Investigação sobre as propostas de reabilitação do equilíbrio corporal no transtorno do espectro autista: revisão integrativa de literatura
Investigation about proposals for rehabilitation of body balance in autism spectrum disorder: integrative literature review
Nathana da Graça Sartori Rodrigues; Ellen Aguirre de Melo; Valdete Alves Valentins dos Santos-Filha
Resumo
Palavras-chave
Abstract
Purpose: The present study aimed to review the national and international literature regarding proposals to rehabilitate/train postural balance in subjects with Autism Spectrum Disorder (ASD) and verify the speech therapist’s performance in that area.
Research strategy: searches were carried out in the VHL, MedLine and Scopus databases using the descriptors autism spectrum disorder, postural balance and rehabilitation. Selection criteria: articles published in national and international journals in English, Spanish and Portuguese. Studies not addressing the subject, that only dealt with the assessment of postural balance, that reported other syndromes and/or sensory impairments associated with ASD and those unavailable for reading were excluded. The investigators evaluated the samples, objectives, instruments/ methods/techniques for assessment and rehabilitation of postural balance, therapeutic guidelines, professionals involved and main results obtained.
Results: 53 articles were retrieved, 12 being selected for full reading. A variety of rehabilitation/balance training proposals for children and adolescents are identified, based on physical activity approaches and motor exercises. Improvement was observed in all proposed interventions, carried out by Physiotherapists, Occupational Therapists and Physical Educators.
Conclusion: From the reviewed studies analyzed, it was concluded that, although it is a topic little explored by the scientific community, there is a wide range of feasible proposals for rehabilitation/training of postural balance in subjects with Autism Spectrum Disorder, capable of adaptation and reproduction in Brazilian clinical contexts. Even so, we point out that the research did not include the Speech Therapist in the postural balance assessment process, nor in the rehabilitation/training stage, although their role is necessary for comprehensive care and therapeutic success.
Keywords
References
1 APA: American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, D.C.: American Psychiatric Association; 2013.
2 CDC: Centers for Disease and Prevention Control. Prevalence and characteristics of Autism Spectrum Disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. MMWR Surveillance Summaries [Internet]. 2023 [citado em 2023 Maio 5];72(2):1-14. Disponível em:
3 Fulceri F, Grossi E, Contaldo A, Narzisi A, Apicella F, Parrini I, et al. Motor skills as moderators of core symptoms in Autism Spectrum Disorders: preliminary data from an exploratory analysis with artificial neural networks. Front Psychol. 2019;9:2683. PMid:30687159.
4 Roșca AM, Rusu L, Marin MI, Ene Voiculescu V, Ene Voiculescu C. Physical activity design for balance rehabilitation in children with Autism Spectrum Disorder. Children. 2022;9(8):1152.
5 Najafabadi MG, Sheikh M, Hemayattalab R, Memari AH, Aderyani MR, Hafizi S. The effect of SPARK on social and motor skills of children with autism. Pediatr Neonatol. 2018;59(5):481-7.
6 Ansari S, Hosseinkhanzadeh AA, AdibSaber F, Shojaei M, Daneshfar A. The effects of Aquatic versus Kata techniques training on static and dynamic balance in children with Autism Spectrum Disorder. J Autism Dev Disord. 2021;51(9):3180-6.
7 Caldani S, Atzori P, Peyre H, Delorme R, Bucci MP. Short rehabilitation training program may improve postural control in children with autism spectrum disorders: preliminary evidences. Sci Rep. 2020;10(1):7917.
8 Jabouille F, Billot M, Hermand E, Lemonnier E, Perrochon A. Balance rehabilitation for postural control in children with Autism Spectrum Disorder: A two-case report study. Physiother Theory Pract. 2023;39(3):658-66.
9 Doumas M, McKenna R, Murphy B. Postural control deficits in Autism Spectrum Disorder: the role of sensory integration. J Autism Dev Disord. 2016;46(3):853-61.
10 Siemann JK, Veenstra-VanderWeele J, Wallace MT. Approaches to understanding multisensory dysfunction in Autism Spectrum Disorder. Autism Res. 2020;13(9):1430-49. PMid:32869933.
11 Souza MT, Dias M, Carvalho R. Revisão integrativa: o que é e como fazer. Einstein (Sao Paulo). 2010;8:102-6. PMid:26761761.
12 Ajzenman HF, Standeven JW, Shurtleff TL. Effect of hippotherapy on motor control, adaptive behaviors, and participation in children with Autism Spectrum Disorder: a pilot study. Am J Occup Ther. 2013;67(6):653-63. PMid:24195899.
13 Casey AF, Quenneville-Himbeault G, Normore A, Davis H, Martell SG. A Therapeutic Skating intervention for children with Autism Spectrum Disorder. Pediatr Phys Ther. 2015;27(2):170-7. PMid:25822357.
14 Reinert SS, Jackson K, Bigelow K. Using posturography to examine the immediate effects of vestibular therapy for children with Autism Spectrum Disorders: a feasibility study. Phys Occup Ther Pediatr. 2015;35(4):365-80. PMid:25374155.
15 Nuntanee S, Daranee S. Effect of Motorized Elephant-Assisted Therapy Program on balance control of children with Autism Spectrum Disorder. Occup Ther Int. 2019:5914807.
16 Mahmoodifar E, Sotoodeh MS. Combined Transcranial Direct Current Stimulation and selective motor training enhances balance in children with Autism Spectrum Disorder. Percept Mot Skills. 2020;127(1):113-25.
17 Araujo MO, Tamplain P, Duarte NAC, Comodo ACM, Ferreira GOA, Queiróga A, et al. Transcranial Direct Current Stimulation to facilitate neurofunctional rehabilitation in children with Autism Spectrum Disorder: a protocol for a randomized, sham-controlled, double-blind clinical trial. Front Neurol. 2023;14:1196585.
18 Ben Hassen I, Abid R, Ben Waer F, Masmoudi L, Sahli S, Driss T, et al. Intervention based on psychomotor rehabilitation in children with Autism Spectrum Disorder: effect on postural control and sensory integration. Children. 2023;10(9):1480. PMid:37761443.
19 Romero MV, Mota HB, Nóro LA, Santos VAV Fa. Proposal for a body balance training program for children through an integrative literature review. Rev CEFAC. 2021;23(2):e11520.
20 Fong SSM, Guo X, Liu KP, Ki WY, Louie LH, Chung RC, et al. Task-specific balance training improves the sensory organization of balance control in children with developmental coordination disorder: a randomized controlled trial. Sci Rep. 2016;6:20945. PMid:26864309.
21 Jafarlou F, Jarollahi F, Ahadi M, Sadeghi-Firoozabadi V, Haghani H. Oculomotor rehabilitation in children with dyslexia. Med J Islam Repub Iran. 2017;31:125. PMid:29951425.
22 Ebrahimi AA, Jamshidi AA, Movallali G, Rahgozar M, Haghgoo HA. The effect of vestibular rehabilitation therapy program on sensory organization of deaf children with Bilateral Vestibular Dysfunction. Acta Med Iran. 2017;55(11):683-9. PMid:29307157.
23 Kaga K. Vertigo and balance disorders in children. Tokyo: Springer, 2014.
24 Xiao N, Shinwari K, Kiselev S, Huang X, Li B, Qi J. Effects of Equine-Assisted activities and therapies for individuals with Autism Spectrum Disorder: systematic review and meta-analysis. Int J Environ Res Public Health. 2023;20(3):2630. PMid:36767996.
25 Li Y, Feng Y, Zhong J, Zou Z, Lan W, Shen Y, et al. The effects of physical activity interventions in children with autism spectrum disorder: a systematic review and network meta-analysis. Rev J Autism Dev Disord. 2023. No prelo.
26 García-González S, Lugo-Marín J, Setien-Ramos I, Gisbert-Gustemps L, Arteaga-Henríquez G, Díez-Villoria E, et al. Transcranial direct current stimulation in Autism Spectrum Disorder: a systematic review and meta-analysis. Eur Neuropsychopharmacol. 2021;48:89-109. PMid:33773886.
27 Khaleghi A, Zarafshan H, Vand SR, Mohammadi MR. Effects of non-invasive neurostimulation on Autism Spectrum Disorder: a systematic review. Clin Psychopharmacol Neurosci. 2020;18(4):527-52. PMid:33124586.
28 Braga RA, Santiago AE, Brandão WC, Silva AL Fo, Cândido EB. A gamificação da saúde. Rev Bras Tecnol Informação. 2022;4(1):1-58.
29 Zoccante L, Marconi M, Ciceri M, Gagliardoni S, Gozzi L, Sabaini S, et al. Effectiveness of Equine-Assisted activities and therapies for improving adaptive behavior and motor function in Autism Spectrum Disorder. J Clin Med. 2021;10(8):1726. PMid:33923582.
30 Kalmbach D, Wood W, Peters BC. Parental perspectives of occupational therapy in an equine environment for children with Autism Spectrum Disorder. Occup Ther Health Care. 2020;34(3):230-52. PMid:32302239.
31 Peters BC, Wood W, Hepburn S, Moody EJ. Preliminary efficacy of occupational therapy in an equine environment for youth with Autism Spectrum Disorder. J Autism Dev Disord. 2022;52(9):4114-28. PMid:34557985.
32 Marzouki H, Soussi B, Selmi O, Hajji Y, Marsigliante S, Bouhlel E, et al. Effects of Aquatic Training in Children with Autism Spectrum Disorder. Biology. 2022;11(5):657. PMid:35625385.
33 Djordjević M, Memisevic H, Potic S, Djuric U. Exercise-Based interventions aimed at improving balance in children with Autism Spectrum Disorder: a Meta-Analysis. Percept Mot Skills. 2022;129(1):90-119. PMid:34936828.
34 Randell E, Wright M, Milosevic S, Gillespie D, Brookes-Howell L, Busse-Morris M, et al. Sensory Integration Therapy for children with autism and sensory processing difficulties: the SenITA RCT. Health Technol Assess. 2022;26(29):1-140. PMid:35766242.
35 Schoen SA, Lane SJ, Mailloux Z, May-Benson T, Parham LD, Roley SS. A systematic review of Ayres Sensory Integration intervention for children with autism. Autism Res. 2019;12(1):6-19.
36 Sistema de Conselhos de Fonoaudiologia. Guia de orientação: atuação do Fonoaudiólogo em avaliação e reabilitação da função vestibular [Internet]. Brasília; 2017 [citado em 2023 Jun 19]. Disponível em:
37 Romeu CA, Rossit RAS. Trabalho em equipe interprofissional no atendimento à criança com Transtorno do Espectro do Autismo. Rev Bras Educ Espec. 2022;28:639-41.
38 Lincoln J, Sousa CCA, de Farias RRS. Benefícios da intervenção fonoaudiológica no Transtorno do Espectro Autista: revisão de literatura. Res Soc Dev. 2021;10(6):e49610615550.
Submitted date:
06/12/2024
Accepted date:
02/23/2025


