Effective medical and pedagogical practices in rehabilitation and abilitation of children with autism spectrum disorder
Keywords:
autism, autism spectrum disorders, rehabilitation, habilitation, communication skills, socializationAbstract
This article examines existing effective medical and pedagogical practices in the rehabilitation and habilitation of children with autism spectrum disorders, highlighting several fundamental factors: genetic and epigenetic characteristics, environmental influences, and social connections. Strategies for implementing rehabilitation and habilitation approaches tailored to the individual characteristics of children with autism spectrum disorders are discussed, which requires a comprehensive, interdisciplinary approach. The importance of creating a supportive environment that fosters positive interpersonal relationships and reduces stress is emphasized.
References
Аутизм в России. Акция Социальный заказ «Статистика 2010–2011» [сайт]. – URL: http://www.autisminrussia.ru/html/action/ action-stat-2010.htm#pressreliz (дата обращения: 21.07.2024)
Богдашина, О. Б. Модели организации комплексной помощи детям с расстройствами аутистического спектра на Западе / О. Б. Богдашина // Аутизм и нарушения развития. – 2016. – Том 14. – № 4. – С. 27–34. DOI: 10.17759/autdd.2016140405
Официальный сайт Организации Объединенных Наций. Резолюция A/RES/62/139. Всемирный день распространения информации о проблеме аутизма [сайт] // 62 сессия Генеральной ассамблеи ООН от 18 декабря 2007 года. URL: https://www.un.org/ru/ga/62/docs/62res2.shtml (дата обращения: 27.04.2024)
Никольская, О. С. Аутизм лечится общением / О. С. Никольская // Аутизм и нарушения развития. – 2016. – Т. 14. – № 4. – С. 35–38. DOI:10.17759/autdd.2016140406
Воробьева, Е. В. Психологические особенности детей с расстройством аутистического спектра / Е. В. Воробьева, Е. Ф. Рахимова // Междисциплинарность в современном медицинском знании. – 2023. – С. 105-111.
Антоненко, А. В. Концепция психологии здоровья как основа эффективности реабилитации и абилитации детей с расстройствами аутистического спектра и другими нарушениями нейропсихического развития / А. В. Антоненко [и др.] // Психология и психотехника. – 2025. – №. 3. – С. 100-117.
Abrahams, B.S. Advances to autism genetics: on the threshold of a new neurobiology / B.S. Abrahams, D.H. Geschwind // National Rev. Genet. 2008. – № 9. – P. 341–355.
Chakrabarti, S. Pervasive developmental disorders in preschool children / S. Chakrabarti, E. Fombonne // JAMA. – 2001. – Vol. 285. – № 24. – P. 3093–3099.
Sandin, S. The familial risk of autism / S. Sandin, P. Lichtenstein, R. Kuja-Halkola, H. Larsson, C.M. Hultman, A. Reichenberg // JAMA – 2014; 311(17): 1770–1777, https://doi.org/10.1001/ jama.2014.4144.
Robinson E.B., Lichtenstein P., Anckarsäter H., Happé F., Ronald A. Examining and interpreting the female protective effect against autistic behavior. Proc Natl Acad Sci USA 2013; 110(13): 5258–5262, https://doi.org/10.1073/ pnas.1211070110.
Невзорова, Е. В. Расстройства аутистического спектра: современные подходы к диагностике, коррекции и обучению детей / Е. В. Невзорова, М. Н. Силинская, Д. Д. Третьякова // Бюллетень Северного государственного медицинского университета. – 2025. – Т. 52. – №. 2. – С. 111.
Schendel, D. Birth weight and gestational age characteristics of children with autism, including a comparison with other developmental disabilities / D. Schendel, T. K. Bhasin // Pediatrics – 2008. – 121(6): 1155–1164, https://doi.org/10.1542/peds.2007- 1049.
Lampi, K. M. Risk of autism spectrum disorders in low birth weight and small for gestational age infants / K. M. Lampi, L. Lehtonen, P. L. Tran, A. Suominen, V. Lehti, P. N. Banerjee, M. Gissler, A. S. Brown, A. Sourander // J Pediatr – 2012; 161: 830–836, https://doi.org/10.1016/j.jpeds.2012.04.058.
Wu, S. Advanced parental age and autism risk in children: a systematic review and meta-analysis / S.Wu, F. Wu, Y. Ding, J.Hou, J. Bi, Z. Zhang // Acta Psychiatr Scand – 2017; 135(1): 29–41, https://doi.org/10.1111/acps.12666.
Ghaziuddin, M. Obstetric factors in Asperger syndrome: comparison with highfunctioning autism / M. Ghaziuddin, J. Shakal, L. Tsai // J. Intellect Disabil. Res. – 1995. Vol. 39. P. 538–543.
Gardener, H. Perinatal and neonatal risk factors for autism: a comprehensive metaanalysis / H.Gardener, D.Spiegelman, S.L. Buka // Pediatrics – 2011; 128(2): 344–355, https://doi. org/10.1542/peds.2010-1036.
Xu, G. Maternal diabetes and the risk of autism spectrum disorders in the offspring: a systematic review and meta-analysis / G. Xu, J. Jing, K. Bowers, B. Liu, W. Bao // J Autism Dev Disord 2014; 44(4): 766–775, https://doi.org/10.1007/s10803- 013-1928-2
Hsiao, E.Y. Placental regulation of maternal-fetal interactions and brain development / E.Y. Hsiao, P. H. Patterson // Dev Neurobiol – 2012; 72(10): 1317–1326, https://doi.org/10.1002/ dneu.22045
Aoshi, T. Innate and adaptive immune responses to viral infection and vaccination / T. Aoshi, S. Koyama, K. Kobiyama, S. Akira, K. J. Ishii // Curr Opin Virol – 2011; 1(4): 226–232, https://doi. org/10.1016/j.coviro.2011.07.002.
Brown, A. S. Epidemiologic studies of exposure to prenatal infection and risk of schizophrenia and autism / A. S. Brown // Dev Neurobiol – 2012; 72(10): 1272–1276, https://doi.org/10.1002/ dneu.22024.
Морозов, С. А. Клинический полиморфизм и вариативность образования детей с аутизмом / С. А. Морозов, Т. И. Морозова // Аутизм и нарушения развития. – 2016. – Том 14. – № 4. – С. 3–9. DOI: 10.17759/autdd.2016140401
Хаустов, А. В. Становление системы образования и психолого-педагогического сопровождения обучающихся с РАС в России на современном этапе / А. В. Хаустов [и др.] //Аутизм и нарушения развития. – 2025. – Т. 23. – №. 3. – С. 30-43.
Никольская, О. С. Аффективная сфера человека. Взгляд сквозь призму детского аутизма / О. С. Никольская. – М.: Центр лечебной педагогики, 2000. – 362 с.
Мельник, Т. А. Помощь детям с расстройством аутического спектра методы и подходы / Т. А. Мельник // Наука и техника. Мировые исследования. – 2020. – С. 158-160.
Гринина, Е. С. Современные методы к коррекции расстройств аутистического спектра / Е. С. Гринина // Инклюзия в образовании. – 2016. – № 2 (2). – С. 159 – 174.
Пасько, Е. А. Метод ABA-терапии в установлении сотрудничества с детьми с расстройствами аутистического спектра / Е. А. Пасько, М. П. Заяц // Научное и образовательное пространство в условиях вызовов современности. – 2023. – С. 104-107.
Попова, О. А. Влияние системы альтернативной коммуникации PECS на проявления вокальной речи у детей с аутизмом / О. А. Попова, Н. М. Филина // Аутизм и нарушения развития. – 2021. – Том 19. – № 2. – С. 23–39. DOI: 10.17759/autdd.2021710204
Dawson-Squibb, J. J. Scoping the evidence for EarlyBird and EarlyBird Plus, two United ingdom-developed parent education training programmes for autism spectrum disorder. / J. J. Dawson-Squibb, E. L.Davids, P. J. de Vries // Autism – 2019; 23(3): 542–555, https://doi.org/10.1177/1362361318760295.
Старикова, О. В. Применение программы ранней помощи на основе Денверской модели раннего вмешательства для детей с РАС / О. В. Старикова, В. В. Дворянинова, О. В. Баландина // Аутизм и нарушения развития. – 2022. – Том 20. – № 1. – С. 29–36. DOI: 10.17759/autdd.2022200104
Дон, Г. В. Комплексная оценка результативности технологии индивидуализации АООП дошкольного образования для детей с РАС «Скорошкольник» / Г. В. Дон [и др.] // Аутизм и нарушения развития. – 2021. – Том 19. – № 4. – С. 70–85. DOI: 10.17759/autdd.2021190408
Метод гипоксических тренировок в коррекции когнитивных нарушений у лиц с задержкой психофизического развития и аутизмом / А. И. Коваленко, Т. Л. Оленская, А. Г. Николаева, Е. Л. Данилова // Достижения фундаментальной, клинической медицины и фармации : материалы 79-ой научной сессии ВГМУ, Витебск, 24–25 января 2024 года. – Витебск : Витебский государственный медицинский университет, 2024. – EDN EQZRQK.
References
Autizm v Rossii. Akcziya Soczial`ny`j zakaz «Statistika 2010–2011» [Autism in Russia. Social Order Campaign «Statistics 2010–2011»]. (In Russian) Available at: http://www.autisminrussia.ru/html/action/action-stat-2010.htm#pressreliz (accessed: 21.07.2024)
Bogdashina O.B. Modeli organizaczii kompleksnoj pomoshhi detyam s rasstrojstvami autisticheskogo spektra na Zapade [Models for Organizing Comprehensive Care for Children with Autism Spectrum Disorders in the West]. Autizm i narusheniya razvitiya [Autism and Developmental Disorders]. 2016. Vol. 14, no. 4, pp. 27–34. DOI: 10.17759/autdd.2016140405. (In Russian)
Oficzial`ny`j sajt Organizaczii Ob`edinenny`kh Naczij. Rezolyucziya A/RES/62/139. Vsemirny`j den` rasprostraneniya informaczii o probleme autizma [Official website of the United Nations. Resolution A/RES/62/139. World Autism Awareness Day]. 62nd session of the UN General Assembly, December 18, 2007. (In Russian). Available at: https://www.un.org/ru/ga/62/docs/62res2.shtml (accessed: April 27, 2024)
Nikolskaya O.S. Autizm lechitsya obshheniem [Autism is treated with communication]. Autizm i narusheniya razvitiya [Autism and developmental disorders]. 2016. Vol. 14, no. 4, pp. 35-38. DOI: 10.17759/autdd.2016140406(In Russian)
Vorobyova E.V., Rakhimova E.F. Psikhologicheskie osobennosti detej s rasstrojstvom autisticheskogo spektra [Psychological characteristics of children with autism spectrum disorder]. Mezhdiscziplinarnost` v sovremennom mediczinskom znanii [Interdisciplinarity in modern medical knowledge]. 2023, pp. 105-111. (In Russian)
Antonenko A. V. et al. Konczepcziya psikhologii zdorov`ya kak osnova e`ffektivnosti reabilitaczii i abilitaczii detej s rasstrojstvami autisticheskogo spektra i drugimi narusheniyami nejropsikhicheskogo razvitiya [The concept of health psychology as a basis for the effectiveness of rehabilitation and habilitation of children with autism spectrum disorders and other neuropsychic developmental disorders]. Psikhologiya i psikhotekhnika [Psychology and Psychotechnics]. 2025, no. 3, pp. 100-117. (In Russian)
Abrahams B. S., Geschwind D. H. Advances to autism genetics: on the threshold of a new neurobiology. National Rev. Genet. 2008, no. 9, pp. 341-355. (In English)
Chakrabarti S., Fombonne E. Pervasive developmental disorders in preschool children // JAMA. 2001. Vol. 285, No. 24. P. 3093-3099. (In English)
Sandin S., Lichtenstein P., Kuja-Halkola R., Larsson H., Hultman C.M., Reichenberg A. The familial risk of autism. JAMA 2014; 311(17): 1770–1777, https://doi.org/10.1001/jama.2014.4144. (In English)
Robinson E.B., Lichtenstein P., Anckarsäter H., Happé F., Ronald A. Examining and interpreting the female protective effect against autistic behavior. Proc Natl Acad Sci U S A 2013; 110(13): 5258–5262, https://doi.org/10.1073/ pnas.1211070110. (In English)
Nevzorova E. V., Silinskaya M. N., Tretyakova D. D. Rasstrojstva autisticheskogo spektra: sovremenny`e podkhody` k diagnostike, korrekczii i obucheniyu detej [Autism spectrum disorders: modern approaches to diagnosis, correction, and education of children]. Byulleten` Severnogo gosudarstvennogo mediczinskogo universiteta [Bulletin of the Northern State Medical University]. 2025. Vol. 52, no. 2, pp. 111. (In Russian)
Schendel D., Bhasin T. K. Birth weight and gestational age characteristics of children with autism, including a comparison with other developmental disabilities. Pediatrics 2008; 121(6): 1155–1164, https://doi.org/10.1542/peds.2007-1049. (In English)
Lampi K.M., Lehtonen L., Tran P.L., Suominen A., Lehti V., Banerjee P.N., Gissler M., Brown A.S., Sourander A. Risk of autism spectrum disorders in low birth weight and small for gestational age infants. J Pediatr 2012; 161: 830–836, https://doi.org/10.1016/j.jpeds.2012.04.058. (In English)
Wu S., Wu F., Ding Y., Hou J., Bi J., Zhang Z. Advanced parental age and autism risk in children: a systematic review and meta-analysis. Acta Psychiatr Scand 2017; 135(1): 29–41, https://doi.org/10.1111/acps.12666. (In English)
Ghaziuddin M., Shakal J., Tsai L. Obstetric factors in Asperger syndrome: comparison with high-functioning autism // J. Intellect Disabil. Res. 1995. Vol. 39, pp. 538–543. (In English)
Gardener H., Spiegelman D., Buka S.L. Perinatal and neonatal risk factors for autism: a comprehensive metaanalysis. Pediatrics 2011; 128(2): 344–355, https://doi. org/10.1542/peds.2010-1036. (In English)
Xu G., Jing J., Bowers K., Liu B., Bao W. Maternal diabetes and the risk of autism spectrum disorders in the offspring: a systematic review and meta-analysis. J Autism Dev Disord 2014; 44(4): 766–775, https://doi.org/10.1007/s10803-013-1928-2. (In English)
Hsiao E.Y., Patterson P.H. Placental regulation of maternal-fetal interactions and brain development. Dev Neurobiol 2012; 72(10): 1317–1326, https://doi.org/10.1002/dneu.22045. (In English)
Aoshi T., Koyama S., Kobiyama K., Akira S., Ishii K.J. Innate and adaptive immune responses to viral infection and vaccination. Curr Opin Virol 2011; 1(4): 226–232, https://doi.org/10.1016/j.coviro.2011.07.002. (In English)
Brown A.S. Epidemiologic studies of exposure to prenatal infection and risk of schizophrenia and autism. Dev Neurobiol 2012; 72(10): 1272–1276, https://doi.org/10.1002/dneu.22024. (In English)
Morozov S.A., Morozova T.I. Klinicheskij polimorfizm i variativnost` obrazovaniya detej s autizmom [Clinical polymorphism and variability in education of children with autism]. Autizm i narusheniya razvitiya [Autism and Developmental Disorders]. 2016. Vol. 14, no. 4, pp. 3–9. DOI: 10.17759/autdd.2016140401(In Russian)
Khaustov AV et al. Stanovlenie sistemy` obrazovaniya i psikhologo-pedagogicheskogo soprovozhdeniya obuchayushhikhsya s RAS v Rossii na sovremennom e`tape [Formation of the education system and psychological and pedagogical support for students with ASD in Russia at the present stage]. Autizm i narusheniya razvitiya [Autism and developmental disorders]. 2025. Vol. 23, no. 3, pp. 30-43. (In Russian)
Nikolskaya O. S. Affektivnaya sfera cheloveka. Vzglyad skvoz` prizmu detskogo autizma [The Affective Sphere of Man. A View Through the Prism of Childhood Autism]. Moscow. Center for Curative Pedagogics, 2000, 362 p. (In Russian)
Melnik T. A. Pomoshh` detyam s rasstrojstvom auticheskogo spektra metody` i podkhody` [Helping children with autism spectrum disorder: methods and approaches]. Nauka i tekhnika. Mirovy`e issledovaniya [Science and technology. World research]. 2020, pp. 158-160. (In Russian)
Grinina E.S. Sovremenny`e metody` k korrekczii rasstrojstv autisticheskogo spektra [Modern methods for the correction of autism spectrum disorders]. Inklyuziya v obrazovanii [Inclusion in education], 2016. no. 2 (2), pp. 159–174. (In Russian)
Pas'ko E. A., Zayats M. P. Metod ABA-terapii v ustanovlenii sotrudnichestva s det`mi s rasstrojstvami autisticheskogo spektra [The ABA therapy method in establishing cooperation with children with autism spectrum disorders]. Nauchnoe i obrazovatel`noe prostranstvo v usloviyakh vy`zovov sovremennosti [Scientific and educational space in the context of modern challenges]. 2023, pp. 104-107. (In Russian)
Popova O.A., Filina N.M. Vliyanie sistemy` al`ternativnoj kommunikaczii PECS na proyavleniya vokal`noj rechi u detej s autizmom [The influence of the PECS alternative communication system on the manifestations of vocal speech in children with autism]. Autizm i narusheniya razvitiya [Autism and developmental disorders]. 2021. Vol. 19, no. 2, pp. 23-39. DOI: 10.17759/autdd.2021710204 (In Russian)
Dawson-Squibb J.J., Davids E.L., de Vries P.J. Scoping the evidence for EarlyBird and EarlyBird Plus, two United Ingdom-Developed Parent Education Training Programs for Autism Spectrum Disorder. Autism 2019; 23(3): 542–555, https://doi.org/10.1177/1362361318760295. (In English)
Starikova O.V., Dvoryaninova V.V., Balandina O.V. Primenenie programmy` rannej pomoshhi na osnove Denverskoj modeli rannego vmeshatel`stva dlya detej s RAS Primenenie programmy` rannej pomoshhi na osnove Denverskoj modeli rannego vmeshatel`stva dlya detej s RAS [Application of an Early Intervention Program Based on the Denver Model of Early Intervention for Children with ASD]. Autizm i narusheniya razvitiya [Autism and Developmental Disorders]. 2022. Vol. 20, no. 1, pp. 29–36. DOI: 10.17759/autdd.2022200104(In Russian)
Don G.V., Erofeeva Yu.I., Salimova K.R., Davydova E.Yu., Khaustov A.V. Kompleksnaya oczenka rezul`tativnosti tekhnologii individualizaczii AOOP doshkol`nogo obrazovaniya dlya detej s RAS «Skoroshkol`nik» [Comprehensive assessment of the effectiveness of the individualization technology of the educational program of preschool education for children with ASD "Skoroshkolnik"]. Autizm i narusheniya razvitiya [Autism and Developmental Disorders]. 2021. Vol. 19, no. 4, pp. 70–85. DOI: 10.17759/autdd.2021190408(In Russian)
Kovalenko A. I., Olenskaya T. L., Nikolaeva A. G., Danilova E. L. Metod gipoksicheskikh trenirovok v korrekczii kognitivny`kh narushenij u licz s zaderzhkoj psikhofizicheskogo razvitiya i autizmom [Hypoxic training method in the correction of cognitive impairment in individuals with psychophysical developmental delay and autism]. Dostizheniya fundamental`noj, klinicheskoj medicziny` i farmaczii [Achievements of fundamental, clinical medicine and pharmacy]. Vitebsk. Vitebsk State Medical University, 2024. EDN EQZRQK. (In Russian)
