自闭症谱系障碍
荟萃分析
奇纳
医学
心理干预
物理疗法
梅德林
自闭症
随机对照试验
神经认知
认知
临床心理学
心理学
系统回顾
精神科
内科学
法学
政治学
作者
Xiao Liang,Ru Li,Stephen Heung-Sang Wong,Raymond Kim-Wai Sum,Peng Wang,Binrang Yang,Cindy H. P. Sit
出处
期刊:Sports Medicine
[Springer Nature]
日期:2021-09-01
卷期号:52 (1): 75-88
被引量:41
标识
DOI:10.1007/s40279-021-01545-3
摘要
BackgroundBoth chronic and acute exercise interventions have reported positive effects on executive functions (EFs) in general populations. However, data on changes in EFs in children and adolescents with autism spectrum disorder (ASD) in response to exercise interventions are still unclear.ObjectiveThis systematic review and meta-analysis aimed to synthesize available empirical studies concerning the effects of exercise interventions on EFs in children and adolescents with ASD.MethodsIn accordance with the Preferred Reporting Items for Systematic Review and Meta-analyses guidelines, the electronic databases CINAHL Complete (via EBSCOhost), SPORTDiscus with Full Text (via EBSCOhost), MEDLINE (via EBSCOhost), Web of Science, ProQuest, and Education Resources Information Center (ERIC; via EBSCOhost) were searched from inception to January 2021. Two authors independently extracted data and conducted a risk-of-bias analysis using the Physiotherapy Evidence Database scale. Randomized controlled trials/quasi-experimental designs that used acute or chronic exercise interventions and assessed EFs through neurocognitive tasks or questionnaires among children and adolescents with ASD were included. In total, 259 articles were identified, of which 15 full texts were independently assessed for eligibility by two authors. In total, 14 articles underwent systematic review, and seven were selected for meta-analysis.ResultsOverall, chronic exercise interventions had a small to moderate positive effect on overall EFs in children and adolescents with ASD (g = 0.342; 95% confidence interval [CI] 0.084–0.600; p < 0.01). Regarding domain-specific EFs, chronic exercise interventions had a small to moderate positive effect on cognitive flexibility (g = 0.312; 95% CI 0.053–0.570; p < 0.01) and inhibitory control (g = 0.492; 95% CI 0.188–0.796; p < 0.01). However, our review found a non-significant effect size (g = 0.212; 95% CI − 0.088 to 0.512) on working memory.ConclusionsChronic exercise interventions appear to have beneficial effects on overall EFs in children and adolescents with ASD, particularly in relation to cognitive flexibility and inhibitory control.
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