Efficacy of Neuro-Psychomotor Approach in Children Affected by Autism Spectrum Disorders: A Multicenter Study in Italian Pediatric Population

Mariarosaria Caliendo, Anna Di Sessa, Elisa D'Alterio, Alessandro Frolli, Domenico Verde, Diego Iacono, Palmira Romano, Luigi Vetri, Marco Carotenuto, Mariarosaria Caliendo, Anna Di Sessa, Elisa D'Alterio, Alessandro Frolli, Domenico Verde, Diego Iacono, Palmira Romano, Luigi Vetri, Marco Carotenuto

Abstract

Background: Autism Spectrum Disorder (ASD) is characterized by impairments in social interaction and reciprocal communication. ASD affects about 1% of the general population and is associated with substantial disability and economic loss. A variety of approaches to improve the core deficits and lives of people with ASD have been developed, including behavioral, developmental, educational, and medical interventions. The main objective of this study was to evaluate the efficacy of a neuro-psychomotor approach in children affected by ASD.

Methods: The sample consisted of 84 children (66 males, mean age 56.9 ± 15.8 months) affected by ASD assessed between September 2020 to March 2021. The trained therapist was asked to complete the ASD behavior inventory (ASDBI) test at baseline (T0) (September 2020) and after six months (T1) (March 2021) to assess the child's evolution over the observational period. The study was carried out in southern Italy (Campania Region).

Results: ASD children showed a significant improvement for AUTISM composite after 6 months of neuro-psychomotor treatment (T1) compared to baseline (65.4 ± 12.2 vs. 75.8 ± 11.5, p < 0.0001). In particular, significant changes were observed for such domains as the problems of excitability (ECCIT), aggression (AGG), behaviors in social relations (RELSOC), expressive (all p < 0.001), sense/perceptual contact modes (SENS) (p = 0.0007), ritualisms/resistance to changes (RIT) (p = 0.0002), pragmatic/social problems (PPSOC) (p = 0.0009), specific fears (FEARS) (p = 0.01), and learning and memory (AMLR) (p = 0.0007). No differences for the domains Semantic/pragmatic problems (PPSEM) and language (LESP) were found.

Conclusions: Our preliminary results suggest the usefulness of the neuro-psychomotor treatment in children with ASD. Although promising, these findings need to be tested further to better understand the long-term effects of this specific type of approach.

Keywords: ASDBI; autism spectrum disorders; neuro-psychomotor approach; therapist.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Baxter A.J., Brugha T.S., Erskine H.E., Scheurer R.W., Vos T., Scott J.G. The epidemiology and global burden of autism spectrum disorders. Psychol. Med. 2015;45:601. doi: 10.1017/S003329171400172X.
    1. Ghirardi L., Kuja-Halkola R., Butwicka A., Martin J., Larsson H., D’Onofrio B.M., Lichtenstein P., Taylor M.J. Familial and genetic associations between autism spectrum disorder and other neurodevelopmental and psychiatric disorders. J. Child Psychol. Psychiatry. 2021 doi: 10.1111/jcpp.13508.
    1. Simonoff E., Pickles A., Charman T., Chandler S., Loucas T., Baird G. Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. J. Am. Acad. Child Adolesc. Psychiatry. 2008;47:921–929. doi: 10.1097/CHI.0b013e318179964f.
    1. Fida A., Naveed S., Waqas A. Non-Specialist Mediated Interventions for Autism Spectrum Disorder: An Overview. J. Psychosoc. Nurs. Ment. Health Serv. 2019;57:15–19. doi: 10.3928/02793695-20190322-01.
    1. Hyman S.L., Levy S.E., Myers S.M. Identification, evaluation, and management of children with autism spectrum disorder. Pediatrics. 2020;145:1. doi: 10.1542/peds.2019-3447.
    1. Granger S., des Rivières-Pigeon C., Sabourin G., Forget J. Mothers’ reports of their involvement in early intensive behavioral intervention. Top. Early Child. Spec. Educ. 2012;32:68–77. doi: 10.1177/0271121410393285.
    1. Lyra L., Rizzo L.E., Sunahara C.S., Pachito D.V., Latorraca C.D.O.C., Martimbianco A.L.C., Riera R. What do Cochrane systematic reviews say about interventions for autism spectrum disorders? Sao Paulo Med. J. 2017;135:192–201. doi: 10.1590/1516-3180.2017.0058200317.
    1. Myers S.M., Johnson C.P. Management of children with autism spectrum disorders. Pediatrics. 2007;120:1162–1182. doi: 10.1542/peds.2007-2362.
    1. Will M.N., Currans K., Smith J., Weber S., Duncan A., Burton J., Kroeger-Geoppinger K., Miller V., Stone M., Mays L. Evidenced-based interventions for children with autism spectrum disorder. Curr. Probl. Pediatric Adolesc. Health Care. 2018;48:234–249. doi: 10.1016/j.cppeds.2018.08.014.
    1. Hrdlicka M., Dudova I. Controversies in autism: Is a broader model of social disorders needed? Child Adolesc. Psychiatry Ment. Health. 2013;7:1–8. doi: 10.1186/1753-2000-7-9.
    1. Masi A., DeMayo M.M., Glozier N., Guastella A.J. An overview of autism spectrum disorder, heterogeneity and treatment options. Neurosci. Bull. 2017;33:183–193. doi: 10.1007/s12264-017-0100-y.
    1. Weitlauf A.S., McPheeters M.L., Peters B., Sathe N., Travis R., Aiello R., Williamson E., Veenstra-VanderWeele J., Krishnaswami S., Jerome R. Therapies for Children with Autism Spectrum Disorder. Agency for Healthcare Research and Quality; Rockville, MD, USA: 2014.
    1. Zwaigenbaum L., Bauman M.L., Choueiri R., Kasari C., Carter A., Granpeesheh D., Mailloux Z., Roley S.S., Wagner S., Fein D. Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatrics. 2015;136:S60–S81. doi: 10.1542/peds.2014-3667E.
    1. Cappellini A.C., Mancini S., Zuffellato S., Bini F., Polcaro P., Conti A.A., Macchi C. Environmental effects on school age child psychomotricity. Minerva Pediatrica. 2008;60:277–284.
    1. Canestrelli L. Psychomotricity and its essential attributes. Arch. Psicol. Neurol. Psichiatr. 1952;13:349–371.
    1. Knell S.M. Handbook of Psychotherapies with Children and Families. Springer; Berlin/Heidelberg, Germany: 1999. Cognitive-behavioral play therapy; pp. 385–404.
    1. von Gontard A., Lehmkuhl G. Play therapy-psychotherapy with play as the medium: II. New developments. Prax. Kinderpsychol. Kinderpsychiatr. 2003;52:88–97.
    1. Angeli J.M., Harpster K.L., Hanson E., Sheehan A., e Schwab S.M. Patient- and caregiver- identified preferences: Dimensions of change in developmental therapy treatment goals. Dev. Neurorehabilit. 2019;22:39–46. doi: 10.1080/17518423.2018.1425754.
    1. Aucouturier B., Lapierre A. La Symbolique du Movement: Psychomotricité et Éducation. EPI; Paris, France: 1975.
    1. Levi G., Bernabei P., Frolli A., Grittani S., Mazzoncini B., Militerne R., Narduci F. Linee guida per l’autismo. Raccomandazioni tecniche-operative per i servizi di neuropsichiatria dell’età evolutiva. G. Neuropsichiatr. Evol. 2005;25:1–82.
    1. Gison G., Minghelli E., Bonifacio A. Autismo e Psicomotricità. Strumenti e Prove di Efficacia Nell’intervento Neuro e Psicomotorio Precoce. Edizioni Erickson; Trento, Italy: 2012.
    1. Esposito M., Gimigliano F., Barillari M.R., Precenzano F., Ruberto M., Sepe J., Barillari U., Gimigliano R., Militerni R., Messina G. Pediatric selective mutism therapy: A randomized controlled trial. Eur. J. Phys. Rehabil. Med. 2016;11:643–650.
    1. World Medical Association World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013;310:2191–2194. doi: 10.1001/jama.2013.281053.
    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders: DSM-5. American Psychiatric Association; Washington, DC, USA: 2013.
    1. Rutter M., Le Couteur A., Lord C. Autism Diagnostic Interview Revised. Western Psychological Services; Los Angeles, CA, USA: 2003.
    1. Moon S.J., Hwang J.S., Shin A.L., Kim J.Y., Bae S.M., Sheehy-Knight J., Kim J.W. Accuracy of the Childhood Autism Rating Scale: A systematic review and meta-analysis. Dev. Med. Child Neurol. 2019;61:1030–1038. doi: 10.1111/dmcn.14246.
    1. Sanchez M.J., Constantino J.N. Expediting clinician assessment in the diagnosis of autism spectrum disorder. Dev. Med. Child Neurol. 2020;62:806–812. doi: 10.1111/dmcn.14530.
    1. Lord C., Rutter M., DiLavore P.C., Risi S., Gotham K., Bishop S. ADOS. Autism Diagnostic Observation Schedule. 2nd ed. Western Psychological Services; Torrence, CA, USA: 2012.
    1. Schopler E., Reichler R.J., Renner B.R. The Childhood Autism Rating Scale (CARS) WPS; Los Angeles, CA, USA: 2010.
    1. Caliendo M., Lanzara V., Vetri L., Roccella M., Marotta R., Carotenuto M., Russo D., Cerroni F., Precenzano F. Emotional–behavioral disorders in healthy siblings of children with neurodevelopmental disorders. Medicina. 2020;56:491. doi: 10.3390/medicina56100491.
    1. Esposito M., Gimigliano F., Ruberto M., Marotta R., Gallai B., Parisi L., Lavano S.M., Mazzotta G., Roccella M., Carotenuto M. Psychomotor approach in children affected by nonretentive fecal soiling (FNRFS): A new rehabilitative purpose. Neuropsychiatr. Dis. Treat. 2013;9:1433.
    1. Cohen I.L., Schmidt-Lackner S., Romanczyk R., Sudhalter V. The PDD Behavior Inventory: A rating scale for assessing response to intervention in children with pervasive developmental disorder. J. Autism. Dev. Disord. 2003;33:31–45. doi: 10.1023/A:1022226403878.
    1. Cohen I.L., Sudhalter V. The PDD Behavior Inventory. Psychological Assessment Resources, Inc.; Lutz, FL, USA: 2005.
    1. Esposito G., Venuti P. Symmetry in Infancy: Analysis of Motor Development in Autism Spectrum Disorders. Symmetry. 2009;1:215–225. doi: 10.3390/sym1020215.
    1. Esposito G., Venuti P., Maestro S., Muratori F. Movement in infants with Autism Spectrum Disorder: The Analysis of Lying. Brain Dev. 2009;31:131–138. doi: 10.1016/j.braindev.2008.04.005.
    1. Paquet A., Olliac B., Bouvard M.P., Golse B., Vaivre-Douret L. The Semiology of Motor Disorders in Autism Spectrum Disorders as Highlighted from a Standardized Neuro-Psychomotor Assessment. Front. Psychol. 2016;7:1292. doi: 10.3389/fpsyg.2016.01292.
    1. Paquet A., Golse B., Girard M., Olliac B., Vaivre-Douret L. Laterality and Lateralization in Autism Spectrum Disorder, Using a Standardized Neuro-Psychomotor Assessment. Dev. Neuropsychol. 2017;42:39–54. doi: 10.1080/87565641.2016.1274317.
    1. Fitzpatrick S.E., Srivorakiat L., Wink L.K., Pedapati E.V., Erickson C.A. Aggression in autism spectrum disorder: Presentation and treatment options. Neuropsychiatr. Dis. Treat. 2016;12:1525–1538.
    1. Luiselli J.K. Applied Behavior Analysis for Children with Autism Spectrum Disorders. Springer; Berlin/Heidelberg, Germany: 2009. Aggression and noncompliance; pp. 175–187.

Source: PubMed

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