of integration[J].Padiatr Padol,1994,29(6):A97-A100.
基本信息:
DOI：10.13297/j.cnki.issn1005-0000.2017.05.009
中图分类号:G76;R749.94
引用信息:
[1]冯燕青,侯晓晖,潘红玲,等.水中运动疗法对自闭症儿童行为影响的研究——基于Halliwick技术[J].天津体育学院学报,2017,32(05):429-433.DOI:10.13297/j.cnki.issn1005-0000.2017.05.009.
基金信息:
国家社会科学基金项目(项目编号:14BTY053);; 广东省普通高校国际合作重大项目(项目编号:2014WGJHZ005)
2017-09-25
2017-09-25