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    Analysis of unsupported gait in toddlers with autism

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    Analysis of unsupported gait in toddlers with autism. Esposito G, Venuti P, Apicella F, Muratori F. Department of Cognitive Science and Education, University of Trento, Italy. [email protected] AIMS: A number of studies have suggested the importance of motor development in autism. Motor development has been considered a possible bio-marker of autism since it does not depend on either social or linguistic development. In this study, using retrospective video analysis we investigated the first unsupported gait in toddlers with autism. METHODS: Fifty-five toddlers, belonging to three groups were recruited: toddlers with autistic disorder (AD, n=20, age 14.2mo, sd 1.4mo) and as comparison groups: typically developing toddlers (TD, n=20, age 12.9mo, sd 1.1mo) and toddlers with non-autistic developmental delays of mixed aetiology (DD, n=15, age 13.1mo, sd 0.8mo). The Walking Observation Scale (WOS) and the Positional Pattern for Symmetry during Walking (PPSW) were used to gather data on the first unsupported gait. The WOS includes 11 items that analyze gait through three axes: foot movements; arm movements; general movements while the PPSW analyses static and dynamical symmetry during gait. RESULTS: Our results have identified significant differences in gait patterns among the group of toddlers with AD as opposed to the control groups. Significant differences between AD and the two control groups were found for both WOS (p<.001) and PPSW (p<.001). CONCLUSION: The specificity of motor disturbances we have identified in autism (postural asymmetry) is consistent with previous findings that implicated cerebellar involvement in the motor symptoms of autism

    La Scala di Valutazione delle Funzioni di Base (SVFB): Validazione di una scala osservativa

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    Diversi studi sottolineano l’importanza di una precoce valutazione delle capacità del bambino che analizzi l’intero funzionamento di base e non solo le aree deficitarie. Lo scopo del lavoro è la validazione di una Scala osservativa per la Valutazione delle Funzioni di Base (SVFB). Hanno partecipato 231 soggetti, 193 normotipici e 38 soggetti con sviluppo atipico. I valori del K di Cohen pesato sono maggiori di.75 evidenziando una buona affidabilità degli osservatori; le analisi correlative e dell’Alpha di Cronbach sottolineano una buona coerenza interna dei 76 item nelle 11 aree funzionali e si rilevano correlazioni significative tra la SVFB e il test di Brunet-Lézine sottolineando una buona validità concorrente. La SVFB è semplice da utilizzare e fornisce immediatamente il quadro funzionale del bambino. La Scala può essere utilizzata per stilare una base-line al fine di strutturare un percorso riabilitativo mirato, ovvero per monitorare la stessa terapia.Several studies underline the importance of early assessment of the child’s ability to analyze the basic operation and not just the deficit areas. The purpose of work is the validation of an observational Scale for the Assessment of Basic Functions (SVFB). 231 children participated (38 with atypical development). The values of Weighed Cohen’s Kappa are greater than.75 indicating a good reliability of the observers; the correlative analysis and the Cronbach’s Alpha emphasize good internal consistency of the 76 items in the 11 functional areas and there are significant correlations between the SVFB and Brunet-Lézine test stressing good concurrent validity. The SVFB is simple to use and provides immediate environment of the child. The SVFB can be used to draw a base-line in order to forge a path rehabilitative care, or to monitor the therapy
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