孤独症谱系障碍重复刻板行为的运动改善机制及应用研究进展

    The Research Progress of the Mechanism and Application of Exercise Improves Restricted and Repetitive Behaviors in Autism Spectrum Disorder

    • 摘要: 通过梳理运动与孤独症谱系障碍(autism spectrum disorder,ASD)重复刻板行为(restricted and repetitive behaviors,RRBs)的相关研究,分析讨论了运动改善RRBs的神经生物学机制,阐述了运动干预中不同变量对RRBs的影响。研究发现,运动干预可促进纹状体突触可塑性,激活BDNF/TrkB信号通路以增强神经环路平衡;抑制小胶质细胞促炎表型、促进抗炎因子释放,减轻神经炎症;调节谷氨酸−γ−氨基丁酸兴奋/抑制平衡,优化多巴胺与5−羟色胺代谢;增强前额叶−顶叶网络、海马相关网络功能连接,提升执行功能以间接抑制RRBs。综上,运动干预是一个综合性变量,具有运动方式的特异性、运动干预剂量的歧交性、运动环境的多样性等特征。未来研究应有机整合神经生理与行为指标,实现机制突破与方案优化,为ASD患者RRBs管理提供更有力的理论依据与实践支撑。

       

      Abstract: By reviewing relevant studies on the relationship between exercise and restricted/ repetitive behaviors (RRBs) in autism spectrum disorder (ASD), this paper aimed to analyze the neurobiological mechanisms of exercise improves RRBs, and then to elaborate the different effects of various variables on RSBs in the ASD population. The results show that exercise intervention can promote striatal synaptic plasticity, activate the BDNF/TrkB signaling pathway and to enhance neural circuit balance; inhibit the pro-inflammatory phenotype of microglia, promote the release of anti-inflammatory factors and reduce neuroinflammation; regulate the glutamate-GABA excitatory/inhibitory balance and optimize dopamine and serotonin metabolism; strengthen the functional connectivity of the prefrontal-parietal network and hippocampus-related networks, and improve executive function to indirectly inhibit RSBs. In conclusion, exercise intervention is a comprehensive variable, characterized by the specificity of exercise modes, the divergence-interaction of exercise intervention doses, and the diversity of exercise environments. Future studies should integrate neurophysiological and behavioral indicators to achieve mechanism breakthroughs and program optimization, thereby providing more precise theoretical and practical supports for the management of RRBs in individuals with ASD.

       

    /

    返回文章
    返回