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b
tai
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d
re
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lt
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K
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w
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r
d
s
:
Ad
ap
tatio
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Au
tis
m
Mo
to
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Ph
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s
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d
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p
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Ph
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CC B
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Dep
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I
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(
ASD)
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cr
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ly
attr
ac
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atten
tio
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f
r
esear
ch
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s
an
d
s
p
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in
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d
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t
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s
tati
s
tics
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f
ASD
d
iag
n
o
s
es
in
ch
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r
en
[
1
]
,
[
2
]
.
ASD
is
a
g
r
o
u
p
o
f
n
eu
r
o
d
ev
elo
p
m
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s
ter
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eh
av
io
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[
3
]
.
C
h
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with
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ex
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it
v
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in
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d
eg
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q
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ed
u
ca
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d
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p
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[
4
]
.
A
cr
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ar
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wh
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with
au
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f
ac
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c
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allen
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p
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s
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d
m
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[
1
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R
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d
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tr
ated
t
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at
ch
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r
en
w
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less
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t
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a
n
th
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eu
r
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p
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p
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s
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to
b
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h
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r
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d
m
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to
r
ch
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r
ac
ter
is
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in
clu
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in
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d
if
f
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with
m
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co
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r
d
in
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,
r
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m
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to
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an
d
h
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ten
e
d
s
en
s
o
r
y
s
en
s
itiv
ity
[
5
]
,
[
6
]
.
L
im
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p
h
y
s
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ac
tiv
ity
in
c
r
ea
s
es
th
e
r
is
k
o
f
co
m
o
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b
i
d
co
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d
itio
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s
s
u
ch
as
o
b
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,
d
iab
etes,
an
d
ca
r
d
i
o
v
ascu
lar
d
is
ea
s
es
[
7
]
.
I
n
th
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c
o
n
tex
t,
a
d
ap
tiv
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p
h
y
s
ical
ed
u
ca
tio
n
s
er
v
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as
a
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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I
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J
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Vo
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14
,
No
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4
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Au
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20
25
:
292
1
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2
9
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0
2922
ess
en
tial
to
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at
n
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ly
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p
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esp
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tio
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r
am
s
f
o
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g
r
o
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p
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f
c
h
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f
ac
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s
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ch
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On
e
o
f
th
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m
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n
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s
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es
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s
h
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tag
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o
f
s
p
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s
k
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an
d
q
u
alif
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p
r
o
f
ess
io
n
als
to
wo
r
k
with
c
h
ild
r
en
with
au
tis
m
[
8
]
.
T
h
is
s
h
o
r
t
ag
e
is
p
ar
ticu
la
r
ly
ac
u
te
in
lo
w
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in
co
m
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co
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n
tr
ies,
wh
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e
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u
ca
tio
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al
a
n
d
h
ea
lth
ca
r
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r
eso
u
r
ce
s
ar
e
lim
ited
[
9
]
.
A
c
c
o
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d
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n
g
t
o
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t
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r
n
a
t
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n
v
o
l
v
i
n
g
e
d
u
c
a
t
o
r
s
,
p
s
y
c
h
o
l
o
g
i
s
t
s
,
p
h
y
s
i
o
t
h
e
r
a
p
i
s
ts
,
a
n
d
o
t
h
e
r
s
p
e
c
i
a
l
is
ts
[
1
0
]
.
T
h
e
s
e
p
r
o
g
r
a
m
s
e
n
c
o
m
p
a
s
s
a
r
a
n
g
e
o
f
p
h
y
s
i
c
a
l
e
x
e
r
c
i
s
e
s
t
a
il
o
r
e
d
t
o
t
h
e
i
n
d
i
v
i
d
u
a
l
n
e
e
d
s
o
f
c
h
i
l
d
r
e
n
,
a
i
m
i
n
g
t
o
d
e
v
e
l
o
p
m
o
t
o
r
s
k
i
ll
s
,
i
m
p
r
o
v
e
p
h
y
s
i
c
a
l
f
i
t
n
e
s
s
,
a
n
d
e
n
h
a
n
c
e
s
o
c
i
a
l
s
k
i
l
ls
[
1
1
]
.
H
o
w
e
v
e
r
,
t
h
es
e
s
t
u
d
i
es
a
r
e
o
f
t
e
n
l
i
m
i
t
e
d
b
y
s
m
a
l
l
s
a
m
p
l
e
s
iz
e
s
o
r
l
o
c
a
l
i
z
e
d
r
e
s
e
a
r
c
h
,
w
h
i
c
h
c
o
m
p
l
i
c
a
t
es
t
h
e
g
e
n
e
r
a
l
i
z
at
i
o
n
o
f
r
e
s
u
l
t
s
a
n
d
t
h
e
d
e
v
e
l
o
p
m
e
n
t
o
f
g
l
o
b
a
l
r
e
c
o
m
m
e
n
d
a
t
i
o
n
s
.
T
h
e
r
e
f
o
r
e
,
t
h
e
a
im
o
f
t
h
i
s
s
t
u
d
y
i
s
t
o
p
r
o
v
i
d
e
m
o
r
e
d
e
t
a
i
l
e
d
a
n
d
c
o
m
p
r
e
h
e
n
s
i
v
e
d
a
ta
i
n
t
h
e
f
i
e
l
d
o
f
a
d
a
p
t
i
v
e
p
h
y
s
i
c
al
e
d
u
c
at
i
o
n
f
o
r
c
h
i
l
d
r
e
n
w
i
t
h
a
u
t
is
m
,
w
h
i
ch
,
i
n
t
u
r
n
,
w
i
ll
h
e
l
p
i
m
p
r
o
v
e
t
h
e
q
u
a
l
i
t
y
o
f
l
i
f
e
f
o
r
ch
i
l
d
r
e
n
w
i
t
h
a
u
ti
s
m
a
n
d
t
h
ei
r
f
am
i
l
i
es
a
n
d
f
a
c
i
li
t
at
e
t
h
e
i
r
i
n
t
e
g
r
a
t
i
o
n
i
n
t
o
s
o
ci
e
t
y
.
2.
L
I
T
E
R
AT
U
RE
R
E
VI
E
W
R
esear
ch
in
th
e
f
ield
o
f
ad
ap
t
iv
e
p
h
y
s
ical
ed
u
ca
tio
n
f
o
r
c
h
ild
r
en
with
au
ti
s
m
co
n
tin
u
es
wo
r
ld
wid
e,
r
ev
ea
lin
g
s
ev
er
al
s
ig
n
if
ican
t
tr
en
d
s
.
Stu
d
ies
f
o
cu
s
o
n
th
e
d
ev
elo
p
m
en
t
an
d
im
p
lem
en
tatio
n
o
f
p
r
o
g
r
am
s
aim
ed
at
en
h
an
cin
g
th
e
p
h
y
s
ical,
p
s
y
ch
o
lo
g
ical,
an
d
s
o
cial
well
-
b
ein
g
o
f
ch
ild
r
en
with
au
tis
m
[
1
2
]
.
I
n
ter
n
atio
n
al
p
r
ac
tice
co
m
m
o
n
ly
em
p
lo
y
s
a
m
u
ltid
is
cip
lin
ar
y
a
p
p
r
o
ac
h
,
in
teg
r
at
in
g
p
h
y
s
io
th
er
a
p
y
,
p
s
y
ch
o
lo
g
y
,
an
d
s
p
ec
ial
ed
u
c
atio
n
to
d
esig
n
co
m
p
r
e
h
en
s
iv
e
p
r
o
g
r
am
s
th
at
ad
d
r
ess
th
e
i
n
d
iv
id
u
al
n
ee
d
s
o
f
ea
ch
ch
ild
[
1
3
]
,
[
1
4
]
.
On
e
m
aj
o
r
tr
en
d
is
th
e
in
v
esti
g
atio
n
o
f
th
e
im
p
ac
t o
f
p
h
y
s
ical
ex
er
cis
e
o
n
th
e
b
eh
av
io
r
al
an
d
em
o
tio
n
al
s
tates
o
f
ch
ild
r
en
with
au
tis
m
.
R
esear
ch
h
as
d
em
o
n
s
tr
ated
th
at
r
e
g
u
lar
p
h
y
s
ical
ac
tiv
ity
ca
n
h
elp
r
ed
u
ce
an
x
iety
,
im
p
r
o
v
e
m
o
o
d
,
an
d
in
cr
ea
s
e
s
o
cial
i
n
ter
ac
tio
n
[
1
5
]
–
[
1
7
]
.
Data
in
d
icate
th
at
ch
ild
r
e
n
with
au
tis
m
p
ar
ticip
atin
g
in
a
d
ap
tiv
e
p
h
y
s
ical
e
d
u
ca
tio
n
p
r
o
g
r
am
s
s
h
o
w
b
etter
r
esu
lts
in
s
o
cial
in
ter
ac
tio
n
an
d
c
o
m
m
u
n
icatio
n
s
k
ills
co
m
p
ar
ed
to
th
o
s
e
n
o
t
in
v
o
lv
ed
in
s
u
ch
p
r
o
g
r
am
s
[
1
8
]
,
[
1
9
]
.
I
t
h
as
b
ee
n
o
b
s
er
v
ed
th
at
o
p
tim
al
e
f
f
ec
tiv
en
ess
is
ac
h
iev
ed
t
h
r
o
u
g
h
th
e
u
s
e
o
f
s
tr
u
ctu
r
ed
p
r
o
g
r
am
s
th
at
i
n
clu
d
e
b
o
th
g
r
o
u
p
an
d
in
d
iv
id
u
al
ac
tiv
ities
,
h
ig
h
lig
h
t
in
g
th
e
im
p
o
r
tan
ce
o
f
a
p
er
s
o
n
alize
d
ap
p
r
o
ac
h
[
2
0
]
.
Stu
d
ie
s
h
av
e
s
h
o
wn
th
at
ASD
en
co
m
p
ass
es
p
o
o
r
m
o
to
r
co
o
r
d
in
atio
n
,
lo
w
m
u
s
cle
to
n
e,
an
d
d
if
f
icu
lties
in
p
er
f
o
r
m
in
g
co
m
p
lex
m
o
to
r
task
s
[
2
1
]
,
[
2
2
]
.
T
o
a
d
d
r
ess
th
ese
is
s
u
es,
s
p
ec
ialized
ex
er
cises
aim
ed
at
d
e
v
elo
p
in
g
m
o
to
r
s
k
ills
an
d
im
p
r
o
v
in
g
o
v
er
all
p
h
y
s
ical
f
itn
ess
ar
e
r
ec
o
m
m
en
d
ed
.
T
h
is
u
n
d
er
s
co
r
es
th
e
im
p
o
r
ta
n
ce
o
f
cr
ea
tin
g
a
s
af
e
an
d
s
u
p
p
o
r
tiv
e
e
n
v
ir
o
n
m
en
t w
h
e
r
e
ch
ild
r
en
ca
n
d
ev
el
o
p
th
eir
s
k
ills
with
o
u
t f
ea
r
o
f
f
ailu
r
e
o
r
ju
d
g
m
en
t
[
2
3
]
.
Desp
ite
th
e
p
o
s
itiv
e
r
esu
lts
o
f
v
ar
i
o
u
s
s
tu
d
ies,
s
ev
er
al
l
im
itatio
n
s
h
av
e
b
ee
n
id
en
tifi
ed
in
th
e
liter
atu
r
e.
On
e
o
f
th
ese
is
t
h
e
in
s
u
f
f
ic
ien
t
r
ep
r
esen
tativ
e
n
ess
o
f
th
e
s
am
p
les.
Ma
n
y
s
tu
d
ies
h
av
e
b
ee
n
co
n
d
u
cte
d
with
s
m
all
g
r
o
u
p
s
o
f
au
tis
tic
ch
ild
r
e
n
,
wh
ich
co
m
p
licates
th
e
g
en
er
aliza
tio
n
o
f
r
esu
lts
an
d
lim
its
th
eir
ap
p
licab
ilit
y
.
Ad
d
itio
n
ally
,
th
er
e
is
a
lack
o
f
r
esear
c
h
f
o
cu
s
in
g
o
n
th
e
lo
n
g
-
ter
m
ef
f
ec
ts
o
f
ad
ap
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
.
Mo
s
t
cu
r
r
en
t
s
tu
d
ies
co
n
ce
n
tr
ate
o
n
s
h
o
r
t
-
ter
m
o
u
tco
m
es,
s
u
ch
as
im
p
r
o
v
em
e
n
ts
in
p
h
y
s
ical
in
d
icato
r
s
an
d
b
e
h
av
io
r
o
v
e
r
a
f
ew
m
o
n
th
s
,
w
h
ich
lim
its
th
e
ab
ilit
y
to
ass
ess
th
e
f
u
ll
b
e
n
ef
its
o
f
th
ese
p
r
o
g
r
am
s
.
T
h
er
ef
o
r
e,
th
er
e
is
a
n
ee
d
f
o
r
m
o
r
e
ex
ten
s
iv
e
an
d
lo
n
g
-
ter
m
r
esear
c
h
.
An
o
th
er
s
ig
n
if
ican
t
asp
ec
t
is
th
e
s
h
o
r
tag
e
o
f
q
u
ali
f
ied
s
p
ec
ialis
ts
ca
p
ab
le
o
f
wo
r
k
in
g
with
au
tis
tic
ch
ild
r
en
in
p
h
y
s
ical
ed
u
ca
tio
n
[
2
4
]
.
I
t
h
as
b
ee
n
o
b
s
er
v
ed
th
at
m
an
y
tr
ain
er
s
an
d
in
s
tr
u
cto
r
s
lack
s
u
f
f
icien
t
ex
p
er
ien
ce
an
d
k
n
o
wled
g
e
to
ef
f
ec
tiv
ely
a
d
ap
t
p
r
o
g
r
am
s
t
o
th
e
n
ee
d
s
o
f
ch
ild
r
en
with
au
t
is
m
,
m
e
an
in
g
th
at
ev
en
well
-
d
esig
n
ed
p
r
o
g
r
am
s
m
ay
n
o
t
y
ield
th
e
ex
p
ec
ted
r
esu
lts
d
u
e
to
s
taf
f
in
ad
eq
u
ac
ies
[
2
5
]
,
[
2
6
]
.
T
h
is
u
n
d
er
s
c
o
r
es
th
e
n
ee
d
f
o
r
en
h
an
ce
d
tr
ain
in
g
a
n
d
q
u
alif
ic
atio
n
o
f
p
r
o
f
ess
io
n
als wo
r
k
i
n
g
in
th
is
f
ield
.
I
n
co
n
clu
s
io
n
,
d
esp
ite
s
ig
n
if
i
ca
n
t
p
r
o
g
r
ess
in
s
tu
d
y
in
g
an
d
d
ev
elo
p
in
g
ad
ap
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
p
r
o
g
r
a
m
s
f
o
r
c
h
ild
r
en
with
ASD,
th
is
f
ield
r
e
m
ain
s
an
ar
ea
f
o
r
ac
tiv
e
r
esear
ch
.
Fu
r
t
h
er
in
v
esti
g
atio
n
is
r
eq
u
ir
ed
in
to
e
f
f
ec
tiv
e
m
et
h
o
d
o
lo
g
ies,
t
h
eir
ad
a
p
tatio
n
t
o
v
ar
io
u
s
ag
e
g
r
o
u
p
s
an
d
cu
ltu
r
es,
an
d
th
e
d
ev
elo
p
m
e
n
t
o
f
tr
ain
in
g
p
r
o
g
r
am
s
f
o
r
s
p
ec
ialis
ts
.
On
ly
a
co
m
p
r
eh
e
n
s
iv
e
ap
p
r
o
a
ch
th
at
co
n
s
id
er
s
all
th
ese
asp
ec
ts
will
cr
ea
te
ef
f
e
ctiv
e
a
n
d
s
u
s
tain
ab
le
m
o
d
els
o
f
ad
a
p
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
,
e
n
h
an
cin
g
th
e
q
u
ality
o
f
life
f
o
r
ch
ild
r
en
with
ASD
an
d
f
ac
ilit
atin
g
th
eir
in
teg
r
atio
n
in
to
s
o
ciety
.
T
h
e
m
o
tiv
atio
n
f
o
r
co
n
d
u
ctin
g
th
is
n
ew
s
tu
d
y
is
d
r
i
v
en
b
y
s
ev
er
al
k
ey
f
ac
to
r
s
th
at
u
n
d
e
r
s
co
r
e
th
e
n
ee
d
f
o
r
a
m
o
r
e
in
-
d
ep
th
in
v
esti
g
atio
n
an
d
d
ev
elo
p
m
en
t
o
f
ef
f
ec
tiv
e
m
eth
o
d
o
lo
g
ies
in
th
is
f
ield
.
Firstl
y
,
d
esp
ite
th
e
in
cr
ea
s
in
g
n
u
m
b
er
o
f
s
tu
d
ies o
n
ad
a
p
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
f
o
r
ch
ild
r
en
with
ASD,
th
er
e
is
a
lack
o
f
c
o
m
p
r
e
h
en
s
iv
e
a
n
d
lo
n
g
-
te
r
m
d
ata
th
at
co
u
ld
p
r
o
v
id
e
a
t
h
o
r
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Tech
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ye
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w
ith
a
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tis
m
… (
Tu
leg
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ta
g
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r
iyev
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2923
i)
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o
ex
am
in
e
t
h
e
ch
ar
ac
te
r
is
tics
o
f
th
e
p
h
y
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ical
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ev
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f
ch
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ag
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7
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s
with
ASD
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ii)
T
o
ass
ess
th
e
ex
ten
t o
f
m
o
to
r
ab
ilit
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ch
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en
ag
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7
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y
ea
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s
with
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.
iii)
T
o
d
ev
elo
p
a
tech
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o
g
y
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r
en
h
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tio
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ch
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with
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an
d
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ir
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v
alid
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tiv
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.
3.
M
E
T
H
O
D
3
.
1
.
Resea
rc
h
des
ig
n a
nd
pa
rt
icipa
nts
T
h
e
s
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y
was
co
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d
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cted
d
u
r
in
g
th
e
2
0
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3
-
2
0
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4
ac
ad
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m
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y
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r
.
T
h
e
f
ir
s
t
p
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ase
(
Sep
tem
b
er
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b
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2
0
2
3
)
in
v
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is
o
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s
cien
tific
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d
m
eth
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th
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4
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,
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tics
o
f
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d
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(
1
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a
ls
f
r
o
m
th
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Neu
r
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r
r
ec
tio
n
C
en
ter
“
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r
k
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ai
”
)
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d
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m
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y
1
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a
l
l
l
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ss
o
n
s
B
a
l
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m
e
s:
b
a
l
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a
ssi
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n
p
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t
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B
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1
.
2
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K
i
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k
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t
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b
a
l
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:
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k
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k
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w
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l
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mb
s
.
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v
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p
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o
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B
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g
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r
-
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n
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me
d
i
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1
.
3
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t
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s:
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me
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2
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mu
s
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p
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M
a
r
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c
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s:
t
r
a
m
p
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n
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j
u
m
p
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st
a
t
i
o
n
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w
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k
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g
,
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y
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l
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/
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p
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.
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e
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m
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sc
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st
r
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g
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c
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d
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t
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2
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1
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a
r
c
h
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a
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h
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p
l
a
c
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a
n
d
f
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r
w
a
r
d
:
m
a
r
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w
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c
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d
k
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l
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f
t
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d
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r
m
mo
v
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m
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t
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e
v
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m
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a
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mo
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g
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2
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2
Tr
a
mp
o
l
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j
u
mp
s
Tr
a
mp
o
l
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n
e
j
u
mp
s
:
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e
p
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a
t
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d
a
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s.
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e
d
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c
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n
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r
med
i
a
t
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2
.
3
Ju
m
p
i
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Ju
m
p
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p
l
a
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:
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n
t
w
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,
p
r
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n
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t
o
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f
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m
o
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w
a
r
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a
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a
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k
w
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3
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h
a
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n
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f
b
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i
l
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B
a
l
a
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i
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3
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1
W
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k
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k
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s
:
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c
h
,
w
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2
C
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f
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b
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k
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:
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s m
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a
t
i
v
e
p
l
a
y
:
f
o
r
e
x
a
m
p
l
e
,
“
f
l
y
i
n
g
l
i
k
e
a
n
a
i
r
p
l
a
n
e
,
”
“
j
u
m
p
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l
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k
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b
u
n
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y
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”
D
e
v
e
l
o
p
m
e
n
t
o
f
i
ma
g
i
n
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d
m
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t
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s
k
i
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l
s
B
e
g
i
n
n
e
r
-
i
n
t
e
r
me
d
i
a
t
e
6
S
t
e
p
p
i
n
g
o
r
j
u
m
p
i
n
g
P
r
o
g
r
e
ss
i
v
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t
a
s
k
c
o
m
p
l
e
x
i
t
y
:
e
n
t
e
r
i
n
g
a
b
o
x
,
p
e
r
f
o
r
m
i
n
g
l
o
c
o
mo
t
i
o
n
se
q
u
e
n
c
e
s,
i
n
c
r
e
a
si
n
g
b
o
x
d
e
p
t
h
.
D
e
v
e
l
o
p
m
e
n
t
o
f
c
o
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n
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t
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o
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d
m
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v
e
me
n
t
p
l
a
n
n
i
n
g
I
n
t
e
r
med
i
a
t
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-
a
d
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n
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d
3
.
2
.
M
ea
s
urem
ent
s
a
nd
da
t
a
a
na
ly
s
is
B
o
d
y
len
g
th
(
cm
)
was
r
ec
o
r
d
ed
u
s
in
g
a
s
tad
io
m
eter
(
R
M
-
1
“
Diak
o
m
”
)
.
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o
d
y
weig
h
t
(
k
g
)
was
m
ea
s
u
r
ed
with
elec
tr
o
n
ic
s
ca
les
(
VE
M
-
1
5
0
“
Ma
s
s
a
–
(
A1
)
”
)
.
C
h
est
cir
cu
m
f
e
r
en
ce
was
ass
ess
ed
at
m
ax
im
u
m
in
s
p
ir
atio
n
an
d
c
o
m
p
lete
ex
p
ir
atio
n
.
L
u
n
g
v
ital
ca
p
ac
ity
(
L
VC
)
(
m
l)
was
d
eter
m
in
ed
u
s
in
g
a
p
o
r
tab
le
d
r
y
s
p
ir
o
m
eter
(
SS
P).
T
h
e
d
eg
r
ee
o
f
m
o
to
r
s
k
ill
d
ev
elo
p
m
e
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t
in
ch
ild
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en
ag
ed
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y
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s
with
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s
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aly
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d
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ased
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th
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m
o
to
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r
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ess
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h
is
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e
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r
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o
r
d
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g
p
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s
tr
en
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th
q
u
alities
,
an
d
s
tatic
e
n
d
u
r
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n
ce
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g
ain
s
t
f
atig
u
e
.
T
h
e
m
u
s
cle
p
o
wer
o
f
th
e
h
an
d
w
as
m
ea
s
u
r
ed
with
a
h
an
d
d
y
n
a
m
o
m
eter
(
DR
P
-
9
0
)
.
Static
s
tr
en
g
th
(
SS
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was
ass
ess
ed
u
s
in
g
a
s
tan
d
in
g
d
y
n
a
m
o
m
eter
(
DS
-
2
0
0
)
.
Sp
ee
d
was
ev
alu
ate
d
b
y
m
ea
s
u
r
in
g
th
e
f
r
e
q
u
en
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y
o
f
m
ax
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m
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m
s
tep
s
d
u
r
in
g
a
5
-
s
ec
o
n
d
s
tatio
n
ar
y
r
u
n
n
in
g
test
.
Sp
ee
d
-
s
tr
en
g
th
q
u
alities
wer
e
d
eter
m
in
ed
b
y
ju
m
p
d
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tan
ce
f
r
o
m
a
s
tan
d
in
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p
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itio
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d
is
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o
f
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1
k
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m
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icin
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b
all
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w.
Static
b
alan
ce
was
ass
ess
ed
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y
th
e
tim
e
o
f
m
ain
tain
in
g
b
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c
e
wh
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d
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n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
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J
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14
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Au
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Data
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s
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icato
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e
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e
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ter
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lem
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r
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m
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ar
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ep
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eth
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tically
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ig
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RE
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L
T
S AN
D
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p
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aselin
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o
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p
h
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p
m
en
t
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d
m
o
t
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ab
ilit
ies
in
ch
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en
ag
e
d
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-
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r
s
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.
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h
e
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ata
in
d
icate
th
at,
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ter
m
s
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ig
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m
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d
m
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4
C
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r
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5
C
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4
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4
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6
C
h
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p
a
n
s
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n
(
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m)
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1
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0
1
7
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t
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g
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g
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t
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n
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(
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)
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5
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4
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1
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4
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0
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0
0
1
8
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t
r
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n
g
t
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o
f
t
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e
l
e
f
t
h
a
n
d
(
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LH
)
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3
4
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5
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7
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4
5
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7
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4
8
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8
1
9
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6
<
0
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0
0
1
10
N
u
mb
e
r
o
f
st
e
p
s
i
n
p
l
a
c
e
r
u
n
n
i
n
g
f
o
r
5
se
c
o
n
d
s
1
7
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7
2
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1
1
3
.
2
3
.
1
-
3
4
.
1
9
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8
4
<
0
.
0
1
11
S
t
a
n
d
i
n
g
l
o
n
g
j
u
m
p
(
cm
)
1
3
2
.
1
1
5
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4
5
9
.
4
2
2
.
4
-
1
2
2
.
3
1
8
.
9
1
<
0
.
0
0
1
12
Th
r
o
w
d
i
st
a
n
c
e
o
f
a
1
k
g
me
d
i
c
i
n
e
b
a
l
l
(
cm
)
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0
9
.
4
4
7
.
5
1
8
6
.
4
2
0
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9
-
6
5
.
9
1
7
.
6
2
<
0
.
0
0
1
13
S
t
a
t
i
c
b
a
l
a
n
c
e
o
n
t
h
e
l
e
f
t
f
o
o
t
(
se
c
)
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.
1
1
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9
3
.
1
1
.
6
-
9
6
.
7
1
5
.
4
<
0
.
0
0
1
T
h
e
ab
s
o
lu
te
L
VC
f
o
r
ch
ild
r
e
n
with
ASD
was
8
3
0
.
1
m
l,
co
m
p
ar
ed
to
1
5
7
0
m
l
f
o
r
g
en
e
r
a
l
ed
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ca
tio
n
s
tu
d
en
ts
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r
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ltin
g
in
a
r
elativ
e
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r
ea
s
e
o
f
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8
9
.
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%.
T
h
e
u
n
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er
ly
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g
f
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to
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s
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o
r
th
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ar
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eter
s
in
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ild
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e
n
with
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in
clu
d
e
d
if
f
icu
lties
in
v
o
lu
n
tar
y
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n
tr
o
l
o
f
th
e
b
r
e
ath
in
g
ac
t,
f
r
eq
u
en
t
b
r
ea
th
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o
l
d
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g
,
an
d
ir
r
eg
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lar
an
d
u
n
s
tead
y
b
r
ea
th
i
n
g
p
atter
n
s
.
T
h
e
d
if
f
e
r
en
ce
s
in
L
VC
ar
e
s
tatis
tically
n
o
t
s
ig
n
if
ican
t
(
p
>0
.
0
5
)
.
R
eg
ar
d
in
g
h
an
d
s
tr
en
g
th
,
s
tu
d
en
ts
with
ASD
lag
b
eh
in
d
g
en
er
al
e
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u
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atio
n
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tu
d
en
ts
b
y
1
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g
in
r
i
g
h
t
-
h
an
d
s
tr
en
g
th
an
d
8
.
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k
g
in
lef
t
-
h
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d
s
tr
en
g
t
h
,
c
o
r
r
esp
o
n
d
in
g
to
r
elativ
e
in
cr
ea
s
es o
f
1
7
5
.
1
% a
n
d
-
1
7
9
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1
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r
esp
ec
tiv
ely
.
Fo
r
SS
,
ch
ild
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en
with
ASD
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e
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eh
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d
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eir
h
ea
lth
y
p
ee
r
s
b
y
2
5
.
9
k
g
,
wh
ich
r
e
p
r
esen
ts
a
r
elativ
e
in
cr
ea
s
e
o
f
1
4
8
.
8
%.
Do
m
in
an
t
f
ac
to
r
s
c
o
n
tr
ib
u
ti
n
g
to
th
is
s
itu
atio
n
in
clu
d
e
d
if
f
icu
lty
in
m
ain
tain
in
g
p
o
s
tu
r
e
wh
ile
s
ea
ted
,
d
if
f
icu
lty
in
h
o
l
d
in
g
a
p
en
,
an
d
r
ap
id
h
a
n
d
f
atig
u
e
d
u
r
in
g
wr
itin
g
.
T
h
e
d
if
f
e
r
en
ce
s
in
h
an
d
an
d
SS
ar
e
s
tatis
t
ically
s
ig
n
if
ican
t
(
p
<0
.
0
0
1
)
.
R
eg
ar
d
in
g
th
e
n
u
m
b
er
o
f
s
t
ep
s
tak
en
d
u
r
in
g
a
5
-
s
ec
o
n
d
s
tatio
n
ar
y
r
u
n
n
in
g
test
,
wh
ich
r
ef
lects
th
e
s
p
ee
d
o
f
s
tu
d
en
ts
with
ASD,
th
e
ab
s
o
lu
te
v
alu
es
f
o
r
th
ese
s
tu
d
en
ts
ar
e
4
.
5
s
tep
s
lo
wer
co
m
p
ar
ed
to
th
eir
g
e
n
er
al
e
d
u
ca
tio
n
p
ee
r
s
,
r
esu
ltin
g
i
n
a
r
elativ
e
d
ec
r
ea
s
e
o
f
-
3
4
.
1
%.
T
h
e
d
i
f
f
er
en
ce
s
ar
e
s
tatis
t
ically
s
ig
n
if
ican
t
(
p
<0
.
0
0
1
)
.
T
h
is
is
attr
ib
u
ted
to
in
s
u
f
f
icien
t
s
tr
en
g
th
a
n
d
m
o
b
il
ity
o
f
n
e
u
r
o
lo
g
ical
p
r
o
ce
s
s
es,
as
well
a
s
co
g
n
itiv
e
im
p
air
m
en
ts
in
th
ese
ch
ild
r
e
n
.
I
n
th
e
s
tan
d
in
g
lo
n
g
j
u
m
p
,
ch
ild
r
en
with
ASD
lag
b
eh
in
d
th
eir
p
ee
r
s
f
r
o
m
g
en
er
al
ed
u
c
atio
n
s
ch
o
o
ls
b
y
7
2
.
7
cm
in
a
b
s
o
lu
te
ter
m
s
,
wh
i
ch
co
r
r
esp
o
n
d
s
t
o
a
r
elativ
e
in
cr
ea
s
e
o
f
1
2
2
.
3
%.
T
h
e
d
if
f
er
en
ce
s
ar
e
s
tatis
tically
s
ig
n
if
ican
t
(
p
<0
.
0
0
1
)
.
T
h
e
lo
wer
p
er
f
o
r
m
a
n
ce
in
th
is
test
is
ex
p
lain
ed
b
y
s
ev
er
a
l
f
ac
to
r
s
.
Fro
m
t
h
e
o
u
ts
et,
th
e
te
s
t
was
ch
allen
g
in
g
f
o
r
ch
ild
r
en
with
ASD,
wh
o
d
is
p
lay
ed
in
s
tab
ilit
y
in
th
eir
s
tan
ce
.
T
h
ey
g
en
er
ally
m
ad
e
litt
le
ef
f
o
r
t
to
p
er
f
o
r
m
th
e
j
u
m
p
,
with
n
o
o
b
s
er
v
a
b
le
ac
tiv
e
leg
th
r
u
s
ts
,
an
d
lac
k
ed
c
o
o
r
d
in
atio
n
in
th
ei
r
ar
m
a
n
d
le
g
m
o
v
e
m
en
ts
r
eq
u
ir
e
d
f
o
r
th
e
task
.
A
s
im
ilar
s
i
tu
atio
n
was
o
b
s
er
v
ed
in
th
e
m
ed
icin
e
b
all
th
r
o
w
test
wi
th
a
1
k
g
weig
h
t.
I
n
ab
s
o
lu
te
ter
m
s
,
s
tu
d
en
ts
with
ASD
lag
g
ed
b
eh
in
d
th
eir
h
ea
lth
y
p
e
er
s
b
y
1
2
3
cm
,
wh
ich
c
o
r
r
es
p
o
n
d
s
to
a
r
elativ
e
d
ec
r
ea
s
e
o
f
-
6
5
.
9
%.
T
h
e
r
esu
lt
f
o
r
th
is
test
wa
s
r
elativ
ely
b
etter
co
m
p
ar
e
d
to
th
e
s
tan
d
in
g
lo
n
g
ju
m
p
.
T
h
e
d
if
f
er
en
ce
s
in
b
o
th
test
s
ar
e
s
tatis
t
ically
s
ig
n
if
ican
t
(
p
<0
.
0
0
1
)
.
I
n
th
e
s
tatic
b
alan
ce
te
s
t
o
n
th
e
lef
t
f
o
o
t,
s
tu
d
en
ts
with
ASD
f
ell
s
h
o
r
t
o
f
th
eir
g
e
n
er
al
ed
u
ca
tio
n
p
ee
r
s
b
y
3
s
ec
o
n
d
s
,
co
r
r
esp
o
n
d
in
g
to
a
r
elativ
e
d
ec
r
ea
s
e
o
f
-
9
6
.
7
%.
T
h
e
d
if
f
e
r
en
ce
s
ar
e
s
tatis
tically
s
ig
n
if
ican
t
(
p
<
0
.
0
0
1
)
.
T
h
ese
r
esu
lts
a
r
e
ex
p
lain
e
d
b
y
t
h
e
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t
J
E
v
al
&
R
es E
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SS
N:
2252
-
8
8
2
2
Tech
n
o
lo
g
y
o
f a
d
a
p
tive
p
h
ysica
l e
d
u
ca
tio
n
fo
r
ch
ild
r
en
a
g
e
d
7
-
9
ye
a
r
s
w
ith
a
u
tis
m
… (
Tu
leg
en
B
o
ta
g
a
r
iyev
)
2925
d
if
f
icu
lty
ch
ild
r
e
n
with
ASD
ex
p
er
ien
ce
in
m
ain
tain
i
n
g
b
al
an
ce
o
n
th
e
lef
t
f
o
o
t,
wh
ich
is
r
elate
d
to
s
p
atial
o
r
ien
tatio
n
c
h
allen
g
es.
T
h
eir
u
n
d
er
d
ev
elo
p
e
d
d
aily
liv
in
g
a
n
d
wo
r
k
-
r
elate
d
s
k
ills
ar
e
attr
i
b
u
ted
to
d
if
f
icu
lties
in
co
o
r
d
in
atio
n
.
B
ased
o
n
th
e
af
o
r
em
e
n
tio
n
ed
r
esu
lts
,
we
h
av
e
d
ev
elo
p
e
d
a
tech
n
o
lo
g
y
f
o
r
en
h
a
n
cin
g
ad
ap
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
f
o
r
ch
ild
r
en
a
g
ed
7
-
9
y
ea
r
s
with
ASD
.
C
o
n
s
id
er
in
g
th
e
id
en
t
if
ied
d
ef
icien
cies
in
p
h
y
s
ical
d
ev
elo
p
m
en
t
an
d
m
o
to
r
s
k
ills
,
th
is
tech
n
o
l
o
g
y
in
co
r
p
o
r
ates
elem
en
ts
o
f
s
wim
m
in
g
a
n
d
g
en
er
al
d
ev
elo
p
m
e
n
tal
an
d
h
ea
lth
-
o
r
ien
ted
ex
er
cises
.
Fo
r
s
wim
m
in
g
s
ess
io
n
s
,
we
em
p
lo
y
ed
s
p
ec
ialized
eq
u
ip
m
e
n
t.
W
e
u
s
ed
ass
o
ciativ
e
-
ty
p
e
b
o
ar
d
s
th
at
we
p
r
ep
ar
ed
,
in
clu
d
i
n
g
d
esig
n
s
s
u
ch
as
a
f
is
h
with
b
u
b
b
l
es,
a
wh
ale
with
a
f
o
u
n
tain
,
a
d
o
lp
h
i
n
,
a
f
r
o
g
,
a
tu
r
tle,
an
d
a
r
o
ck
et
(
s
tan
d
ar
d
s
wim
m
in
g
b
o
ar
d
s
ize:
3
2
×
2
5
cm
)
.
As
p
r
ev
io
u
s
ly
n
o
te
d
,
ch
ild
r
en
with
th
ese
co
n
d
itio
n
s
o
f
ten
e
x
h
ib
it
im
p
r
o
p
er
b
r
ea
th
in
g
.
Ad
d
itio
n
al
ly
,
th
ese
ch
ild
r
en
s
h
o
wed
r
ed
u
ce
d
r
esu
lts
in
p
ar
am
eter
s
s
u
ch
as
“L
VC
,
”
“
ch
est
cir
cu
m
f
e
r
en
ce
,
”
an
d
“
ch
est
ex
cu
r
s
io
n
.
”
Swim
m
in
g
eq
u
ip
m
en
t:
t
h
e
“
f
r
o
g
”
b
o
ar
d
was
u
tili
ze
d
to
t
r
ain
th
e
lo
wer
lim
b
s
in
t
h
e
b
r
ea
s
ts
tr
o
k
e.
T
h
e
p
ar
ticip
an
t p
er
f
o
r
m
ed
l
o
co
m
o
tio
n
with
th
e
lo
wer
lim
b
s
in
a
m
an
n
er
s
im
ilar
to
th
at
o
f
a
f
r
o
g
.
R
ed
u
ce
d
r
esu
lts
wer
e
also
o
b
s
er
v
ed
in
t
h
e
s
p
ee
d
o
f
th
es
e
ch
ild
r
en
.
T
o
a
d
d
r
ess
task
s
aim
ed
at
im
p
r
o
v
in
g
s
p
ee
d
,
we
u
s
ed
th
e
“
tu
r
tle
”
an
d
“
r
o
ck
et
”
s
wim
m
in
g
b
o
ar
d
s
.
T
h
e
“
t
u
r
tle
”
b
o
ar
d
was
em
p
lo
y
ed
to
p
r
o
m
o
te
a
s
lo
w
ex
ec
u
tio
n
o
f
task
s
,
wh
ile
th
e
“
r
o
ck
et
”
b
o
ar
d
was
u
s
ed
f
o
r
ex
er
cise
s
r
eq
u
ir
in
g
q
u
ick
ex
ec
u
tio
n
.
Du
r
in
g
th
e
p
e
r
io
d
f
r
o
m
No
v
em
b
er
2
0
2
3
to
Ma
r
ch
2
0
2
4
,
th
e
s
wim
m
in
g
p
r
o
f
i
cien
cy
o
f
c
h
ild
r
en
with
ASD
im
p
r
o
v
ed
ac
r
o
s
s
s
ev
er
al
p
ar
am
eter
s
:
im
m
er
s
io
n
with
ex
h
alatio
n
,
g
lid
in
g
o
n
th
e
ch
est
with
lo
wer
lim
b
m
o
v
em
en
t,
an
d
g
lid
in
g
o
n
th
e
ch
est
with
p
r
o
p
er
b
r
ea
t
h
in
g
tech
n
iq
u
e.
T
ab
le
3
p
r
ese
n
ts
th
e
d
y
n
am
ics
o
f
p
h
y
s
ical
d
ev
elo
p
m
en
t
an
d
m
o
to
r
ab
ilit
ies
f
o
r
ch
ild
r
en
a
g
ed
7
-
9
with
ASD
an
d
th
o
s
e
f
r
o
m
a
g
en
er
al
ed
u
ca
tio
n
s
ch
o
o
l
p
o
s
t
-
in
ter
v
en
tio
n
.
T
h
e
d
ata
i
n
d
icate
p
o
s
itiv
e
ch
a
n
g
e
s
am
o
n
g
ASD
s
tu
d
en
ts
.
Alth
o
u
g
h
n
o
s
ig
n
if
ica
n
t
ch
an
g
es
wer
e
o
b
s
er
v
e
d
in
h
ei
g
h
t
an
d
b
o
d
y
weig
h
t,
s
u
b
s
tan
tial
im
p
r
o
v
em
e
n
ts
wer
e
n
o
ted
s
tar
tin
g
f
r
o
m
th
e
p
ar
am
eter
o
f
L
VC
.
No
tab
ly
,
t
h
e
r
elativ
e
in
cr
ea
s
e
in
L
VC
im
p
r
o
v
e
d
f
r
o
m
-
8
9
.
1
%
to
-
5
6
.
3
%
wh
en
co
m
p
ar
in
g
ch
ild
r
en
with
ASD
to
th
eir
t
y
p
ically
d
e
v
elo
p
in
g
p
ee
r
s
.
T
h
is
in
d
icate
s
a
s
ig
n
if
ican
t
r
e
d
u
ctio
n
i
n
th
e
g
ap
b
etwe
en
th
ese
g
r
o
u
p
s
,
an
ac
h
iev
em
en
t
co
n
f
ir
m
e
d
b
y
a
s
tatis
tica
lly
s
ig
n
if
ican
t
d
if
f
er
en
ce
(
p
<0
.
0
0
1
)
.
Me
asu
r
em
en
ts
o
f
ch
est
cir
cu
m
f
er
en
ce
d
u
r
in
g
in
h
alatio
n
a
n
d
ex
h
alatio
n
,
as
well
as
ch
es
t
ex
cu
r
s
io
n
,
s
h
o
wed
th
at
th
e
g
a
p
s
in
r
elativ
e
in
cr
ea
s
es
b
etwe
en
ch
ild
r
en
with
ASD
an
d
th
eir
p
ee
r
s
wer
e
n
o
tab
ly
r
e
d
u
ce
d
.
T
h
e
in
cr
ea
s
e
in
th
ese
p
ar
am
eter
s
r
ef
lects
an
en
h
a
n
ce
m
en
t
in
c
h
e
s
t
d
ev
elo
p
m
e
n
t
an
d
lu
n
g
v
en
ti
latio
n
ca
p
ab
ilit
ies.
R
elativ
e
im
p
r
o
v
em
en
ts
in
g
r
i
p
s
tr
en
g
th
(
b
o
t
h
r
ig
h
t
an
d
lef
t
h
an
d
s
)
an
d
SS
also
s
h
o
w
p
o
s
itiv
e
tr
en
d
s
.
T
h
ese
r
esu
lts
in
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tan
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ically
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N
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m
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T
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s
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p
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Evaluation Warning : The document was created with Spire.PDF for Python.
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2926
im
p
r
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v
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ts
in
th
e
p
ar
ticip
an
ts
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p
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f
u
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m
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h
av
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f
p
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ac
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n
ch
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r
en
with
a
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m
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r
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v
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r
all
p
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f
itn
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d
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e
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d
d
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ty
p
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b
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av
io
r
s
[
1
6
]
,
[
2
7
]
–
[
2
9
]
.
T
h
e
d
ata
s
h
o
win
g
s
u
b
s
tan
tia
l
in
cr
ea
s
es
in
L
VC
,
im
p
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o
v
ed
h
a
n
d
s
tr
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g
th
,
an
d
o
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ll
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d
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ter
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ly
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alig
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with
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tu
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ies
d
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in
g
th
e
b
en
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icial
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f
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ts
o
f
p
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ato
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am
eter
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an
d
g
en
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al
p
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[
3
0
]
.
Ho
wev
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r
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r
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v
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tim
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li
[
3
1
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d
m
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to
r
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tr
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l
[
3
2
]
–
[
3
4
]
.
T
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h
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p
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r
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aid
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im
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m
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d
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ch
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n
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p
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in
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f
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m
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wh
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ely
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s
u
f
f
i
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en
s
itiv
ity
[
3
5
]
,
[
3
6
]
.
E
x
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s
u
ch
as
tr
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ju
m
p
s
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all
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tem
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p
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a
n
x
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ter
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av
io
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s
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Mo
to
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th
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p
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m
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r
s
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r
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d
e
v
elo
p
a
u
to
m
ated
m
o
to
r
p
atter
n
s
[
3
7
]
,
[
3
8
]
.
T
h
e
p
o
s
itiv
e
ch
an
g
es
o
b
s
er
v
ed
in
co
o
r
d
in
atio
n
a
n
d
s
tr
en
g
th
s
u
p
p
o
r
t
t
h
is
th
eo
r
y
,
s
u
g
g
esti
n
g
th
at
r
eg
u
lar
,
tar
g
eted
p
h
y
s
ical
ac
tiv
ity
ca
n
co
n
tr
ib
u
t
e
to
th
e
d
ev
elo
p
m
en
t o
f
m
o
r
e
p
r
ec
is
e
an
d
co
o
r
d
in
ated
m
o
v
e
m
en
ts
.
T
h
e
p
r
im
ar
y
lim
itatio
n
o
f
th
is
s
tu
d
y
is
th
e
s
m
all
s
am
p
le
s
ize,
wh
ich
m
ay
r
ed
u
ce
th
e
g
en
e
r
aliza
b
ilit
y
o
f
th
e
r
esu
lts
.
T
h
e
lim
ited
n
u
m
b
er
o
f
p
ar
ticip
a
n
ts
m
ig
h
t
n
o
t
b
e
r
e
p
r
esen
tativ
e
o
f
th
e
b
r
o
ad
er
p
o
p
u
latio
n
o
f
c
h
ild
r
en
with
au
tis
m
,
th
er
eb
y
co
n
s
tr
ain
in
g
t
h
e
a
b
ilit
y
to
id
en
tify
g
e
n
er
al
p
atter
n
s
.
An
o
th
e
r
lim
itatio
n
is
th
e
ab
s
en
ce
o
f
a
c
o
n
tr
o
l
g
r
o
u
p
.
I
n
th
is
s
tu
d
y
,
all
ch
ild
r
en
p
ar
ticip
ated
in
th
e
ad
ap
te
d
p
h
y
s
ical
ed
u
ca
tio
n
p
r
o
g
r
a
m
,
m
ak
in
g
it im
p
o
s
s
ib
le
to
co
m
p
ar
e
th
e
r
esu
lts
with
th
o
s
e
o
f
ch
ild
r
e
n
wh
o
d
id
n
o
t
u
n
d
er
g
o
a
s
im
ilar
p
r
o
g
r
am
.
Fu
tu
r
e
r
esear
ch
s
h
o
u
ld
in
clu
d
e
a
co
n
tr
o
l
g
r
o
u
p
to
m
o
r
e
clea
r
ly
ass
es
s
th
e
ef
f
ec
tiv
en
ess
o
f
th
e
p
r
o
g
r
am
a
n
d
to
ac
co
u
n
t
f
o
r
th
e
in
f
lu
en
ce
o
f
o
th
er
f
ac
to
r
s
o
n
th
e
o
u
tco
m
es.
Ad
d
itio
n
ally
,
th
e
s
tu
d
y
d
id
n
o
t a
cc
o
u
n
t f
o
r
p
o
t
en
tial d
if
f
er
en
ce
s
in
th
e
b
aselin
e
h
ea
lth
o
f
t
h
e
ch
il
d
r
en
o
r
o
th
er
in
d
i
v
id
u
al
ch
ar
a
cter
is
tics
,
s
u
ch
as
co
g
n
itiv
e
d
e
v
elo
p
m
en
t
lev
els
o
r
th
e
p
r
esen
ce
o
f
co
m
o
r
b
id
co
n
d
itio
n
s
.
Fu
tu
r
e
s
tu
d
ies
co
u
l
d
s
tr
atif
y
p
ar
ticip
an
ts
m
o
r
e
t
h
o
r
o
u
g
h
ly
b
ased
o
n
v
ar
io
u
s
cr
iter
ia
to
c
o
n
s
id
er
th
e
im
p
ac
t o
f
th
ese
f
ac
t
o
r
s
an
d
e
n
h
an
ce
th
e
p
r
ec
is
io
n
o
f
th
e
an
al
y
s
is
.
Ov
er
all,
th
e
s
tu
d
y
r
esu
lts
co
n
f
ir
m
th
e
s
ig
n
if
ican
t
p
o
s
itiv
e
im
p
ac
t
o
f
ad
a
p
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
o
n
th
e
p
h
y
s
ical
an
d
p
s
y
ch
o
-
e
m
o
tio
n
al
well
-
b
ein
g
o
f
ch
ild
r
e
n
with
ASD
.
I
t
h
as
b
ee
n
esta
b
lis
h
ed
th
at
r
eg
u
lar
p
h
y
s
ical
ex
er
cise
c
o
n
tr
ib
u
tes
to
im
p
r
o
v
em
en
ts
in
p
h
y
s
ical
in
d
icato
r
s
s
u
c
h
as
v
ital
ca
p
ac
ity
(
VC
)
,
h
an
d
s
tr
en
g
th
,
an
d
co
o
r
d
i
n
atio
n
.
Ad
d
itio
n
ally
,
p
o
s
itiv
e
ef
f
ec
ts
o
n
s
o
cial
s
k
ills
an
d
a
r
ed
u
ctio
n
in
an
x
iety
h
av
e
b
ee
n
o
b
s
er
v
ed
.
T
h
e
f
in
d
in
g
s
alig
n
with
s
ev
er
al
in
ter
n
atio
n
al
s
tu
d
ies,
co
n
f
ir
m
in
g
t
h
e
u
n
iv
e
r
s
al
b
en
ef
its
o
f
p
h
y
s
ical
ex
e
r
cise.
Ho
wev
er
,
v
a
r
iatio
n
s
in
em
p
h
asis
an
d
m
eth
o
d
o
lo
g
ie
s
s
u
g
g
est
th
e
n
ee
d
f
o
r
in
d
iv
id
u
alize
d
ap
p
r
o
ac
h
es
an
d
p
r
o
g
r
am
ad
a
p
tatio
n
s
b
ased
o
n
th
e
s
p
ec
if
ic
n
ee
d
s
an
d
ch
ar
ac
ter
is
tics
o
f
th
e
ch
ild
r
en
.
I
t
is
cr
u
cial
to
co
n
tin
u
e
ex
p
lo
r
in
g
v
ar
io
u
s
asp
ec
ts
o
f
p
h
y
s
ical
ed
u
ca
tio
n
to
ef
f
ec
tiv
ely
s
u
p
p
o
r
t
th
e
d
ev
el
o
p
m
en
t
o
f
c
h
ild
r
e
n
with
ASD.
5.
CO
NCLU
SI
O
N
T
h
e
s
tu
d
y
d
em
o
n
s
tr
ated
th
at
t
h
e
ad
ap
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
p
r
o
g
r
am
p
o
s
itiv
ely
a
f
f
ec
ts
th
e
p
h
y
s
ical
co
n
d
itio
n
o
f
ch
ild
r
en
ag
ed
7
-
9
y
ea
r
s
with
ASD
.
Key
f
in
d
in
g
s
in
clu
d
ed
s
ig
n
if
ican
t
im
p
r
o
v
em
en
ts
in
p
h
y
s
ical
p
ar
am
eter
s
s
u
ch
as
lu
n
g
v
o
l
u
m
e,
h
an
d
s
tr
en
g
th
,
an
d
m
o
v
em
en
t
co
o
r
d
in
atio
n
.
T
h
ese
r
esu
lts
s
u
p
p
o
r
t
th
e
th
eo
r
ies
o
f
n
eu
r
o
p
last
icity
,
s
e
n
s
o
r
y
i
n
teg
r
atio
n
,
an
d
m
o
to
r
co
n
tr
o
l,
illu
s
tr
atin
g
th
at
tar
g
et
ed
p
h
y
s
ical
ac
tiv
ity
ca
n
en
h
a
n
ce
th
e
p
h
y
s
ical,
p
s
y
ch
o
lo
g
ical,
a
n
d
em
o
tio
n
al
h
ea
l
th
o
f
ch
ild
r
en
with
a
u
tis
m
.
T
h
e
p
r
ac
tical
v
alu
e
o
f
th
is
r
es
ea
r
ch
lies
in
th
e
d
ev
elo
p
m
e
n
t a
n
d
test
in
g
o
f
ad
ap
te
d
p
h
y
s
ica
l e
d
u
ca
tio
n
p
r
o
g
r
a
m
s
th
at
p
r
o
f
ess
io
n
als
ca
n
u
tili
ze
f
o
r
th
e
tr
ea
tm
e
n
t
o
f
ch
ild
r
en
with
ASDs
.
E
d
u
ca
to
r
s
,
tr
ain
er
s
,
an
d
s
p
ec
ialis
t
s
wo
r
k
in
g
with
c
h
ild
r
en
with
s
p
ec
ial
n
ee
d
s
ca
n
u
s
e
th
e
f
in
d
in
g
s
to
d
esig
n
ef
f
ec
tiv
e
p
h
y
s
ical
ed
u
ca
tio
n
p
r
o
g
r
am
s
.
I
n
s
ch
o
o
ls
an
d
s
p
ec
ialized
ce
n
ter
s
,
th
e
d
ev
elo
p
ed
ex
er
cises
ca
n
b
e
in
teg
r
ated
in
to
th
e
cu
r
r
icu
lu
m
a
n
d
ap
p
lied
in
d
aily
p
r
ac
tice,
wh
ich
will h
elp
n
o
t
o
n
ly
im
p
r
o
v
e
th
e
p
h
y
s
ical
f
itn
ess
o
f
ch
ild
r
en
b
u
t
also
th
eir
s
o
cial
ad
ap
tatio
n
a
n
d
in
teg
r
atio
n
in
to
s
o
ciety
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t
J
E
v
al
&
R
es E
d
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c
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SS
N:
2252
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8
8
2
2
Tech
n
o
lo
g
y
o
f a
d
a
p
tive
p
h
ysica
l e
d
u
ca
tio
n
fo
r
ch
ild
r
en
a
g
e
d
7
-
9
ye
a
r
s
w
ith
a
u
tis
m
… (
Tu
leg
en
B
o
ta
g
a
r
iyev
)
2927
I
t
is
im
p
o
r
tan
t
t
o
in
v
esti
g
ate
t
h
e
im
p
ac
t
o
f
th
is
p
r
o
g
r
am
o
n
ch
ild
r
en
with
d
if
f
er
e
n
t
ty
p
es
o
f
ASD
an
d
f
r
o
m
v
ar
i
o
u
s
d
em
o
g
r
ap
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ic
g
r
o
u
p
s
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L
o
n
g
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ter
m
s
tu
d
ies
ar
e
a
ls
o
r
ec
o
m
m
en
d
e
d
to
ex
am
in
e
th
e
s
u
s
tain
ab
ilit
y
o
f
p
o
s
itiv
e
ef
f
ec
ts
an
d
p
o
ten
tial
c
h
an
g
es
in
th
e
p
h
y
s
ical
an
d
m
e
n
tal
h
ea
lth
o
f
ch
ild
r
en
o
v
er
tim
e.
Fu
tu
r
e
r
esear
ch
m
ay
also
f
o
cu
s
o
n
a
d
ap
tin
g
p
r
o
g
r
am
s
f
o
r
d
if
f
e
r
en
t
a
g
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o
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p
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d
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e
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in
g
s
p
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ex
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cises
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r
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e
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d
i
v
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al
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h
ar
ac
ter
is
tics
o
f
ch
ild
r
e
n
with
au
tis
m
,
lead
in
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to
m
o
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e
e
f
f
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e
r
s
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s
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clu
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ter
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p
p
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s
u
ch
as
co
llab
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r
atio
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am
o
n
g
teac
h
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s
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p
s
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ch
o
l
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ts
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d
p
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io
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m
ay
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tr
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m
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f
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n
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h
ab
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p
l
an
s
f
o
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ch
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en
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F
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NF
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r
esear
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AUTHO
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C
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to
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C
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th
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Na
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C
:
C
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Evaluation Warning : The document was created with Spire.PDF for Python.