نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد گروه رفتار حرکتی و مدیریت ورزشی، دانشکده علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران

2 دانشگاه اصفهان

چکیده

هدف از مطالعه حاضر، مقایسه اثر تمرین‌های ایروکامبت و تکنیک‌های کاتا بر بهبود تعاملات اجتماعی کودکان مبتلا به اختلال طیف اوتیسم بود. در این مطالعه تعداد 54 کودک مبتلا به اوتیسم با دامنه سنی بین 6 تا 10 سال در سه گروه شامل گروه‌های ایروکامبت (18 نفر)، کاتا (18 نفر) و کنترل (18 نفر) قرار گرفتند. شرکت‌کنندگان به مدت 14 هفته، به صورت سه روز در هفته، تمرینات طراحی شده خاص گروه خود را انجام دادند. اندازه‌گیری تعاملات اجتماعی اوتیسم با استفاده از مقیاس تشخیصی اوتیسم گیلیام- ویرایش دوم (گارز-2) صورت پذیرفت. ارزیابی‌ها قبل از اعمال مداخله‌ (پیش‌آزمون)، دو روز بعد از مداخله‌ (پس‌آزمون) و سی روز بعد از اتمام مداخله (پیگیری) انجام گرفت. برای تحلیل داده‌ها از آزمون‌های تحلیل‌واریانس با اندازه‌های تکراری، تحلیل واریانس و t همبسته استفاده شد. یافته‌ها نشان داد تکنیک‌های کاتا و تمرینات ایروکامبت، هر دو به طور معنی‌داری تعاملات اجتماعی را به صورت پایدار در شرکت‌کنندگان بهبود بخشید. در تمایز بین تکنیک‌های کاتا و تمرینات ایروکامبت مشخص شد که تمرینات ایروکامبت نقش بسیار برجسته‌تر و ممتازتری در بهبود تعاملات اجتماعی داشت. با توجه به یافته‌ها، نتیجه می‌گیریم که استفاده از تمرینات ایروکامبت و کاتا می‌تواند به عنوان یک راهکار مناسب به‌منظور بهبود نشانگان اوتیسم در نظر گرفته شود و نقش ایروکامبت در تعدیل و بهبود تعاملات اجتماعی کودکان مبتلا به اختلال اوتیسم به صورت قابل ملاحظه‌ای بیشتر از تمرینات کاتا می باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of aerocombat exercises versus kata techniques training on social interactions of children with autism spectrum disorders: the role of marial arts nature

نویسندگان [English]

  • Ahmadreza Movahedi 1
  • Hadi Moradi 2
  • Fatimah Bahrami 2

1 Professor at the Department of Motor behavior and Sport Management, College of Sport Sciences, University of Isfahan, Isfahan, Iran

2 University of Isfahan

چکیده [English]

The effects of 14 weeks of kata versus aerocombat training on social interactions of children with autism spectrum disorders (ASD) were investigated. The study included 54 eligible children whom they assigned to kata , or aerocombat or no-exercise control group . Participants of the exercise groups received kata techniques or aerocombat instructions three times per week for 14 weeks (42 sessions). The social interaction were assessed at baseline, week 14, and at one month follow up in the three groups via the social dysfunction sunscale of Gilliam,Autism Rating Scale-Second Edition (GARS-2). Statistical analyses were performed with a repeated measures of analysis of variance, a one-way analysis of variance a paired t-test, and an idependent t-test. Results showed that both kata techniques and aerocombat training improved social interactions of the two exercise groups. It was also found that aerocombat exercises played more prominent role in improving social interactions than kata techniques. After 30 days of no practice social interaction in the exercise groups remained significantly decreased compared to pre-intervention time. The participants of the control group did not show significant changes in the outcome variable. It seems that teaching kata techniques and aerocombat exercises to children with ASD consistently improves their social interactions The role played by aerocombat training in improving social interactions was significantly greater than kata . Iit should be noted that the nature of martial arts could be considered as a key option in prescribing martial arts based interventions in children with ASD for improving their social interactions.

کلیدواژه‌ها [English]

  • Autism
  • Kata
  • Aerocombat
  • Social interactions
  • Nature of Martial Arts
  1. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®): American Psychiatric Pub; 2013.
  2. Gialloreti LE, Benvenuto A, Benassi F, Curatolo P. Are caesarean sections, induced labor and oxytocin regulation linked to Autism Spectrum Disorders? Medical Hypotheses. 2014;82(6):713-8.
  3. Jia F, Wang B, Shan L, Xu Z, Staal WG, Du L. Core symptoms of autism improved after vitamin D supplementation. Pediatrics. 2015;135(1):e196-e8.
  4. Koegel RL, Covert A. The relationship of self-stimulation to learning in autistic children. Journal of Applied Behavior Analysis. 1972;5(4):381-7.
  5. Jones R, Wint D, Ellis N. The social effects of stereotyped behaviour. Journal of Intellectual Disability Research. 1990;34(3):261-8.
  6. Matson JL, Kiely SL, Bamburg JW. The effect of stereotypies on adaptive skills as assessed with the DASH-II and Vineland Adaptive Behavior Scales. Research in Developmental Disabilities. 1997;18(6):471-6.
  7. Schreck KA, Mulick JA, Smith AF. Sleep problems as possible predictors of intensified symptoms of autism. Research in developmental disabilities. 2004;25(1):57-66.
  8. Bishop SL, Richler J, Cain AC, Lord C. Predictors of perceived negative impact in mothers of children with autism spectrum disorder. American Journal on Mental Retardation. 2007;112(6):450-61.
  9. Matson JL, Fodstad JC, Rivet TT. The relationship of social skills and problem behaviors in adults with intellectual disability and autism or PDD-NOS. Research in Autism Spectrum Disorders. 2009;3(1):258-68.
  10. Guess D, Carr E. Emergence and maintenance of stereotypy and self-injury. American Journal on Mental Retardation. 1991.
  11. Ferraioli SJ, Harris SL. Treatments to increase social awareness and social skills. Evidence-based practices and treatments for children with autism: Springer; 2011. p. 171-96.
  12. Bahrami F, Movahedi A, Marandi SM, Abedi A. Kata techniques training consistently decreases stereotypy in children with autism spectrum disorder. Research in developmental disabilities. 2012;33(4):1183-93.
  13. Bahrami F, Movahedi A, Marandi SM, Sorensen C. The effect of karate techniques training on communication deficit of children with autism spectrum disorders. Journal of autism and developmental disorders. 2016;46(3):978-86.
  14. Movahedi A, Bahrami F, Marandi SM, Abedi A. Improvement in social dysfunction of children with autism spectrum disorder following long term Kata techniques training. Research in Autism Spectrum Disorders. 2013;7(9):1054-61.
  15. Allison DB, Basile VC, MacDonald RB. Brief report: Comparative effects of antecedent exercise and lorazepam on the aggressive behavior of an autistic man. Journal of autism and developmental disorders. 1991;21(1):89-94.
  16. Kern L, Koegel RL, Dyer K, Blew PA, Fenton LR. The effects of physical exercise on self-stimulation and appropriate responding in autistic children. Journal of autism and developmental disorders. 1982;12(4):399-419.
  17. 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. 2007;37(6):997-1006.
  18. Rosenthal-Malek A, Mitchell S. Brief report: The effects of exercise on the self-stimulatory behaviors and positive responding of adolescents with autism. Journal of autism and developmental disorders. 1997;27(2):193-202.
  19. Watters RG, Watters WE. Decreasing self-stimulatory behavior with physical exercise in a group of autistic boys. Journal of Autism and Developmental disorders. 1980;10(4):379-87.
  20. Bass MM, Duchowny CA, Llabre MM. The effect of therapeutic horseback riding on social functioning in children with autism. Journal of autism and developmental disorders. 2009;39(9):1261-7.
  21. García‐Villamisar D, Dattilo J. Effects of a leisure programme on quality of life and stress of individuals with ASD. Journal of Intellectual Disability Research. 2010;54(7):611-9.
  22. Bumin G, Uyanik M, Yilmaz I, Kayihan H, Topçu M, Topcu M, et al. Hydrotherapy for Rett syndrome. Journal of rehabilitation medicine. 2003;35(1):44-5.
  23. Reid P, Factor D, Freeman N, Sherman J. The effects of physical exercise on three autistic and developmentally disordered adolescents. Therapeutic Recreation Journal. 1988;22(2):47-56.
  24. O Connor J, French R, Henderson H. USE of physical activity to improve behavior of children with autism-two for one benefits. PALAESTRA-MACOMB ILLINOIS-. 2000;16(3):22-9.
  25. Gabriels RL, Agnew JA, Holt KD, Shoffner A, Zhaoxing P, Ruzzano S, et al. Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders. 2012;6(2):578-88.
  26. Levinson LJ, Reid G. The effects of exercise intensity on the stereotypic behaviors of individuals with autism. Adapted Physical Activity Quarterly. 1993;10(3):255-68.
  27. Lochbaum M, Crews D. Viability of cardiorespiratory and muscular strength programs for the adolescent with autism. Complementary Health Practice Review. 2003;8(3):225-33.
  28. Yilmaz I, Yanardag M, Birkan B, Bumin G. Effects of swimming training on physical fitness and water orientation in autism. Pediatrics International. 2004;46(5):624-6.
  29. Fragala‐Pinkham M, Haley SM, O’Neil ME. Group aquatic aerobic exercise for children with disabilities. Developmental Medicine & Child Neurology. 2008;50(11):822-7.
  30. Kern L, Koegel RL, Dunlap G. The influence of vigorous versus mild exercise on autistic stereotyped behaviors. Journal of autism and developmental disorders. 1984;14(1):57-67.
  31. Powers S, Thibadeau S, Rose K. Antecedent exercise and its effects on self‐ Behavioral Interventions. 1992;7(1):15-22.
  32. Blatt GJ, Soghomonian J, Yip J. The neurochemical basis of autism: Springer; 2010.
  33. Pedersen CA, Prange AJ. Induction of maternal behavior in virgin rats after intracerebroventricular administration of oxytocin. Proceedings of the National Academy of Sciences. 1979;76(12):6661-5.
  34. Insel TR, Young LJ. The neurobiology of attachment. Nature Reviews Neuroscience. 2001;2(2):129.
  35. Kosfeld M, Heinrichs M, Zak PJ, Fischbacher U, Fehr E. Oxytocin increases trust in humans. Nature. 2005;435(7042):673.
  36. Green L, Fein D, Modahl C, Feinstein C, Waterhouse L, Morris M. Oxytocin and autistic disorder: alterations in peptide forms. Biological psychiatry. 2001;50(8):609-13.
  37. Chandana SR, Behen ME, Juhász C, Muzik O, Rothermel RD, Mangner TJ, et al. Significance of abnormalities in developmental trajectory and asymmetry of cortical serotonin synthesis in autism. International Journal of Developmental Neuroscience. 2005;23(2-3):171-82.
  38. Meeusen R, De Meirleir K. Exercise and brain neurotransmission. Sports Medicine. 1995;20(3):160-88.
  39. (2015, March 26). Martial Arts Therapy. http://en.wikipedia.org/wiki/Martial_arts_therapy.
  40. Burke D, Al-Adawi S, Lee Y, Audette J. Martial arts as sport and therapy. Journal of sports medicine and physical fitness. 2007;47(1):96.
  41. Prupas A, Reid G. Effects of exercise frequency on stereotypic behaviors of children with developmental disabilities. Education and Training in Mental Retardation and Developmental Disabilities. 2001:196-206.
  42. 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;4(4):565-76.
  43. Elliott RO, Dobbin AR, Rose GD, Soper HV. Vigorous, aerobic exercise versus general motor training activities: Effects on maladaptive and stereotypic behaviors of adults with both autism and mental retardation. Journal of autism and developmental disorders. 1994;24(5):565-76.
  44. Daniels K, Thornton E. Length of training, hostility and the martial arts: a comparison with other sporting groups. British Journal of Sports Medicine. 1992;26(3):118-20.
  45. Wilson C. Martial Dance: Total Fitness with Martial Arts Aerobics: Aquarian Press; 1988.
  46. Gilliam JE. GARS-2: Gilliam autism rating scale: Pro-ed; 2006.
  47. Owens G, Granader Y, Humphrey A, Baron-Cohen S. LEGO® therapy and the social use of language programme: An evaluation of two social skills interventions for children with high functioning autism and Asperger syndrome. Journal of autism and developmental disorders. 2008;38(10):1944.
  48. Worley JA, Matson JL. Diagnostic instruments for the core features of ASD. International handbook of autism and pervasive developmental disorders: Springer; 2011. p. 215-31.
  49. Ahmadi S J, Safari T, Hemmayiyan M, KHalili Z. A manual for Gilliam autism rating scale. First Publication, Jahad–Daneshgahi, isfahan, 2012. .
  50. Garcia-Villamisar D, Dattilo J. Social and clinical effects of a leisure program on adults with autism spectrum disorder. Research in Autism Spectrum Disorders. 2011;5(1):246-53.
  51. Pan C-Y. Effects of water exercise swimming program on aquatic skills and social behaviors in children with autism spectrum disorders. Autism. 2010;14(1):9-28.
  52. Moyer-Mileur L, Luetkemeier M, Boomer L, Chan GM. Effect of physical activity on bone mineralization in premature infants. The Journal of pediatrics. 1995;127(4):620-5.
  53. Smith AL. Peer relationships in physical activity contexts: A road less traveled in youth sport and exercise psychology research. Psychology of sport and Exercise. 2003;4(1):25-39.
  54. Bluechardt MH, Shephard RJ. Using an extracurricular physical activity program to enhance social skills. Journal of Learning Disabilities. 1995;28(3):160-9.
  55. Finkenberg ME. Effect of participation in taekwondo on college women's self-concept. Perceptual and Motor Skills. 1990;71(3):891-4.
  56. Fuller JR. Martial arts and psychological health. British Journal of Medical Psychology. 1988;61(4):317-28.
  57. Gallahue D, Ozmun J. Understanding motor development: infants, children, adolescents, adults. 2006. Chapter.13:267-74.
  58. Ross A, Brodie E, Carroll D, Niven C, Hotchkiss R. The psychosocial and physical impact of exercise rehabilitation following coronary artery bypass surgery. Coronary Health Care. 2000;4(2):63-70.
  59. Shields DLL, Bredemeier BJL. Character development and physical activity: Human Kinetics Publishers; 1995.
  60. Guidetti L, Franciosi E, Emerenziani GP, Gallotta MC, Baldari C. Assessing basketball ability in players with mental retardation. British Journal of Sports Medicine. 2009;43(3):208-12.
  61. Leighton JR, Cupp M, Prince A, Phillabaum D, McLarren G. The effect of a physical fitness developmental program on self-concept, mental age and job proficiency in the mentally retarded. A pilot study in corrective therapy. Journal of the Association for Physical and Mental Rehabilitation. 1966;20(1):4-11.
  62. Coalter F, Allison M, Taylor J. The role of sport in regenerating deprived urban areas: Her Majesty's Stationery Office (HMSO); 2000.
  63. Forrest R, Kearns A. Joined-up places?: Social cohesion and neighbourhood regeneration: YPS for the Joseph Rowntree Foundation York; 1999.
  64. Thomas DN. Community development at work: A case of obscurity in accomplishment: Community Development Foundation London; 1995.
  65. Taub DE, Greer KR. Physical activity as a normalizing experience for school-age children with physical disabilities: Implications for legitimation of social identity and enhancement of social ties. Journal of Sport and Social Issues. 2000;24(4):395-414.
  66. Movahedi A, Mojtahedi H, Farazyani F. Differences in socialization between visually impaired student-athletes and non-athletes. Research in developmental disabilities. 2011;32(1):58-62.
  67. Goodway JD, Ozmun JC, Gallahue DL. Understanding motor development: Infants, children, adolescents, adults: Jones & Bartlett Learning; 2019.
  68. Weiss MR. Self-esteem and achievement in children's sport and physical activity: Behavioral issues. Advances in pediatric sport sciences: Behavioral issues: Human Kinetics; 1987. p. 87-119.
  69. Wright J, Cowden JE. Changes in self-concept and cardiovascular endurance of mentally retarded youths in a Special Olympics swim training program. Adapted Physical Activity Quarterly. 1986;3(2):177-83.
  70. Scott S, Kozub, F. M., & Goto, K. Taekwondo for children with spectrum disorder. PALAESTRA-MACOMB ILLINOIS-. 2005;21:40-4.
  71. Kirsch P, Meyer-Lindenberg A. Oxytocin and autism. The Neurochemical Basis of Autism: Springer; 2010. p. 163-73.
  72. Insel TR, Young LJ. The neurobiology of attachment. Nature Reviews Neuroscience. 2001;2(2):129-36.
  73. Winslow JT, Insel TR. Neuroendocrine basis of social recognition. Current opinion in neurobiology. 2004;14(2):248-53.
  74. Kosfeld M, Heinrichs M, Zak PJ, Fischbacher U, Fehr E. Oxytocin increases trust in humans. Nature. 2005;435(7042):673-6.
  75. Gainer H, Lively MO, Morris M. [10] Immunological and related techniques for studying neurohypophyseal peptide-processing pathways. Methods in Neurosciences. 23: Elsevier; 1995. p. 195-207.
  76. Bean JL. Plasma oxytocin levels in relation to social and cognitive functioning in individuals with autism spectrum disorders: University of Connecticut; 2006.
  77. Modahl C, Green LA, Fein D, Morris M, Waterhouse L, Feinstein C, et al. Plasma oxytocin levels in autistic children. Biological psychiatry. 1998;43(4):270-7.
  78. Hew-Butler T, Noakes TD, Soldin SJ, Verbalis JG. Acute changes in endocrine and fluid balance markers during high-intensity, steady-state, and prolonged endurance running: unexpected increases in oxytocin and brain natriuretic peptide during exercise. European journal of endocrinology. 2008;159(6):729.
  79. Chugani DC, Muzik O, Rothermel R, Behen M, Chakraborty P, Mangner T, et al. Altered serotonin synthesis in the dentatothalamocortical pathway in autistic boys. Annals of Neurology: Official Journal of the American Neurological Association and the Child Neurology Society. 1997;42(4):666-9.
  80. Lanovaz MJ. Towards a comprehensive model of stereotypy: Integrating operant and neurobiological interpretations. Research in Developmental Disabilities. 2011;32(2):447-55.
  81. Schmidt GJ. Aerobic exercise related to functional aerobic capacity, repetitive/interfering behavior, and platelet serotonin concentration of individuals with autism: Indiana University; 1989.
  82. Dey S, Singh R, Dey P. Exercise training: significance of regional alterations in serotonin metabolism of rat brain in relation to antidepressant effect of exercise. Physiology & behavior. 1992;52(6):1095-9.