Data_Sheet_6_The clinical effects of Orff music therapy on children with autism spectrum disorder: a comprehensive evaluation.DOCX

ObjectiveThis study aimed to investigate the clinical effects of Orff music therapy on children with Autism Spectrum Disorder (ASD) from the perspectives of parents, evaluators, and therapists.
Methods93 children with ASD aged 3–6 years participated in the study. They were divided into an observation group (n = 48) receiving comprehensive rehabilitation intervention including Orff music therapy, and a control group (n = 45) receiving only comprehensive rehabilitation intervention. The Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), and Psycho-educational Profile-3rd edition (PEP-3) were used for assessments before and after the intervention.
ResultsThere were no significant demographic differences between the two groups. Both groups showed significant improvements in Sensory, Relating, Language, CVP, EL, RL, VMI, AE, SR, and CARS scores at T1, T2, and T3 (T1 vs. T2, T2 vs. T3, T1 vs. T3) (all p < 0.05). The observation group demonstrated significant changes in Body and Object use and FM, while the control group showed some changes in these domains. Social and self-help, GM, CMB, and CVB also significantly improved in both groups after 6 months of intervention (all p < 0.05). In terms of different time intervals, the observation group showed greater improvements in Sensory, Relating, Language, CARS scores, EL, RL, and SR compared to the control group (all p < 0.05). The improvement levels in Body and Object use, CVP, FM, VMI, and AE did not differ significantly between the two groups in the T1–T2 interval, but were significantly higher in the observation group in the T2–T3 and T1–T3 intervals (all p < 0.05). The magnitude of changes in Social and self-help, GM, CMB, and CVB did not differ significantly between the groups.
ConclusionOrff music therapy showed significant improvements in language expression, language comprehension, social skills, cognitive abilities, imitation abilities, emotional expression and fine motor in children with ASD. These findings provide support for the use of Orff music therapy as an effective intervention for children with ASD.

研究目的
本研究旨在从家长、评估者及治疗师的视角，探讨奥尔夫音乐疗法对孤独症谱系障碍（Autism Spectrum Disorder, ASD）儿童的临床疗效。
研究方法
本研究共纳入93名3~6岁的孤独症谱系障碍儿童，将其分为观察组（n=48）与对照组（n=45）：观察组接受包含奥尔夫音乐疗法的综合康复干预，对照组仅接受常规综合康复干预。分别于干预前后采用孤独症行为量表（Autism Behavior Checklist, ABC）、儿童孤独症评定量表（Childhood Autism Rating Scale, CARS）以及心理教育评定量表第三版（Psycho-educational Profile-3rd edition, PEP-3）进行评估。
研究结果
两组受试者的人口学基线特征无显著差异。在T1、T2、T3三个时间点（T1 vs T2、T2 vs T3、T1 vs T3），两组的感觉、社交互动、语言、CVP、EL、RL、VMI、AE、SR及CARS评分均有显著改善（均p<0.05）。观察组在身体与物体使用维度及FM维度上表现出显著变化，而对照组在上述维度仅出现轻微改善。干预6个月后，两组的社会与自理能力、GM、CMB及CVB评分均显著提升（均p<0.05）。在不同时间区间的干预效果对比中，观察组在感觉、社交互动、语言、CARS评分、EL、RL及SR维度的改善程度显著优于对照组（均p<0.05）。在T1-T2区间，两组在身体与物体使用、CVP、FM、VMI及AE维度的改善程度无显著差异，但在T2-T3及T1-T3区间，观察组的改善程度显著更高（均p<0.05）。两组在社会与自理能力、GM、CMB及CVB维度的改善幅度无显著组间差异。
研究结论
奥尔夫音乐疗法可显著改善孤独症谱系障碍儿童的语言表达、语言理解、社交技能、认知能力、模仿能力、情绪表达及精细运动能力。本研究结果为将奥尔夫音乐疗法作为孤独症谱系障碍儿童的有效干预手段提供了实证支持。