Düzeltme: Postural Control Assessment and Physiotherapy Approaches in Autism Spectrum Disorder

Yıl 2022, Cilt: 3 Sayı: 2, 114 - 124, 24.12.2022

Merve Koyuncu , Şevval Zeynep Girit , Xhennet Murıqı , Meltem Şenel , Rüstem Mustafaoğlu

Öz

Individuals with Autism Spectrum Disorder (ASD) generally encounter problems in motor skills, specifically with regards to postural control. The aim of this review is to examine the evaluation methods and physiotherapy applications implemented in treating postural control disorders in individuals suffering from ASD. Various studies in the literature have indicated the presence of more than one evaluation method- both subjective and objective- used in evaluating the static and dynamic balance of individuals with ASD. The physiotherapy methods studied in this review revealed significant positive effects in postural control and improving balance in individuals with ASD. The results provided by these findings may serve as a guide for not only physiotherapists but for all professionals working in this field. To help individuals with ASD sustain a healthy lifestyle and establish better social interactions, professionals in this field must apply these intervention methods in their daily practices and recognize their advantages.

Anahtar Kelimeler

Autism spectrum disorder, Postural control, Assessment, Physiotherapy, Rewiew, Otizm spektrum bozukluğu, Postüral Kontrol, Değerlendirme, Fizyoterapi, Derleme

Düzeltme: Otizm Spektrum Bozukluğunda Postural Kontrol Değerlendirmesi ve Fizyoterapi Yaklaşımları

Öz

Otizm Spektrum Bozukluğu (OSB) olan bireyler genellikle motor becerilerde, özellikle de postüral kontrolde önemli sorunlar yaşarlar. Bu derlemenin amacı, OSB’li bireylerde postüral kontrol bozukluklarına yönelik değerlendirme ve fizyoterapi uygulamalarının gözden geçirilmesidir. Literatürdeki çalışmalarda OSB’li bireylerin statik ve dinamik dengelerini değerlendirmek için birden fazla sübjektif ve objektif değerlendirme yöntemleri kullanıldığı görülmüştür. Derlemede incelenen fizyoterapi yöntemlerin OSB'li bireylerde postüral kontrolü ve dengeyi geliştirmede önemli olumlu etkileri olduğu görülmüştür. Bu bulguların, başta fizyoterapistler olmak üzere alandaki profesyoneller için yol gösterici olacaktır. OSB'li bireylerin sağlıklı bir yaşam tarzı sürdürmelerine ve daha iyi sosyal etkileşimler kurmalarına yardımcı olmak için alandaki profesyonellerin bu müdahale yöntemlerini günlük uygulamalarında kullanmalı ve faydalarının farkında olmalıdırlar.

Anahtar Kelimeler

Otizm spektrum bozukluğu, Postüral Kontrol, Değerlendirme, Fizyoterapi, Derleme

Kaynakça

• [1] T. Kodak and S. Bergmann, "Autism Spectrum Disorder: Characteristics, Associated Behaviors, and Early Intervention," Pediatr Clin North Am, vol. 67, pp. 525-535, Jun 2020.
• [2] E. M. K. Spearing, E. S. Pelletier, and M. Drnach, Tecklin's Pediatric Physical Therapy: Wolters Kluwer Health, 2021.
• [3] A. Masi, M. M. DeMayo, N. Glozier, and A. J. Guastella, "An Overview of Autism Spectrum Disorder, Heterogeneity and Treatment Options," Neurosci Bull, vol. 33, pp. 183-193, Apr 2017.
• [4] S. R. Sharma, X. Gonda, and F. I. Tarazi, "Autism Spectrum Disorder: Classification, diagnosis and therapy," Pharmacol Ther, vol. 190, pp. 91-104, Oct 2018.
• [5] K. Lyall, L. Croen, J. Daniels, M. D. Fallin, C. Ladd-Acosta, B. K. Lee, et al., "The Changing Epidemiology of Autism Spectrum Disorders," Annu Rev Public Health, vol. 38, pp. 81-102, Mar 20 2017.
• [6] C. Lord, M. Elsabbagh, G. Baird, and J. Veenstra-Vanderweele, "Autism spectrum disorder," Lancet, vol. 392, pp. 508-520, Aug 11 2018.
• [7] B. G. Travers, P. S. Powell, L. G. Klinger, and M. R. Klinger, "Motor difficulties in autism spectrum disorder: linking symptom severity and postural stability," J Autism Dev Disord, vol. 43, pp. 1568-83, Jul 2013.
• [8] C. Lord, T. S. Brugha, T. Charman, J. Cusack, G. Dumas, T. Frazier, et al., "Autism spectrum disorder," Nat Rev Dis Primers, vol. 6, p. 5, Jan 16 2020.
• [9] A. Memari, P. Ghanouni, M. Shayestehfar, and B. Ghaheri, "Postural Control Impairments in Individuals With Autism Spectrum Disorder: A Critical Review of Current Literature," Asian journal of sports medicine, vol. 5, p. e22963, 09/01 2014.
• [10] Y. Ivanenko and V. S. Gurfinkel, "Human Postural Control," Front Neurosci, vol. 12, p. 171, 2018.
• [11] J. Massion, "Postural control system," Curr Opin Neurobiol, vol. 4, pp. 877-87, Dec 1994.
• [12] R. J. Peterka, "Sensorimotor integration in human postural control," J Neurophysiol, vol. 88, pp. 1097-118, Sep 2002.
• [13] K. A. Fournier, C. I. Kimberg, K. J. Radonovich, M. D. Tillman, J. W. Chow, M. H. Lewis, et al., "Decreased static and dynamic postural control in children with autism spectrum disorders," Gait Posture, vol. 32, pp. 6-9, May 2010.
• [14] A. Ruggeri, A. Dancel, R. Johnson, and B. Sargent, "The effect of motor and physical activity intervention on motor outcomes of children with autism spectrum disorder: A systematic review," Autism, vol. 24, pp. 544-568, Apr 2020.
• [15] L. Case and J. Yun, "The Effect of Different Intervention Approaches on Gross Motor Outcomes of Children With Autism Spectrum Disorder: A Meta-Analysis," Adapt Phys Activ Q, vol. 36, pp. 501-526, Oct 1 2019.
• [16] Q. Fang, C. A. Aiken, C. Fang, and Z. Pan, "Effects of Exergaming on Physical and Cognitive Functions in Individuals with Autism Spectrum Disorder: A Systematic Review," Games Health J, vol. 8, pp. 74-84, Apr 2019.
• [17] D. G. Amaral, C. M. Schumann, and C. W. Nordahl, "Neuroanatomy of autism," Trends Neurosci, vol. 31, pp. 137-45, Mar 2008.
• [18] R. A. Müller, "The study of autism as a distributed disorder," Ment Retard Dev Disabil Res Rev, vol. 13, pp. 85-95, 2007.
• [19] S. Jacob, C. W. Brune, J. A. Badner, K. Ernstrom, E. Courchesne, C. Lord, et al., "Family-based association testing of glutamate transporter genes in autism," Psychiatr Genet, vol. 21, pp. 212-3, Aug 2011.
• [20] E. M. Morrow, S. Y. Yoo, S. W. Flavell, T. K. Kim, Y. Lin, R. S. Hill, et al., "Identifying autism loci and genes by tracing recent shared ancestry," Science, vol. 321, pp. 218-23, Jul 11 2008.
• [21] K. Yenkoyan, A. Grigoryan, K. Fereshetyan, and D. Yepremyan, "Advances in understanding the pathophysiology of autism spectrum disorders," Behav Brain Res, vol. 331, pp. 92-101, Jul 28 2017.
• [22] E. Courchesne, P. R. Mouton, M. E. Calhoun, K. Semendeferi, C. Ahrens-Barbeau, M. J. Hallet, et al., "Neuron number and size in prefrontal cortex of children with autism," Jama, vol. 306, pp. 2001-10, Nov 9 2011.
• [23] A. Sabers, F. C. Bertelsen, J. Scheel-Krüger, J. R. Nyengaard, and A. Møller, "Long-term valproic acid exposure increases the number of neocortical neurons in the developing rat brain. A possible new animal model of autism," Neurosci Lett, vol. 580, pp. 12-6, Sep 19 2014.
• [24] Z. Wang, Y. Hong, L. Zou, R. Zhong, B. Zhu, N. Shen, et al., "Reelin gene variants and risk of autism spectrum disorders: an integrated meta-analysis," Am J Med Genet B Neuropsychiatr Genet, vol. 165b, pp. 192-200, Mar 2014.
• [25] X. Xu, E. C. Miller, and L. Pozzo-Miller, "Dendritic spine dysgenesis in Rett syndrome," Frontiers in Neuroanatomy, vol. 8, 2014-September-10 2014.
• [26] A. El-Ansary and L. Al-Ayadhi, "GABAergic/glutamatergic imbalance relative to excessive neuroinflammation in autism spectrum disorders," Journal of Neuroinflammation, vol. 11, p. 189, 2014/11/19 2014.
• [27] G. Rizzolatti, L. Cattaneo, M. Fabbri-Destro, and S. Rozzi, "Cortical mechanisms underlying the organization of goal-directed actions and mirror neuron-based action understanding," Physiol Rev, vol. 94, pp. 655-706, Apr 2014.
• [28] C. Peterson, "Theory of mind understanding and empathic behavior in children with autism spectrum disorders," Int J Dev Neurosci, vol. 39, pp. 16-21, Dec 2014.
• [29] J. M. Moran, L. L. Young, R. Saxe, S. M. Lee, D. O'Young, P. L. Mavros, et al., "Impaired theory of mind for moral judgment in high-functioning autism," Proc Natl Acad Sci U S A, vol. 108, pp. 2688-92, Feb 15 2011.
• [30] N. Hadjikhani, R. M. Joseph, J. Snyder, and H. Tager-Flusberg, "Anatomical differences in the mirror neuron system and social cognition network in autism," Cereb Cortex, vol. 16, pp. 1276-82, Sep 2006.
• [31] T. N. Welsh, M. C. Ray, D. J. Weeks, D. Dewey, and D. Elliott, "Does Joe influence Fred's action? Not if Fred has autism spectrum disorder," Brain Res, vol. 1248, pp. 141-8, Jan 12 2009.
• [32] Z. Wang, R. R. Hallac, K. C. Conroy, S. P. White, A. A. Kane, A. L. Collinsworth, et al., "Postural orientation and equilibrium processes associated with increased postural sway in autism spectrum disorder (ASD)," J Neurodev Disord, vol. 8, p. 43, 2016.
• [33] E. K. Bojanek, Z. Wang, S. P. White, and M. W. Mosconi, "Postural control processes during standing and step initiation in autism spectrum disorder," Journal of Neurodevelopmental Disorders, vol. 12, p. 1, 2020/01/06 2020.
• [34] M. Calhoun, M. Longworth, and V. L. Chester, "Gait patterns in children with autism," Clin Biomech (Bristol, Avon), vol. 26, pp. 200-6, Feb 2011.
• [35] D. Kindregan, L. Gallagher, and J. Gormley, "Gait deviations in children with autism spectrum disorders: a review," Autism Res Treat, vol. 2015, p. 741480, 2015.
• [36] F. B. Horak, "Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?," Age Ageing, vol. 35 Suppl 2, pp. ii7-ii11, Sep 2006.
• [37] Y. Li, M. A. Mache, and T. A. Todd, "Automated identification of postural control for children with autism spectrum disorder using a machine learning approach," J Biomech, vol. 113, p. 110073, Dec 2 2020.
• [38] J. Baio, L. Wiggins, D. L. Christensen, M. J. Maenner, J. Daniels, Z. Warren, et al., "Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014," MMWR Surveill Summ, vol. 67, pp. 1-23, Apr 27 2018.
• [39] S. Golriz, J. J. Hebert, K. B. Foreman, and B. F. Walker, "The validity of a portable clinical force plate in assessment of static postural control: concurrent validity study," Chiropractic & Manual Therapies, vol. 20, p. 15, 2012/05/23 2012.
• [40] M. Mache, T. Todd, D. Jarvis, and K. Geary, "Comparison of Postural Control Among College Students With and Without Autism Spectrum Disorder," Advances in Neurodevelopmental Disorders, vol. 5, 09/01 2021.
• [41] Y. H. Lim, K. Partridge, S. Girdler, and S. L. Morris, "Standing Postural Control in Individuals with Autism Spectrum Disorder: Systematic Review and Meta-analysis," J Autism Dev Disord, vol. 47, pp. 2238-2253, Jul 2017.
• [42] Y. Li, T. Liu, and C. E. Venuti, "Development of postural stability in children with autism spectrum disorder: a cross-sectional study," Int Biomech, vol. 8, pp. 54-62, Dec 2021.
• [43] C. A. Molloy, K. N. Dietrich, and A. Bhattacharya, "Postural stability in children with autism spectrum disorder," J Autism Dev Disord, vol. 33, pp. 643-52, Dec 2003.
• [44] N. J. Minshew, K. Sung, B. L. Jones, and J. M. Furman, "Underdevelopment of the postural control system in autism," Neurology, vol. 63, pp. 2056-61, Dec 14 2004.
• [45] J. F. Stins, C. Emck, E. M. de Vries, S. Doop, and P. J. Beek, "Attentional and sensory contributions to postural sway in children with autism spectrum disorder," Gait Posture, vol. 42, pp. 199-203, Jul 2015.
• [46] N. Arifin, N. A. Abu Osman, and W. A. Wan Abas, "Intrarater test-retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance," J Appl Biomech, vol. 30, pp. 300-4, Apr 2014.
• [47] M. A. Abdel Ghafar, O. R. Abdelraouf, A. A. Abdelgalil, M. K. Seyam, R. E. Radwan, and A. E. El-Bagalaty, "Quantitative Assessment of Sensory Integration and Balance in Children with Autism Spectrum Disorders: Cross-Sectional Study," Children (Basel), vol. 9, Mar 3 2022.
• [48] M. R. Franjoine, J. S. Gunther, and M. J. Taylor, "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, vol. 15, pp. 114-28, Summer 2003.
• [49] E. N. Williams, S. G. Carroll, D. S. Reddihough, B. A. Phillips, and M. P. Galea, "Investigation of the timed 'up & go' test in children," Dev Med Child Neurol, vol. 47, pp. 518-24, Aug 2005.
• [50] B. Akyol and S. Pektas, "The Effects of Gymnastics Training Combined with Music in Children with Autism Spectrum Disorder and Down Syndrome," International Education Studies, vol. 11, pp. 45-51, 2018.
• [51] M. South and J. Palilla, "Bruininks-Oseretsky Test of Motor Proficiency," in Encyclopedia of Autism Spectrum Disorders, F. R. Volkmar, Ed., ed New York, NY: Springer New York, 2013, pp. 480-482.
• [52] C. A. Zaino, V. G. Marchese, and S. L. Westcott, "Timed up and down stairs test: preliminary reliability and validity of a new measure of functional mobility," Pediatr Phys Ther, vol. 16, pp. 90-8, Summer 2004.
• [53] D. Bartlett and T. Birmingham, "Validity and reliability of a pediatric reach test," Pediatr Phys Ther, vol. 15, pp. 84-92, Summer 2003.
• [54] K. S. C. Oliveira, D. E. Fontes, E. Longo, H. R. Leite, and A. C. R. Camargos, "Motor Skills are Associated with Participation of Children with Autism Spectrum Disorder," J Autism Dev Disord, Oct 19 2021.
• [55] B. G. Travers, A. H. Mason, L. A. Mrotek, A. Ellertson, D. C. Dean, 3rd, C. Engel, et al., "Biofeedback-Based, Videogame Balance Training in Autism," J Autism Dev Disord, vol. 48, pp. 163-175, Jan 2018.
• [56] S. Ansari, A. A. Hosseinkhanzadeh, F. AdibSaber, M. Shojaei, and A. Daneshfar, "The Effects of Aquatic Versus Kata Techniques Training on Static and Dynamic Balance in Children with Autism Spectrum Disorder," J Autism Dev Disord, vol. 51, pp. 3180-3186, Sep 2021.
• [57] A. F. Casey, G. Quenneville-Himbeault, A. Normore, H. Davis, and S. G. Martell, "A therapeutic skating intervention for children with autism spectrum disorder," Pediatr Phys Ther, vol. 27, pp. 170-7, Summer 2015.
• [58] H. Cheldavi, S. Shakerian, S. N. Shetab Boshehri, and M. Zarghami, "The effects of balance training intervention on postural control of children with autism spectrum disorder: Role of sensory information," Research in Autism Spectrum Disorders, vol. 8, pp. 8-14, 2014/01/01/ 2014.
• [59] M. Djordjević, H. Memisevic, S. Potic, and U. Djuric, "Exercise-Based Interventions Aimed at Improving Balance in Children with Autism Spectrum Disorder: A Meta-Analysis," Percept Mot Skills, vol. 129, pp. 90-119, Feb 2022.
• [60] C. H. Chang, M. G. Wade, T. A. Stoffregen, C. Y. Hsu, and C. Y. Pan, "Visual tasks and postural sway in children with and without autism spectrum disorders," Res Dev Disabil, vol. 31, pp. 1536-42, Nov-Dec 2010. [61] F. R. Carrick, G. Pagnacco, A. Hankir, M. Abdulrahman, R. Zaman, E. R. Kalambaheti, et al., "The Treatment of Autism Spectrum Disorder With Auditory Neurofeedback: A Randomized Placebo Controlled Trial Using the Mente Autism Device," Front Neurol, vol. 9, p. 537, 2018.
• [62] E. Mahmoodifar and M. S. Sotoodeh, "Combined Transcranial Direct Current Stimulation and Selective Motor Training Enhances Balance in Children With Autism Spectrum Disorder," Percept Mot Skills, vol. 127, pp. 113-125, Feb 2020.
• [63] D. Garcia-Villamisar, J. Dattilo, and C. Muela, "Effects of B-Active2 on Balance, Gait, Stress, and Well-Being of Adults With Autism Spectrum Disorders and Intellectual Disability: A Controlled Trial," Adapt Phys Activ Q, vol. 34, pp. 125-140, Apr 2017.
• [64] S. Nuntanee and S. Daranee, "Effect of Motorized Elephant-Assisted Therapy Program on Balance Control of Children with Autism Spectrum Disorder," Occup Ther Int, vol. 2019, p. 5914807, 2019.
• [65] H. F. Ajzenman, J. W. Standeven, and T. L. Shurtleff, "Effect of hippotherapy on motor control, adaptive behaviors, and participation in children with autism spectrum disorder: a pilot study," Am J Occup Ther, vol. 67, pp. 653-63, Nov-Dec 2013.