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      Comparação do protocolo adaptado de avaliação motora utilizando a escala Movement Assessment Battery for Children (MABC-2) no TEA Translated title: Comparación del protocolo adaptado de evaluación motora utilizando la escala Movement Assessment Battery for Children (MABC-2) en el TEA Translated title: Comparison of the adapted motor assessment protocol using the Movement Assessment Battery for Children (MABC-2) scale in ASD

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          Abstract

          A dificuldade de compreensão em crianças com TEA em relação às instruções fornecidas nos diversos instrumentos avaliativos torna mais trabalhosa a coleta de informações importantes para um diagnóstico, o que pode impactar as pontuações padronizadas da escala. O objetivo deste estudo foi verificar se há diferença entre dois protocolos de avaliação da escala Movement Assessment Battery for Children (MABC-2) no desempenho de crianças com TEA. Avaliaram-se 18 indivíduos com TEA em relação às suas habilidades motoras. Para tanto, adotou-se a escala MABC-2 com dois protocolos diferentes. No protocolo tradicional (P-TR), utilizou-se a descrição fornecida em seu manual, com comandos verbais e demonstração para a descrição das atividades. Após 15 dias, esses comandos foram reavaliados. Nesse caso, empregou-se o protocolo com auxílio de cartões de imagem (P-CI) como recurso para descrição das atividades, com o propósito de diminuir os comandos verbais. Os resultados indicam que os indivíduos com TEA se beneficiaram do P-CI quando comparado ao P-TR, em relação a todas as habilidades avaliadas (destreza manual Z = -154, habilidades com bola Z = -1,885, equilíbrio Z = -1,074, desempenho global Z = -2,206). Os suportes visuais podem ser introduzidos no protocolo de avaliação da escala MABC-2 quando utilizada em indivíduos com TEA, considerando os benefícios desses suportes nas avaliações e na prática educacional.

          Translated abstract

          La dificultad de comprender en los niños con TEA en relación con las indicaciones proporcionadas en las instrumentos de evaluación, dificultando la recolección de información para un diagnóstico, pudiendo impactar en las puntuaciones de la escala. El objetivo de este estudio fue verificar la diferencia entre dos protocolos de la MABC-2 en el desempeño de niños con TEA. Se evaluaron 18 individuos con TEA en relación a las habilidades motoras utilizando la variable de evaluación de la memoria para niños (MABC-2) con dos protocolos diferentes. El primer protocolo tradicional (P-TR) utilizó la descripción suministrada en su manual para la descripción de las actividades, después de quince días ellos fueron reevaluados utilizando el protocolo con la ayuda de tarjetas de imagen (P-CI) como recurso para descripción de actividades. Los resultados indican que los individuos con TEA se beneficiaron del protocolo P-CI en comparación con el protocolo P-TR en todas las habilidades (destreza manual Z = -154, habilidades con balón Z = -1,885, equilibrio Z = -1,074, rendimiento global Z = -2.206). Los soportes visuales pueden ser introducidos en el protocolo MABC-2 cuando se usan en individuos con TEA, considerando los beneficios de los soportes en evaluaciones y prácticas educativas.

          Translated abstract

          The difficulty of comprehension in children with ASD in relation to the instructions provided in the various evaluation instruments makes it difficult to collect information that is important for a diagnosis and can impact the standardized scale scores. The objective of this study was to verify if there is difference between two evaluation protocols of the MABC-2 scale in the performance of children with ASD. Eighteen children was assessed with ASD in relation to their motor skills using the Movement Assessment Battery for Children (MABC-2) scale using two different protocols. The first, traditional protocol (P-TR) used the description provided in its manual using verbal commands and demonstration to describe the activities. After fifteen days, they were reevaluated using the protocol with image cards support (P-CI) as a resource for description of activities by decreasing verbal commands. The results show that individuals with ASD benefited from the P-CI protocol when compared to the P-TR protocol in all skills assessed (hand skill Z = -154, skills with ball Z = -1.885, balance Z = -1.074, performance global Z = -2.206). Visual supports may be introduced into the MABC-2 protocol when used in individuals with ASD, considering the benefits of such supports in assessments and educational practice.

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          Most cited references23

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          Motor coordination in autism spectrum disorders: a synthesis and meta-analysis.

          Are motor coordination deficits an underlying cardinal feature of Autism Spectrum Disorders (ASD)? Database searches identified 83 ASD studies focused on motor coordination, arm movements, gait, or postural stability deficits. Data extraction involved between-group comparisons for ASD and typically developing controls (N = 51). Rigorous meta-analysis techniques including random effects models, forest and funnel plots, I (2), publication bias, fail-safe analysis, and moderator variable analyses determined a significant standardized mean difference effect equal to 1.20 (SE = 0.144; p <0.0001; Z = 10.49). This large effect indicated substantial motor coordination deficits in the ASD groups across a wide range of behaviors. The current overall findings portray motor coordination deficits as pervasive across diagnoses, thus, a cardinal feature of ASD.
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            Impairment in movement skills of children with autistic spectrum disorders.

            We undertook this study to explore the degree of impairment in movement skills in children with autistic spectrum disorders (ASD) and a wide IQ range. Movement skills were measured using the Movement Assessment Battery for Children (M-ABC) in a large, well defined, population-derived group of children (n=101: 89 males,12 females; mean age 11y 4mo, SD 10mo; range 10y-14y 3mo) with childhood autism and broader ASD and a wide range of IQ scores. Additionally, we tested whether a parent-completed questionnaire, the Developmental Coordination Disorder Questionnaire (DCDQ), was useful in identifying children who met criteria for movement impairments after assessment (n=97 with complete M-ABCs and DCDQs). Of the children with ASD, 79% had definite movement impairments on the M-ABC; a further 10% had borderline problems. Children with childhood autism were more impaired than children with broader ASD, and children with an IQ less than 70 were more impaired than those with IQ more than 70. This is consistent with the view that movement impairments may arise from a more severe neurological impairment that also contributes to intellectual disability and more severe autism. Movement impairment was not associated with everyday adaptive behaviour once the effect of IQ was controlled for. The DCDQ performed moderately well as a screen for possible motor difficulties. Movement impairments are common in children with ASD. Systematic assessment of movement abilities should be considered a routine investigation.
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              Dyspraxia in autism: association with motor, social, and communicative deficits.

              Impaired performance of skilled gestures, referred to as dyspraxia, is consistently reported in children with autism; however, its neurological basis is not well understood. Basic motor skill deficits are also observed in children with autism and it is unclear whether dyspraxia observed in children with autism can be accounted for by problems with motor skills. Forty-seven high-functioning children with an autism spectrum disorder (ASD), autism, or Asperger syndrome (43 males, four females; mean age 10y 7m [SD 1y 10m], mean Full-scale IQ (FSIQ) 99.4 [SD 15.9]), and 47 typically developing (TD) controls (41 males, six females; mean age 10y 6m [SD 1y 5m], mean FSIQ 113.8 [SD 12.3], age range 8-4y) completed: (1) the Physical and Neurological Assessment of Subtle Signs, an examination of basic motor skills standardized for children, and (2) a praxis examination that included gestures to command, to imitation, and with tool-use. Hierarchical regression was used to examine the association between basic motor skill performance (i.e. times to complete repetitive limb movements) and praxis performance (total praxis errors). After controlling for age and IQ, basic motor skill was a significant predictor of performance on praxis examination. Nevertheless, the ASD group continued to show significantly poorer praxis than controls after accounting for basic motor skill. Furthermore, praxis performance was a strong predictor of the defining features of autism, measured using the Autism Diagnostic Observation Schedule, and this correlation remained significant after accounting for basic motor skill. Results indicate that dyspraxia in autism cannot be entirely accounted for by impairments in basic motor skills, suggesting the presence of additional contributory factors. Furthermore, praxis in children with autism is strongly correlated with the social, communicative, and behavioral impairments that define the disorder, suggesting that dyspraxia may be a core feature of autism or a marker of the neurological abnormalities underlying the disorder.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                cpdd
                Cadernos de Pós-Graduação em Distúrbios do Desenvolvimento
                Cad. Pós-Grad. Distúrb. Desenvolv.
                Universidade Presbiteriana Mackenzie (São Paulo, SP, Brazil )
                1519-0307
                1809-4139
                June 2018
                : 18
                : 1
                : 66-82
                Affiliations
                [1] São Paulo SP orgnameUniversidade Presbiteriana Mackenzie Brasil ricardo.quintas@ 123456uol.com.br
                [2] São Paulo SP orgnameUniversidade Presbiteriana Mackenzie Brasil ariane.ramello@ 123456gmail.com
                [3] São Paulo SP orgnameUniversidade Presbiteriana Mackenzie Brasil carolinaquedas@ 123456gmail.com
                Article
                S1519-03072018000100005
                10.5935/cadernosdisturbios.v18n1p66-82
                4ee1702b-dc9d-4644-8530-26ab1f2e6080

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 05 April 2018
                : 17 January 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 17
                Product

                SciELO Periódicos Eletrônicos em Psicologia


                Development,Destreza motora,Trastorno del espectro autista,Desarrollo,MABC-2,Desordenes motoras,Transtorno do espectro autista,Desenvolvimento,Desordens motoras,Motor skills,Autism spectrum disorder,Motor disorders

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