Clinical efficacy observation of repetitive transcranial magnetic stimulation combined with auditory integration training in children with ASD

TL;DR

This study shows that combining rTMS with AIT improves symptoms in children with autism more effectively than rTMS alone.

Contribution

Demonstrates the added clinical benefit of combining rTMS with AIT for treating children with ASD.

Findings

Combined rTMS and AIT significantly improved ABC, CARS, SDQ, and RBS-R scores in children with ASD.

Improvements in emotional and behavioral problems were greater in the combined group compared to rTMS alone.

Results suggest combined therapy is more effective and could be widely applied in clinical settings.

Abstract

Autism spectrum disorder (ASD) has become a major public health issue of global concern and has attracted the attention of researchers in recent years. Due to the high incidence and persistent lifelong dysfunction of children with ASD, exploring active and effective intervention strategies plays a key role in their prognosis. Repetitive transcranial magnetic stimulation (rTMS) and auditory integration training (AIT) are both promising neuromodulation methods and play an important role in clinical intervention in children with ASD. This study aims to explore the clinical effectiveness of rTMS and AIT combined intervention compared with single intervention through randomized controlled experiments, and provide scientific basis for clinical intervention in ASD.

A total of 60 participants with ASD were randomly assigned to the study group (rTMS combined with AIT) and the control group (rTMS) in a 1:1 ratio, with 30 participants in each group. The outcome indicators were the Autism Behavior Checklist (ABC), the Childhood Autism Rating Scale (CARS), the Strengths and Difficulties Questionnaire (SDQ), and the Repetitive Behavior Scale-Revised (RBS-R). Clinical data were collected at baseline and after intervention. Data were processed and analyzed by SPSS.

After 12 weeks of intervention, the total scores of ABC, CARS, SDQ and RBS-R in the two groups were significantly improved compared with those before intervention (P < 0.05). Compared with the control group, after 12 weeks of intervention, the total scores of ABC and CARS, as well as the total scores and some dimensions of SDQ and RBS-R were significantly improved (P < 0.05).

The intervention therapy of rTMS combined with AIT has significant efficacy in children with ASD, which can significantly improve the core symptoms and emotional behavioral problems of children with ASD. This method is worthy of being promoted and applied in clinical practice.

https://www.chictr.org.cn/showproj.html?proj=225665, identifier ChiCTR2400082706.

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