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      Effects of Parent-Delivered Traditional Thai Massage on Gait and Heart Rate Variability in Children with Autism: A Randomized Controlled Trial

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          Abstract

          Aim:

          To examine the effects of parent-delivered traditional Thai massage (TTM) intervention on heart rate variability (HRV) and gait in children with autism.

          Methods:

          This was a two-armed, randomized controlled trial conducted at the Haikou Special Education School in Haikou Province, China, between October 2021 and March 2022. A total of 48 children with autism, aged between 7 and 12 years, were selected from the school and randomly divided into either the parent-delivered TTM group or the control group (no intervention) in a 1:1 ratio. In addition to their regular daily school routines, the TTM group received 16 TTM interventions (twice a week), with each session lasting ∼50 min. HRV and gait parameters were measured at baseline, completion of the 8-week intervention, and 2 months follow-up.

          Results:

          The results of this study showed that the TTM intervention had a notable positive effect on HRV, with a significant reduction in low-frequency value ( p = 0.001), and increased high-frequency value ( p = 0.001), compared with the controls, and the advantages persisted during the follow-up period. However, only the stride length in the TTM group was significantly longer than that in the control group at the post-test ( p = 0.039) and follow-up test ( p = 0.043), while none of the other parameters of gait comparison showed statistical significance.

          Conclusions:

          Parent-delivered Thai massage increased HRV levels and stride length in comparison to the control group, and some effects of the intervention were maintained over the follow-up period.

          Clinical Trials Registry Identifier ChiCTR2100051355; September 21, 2021.

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          Most cited references65

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          The impact of atypical sensory processing on social impairments in autism spectrum disorder

          Altered sensory processing has been an important feature of the clinical descriptions of autism spectrum disorder (ASD). There is evidence that sensory dysregulation arises early in the progression of ASD and impacts social functioning. This paper reviews behavioral and neurobiological evidence that describes how sensory deficits across multiple modalities (vision, hearing, touch, olfaction, gustation, and multisensory integration) could impact social functions in ASD. Theoretical models of ASD and their implications for the relationship between sensory and social functioning are discussed. Furthermore, neural differences in anatomy, function, and connectivity of different regions underlying sensory and social processing are also discussed. We conclude that there are multiple mechanisms through which early sensory dysregulation in ASD could cascade into social deficits across development. Future research is needed to clarify these mechanisms, and specific focus should be given to distinguish between deficits in primary sensory processing and altered top-down attentional and cognitive processes.
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            Autism prevalence in China is comparable to Western prevalence

            Background Autism prevalence in the West is approximately 1% of school age children. Autism prevalence in China has been reported to be lower than in the West. This is likely due to at least two reasons: (1) most studies in China only included the special school population, overlooking the mainstream school population; and (2) most studies in China have not used contemporary screening and diagnostic methods. To address this, we tested total autism prevalence (mainstream and special schools) in Jilin City, and mainstream school autism prevalence in Jiamusi and Shenzhen cities. Methods The study included a three-step process: (1) screening; (2) clinical assessment of ‘screen positives’ plus controls; and (3) research diagnostic assessment of those meeting clinical threshold for concerns at step 2. Prevalence estimates per 10,000 children aged 6–10 years old were weighted for study design using diagnostic criteria applied at the research assessment stage. Results In Jilin City, 77 cases of autism were identified from a total population of 7258, equating to a prevalence of 108 per 10,000 (95% confidence interval (CI) 89, 130). In Shenzhen City: 21,420 children were screened and 35 cases of autism were identified, resulting in a mainstream prevalence of 42 per 10,000 (95% CI 20–89). In Jiamusi City, 16,358 children were screened, with 10 autism cases being identified, with a mainstream prevalence of 19 per 10,000 (95% CI 10–38). Conclusions Results from Jilin City, where both mainstream and special school data were available, revealed a similar prevalence of autism in China to the West, at around 1%. Results from Shenzhen and Jiamusi cities, where only mainstream data were available, prevalence is also in line with Western estimates. In all three cities, new cases of autism were identified by the study in mainstream schools, reflecting current under-diagnosis. Non-significant variation across different cities is seen indicating the need to explore potential variation of autism across diverse Chinese regions with large sample sizes to achieve a fully robust national picture. Electronic supplementary material The online version of this article (10.1186/s13229-018-0246-0) contains supplementary material, which is available to authorized users.
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              Effect of acute exercise on executive function in children with attention deficit hyperactivity disorder.

              This study was conducted to determine the effect of acute aerobic exercise on executive function in children with attention deficit hyperactivity disorder (ADHD). Forty children with ADHD were randomly assigned into exercise or control groups. Participants in the exercise group performed a moderate intensity aerobic exercise for 30 min, whereas the control group watched a running/exercise-related video. Neuropsychological tasks, the Stroop Test and the Wisconsin Card Sorting Test (WCST), were assessed before and after each treatment. The results indicated that acute exercise facilitated performance in the Stroop Test, particularly in the Stroop Color-Word condition. Additionally, children in the exercise group demonstrated improvement in specific WCST performances in Non-perseverative Errors and Categories Completed, whereas no influences were found in those performances in the control group. Tentative explanations for the exercise effect postulate that exercise allocates attention resources, influences the dorsolateral prefrontal cortex, and is implicated in exercise-induced dopamine release. These findings are promising and additional investigations to explore the efficacy of exercise on executive function in children with ADHD are encouraged.
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                Author and article information

                Journal
                J Integr Complement Med
                J Integr Complement Med
                jicm
                Journal of Integrative and Complementary Medicine
                Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA )
                2768-3605
                2768-3613
                March 2024
                15 March 2024
                15 March 2024
                : 30
                : 3
                : 269-278
                Affiliations
                [ 1 ]Graduate School, Khon Kaen University, Khon Kaen, Thailand.
                [ 2 ]Physical Education, Hainan Normal University, Haikou, China.
                [ 3 ]BNOJHP Research Center, PT Division of Physical Therapy, Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
                [ 4 ]Department of Special Education, Khon Kaen University Demonstration School, Khon Kaen University, Khon Kaen, Thailand.
                Author notes
                [*]Address correspondence to: Wichai Eungpinichpong, PhD, BNOJHP Research Center, PT Division of Physical Therapy, Associated Medical Sciences, Khon Kaen University, 123 Moo 16 Mittraphap Rd., Nai-Muang, Muang District, Khon Kaen 40002, Thailand wiceun@ 123456gmail.com
                [*]Address correspondence to: Hua Wu, MD, Physical Education, Hainan Normal University, No. 99 Longkun South Road, Qiongshan District, Haikou 571158, China wuhua0049@ 123456gmail.com
                Author information
                https://orcid.org/0000-0001-7014-1448
                Article
                10.1089/jicm.2023.0338
                10.1089/jicm.2023.0338
                10954606
                37713302
                ccfe9ecd-062d-421c-a28f-3ac6976b8ab7
                © Hui Ruan et al., 2024; Published by Mary Ann Liebert, Inc.

                This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 3, Tables: 3, References: 67, Pages: 10
                Categories
                Original Articles

                autism,complementary and alternative medicine,heart rate regulation,movement disorders

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