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Objective:To investigate the level of healthy fitness in preschool children with autism spectrum disorder(ASD),to explore the factors influencing healthy fitness in children with ASD,and to provide reference for their comprehensive rehabilitation treatment and home exercise guidance. Method:Fifty children in the ASD group and 50 children in the normal group were selected to test the health fitness level using seven indexes:body mass index,20m round-trip run,tennis long throw,standing long jump,isometric push-up,one-legged stance,and seated forward bend.The differences in health fitness levels between preschool children with ASD and normal children were analyzed using independent samples t-test,and the effects of gender,BMI,average daily sleep time,average daily sedentary time,average daily TPA time,average daily MVPA time,mother's education level,father's education level,family income,and age of child's primary caregiver on health fitness of preschool children with ASD were analyzed using multiple linear regression models. Result:Comparative analysis between groups showed that the ASD group had a much lower tennis ball toss than the normal group(P＜0.05),and significantly lower scores in the 20-meter round-trip run,isometric push-ups and one-leg stand test than the normal group(P＜0.001),while the differences in body mass index,stand-ing long jump and seated forward bend scores were not statistically significant(P＞0.05).Multiple linear regres-sion model analysis showed that the mean daily sleep,Total Physical Activity(TPA),and Moderate to Vigor-ous Intensity Physical Activity(MVPA)time had a good fit for the 20 m round-trip run(20 m round-trip run=-9.561+1.048 x average daily sleep time+0.076 x average daily TPA time+0.066 × average daily MVPA time);average daily TPA time was well fitted for the isometric push-ups(isometric push-ups=-87.625+0.428x average daily TPA time);average daily TPA and MVPA times were well fitted for the single-leg stand(aver-age duration of single-leg stand=6.627+0.094 x average daily total physical activity time+0.071 x average daily moderate-to-vigorous activity time). Conclusion:The cardiopulmonary fitness,motor fitness and upper limb muscle fitness of preschool children with ASD are lower than those of normal children,and physical fitness training should be included in the comprehensive rehabilitation intervention program.The longer sleep time,the longer TPA time and the longer MVPA time may suggest the better cardiorespiratory fitness and motor fitness of preschool children with ASD,and the effective duration of sleep time and moderate-to-vigorous physical activity of preschool children with ASD should be enhanced.
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Objective To observe the clinical efficacy of acupuncture plus contralateral needling in treating post-stoke myodystonia. Method Totally 120 patients with post-stroke myodystonia were randomized into group A, B, C and D, 30 in each group. Group A was intervened by yin-reducing and yang-tonifying needling method plus contralateral needling; group B was by ordinary acupuncture plus contralateral needling, group C was by yin-reducing and yang-tonifying needling alone, while group D by ordinary acupuncture. Clinical Spasticity Index (CSI) was observed before and after intervention. Result After treatment, the CSI scores (tendon reflex, muscle tension, episodic spasm scores and total score) were significantly changed in the four groups (P<0.01, P<0.05). The tendon reflex score, muscle tension score and total score in group A were significantly different from that in the other three groups after intervention (P<0.01,P<0.05). There was a significant difference in comparing the episodic spasm score between group A and D after intervention (P<0.01). There were significant differences in comparing the tendon reflex score, muscle tension score and total score between group B and D after intervention (P<0.05). The total score in group C was markedly different from that in group D after intervention (P<0.05). Conclusion Yin-reducing and yang-tonifying needling method plus contralateral needling is an effective method in treating post-stroke myodystonia.
