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The effects of 12 weeks exercise program on the level of gross motor skill of the children with Atypical autism

Yıl 2015, Cilt: 1 Sayı: 1, 51 - 62, 04.01.2016
https://doi.org/10.18826/ijsets.66769

Öz

Aim: This study was conducted to determine the effects of the 12- weeks-exercise program on the level of grossmotor skills of children with Atypical Autism.

Material and Method: 14 male children, who were diagnosed with Atypical Autism, were recruitted for the study (Mean Age was 10.07±0.25 years, weight 24.97±0.64kg, length was126.79±1.33cm). They were divided into two groups. 1st group was defined as Autistic Exercise Group (AEG, n= 7), 2nd group was defined as Autistic Control Group (ACG, n=7). In this study, the tests related with running speed and fleetness, balance, bilateral coordination and strength of the parameters of Bruininks-Oseretsky Rough Motor Sufficiency Test (BOT2) were applied. Exercise program was applied to the children in exercise group for 12 weeks’ period, 60 minutes each day and three days a week, conducting a teaching technique based on reduction of the clues gradually. Data were analyzed by Paired Sample Wilcoxon test and Mann-Whitney U test was used. The significance level of p <0.05 was selected.

Results: As a result of statistical comparison of the data of pre and final tests of gross motor skills of the exercise group (BOT2); running speed and fleetness (p=0.017), balance I (p=0.023), balance II (p=0.014), long jumping by standing  (p=0.016) tests, it was seen that there is a significant difference in favor of the last test statistically. A significant difference was not seen between the data of pre and final tests of Bilateral coordination (p>0.05). Besides, no difference was seen at the statistical comparison of the data of pre and final tests for the control group (p>0.05).

Conclusion: In conclusion it can be emphasized that exercises, which are done regularly, can have important contributions on the developments of parameters of rough motor skills of children with Atypical Autistism

Kaynakça

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders-fourth edition, text revision, Washington, DC: American Psychiatric Association.
  • Attwood, T. (1998). Asperger’s sendrome: a guide for parents and professionals. London and philadelphia: Jessica kingsley publishers Ltd, 223.
  • Brun, R. (2005). The Secrets of Autism Behavior Rehabilitation establishing new learining connections with sensory ıntegration Therapy, The Autism Centre.
  • Bruininks R.H. & Bruininks, B.D. (2005). Bruininks-Oseretsky Test of Motor Proficiency (BOTTM 2), "2nd Ed", States of America: PsychCorp is an imprint of Pearson Clinical Assessment.
  • Biçer, Y., Savucu, Y., Kutlu, M., Kaldırımcı, M. & Pala, R. (2004). Güç ve Kuvvet Egzersizlerinin Zihinsel Engelli Çocukların Hareket Beceri ve Yeteneklerine Etkisi, Doğu Anadolu Bölgesi Araştırmaları Dergisi, 3(1):173-179.
  • Bahr, D. (2001). Oral motor assessment and treatment: ages and stages, Allyn & Bacon, Boston, 274.
  • Beversdorf, D.O., Anderson, M., Manning, S.E., Anderson, S.L., Nordgren, R.E., Felopulus, G.J. & Bauman, M.L. (2001). Macrographia in high-functioning adults with autism spectrum disorder, Journal of Autism and developmental disorders, 31(1):97-101
  • Berninger, V.W. & Rutberg, J. (1992). Relationship of finger function to beginning writing: application to diagnosis of writing disabilities. Developmental Medicine & Child Neurology, 34(3): 198-215.
  • Dewey, D. & Hauck, J.A. (2001). Hand preferance and motor functioning in children with autism, Journal of Autism and Developmental Disorders, 31:3, 265-277.
  • Düger, T., Bumin, G., Uyanık, M., Akı, E. & Kayıhan, H. (1999). The ssessment of bruininks-oseretsky test of motor proficiency in children, Pediatric Rehabilitation, 3: 25-131.
  • Eichstaedt, C.B. & Lavay, B.W. (1992). Physical aktivity for individuals with mental retardation, Illinois: Human Kinetics Books, 463.
  • Fragala-Pinkham, MA, Haley, S.M., Rabin, J. & Kharasch, V.S. (2005). A fitness program for children with disabilities, Phys Ther, 85:1182–1200.
  • Fisher, A.G. (1991). Vestibular-proprioceptive pocessing and bilateral integration and sequencing deficits, Sensory integration: theory and practice, Editörler: A.G., Fisher, E.A., Murray, A.C, &
  • Bundy, F.A. Davis Company, Philadelphia, 95-153.
  • Green, D., Charman, T., Pickles, A., Chandler, S., Loucas, T. & Simonoff, E. (2008). Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine and Child Neurology, 51:311-316.
  • Günal, A. & Bumin, G. (2007). Otizmli çocuklarda motor performansın incelenmesi, Fizyoter Rehabil, 18(3):179-186.
  • Ghaziuddin, M. & Butler, E. (1998). Clumsiness in autism and asperger syndrome, Journal of Intellectual Disability Research,; 42: 43-48.
  • Jansiewics, E.M., Goldberg, M.C., Newschaffer, C.J., Denekla, M.B., Landa, R. & Mostoffsky, S.H. (2006). Motor signs distinguish children with high functioning autism and asperger’s syndrome from controls, Journal of Autism and Developmental Disorders, 36:613-621.
  • Koegel, L.K. & Lazebnık, C. (2004). Overcoming autism, "2nd ed" New York: viking penguin group.
  • Kranowitz, C.S. (1998). The out-of-sync child: recognizing and coping with sensory integration dysfunction, New York, Skylight Press, 322.
  • Kanner, L. & Eisenberg, L. (1946). Child psychiatry; mental deficiency, American Journal of Psychiatry, 102(4):520-522.
  • Kanner, L. (1943). Autistic disturbances of affective contact, Child psychiatry, 35(4): 100-136.
  • Magnusson, J.E., Cobham, C. & McLeod, R. (2012). Beneficial effects of clinical exercise rehabilitation for children and adolescents with autism spectrum disorder (ASD), J Exerc Physiol, 15:71–79.
  • Mülazımoğlu-Ballı, Ö. & Gürsoy, F. (2012). Buininks- Oseretsky Motor Yeterlik Testinin Beş-Altı Yaş Grubu Türk Çocuklar İçin Geçerlik ve Güvenirlik Çalışması, Hacettepe Spor Bilim Dergisi, 23(3):104-118.
  • Minshew, N.J., Sung, K., Jones, B.L. & Furman, J.M. (2004). Underdevelopment of the postural control system in autism, Neurology, 63:2056-2061.
  • Manjoiviona, J. & Prior, M. (1995). Comparison of asperger’s syndrome and high-functioning autistic children on a test of motor impairment, Journal of Autism and Developmental Disorder, 25:23-39.
  • Ozonoff, S., Young, G.S., Goldring, S., Greiss-Hess, L., Herra, A.M. & Steele, J. (2008). Gross motor development movement abnormalities and early identification of autism, Journal of autism and developmental disabilities, 38:644-656.
  • Özgür, İ. (2011). Engelli Çocuklar ve Eğitimi Özel Eğitim, "3. Baskı", Adana: Karahan Kitap evi, 197-213.
  • Pan, C.Y. (2011). The efficacy of an aquatic program on physical fitness and aquatic skills in children with and without autism spectrum disorders, Res Autism Spect Dis, 5:657–665.
  • Piek, J.P. & Dyck, M.J. (2004). Sensory motor deficits in children with developmental coordination disorder, attention defisit hyperactivity disorder and autistic disorder. Human Mov Sci. 23:475-488.
  • Page, J. & Boucher, J. (1998). Motor impairments in children with autistic disorder, Child Language and Teaching Therapy, 14:233-259.
  • Rad, L.S., Rafiee, F. & Fahimi, S. (2012). The Effect of Selected Physical Exercises on Gross Motor Skills of Autistic Children, International Journal of Sport Studies, 2: 1, 44-55.
  • Ryoichiro, I., Chisato, K. & Reiko, T. (2000). Brief report: comparsion of sensory-motor and cognitive function between autism and asperger syndrome in preschool children, Journal of Autism and Developmental Disorders, 30(2):169-175.
  • Srinivasan, S.M., Pescatello, L.S. & Bhat, A.N. (2014). Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorders, Phys Ther, 94:6,875-89.
  • Sowa, M. & Meulenbroek, R. (2012). Effects of physical exercise on autism spectrum disorders: a meta-analysis, Res Autism Spect Dis, 6:46 –57.
  • Yanardağ, M., Ergun, N. & Yılmaz, İ. (2009). Otizmli çocuklarda adapte edilmiş egzersiz eğitiminin fiziksel uygunluk düzeyine etkisi, Fiyoterapi Rehabilitasyon, 1:25-31.
  • Yanardağ, M. (2007). Otizmli çocuklarda farklı egzersiz uygulamalarının motor performans ve stereotip davranışlar üzerine etkileri, Yayınlanmış doktora tezi, Hacettepe Üniversitesi, Ankara.
  • Yılmaz, İ., Yanardağ, M., Birkan, B. & Bumin, G. (2004). Effects of swimming training on physical fitness and water orientation in autism, Pediatrics International, 46:624-626.

12 haftalık egzersiz programının Atipik otizmli çocukların kaba motor beceri düzeylerine Etkisi

Yıl 2015, Cilt: 1 Sayı: 1, 51 - 62, 04.01.2016
https://doi.org/10.18826/ijsets.66769

Öz

Amaç: Bu çalışma; 12 haftalık egzersiz programının, Atipik otizmli çocukların kaba motor beceri düzeylerine etkisini tespit etmek amacıyla yapılmıştır.

Materyal ve Yöntem: Çalışmaya; Atipik otizm tanısı konulan 14 erkek çocuk (yaş ortalamsı; 10.07±0.25 yıl, ağırlık 24.97±0.64kg, boy 126.79±1.33cm) katılmıştır. Katılımcılar, sıralı yöntem kullanılarak iki grup oluşturuldu. I. grup: Otizm Egzersiz Grubu (OEG, n=7), II. grup: Otizm Kontrol Grubu (OKG, n=7) olarak belirlendi. Çalışmada; Bruininks-Oseretsky Kaba Motor Yeterlilik Testi (BOT2) parametrelerinden koşma hızı ve çeviklik, denge, bilateral koordinasyon ve kuvvetle ilgili testler uygulandı. Egzersiz grubundaki çocuklara, 12 hafta süreyle haftada 3 gün, günde 60dk. ipucunun giderek azaltılmasıyla öğretim tekniği kullanılarak egzersiz programı uygulandı. Verilerin analizinde Wilcoxon Eşleştirilmiş İki Örnek Testi ve Mann-Whitney U testi kullanıldı. Anlamlılık düzeyi olarak p<0.05 olarak seçildi.

Bulgular: Egzersiz grubunun kaba motor beceri (BOT2) testlerin, ön-son test verilerinin istatistiksel karşılaştırılması sonucunda; koşma  hızı ve çeviklik (p=0.017), denge I (p=0.023), denge II (p=0.014), ayakta durarak uzun atlama (p=0.016) testlerinin, sonuçları, son test lehine istatistiksel olarak anlamlı fark olduğu görüldü. Bilateral koordinasyonun ön ve son test verileri arasında ise anlamlı fark görülmedi (p>0.05). Ayrıca kontrol grubunun ön-son  test verilerinin istatistiksel olarak karşılaştırılması sonucunda fark görülmedi (p>0.05).

Sonuçlar: Düzenli yapılan egzersizlerin Atipik otizmli çocukların, kaba motor beceri parametrelerinin gelişimine önemli katkı sağlayabileceğini vurgulayabiliriz.

Kaynakça

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders-fourth edition, text revision, Washington, DC: American Psychiatric Association.
  • Attwood, T. (1998). Asperger’s sendrome: a guide for parents and professionals. London and philadelphia: Jessica kingsley publishers Ltd, 223.
  • Brun, R. (2005). The Secrets of Autism Behavior Rehabilitation establishing new learining connections with sensory ıntegration Therapy, The Autism Centre.
  • Bruininks R.H. & Bruininks, B.D. (2005). Bruininks-Oseretsky Test of Motor Proficiency (BOTTM 2), "2nd Ed", States of America: PsychCorp is an imprint of Pearson Clinical Assessment.
  • Biçer, Y., Savucu, Y., Kutlu, M., Kaldırımcı, M. & Pala, R. (2004). Güç ve Kuvvet Egzersizlerinin Zihinsel Engelli Çocukların Hareket Beceri ve Yeteneklerine Etkisi, Doğu Anadolu Bölgesi Araştırmaları Dergisi, 3(1):173-179.
  • Bahr, D. (2001). Oral motor assessment and treatment: ages and stages, Allyn & Bacon, Boston, 274.
  • Beversdorf, D.O., Anderson, M., Manning, S.E., Anderson, S.L., Nordgren, R.E., Felopulus, G.J. & Bauman, M.L. (2001). Macrographia in high-functioning adults with autism spectrum disorder, Journal of Autism and developmental disorders, 31(1):97-101
  • Berninger, V.W. & Rutberg, J. (1992). Relationship of finger function to beginning writing: application to diagnosis of writing disabilities. Developmental Medicine & Child Neurology, 34(3): 198-215.
  • Dewey, D. & Hauck, J.A. (2001). Hand preferance and motor functioning in children with autism, Journal of Autism and Developmental Disorders, 31:3, 265-277.
  • Düger, T., Bumin, G., Uyanık, M., Akı, E. & Kayıhan, H. (1999). The ssessment of bruininks-oseretsky test of motor proficiency in children, Pediatric Rehabilitation, 3: 25-131.
  • Eichstaedt, C.B. & Lavay, B.W. (1992). Physical aktivity for individuals with mental retardation, Illinois: Human Kinetics Books, 463.
  • Fragala-Pinkham, MA, Haley, S.M., Rabin, J. & Kharasch, V.S. (2005). A fitness program for children with disabilities, Phys Ther, 85:1182–1200.
  • Fisher, A.G. (1991). Vestibular-proprioceptive pocessing and bilateral integration and sequencing deficits, Sensory integration: theory and practice, Editörler: A.G., Fisher, E.A., Murray, A.C, &
  • Bundy, F.A. Davis Company, Philadelphia, 95-153.
  • Green, D., Charman, T., Pickles, A., Chandler, S., Loucas, T. & Simonoff, E. (2008). Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine and Child Neurology, 51:311-316.
  • Günal, A. & Bumin, G. (2007). Otizmli çocuklarda motor performansın incelenmesi, Fizyoter Rehabil, 18(3):179-186.
  • Ghaziuddin, M. & Butler, E. (1998). Clumsiness in autism and asperger syndrome, Journal of Intellectual Disability Research,; 42: 43-48.
  • Jansiewics, E.M., Goldberg, M.C., Newschaffer, C.J., Denekla, M.B., Landa, R. & Mostoffsky, S.H. (2006). Motor signs distinguish children with high functioning autism and asperger’s syndrome from controls, Journal of Autism and Developmental Disorders, 36:613-621.
  • Koegel, L.K. & Lazebnık, C. (2004). Overcoming autism, "2nd ed" New York: viking penguin group.
  • Kranowitz, C.S. (1998). The out-of-sync child: recognizing and coping with sensory integration dysfunction, New York, Skylight Press, 322.
  • Kanner, L. & Eisenberg, L. (1946). Child psychiatry; mental deficiency, American Journal of Psychiatry, 102(4):520-522.
  • Kanner, L. (1943). Autistic disturbances of affective contact, Child psychiatry, 35(4): 100-136.
  • Magnusson, J.E., Cobham, C. & McLeod, R. (2012). Beneficial effects of clinical exercise rehabilitation for children and adolescents with autism spectrum disorder (ASD), J Exerc Physiol, 15:71–79.
  • Mülazımoğlu-Ballı, Ö. & Gürsoy, F. (2012). Buininks- Oseretsky Motor Yeterlik Testinin Beş-Altı Yaş Grubu Türk Çocuklar İçin Geçerlik ve Güvenirlik Çalışması, Hacettepe Spor Bilim Dergisi, 23(3):104-118.
  • Minshew, N.J., Sung, K., Jones, B.L. & Furman, J.M. (2004). Underdevelopment of the postural control system in autism, Neurology, 63:2056-2061.
  • Manjoiviona, J. & Prior, M. (1995). Comparison of asperger’s syndrome and high-functioning autistic children on a test of motor impairment, Journal of Autism and Developmental Disorder, 25:23-39.
  • Ozonoff, S., Young, G.S., Goldring, S., Greiss-Hess, L., Herra, A.M. & Steele, J. (2008). Gross motor development movement abnormalities and early identification of autism, Journal of autism and developmental disabilities, 38:644-656.
  • Özgür, İ. (2011). Engelli Çocuklar ve Eğitimi Özel Eğitim, "3. Baskı", Adana: Karahan Kitap evi, 197-213.
  • Pan, C.Y. (2011). The efficacy of an aquatic program on physical fitness and aquatic skills in children with and without autism spectrum disorders, Res Autism Spect Dis, 5:657–665.
  • Piek, J.P. & Dyck, M.J. (2004). Sensory motor deficits in children with developmental coordination disorder, attention defisit hyperactivity disorder and autistic disorder. Human Mov Sci. 23:475-488.
  • Page, J. & Boucher, J. (1998). Motor impairments in children with autistic disorder, Child Language and Teaching Therapy, 14:233-259.
  • Rad, L.S., Rafiee, F. & Fahimi, S. (2012). The Effect of Selected Physical Exercises on Gross Motor Skills of Autistic Children, International Journal of Sport Studies, 2: 1, 44-55.
  • Ryoichiro, I., Chisato, K. & Reiko, T. (2000). Brief report: comparsion of sensory-motor and cognitive function between autism and asperger syndrome in preschool children, Journal of Autism and Developmental Disorders, 30(2):169-175.
  • Srinivasan, S.M., Pescatello, L.S. & Bhat, A.N. (2014). Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorders, Phys Ther, 94:6,875-89.
  • Sowa, M. & Meulenbroek, R. (2012). Effects of physical exercise on autism spectrum disorders: a meta-analysis, Res Autism Spect Dis, 6:46 –57.
  • Yanardağ, M., Ergun, N. & Yılmaz, İ. (2009). Otizmli çocuklarda adapte edilmiş egzersiz eğitiminin fiziksel uygunluk düzeyine etkisi, Fiyoterapi Rehabilitasyon, 1:25-31.
  • Yanardağ, M. (2007). Otizmli çocuklarda farklı egzersiz uygulamalarının motor performans ve stereotip davranışlar üzerine etkileri, Yayınlanmış doktora tezi, Hacettepe Üniversitesi, Ankara.
  • Yılmaz, İ., Yanardağ, M., Birkan, B. & Bumin, G. (2004). Effects of swimming training on physical fitness and water orientation in autism, Pediatrics International, 46:624-626.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Spor Hekimliği
Bölüm HAREKET ve ANTRENMAN BİLİMİ
Yazarlar

Ersin Arslan

Gonca İnce

Yayımlanma Tarihi 4 Ocak 2016
Gönderilme Tarihi 28 Eylül 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 1 Sayı: 1

Kaynak Göster

APA Arslan, E., & İnce, G. (2016). 12 haftalık egzersiz programının Atipik otizmli çocukların kaba motor beceri düzeylerine Etkisi. International Journal of Sport Exercise and Training Sciences - IJSETS, 1(1), 51-62. https://doi.org/10.18826/ijsets.66769