NADAR! ADS



Influência de um Programa Aquático Específico nas Habilidades Sociais e Motoras Grossas em Adolescentes com Transtornos do Espectro Autista

Três Relatos de Casos

Influência de um Programa Aquático Específico nas Habilidades Sociais e Motoras Grossas em Adolescentes com Transtornos do Espectro Autista: Três Relatos de Casos


Autores

  • Giuseppe Battaglia University of Palermo
  • Gianna Agrò University of Palermo
  • Pietro Cataldo University of Palermo
  • Antonio Palma University of Palermo
  • Marianna Alesi University of Palermo

Palavras-chave:

Transtornos do Espectro Autista, natação, terapia aquática, habilidades sociais, exercício, coordenação motora grossa

Resumo

Atividades na piscina revelam-se eficazes para treinar habilidades psicomotoras e melhorar comportamentos adaptativos em crianças com Transtornos do Espectro Autista (TEA). Portanto, o objetivo deste estudo foi investigar a eficácia de uma terapia aquática multissistêmica específica (CI-MAT) nas habilidades motoras grossas e sociais em três adolescentes com Transtornos do Espectro Autista (TEA). Métodos: três adolescentes com TEA sendo dois meninos (M1 com idade cronológica de 10,3 anos e idade mental de 4,7 anos; M2 com idade cronológica de 14,6 e idade mental inferior a 4 anos) e uma menina com idade cronológica de 14,0 e idade mental inferior a 4 anos). O estudo foi dividido em três fases: linha de base, programa CI-MAT de 12 semanas e pós-teste. Os participantes foram submetidos a uma bateria de testes incorporando medidas antropométricas, teste de desenvolvimento motor grosso e um questionário de habilidades sociais antes e depois de um programa CI-MAT de 12 semanas. Resultados: Os sujeitos melhoraram as habilidades locomotoras e de controle de objetos seguindo o programa CI-MAT de maneiras diferentes. No que diz respeito aos comportamentos sociais, a maior proporção de ganhos foi observada na sensibilidade à presença do outro e ao contato visual, para o domínio de contatos, e no cumprimento, para o domínio de relacionamentos. Conclusões: Os resultados deste estudo mostraram que o programa CI-MAT foi eficaz para o desenvolvimento de habilidades motoras grossas e comportamentos sociais em sujeitos com TEA. Além disso, observa-se uma necessidade de realizar uma avaliação psicológica completa visando o desenvolvimento motor e adaptativo adequado para fornecer planos educacionais e vocacionais de exercícios para pessoas com TEA.

Biografia do Autor

Giuseppe Battaglia, University of Palermo

Department of Psychology, Educational Science and Human Movement, University of Palermo/
Sport and Exercise Sciences Research Unit, University of Palermo/Regional Sports School of CONI, Italy

Gianna Agrò, University of Palermo

Department of Economics, Management and Statistics, University of Palermo, Italy

Pietro Cataldo, University of Palermo

Department of Psychology, Educational Science and Human Movement, University of Palermo, Italy

Antonio Palma, University of Palermo

Department of Psychology, Educational Science and Human Movement, University of Palermo/
Sport and Exercise Sciences Research Unit, University of Palermo/Regional Sports School of CONI/Study Center of University Sports Center of Palermo (CUS Palermo), University of Palermo, Italy

Marianna Alesi, University of Palermo

Department of Psychology, Educational Science and Human Movement, University of Palermo/
Sport and Exercise Sciences Research Unit, University of Palermo, Italy

Referências

(1) Alesi M, Battaglia G, Roccella M, Testa D, Palma A, Pepi A. Improvement of gross motor and cognitive abilities by an exercise training program: three case reports. Neuropsychiatric Disease and Treatment. 2014 Mar;479.

(2) Fong SSM, Tsang WWN, Ng GYF. Taekwondo training improves sensory organization and balance control in children with developmental coordination disorder: A randomized controlled trial. Research in Developmental Disabilities. 2012 Jan;33(1):85–95.

(3) Fragala-Pinkham MA, Haley SM, O’Neil ME. Group swimming and aquatic exercise programme for children with autism spectrum disorders: A pilot study. Developmental Neurorehabilitation [Internet]. 2011 Jul 6;14(4):230–41. Available from: http://content.ebscohost.com/ContentServer.asp?T=P&P=AN&K=62255353&S=R&D=aph&EbscoContent=dGJyMNLr40SeqLI40dvuOLCmr1Gep69Sr6i4SbSWxWXS&ContentCustomer=dGJyMOvX5Yavqa9JuePfgeyx44Dt6fIA

(4) Ferreira-Vasques AT, Lamonica DA. Motor, linguistic, personal and social aspects of children with Down syndrome. Journal of Applied Oral Science [Internet]. 2015 Aug;23(4):424–30. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560504/

(5) Gabriels RL, Agnew JA, Beresford C, Morrow MA, Mesibov G, Wamboldt M. Improving Psychiatric Hospital Care for Pediatric Patients with Autism Spectrum Disorders and Intellectual Disabilities. Autism Research and Treatment. 2012;2012:1–7.

(6) Pitetti KH, Rendoff AD, Grover T, Beets MW. The Efficacy of a 9-Month Treadmill Walking Program on the Exercise Capacity and Weight Reduction for Adolescents with Severe Autism. Journal of Autism and Developmental Disorders. 2006 Dec 6;37(6):997–1006.

(7) Dewey D, Cantell M, Crawford SG. Motor and gestural performance in children with autism spectrum disorders, developmental coordination disorder, and/or attention deficit hyperactivity disorder. Journal of the International Neuropsychological Society [Internet]. 2007 Feb 2;13(02). Available from: https://www.cambridge.org/core/journals/journal-of-the-international-neuropsychological-society/article/motor-and-gestural-performance-in-children-with-autism-spectrum-disorders-developmental-coordination-disorder-andor-attention-deficit-hyperactivity-disorder/BC7DF3C967324C74FE55C86433DE46DA

(8) Green D, Charman T, Pickles A, Chandler S, Loucas T, Simonoff E, et al. Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine & Child Neurology [Internet]. 2009 Apr;51(4):311–6. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1469-8749.2008.03242.x

(9) Abu-Dahab SMN, Skidmore ER, Holm MB, Rogers JC, Minshew NJ. Motor and Tactile-Perceptual Skill Differences Between Individuals with High-Functioning Autism and Typically Developing Individuals Ages 5–21. Journal of Autism and Developmental Disorders. 2012 Feb 9;43(10):2241–8.

(10) Bandini LG, Gleason J, Curtin C, Lividini K, Anderson SE, Cermak SA, et al. Comparison of physical activity between children with autism spectrum disorders and typically developing children. Autism. 2012 Jul 17;17(1):44–54.

(11) Gowen E. Imitation in autism: why action kinematics matter. Frontiers in Integrative Neuroscience. 2012;6.

(12) Siaperas P, Ring HA, McAllister CJ, Henderson S, Barnett A, Watson P, et al. Atypical Movement Performance and Sensory Integration in Asperger’s Syndrome. Journal of Autism and Developmental Disorders [Internet]. 2011 Jun 4;42(5):718–25. Available from: https://link.springer.com/article/10.1007/s10803-011-1301-2

(13) Pusponegoro HD, Efar P, Soedjatmiko, Soebadi A, Firmansyah A, Chen HJ, et al. Gross Motor Profile and Its Association with Socialization Skills in Children with Autism Spectrum Disorders. Pediatrics & Neonatology. 2016 Dec;57(6):501–7.

(14) Mache MA, Todd TA. Gross motor skills are related to postural stability and age in children with autism spectrum disorder. Research in Autism Spectrum Disorders. 2016 Mar;23:179–87.

(15) Yilmaz I, Yanardag M, Birkan B, Bumin G. Effects of swimming training on physical fitness and water orientation in autism. Pediatrics International [Internet]. 2004 Oct;46(5):624–6. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1442-200x.2004.01938.x

(16) Lang R, Koegel LK, Ashbaugh K, Regester A, Ence W, Smith W. Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders. 2010 Oct;4(4):565–76.

(17) Bremer E, Crozier M, Lloyd M. A systematic review of the behavioural outcomes following exercise interventions for children and youth with autism spectrum disorder. Autism. 2016 Jul 9;20(8):899–915.

(18) Kumar S, Mortimer R, Privopoulos M. The effectiveness of hydrotherapy in the treatment of social and behavioral aspects of children with autism spectrum disorders: a systematic review. Journal of Multidisciplinary Healthcare [Internet]. 2014 Feb;7:93. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3917923/

(19) Vonder Hulls D, Walker L, Powell J. Clinicians’ Perceptions of the Benefits of Aquatic Therapy for Young Children with Autism. Physical & Occupational Therapy In Pediatrics. 2006 Jun 27;26(1):13–22.

(20) Pan CY . Effects of water exercise swimming program on aquatic skills and social behaviors in children with autism spectrum disorders. Autism [Internet]. 2010;14(1):9–28. Available from: http://onewiththewater.org/downloads/aquatic-skill-&-social-behaviors.pdf

(21) Terapia Multisistemica in Acqua [Internet]. Terapia Multisistemica in Acqua. 2024 [cited 2019 Apr 28]. Available from: http://www.terapiamultisistemica.it

(22) Bowlby J. Attachment and Loss; Basic Books: New York, NY, USA, 1969.

(23) Caputo G, Ippolito G, Mazzotta M, Sentenza L, Muzio MR, Salzano S, et al. Effectiveness of a Multisystem Aquatic Therapy for Children with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders. 2018 Jan 8;48(6):1945–56.

(24) Rosenthal-Malek A, Mitchell S. Brief report: The effects of exercise on the self-stimulatory behaviors and positive responding of adolescents with autism. J. Autism Dev. Disord. 1997; 27, 193–202.

(25) MS CFV. Corrispondenze e funzioni: valutazione - Renzo Vianello - Libro - Edizioni Junior - | IBS [Internet]. Www.ibs.it. 2016 [cited 2019 Apr 28]. Available from: http://www.ibs.it/code/9788886858403/vianello-renzo/cfv-corrispondenze-funzioni:.html

(26) Sparrow S, Balla D, Cicchetti D. Vineland Adaptive Behavior Scales; Balla D, Cicchetti D. Eds.; American Guidance Service: Circle Pines, MN, USA, 1984.

(27) L’osservazione del comportamento - Carocci editore [Internet]. Carocci editore. 2024 [cited 2019 Apr 28]. Available from: http://www.carocci.it/index.php?option=com_carocci&task=schedalibro&Itemid=72&isbn=9788843018178

(28) Battaglia G, Bellafiore M, Caramazza G, Paoli A, Bianco A, Palma A. Changes in spinal range of motion after a flexibility training program in elderly women. Clinical Interventions in Aging. 2014 Apr;653.

(29) Giuseppe 1 B, Marianna 2 B, Antonino 2 B, Paoli A 3, Palma A 2 1 U of P, Regional Sport School of Sicily CONI (Olympic National Italian Committee) P, et al. Effects of a dynamic balance training protocol on podalic support in older women. Pilot Study. ProQuest [Internet]. 2010 Oct 1 [cited 2022 Oct 31];406–11. Available from: https://www.proquest.com/docview/2348937643?accountid=12834&pq-origsite=primo

(30) Ulrich DA. Test. TGM - Valutazione delle abilità grosso-motorie. [Internet]. 2010 Oct 1 [cited 2019 Apr 28]. Available from:http://www.erickson.it/Libri/Pagine/Scheda-Libro.aspx?ItemId=36985

(31) Lochbaum M, Crews D. Viability of Cardiorespiratory and Muscular Strength Programs for the Adolescent with Autism. Complementary health practice review. 2003 Oct;8(3):225–33.

(32) Best J, Jones JG. Movement therapy in the treatment of autistic children. Aust. Occup. Ther. J. 1972; 21, 72–86.

(33) Bonifacci P. Children with low motor ability have lower visual-motor integration ability but unaffected perceptual skills. Human Movement Science. 2004 Sep;23(2):157–68.

(34) Wilson PH, McKenzie BE. Information Processing Deficits Associated with Developmental Coordination Disorder: A Meta-analysis of Research Findings. Journal of Child Psychology and Psychiatry. 1998 Sep;39(6):829–40.

(35) Bartlo P, Klein PJ. Physical Activity Benefits and Needs in Adults With Intellectual Disabilities: Systematic Review of the Literature. American Journal on Intellectual and Developmental Disabilities. 2011 May;116(3):220–32.

(36) Jacquemont S, Coe Bradley P, Hersch M, Duyzend Michael H, Krumm N, Bergmann S, et al. A Higher Mutational Burden in Females Supports a “Female Protective Model” in Neurodevelopmental Disorders. The American Journal of Human Genetics. 2014 Mar;94(3):415–25.

______________________________

Imagem ilustrativa. FONTE: Image by freepik

Article adapted and translated into Portuguese by the editors of NADAR! SWIMMING MAGAZINE for republication, in accordance with the periodical's submission rules.

Publicado

2024-10-08

Como Citar

1.
Battaglia G, Agrò G, Cataldo P, Palma A, Alesi M. Influência de um Programa Aquático Específico nas Habilidades Sociais e Motoras Grossas em Adolescentes com Transtornos do Espectro Autista: Três Relatos de Casos. Nadar! Swim Mag [Internet]. 8º de outubro de 2024 [citado 21º de novembro de 2024];4(167):e167-96. Disponível em: https://revistanadar.com.br/index.php/Swimming-Magazine/article/view/96

ARK

NADAR! ADS