Exercise-Based Interventions Aimed at Improving Balance in Children with Autism Spectrum Disorder: A Meta-Analysis

Djordjevic, Milan; Memišević, Haris; Potic, Srecko; Djuric, Uros

doi:10.1177/00315125211060231

Cited by 14 publications

(16 citation statements)

References 84 publications

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“…The meta-analysis demonstrates that exercise intervention has a moderate positive effect on SS (SMD = 0.73), which is similar to previous results ( 64 ). Balance is the ability of an individual to maintain a specific state of the body under dynamic, static, or kinesthetic conditions ( 65 ).…”

Section: Discussionsupporting

confidence: 90%

Effectiveness of exercise intervention on improving fundamental motor skills in children with autism spectrum disorder: a systematic review and meta-analysis

tian

Zheng

et al. 2023

Front. Psychiatry

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BackgroundAutism spectrum disorder (ASD) is a severe public health concern, and most of the children with ASD experience a substantial delay in FMS. This study aimed to investigate the effectiveness of exercise interventions in improving FMS in children with ASD, and provide evidence to support the scientific use of exercise interventions in practice.MethodsWe searched seven online databases (PubMed, Scopus, Web of Science, Embase, EBSCO, Clinical Trials, and The Cochrane Library) from inception to May 20, 2022. We included randomized control trials of exercise interventions for FMS in children with ASD. The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database Scale. Stata 14.0 software was used for meta-analysis, forest plotting, subgroup analysis, heterogeneity analysis, and meta-regression.ResultsThirteen studies underwent systematic review (541 participants), of which 10 underwent meta-analysis (297 participants). Overall, exercise interventions significantly improved overall FMS in children with ASD. Regarding the three categories of FMS, exercise interventions significantly improved LMS (SMD = 1.07; 95% CI 0.73 to 1.41, p < 0.001), OCS (SMD = 0.79; 95% CI 0.32 to 1.26, p = 0.001), and SS (SMD = 0.72; 95% CI 0.45 to 0.98, p < 0.0001).Conclusionexercise interventions can effectively improve the FMS of children with ASD. The effects on LMS are considered as large effect sizes, while the effects on OCS and SS are considered as moderate effect sizes. These findings can inform clinical practice.Systematic review registrationhttps://inplasy.com/inplasy-2022-12-0013/.

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Section: Discussionsupporting

confidence: 90%

Effectiveness of exercise intervention on improving fundamental motor skills in children with autism spectrum disorder: a systematic review and meta-analysis

tian

Zheng

et al. 2023

Front. Psychiatry

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“…Our systematic review critically appraises the literature to date on the effects of PA/exercise interventions in young adults with ASD between 19 and 30 years. Most previous reviews have assessed the effects of PA/exercise interventions in children with ASD (Bodnar et al, 2020; Chan et al, 2021; Djordjević et al, 2022; Doreswamy et al, 2020; Flori & Angeli, 2021; Healy et al, 2019; Huang et al, 2020; Liang et al, 2022; Ruggeri et al, 2020; Teh et al, 2021; Vetri & Roccella, 2020). These reviews suggested positive effects of PA interventions on motor performance, autism severity, as well as social communication, behavioral, and cognitive skills.…”

Section: Introductionmentioning

confidence: 99%

“…These reviews suggested positive effects of PA interventions on motor performance, autism severity, as well as social communication, behavioral, and cognitive skills. For example, a meta-analysis of 15 exercise-based interventions involving 195 children with ASD up to 18 years of age suggested a large positive effect of the training on balance skills of children (Djordjević et al, 2022). In terms of effects outside the motor system, there is promising evidence from 12 clinical trials involving 350 children for improvements of small-to-medium size in communication and social functioning skills, both of which are core ASD impairments, following PA interventions (Chan et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Effects of physical activity and exercise-based interventions in young adults with autism spectrum disorder: A systematic review

Shahane

Kilyk

Srinivasan

2023

Autism

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Young adults with autism spectrum disorder are an underserved population. Evidence-based guidelines for physical activity programs to address the lifelong needs of this population are presently unavailable. Our systematic review critically appraises the research to date on the effects of physical activity/exercise-based interventions on physical fitness, motor skills, core autism symptoms, and functional participation in young adults with autism spectrum disorder between 19 and 30 years. We reviewed 22 experimental and quasi-experimental studies that assessed the effects of physical activity/exercise-based interventions in 763 young adults with autism spectrum disorder. Evidence is strongest for improvements of medium-to-large size in physical fitness followed by medium-to-large improvements in motor outcomes, medium-to-large improvements in psychological function, and small-to-large improvements in quality of life. Aerobic, resistance, and movement skill/sport-specific training can improve cardiovascular function and muscular strength/endurance in young adults. Movement/sport training can help improve fundamental motor skills. Finally, holistic interventions combining elements of physical activity, diet, and lifestyle modifications are effective in improving outcomes related to body composition and quality of life in young adults. There is presently insufficient evidence for improvements in physical activity engagement or core autism symptoms following exercise interventions. We provide recommendations for assessment and intervention for clinicians working with young adults with autism spectrum disorder. Lay abstract Young adults with autism spectrum disorder over 18 years of age are an underserved population, and there is presently limited evidence examining the effects of physical activity programs in this population. Our review synthesizes the evidence to date from studies that have assessed the effects of physical activity/exercise programs in young adults with autism spectrum disorder between 19 and 30 years. We reviewed 22 studies that included a total of 763 young adults with autism spectrum disorder. There is the strongest evidence for improvements in physical fitness, followed by motor skills, psychological function, and quality of life following physical activity interventions in young adults with autism spectrum disorder. Specifically, aerobic and resistance training as well as programs focused on movement skill and sport-specific training lead to improved physical fitness and movement performance. Holistic interventions focusing on physical activity, dietary changes, and lifestyle modifications lead to improvements in body composition and quality of life of young adults with autism spectrum disorder. There is presently limited evidence to support the use of exercise/activity programs to improve physical activity levels and core autism symptoms in young adults with autism spectrum disorder. Based on our review results, we also provide practical recommendations for clinicians working with young adults with autism spectrum disorder.

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“…Autism spectrum disorder is a term used to describe a group of symptoms that include early-onset social communication deficits and repetitive sensory-motor behavior, as well as a strong genetic component and other factors (Djordjevi", Memisevic, Potic, & Djuric, 2021). Symptoms of autism spectrum disorder (ASD) usually appear in the first 3 years of life (Raj & Masood, 2020).…”

Section: Discussionmentioning

confidence: 99%

Early Detection Assessment Tools in Children With Autism Spectrum Disorder: A Literature Study

Cahyadi

Aqilah

Ediyanto

et al. 2022

Discourse and Communication for Sustainable Education

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The high prevalence of Autism Spectrum Disorder (ASD) necessitates acquiring early detection tools that can lead to appropriate interventions for children and assist children in performing as many life functions as possible. In addition, early detection tools for ASD can realize quality early childhood development. This study aims to review various types of assessments for early detection of ASD in children using the literature review method. The following articles are from the website https://eric.ed.gov/ as search engine for scientific articles. Using the keywords “autism spectrum disorder assessment tools” and “early detection for autism,” then peer-reviewed only and year filters since 2018, 2,829 articles were found. Then from the identified articles, they are re-elected based on title, abstract, and time of publication to produce 16 articles whose early detection tool was tested on more than 50 participants and began at the earliest possible age. The results show that various screening and diagnostic tools for ASD prioritize areas such as social communication, behavioral problems, emotional problems, sensory regulatory issues, and engagement issues. The instrument’s limitations, which include an expensive price, a lengthy process, the need for expert involvement, and cultural differences, create a growing gap that must be bridged immediately.

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Exercise-Based Interventions Aimed at Improving Balance in Children with Autism Spectrum Disorder: A Meta-Analysis

Cited by 14 publications

References 84 publications

Effectiveness of exercise intervention on improving fundamental motor skills in children with autism spectrum disorder: a systematic review and meta-analysis

Effectiveness of exercise intervention on improving fundamental motor skills in children with autism spectrum disorder: a systematic review and meta-analysis

Effects of physical activity and exercise-based interventions in young adults with autism spectrum disorder: A systematic review

Early Detection Assessment Tools in Children With Autism Spectrum Disorder: A Literature Study

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