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Rhythmic Tapping Task Performance in Children With Autism Spectrum Disorder: A Meta-Analysis

자폐스펙트럼장애 아동 대상 리드믹 운동과제 평가 연구 메타분석

  • Yoo, Ga Eul (Department of Music Therapy, Graduate School, Ewha Womans University) ;
  • Yoon, Ye Eun (Art Education and Therapy Institute, Ewha Womans University)
  • 유가을 (이화여자대학교 대학원 음악치료학과) ;
  • 윤예은 (이화여자대학교 예술교육치료연구소)
  • Received : 2019.05.03
  • Accepted : 2019.05.22
  • Published : 2019.05.30

Abstract

This study reviewed and analyzed English-written studies using a rhythmic tapping task for motor control of children with autism spectrum disorder (ASD). Inclusion criteria for the participants were children with ASD and typically developing (TD) children. The keywords used for the outcome variables included rhythmic tapping, timed movement, and synchronization. Ten studies were included in the final analysis. The included studies were analyzed in terms of target variables, auditory stimuli, and measurements. A meta-analysis was also conducted to examine how children with ASD performed rhythmic tapping tasks compared to children with TD. In the identified studies, five variables were used: timed movement control, timing reproduction, bimanual coordination, synchronization, and interpersonal synchronization. It was found that rhythmic tapping performance was analyzed in terms of accuracy and precision of the movement and reported as significantly correlated to social skills measures. The meta-analysis results showed that there were no significant differences between the ASD and TD groups in continuing rhythmic movements when the presented auditory stimuli ended, whereas there were significant group differences in their ability to maintain their motor performance consistently and to synchronize with auditory cue or with others. These results support the rhythmic tapping task as an effective measure for not only motor control but also social skills development in children with ASD.

본 연구는 자폐스펙트럼장애(ASD) 아동의 운동조절을 평가하기 위해 리드믹 운동과제를 포함한 국외 실험연구를 고찰하고 분석하고자 하였다. 이를 위해 ASD로 진단받은 아동과 신경학적 손상이 없는 대조군(TD)을 대상으로 하고 리드믹 탭핑, 리드믹 운동, 동기화 등 운동조절 관련 변인을 포함하고 있는 국외 실험연구를 선정하였다. 총 10개의 연구가 최종 선정되었고, 해당 연구에 포함된 운동조절 관련 변인과 사용된 청각 자극, 측정 방법 등을 분석하였다. 또한 ASD 아동과 TD 아동의 리드믹 운동과제 수행력 차이를 확인하기 위해 메타분석을 실시하였다. 연구 결과, 리드믹 운동과제를 통해 운동조절을 평가할 때 목표된 변인은 다섯 가지로 운동 타이밍 조절, 타이밍 재산출, 양손 협응, 동기화, 대인 간 동기화가 포함되었고, 각 과제는 움직임의 정확도(accuracy)와 정밀도(precision)의 측면에서 분석됨을 알 수 있었다. 또한 리드믹 운동과제 수행력과 사회기술 지표의 상관관계가 보고됨을 확인할 수 있었다. 메타분석 결과, ASD 그룹은 청각 자극에 맞추어 움직이다가 자극이 소거된 후에도 동일한 움직임을 지속하는 타이밍 재산출 지표에 있어서는 TD 그룹과 유의한 차이가 없는 반면, 외부 자극(청각적 큐나타인)에 동기화하고 움직임을 일관적으로 조절하는 데 있어서는 유의하게 낮은 수행 수준을 보이는 것으로 나타났다. 이러한 연구 결과는 리드믹 운동과제가 음악치료 임상 현장에서 ASD 아동의 운동조절뿐만 아니라 사회기술을 평가하는 효과적인 방안이 될 수 있음을 시사한다.

Keywords

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Flow of information through the review.

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Comparison between children with ASD versus TD in timed movement control and timing reproduction. Each square indicates an effect size for each study with its size proportional to the sample size of the study. Diamonds mark the pooled effect estimate with their width representing the confidence interval.

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Comparison between children with ASD versus TD in synchronization and interpersonal synchronization.

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Funnel plots for subgroup analyses. The outer dashed lines represent the 95% confidence interval limits.

Tapping Task and Type of Tapping Used Depending on the Measured Variable

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Characteristics of Participants in Included Studies

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Continued

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Rhythmic Tapping Task and Used Stimuli in Included Studies

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Continued

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References

  1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
  2. Anagnostou, E., Jones, N., Huerta, M., Halladay, A. K., Wang, P., Scahill, L., ... Dawson, G. (2015). Measuring social communication behaviors as a treatment endpoint in individuals with autism spectrum disorder. Autism, 19(5), 622-636. https://doi.org/10.1177/1362361314542955
  3. Bhat, A. N., Landa, R. J., & Galloway, J. C. (2011). Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorders. Physical Therapy, 91(7), 1116-1129. https://doi.org/10.2522/ptj.20100294
  4. Cacioppo, S., Zhou, H., Monteleone, G., Majka, E. A., Quinn, K. A., Ball, A. B., ... Cacioppo, J. T. (2014). You are in sync with me: Neural correlates of interpersonal synchrony with a partner. Neuroscience, 277, 842-858. https://doi.org/10.1016/j.neuroscience.2014.07.051
  5. Chong, H. J., Lim, J. H., & Hwang, S. Y. (2018). Review of studies using a rhythm task intervention and the rationale for its formulation. Journal of Music and Human Behavior, 15(1), 95-118. https://doi.org/10.21187/JMHB.2018.15.1.095
  6. Cook, J. L., Barbalat, G., & Blakemore, S. (2012). Top-down modulation of the perception of other people in schizophrenia and autism. Frontiers in Human Neuroscience, 6, 175. https://doi.org/10.3389/fnhum.2012.00175
  7. Donnellan, A. M., Hill, D. A., & Leary, M. R. (2013). Rethinking autism: Implications of sensory and movement differences for understanding and support. Frontiers in Integrative Neuroscience, 6, 124. https://doi.org/10.3389/fnint.2012.00124
  8. Fitzpatrick, P., Diorio, R., Richardson, M. J., & Schmidt, R. C. (2013). Dynamical methods for evaluating the time-dependent unfolding of social coordination in children with autism. Frontiers in Integrative Neuroscience, 7, 21. https://doi.org/10.3389/fnint.2013.00021
  9. Fitzpatrick, P., Romero, V., Amaral, J. L., Duncan, A., Barnard, H., Richardson, M. J., & Schmidt, R. C. (2017). Evaluating the importance of social motor synchronization and motor skill for understanding autism. Autism Research, 10(10), 1687-1699. https://doi.org/10.1002/aur.1808
  10. Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N. H., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 40(10), 1227-1240. https://doi.org/10.1007/s10803-010-0981-3
  11. Hamilton, A. F. (2013). Reflecting on the mirror neuron system in autism: A systematic review of current theories. Developmental Cognitive Neuroscience, 3, 91-105. https://doi.org/10.1016/j.dcn.2012.09.008
  12. Hove, M. J. (2008). Shared circuits, shared time, and interpersonal synchrony. Behavioral and Brain Sciences, 31(1), 29-30. https://doi.org/10.1017/S0140525X07003202
  13. Hove, M. J., & Risen, J. L. (2009). It’s all in the timing: Interpersonal synchrony increases affiliation. Social Cognition, 27(6), 949-961. https://doi.org/10.1521/soco.2009.27.6.949
  14. Isenhower, R. W., Marsh, K. L., Richardson, M. J., Helt, M., Schmidt, R. C., & Fein, D. (2012). Rhythmic bimanual coordination is impaired in young children with autism spectrum disorder. Research in Autism Spectrum Disorders, 6(1), 25-31. https://doi.org/10.1016/j.rasd.2011.08.005
  15. Janata, P., Tomic, S. T., & Haberman, J. M. (2012). Sensorimotor coupling in music and the psychology of the groove. Journal of Experimental Psychology: General, 141(1), 54-75. https://doi.org/10.1037/a0024208
  16. Kaur, M., Srinivasan, S. M., & Bhat, A. N. (2018). Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without autism spectrum disorder (ASD). Research in Developmental Disabilities, 72, 79-95. https://doi.org/10.1016/j.ridd.2017.10.025
  17. Koch, S. C., Mehl, L., Sobanski, E., Sieber, M., & Fuchs, T. (2014). Fixing the mirrors: A feasibility study of the effects of dance movement therapy on young adults with autism spectrum disorder. Autism, 19(3), 338-350. https://doi.org/10.1177/1362361314522353
  18. Koehne, S., Hatri, A., Cacioppo, J. T., & Dziobek, I. (2016). Perceived interpersonal synchrony increases empathy: Insights from autism spectrum disorder. Cognition, 146, 8-15. https://doi.org/10.1016/j.cognition.2015.09.007
  19. LaGasse, A. B. (2014). Effects of a music therapy group intervention on enhancing social skills in children with autism. Journal of Music Therapy, 51(3), 250-275. https://doi.org/10.1093/jmt/thu012
  20. LaGasse, A. B. (2017). Social outcomes in children with autism spectrum disorder: A review of music therapy outcomes. Patient Related Outcome Measures, 2017(8), 23-32. https://doi.org/10.2147/PROM.S106267
  21. LaGasse, A. B., & Hardy, M. W. (2013). Considering rhythm for sensorimotor regulation in children with autism spectrum disorders. Music Therapy Perspectives, 31(1), 67-77. https://doi.org/10.1093/mtp/31.1.67
  22. Linkenauger, S. A., Lerner, M. D., Ramenzoni, V. C., & Proffitt, D. R. (2012). A perceptualmotor deficit predicts social and communicative impairments in individuals with autism spectrum disorders. Autism Research, 5(5), 352-362. https://doi.org/10.1002/aur.1248
  23. Lord, C., & Bishop, S. L. (2015). Recent advances in autism research as reflected in DSM-5 criteria for autism spectrum disorder. Annual Review of Clinical Psychology, 11, 53-70. https://doi.org/10.1146/annurev-clinpsy-032814-112745
  24. Maister, L., & Plaisted-Grant, K. C. (2011). Time perception and its relationship to memory in autism spectrum conditions. Developmental Science, 14(6), 1311-1322. https://doi.org/10.1111/j.1467-7687.2011.01077.x
  25. Morimoto, C., Hida, E., Shima, K., & Okamura, H. (2018). Temporal processing instability with millisecond accuracy is a cardinal feature of sensorimotor impairments in autism spectrum disorder: Analysis using the synchronized finger-tapping task. Journal of Autism and Developmental Disorders, 48(2), 351-360. https://doi.org/10.1007/s10803-017-3334-7
  26. Price, K. J., Edgell, D., & Kerns, K. A. (2012). Timing deficits are implicated in motor dysfunction in Asperger’s syndrome. Research in Autism Spectrum Disorders, 6(2), 857-860. https://doi.org/10.1016/j.rasd.2011.11.007
  27. Ramachandran, V. S., & Oberman, L. M. (2006). Broken mirrors: A theory of autism. Scientific American, 295(5), 62-69. https://doi.org/10.1038/scientificamerican1106-62
  28. Ravizza, S. M., Solomon, M., Ivry, R. B., & Carter, C. S. (2013). Restricted and repetitive behaviors in autism spectrum disorders: The relationship of attention and motor deficits. Development and Psychopathology, 25(3), 773-784. https://doi.org/10.1017/S0954579413000163
  29. Repp, B. H., & Su, Y. H. (2013). Sensorimotor synchronization: A review of recent research (2006-2012). Psychonomic Bulletin & Review, 20(3), 403-452. https://doi.org/10.3758/s13423-012-0371-2
  30. Schmidt, R. C., Fitzpatrick, P., Caron, R., & Mergeche, J. (2011). Understanding social motor coordination. Human Movement Science, 30(5), 834-845. https://doi.org/10.1016/j.humov.2010.05.014
  31. Schmitz, C., Martineau, J., Barthelemy, C., & Assaiante, C. (2003). Motor control and children with autism: Deficit of anticipatory function? Neuroscience Letters, 348(1), 17-20. https://doi.org/10.1016/S0304-3940(03)00644-X
  32. Sheridan, J., & McAuley, J. D. (1997). Rhythm as a cognitive skill: Temporal processing deficits in autism. Paper presented at the 4th Australasian Cognitive Science Conference, Newcastle, NSW. Retrieved from https://pdfs.semanticscholar.org/9062/d01b8886a4a49989d55a010820f9be1bcecf.pdf
  33. Thaut, M. H., McIntosh, G. C., & Hoemberg, V. (2014). Neurologic music therapy: From social science to neuroscience. In M. H. Thaut & V. Hoemberg (Eds.), Handbook of neurologic music therapy (pp. 1-6). London: Oxford University Press.
  34. Thaut, M. H., McIntosh, G. C., & Hoemberg, V. (2015). Neurobiological foundations of neurologic music therapy: Rhythmic entrainment and the motor system. Frontiers in Psychology, 5, 1185. https://doi.org/10.3389/fpsyg.2014.01185
  35. Tryfon, A., Foster, N. E., Ouimet, T., Doyle-Thomas, K., Anagnostou, E., Sharda, M., & Hyde, K. L. (2017). Auditory-motor rhythm synchronization in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 35, 51-61. https://doi.org/10.1016/j.rasd.2016.12.004
  36. Valdesolo, P., Ouyang, J., & DeSteno, D. (2010). The rhythm of joint action: Synchrony promotes cooperative ability. Journal of Experimental Social Psychology, 46(4), 693-695. https://doi.org/10.1016/j.jesp.2010.03.004
  37. Whyatt, C. (2018). More than meets the eye: Redefining the role of sensory-motor control on social skills in autism spectrum disorders. In E. B. Torres & C. Whyatt (Eds.), Autism: The movement-sensing perspective (pp. 73-88). Boca Raton, FL: CRC Press.
  38. Yoo, G. E. (2016). Analysis of social communication measurement in the music therapy intervention literature for children with autism spectrum disorder. Journal of Music and Human Behavior, 13(1), 61-87. https://doi.org/10.21187/JMHB.2016.13.1.061
  39. Yoo, G. E., & Kim, S. J. (2018). Dyadic drum playing and social skills: Implications for rhythm-mediated intervention for children with autism spectrum disorder. Journal of Music Therapy, 55(3), 340-375. https://doi.org/10.1093/jmt/thy013
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