Motor Interventions for Children with Autism Spectrum Disorder: A Scoping Review
DOI:
https://doi.org/10.18666/TRJ-2023-V57-I4-11995Keywords:
Autism spectrum disorder, International classification of functioning, disability and health, Motor intervention, Outcome measures, Participation, Recreational TherapyAbstract
Though not considered a core diagnostic criterion, most children with Autism Spectrum Disorder (ASD) present with motor impairments that persist into adolescence. In addition, compared to same-age peers, children with ASD participate less in physical, leisure, and recreation activities. The World Health Organization considers participation to be critical to quality of life. This scoping review presents the types of interventions used to address gross motor impairments, and the standardized outcome measures within the domains of the International Classification of Functioning, Disability and Health (ICF), used to evaluate the impact of the interventions. Results produced 17 articles and five types of motor interventions, including land-based exercise, motor physical activity interventions; sports-based, active recreation; movement-based mind-body interventions; equine or therapeutic horseback riding, and active video games/virtual and augmented reality. The interventions were provided by either a single discipline or an interprofessional team, with physical and recreational therapy being underrepresented as team members. Most studies used outcome measures in the body functions and structures, and activities domains of the ICF and few in the participation domain. The results of this study will be important to professionals for planning, implementing, and monitoring interventions for children with ASD.
References
American Physical Therapy Association (APTA) Pediatrics. (2013). List of Pediatric Assessment Tools Categorized by ICF Model Fact Sheet. Retrieved March 11, 2022, from https://pediatricapta.org/includes/fact-sheets/pdfs/FactSheet_ListofPediatricAssessmentToolsCategorizedbyICFModel_2013.pdf
American Physical Therapy association (APTA) Pediatrics. (2015). Selected Assessment Tools for Evaluation of Children with Autism Spectrum Disorder in School-based Practice Fact Sheet. Retrieved March 11, 2022, from https://pediatricapta.org/includes/fact-heets/pdfs/FactSheet_SelectedAssessmentToolsAutism_2015.pdf
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental
Disorders (DSM-5-TR). Retrieved April 11, 2022, from https://doi.org/10.1176/appi.books.9780890425787
Arksey, H., & O’Malley, L. (2005). Scoping Studies: Towards a Methodological Framework. International Journal of Social Research Methodology: Theory & Practice, 8(1), 19-32. https://psycnet.apa.org/doi/10.1080/1364557032000119616
Adair, B., Ullenhag, A., Rosenbaum, P., Granlund, M., Keen, D., & Imms, C. (2018). Measures used to quantify participation in childhood disability and their alignment with the family of participation-related constructs: a systematic review. Developmental Medicine & Child Neurology, 60(11), 1101-1116. https://doi.org/https://doi.org/10.1111/dmcn.13959
Ansari, S., Hosseinkhanzadeh, A. A., AdibSaber, F., Shojaei, M., & Daneshfar, A. (2020). The Effects of Aquatic Versus Kata Techniques Training on Static and Dynamic Balance in Children with Autism Spectrum Disorder [Article in Press]. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-020-04785-w
Bhat, A. N. (2020). Is Motor Impairment in Autism Spectrum Disorder Distinct From Developmental Coordination Disorder? A Report From the SPARK Study. Physical Therapy, 100(4), 633-644. https://doi.org/10.1093/ptj/pzz190
Bhat, A. N. (2021). Motor Impairment Increases in Children With Autism Spectrum Disorder as a Function of Social Communication, Cognitive and Functional Impairment, Repetitive Behavior Severity, and Comorbid Diagnoses: A SPARK Study Report. Autism Research, 14(1), 202-219. https://doi.org/10.1002/aur.2453
Bhat, A. N., Landa, R. J., & Galloway, J. C. (2011). Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorders. Physical Therapy, 91(7), 1116-1129. https://doi.org/10.2522/ptj.20100294
Borgi, M., Loliva, D., Cerino, S., Chiarotti, F., Venerosi, A., Bramini, M., . . . Cirulli, F. (2016). Effectiveness of a Standardized Equine-Assisted Therapy Program for Children with Autism Spectrum Disorder. Journal of Autism Developmental Disorders, 46(1), 1-9. https://doi.org/10.1007/s10803-015-2530-6
Bremer, E., Balogh, R., & Lloyd, M. (2015). Effectiveness of a fundamental motor skill intervention for 4-year-old children with autism spectrum disorder: A pilot study. Autism, 19(8), 980-991. https://doi.org/10.1177/1362361314557548
Carter, M. J.. (2015). Supporting Individuals with Autism Spectrum Disorder in Recreation. Therapeutic Recreation Journal, 49(2), 193-195. https://js.sagamorepub.com/trj/article/view/6451
Caputo, G., Ippolito, G., Mazzotta, M., Sentenza, L., Muzio, M. R., Salzano, S., & Conson, M. (2018). Effectiveness of a Multisystem Aquatic Therapy for Children with Autism Spectrum Disorders. Journal of Autism & Developmental Disorders, 48(6), 1945-1956. https://doi.org/10.1007/s10803-017-3456-y
Coyne, P. & Fullerton, C. (2013). Supporting Individuals with Autism Spectrum Disorder in Recreation. Sagamore.
Devine, M. A., & Ripp, J. A. C. (2017). The Role of Therapeutic Recreation With People on the Autism Spectrum. Therapeutic Recreation Journal, 51(2), 2-VII,VIIA. https://js.sagamorepub.com/trj/article/view/8402
Edwards, J., Jeffrey, S., May, T., Rinehart, N. J., & Barnett, L. M. (2017). Does playing a sports active video game improve object control skills of children with autism spectrum disorder? Journal of Sport & Health Science, 6(1), 17-24. https://doi.org/https://doi.org/10.1016/j.jshs.2016.09.004
Effgen, S. K. & Jeffries, L. (2021). Child appraisal: Examination and evalaution. In S. K. Effgen & A.L. Fiss (Eds.), Meeting the physical therapy Needs of children (3rd ed. Pp. 97-131). F. A. Davis.
Eversole, M., Collins, D. M., Karmarkar, A., Colton, L., Quinn, J. P., Karsbaek, R., . . . Hilton, C. L. (2016). Leisure Activity Enjoyment of Children with Autism Spectrum Disorders. Journal of Autism Developmental Disorders, 46(1), 10-20. https://doi.org/10.1007/s10803-015-2529-z
Feliciano, P., Daniels, A. M., Green Snyder, L., Beaumont, A., Camba, A., Esler, A., . . . Chung, W. K. (2018). SPARK: A US Cohort of 50,000 Families to Accelerate Autism Research. Neuron, 97(3), 488-493. https://doi.org/https://doi.org/10.1016/j.neuron.2018.01.015
Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor Coordination in Autism Spectrum Disorders: A Synthesis and Meta-Analysis. Journal of Autism and Developmental Disorders, 40(10), 1227-1240. https://doi.org/10.1007/s10803-010-0981-3
Fragala-Pinkham, M. A., Haley, S. M., & O’Neil, M. E. (2011). Group swimming and aquatic exercise programme for children with autism spectrum disorders: A pilot study. Developmental Neurorehabilitation, 14(4), 230-241. https://doi.org/10.3109/17518423.2011.575438
Gabriels, R. L., Agnew, J. A., Holt, K. D., Shoffner, A., Zhaoxing, P., Ruzzano, S., . . . Mesibov, G. (2012). Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders [Article]. Research in Autism Spectrum Disorders, 6(2), 578-588. https://doi.org/10.1016/j.rasd.2011.09.007
Ghayour Najafabadi, M., Rakhsan, A., & Niyazi, S. (2019). The effect of selected exercise group on motor skills and cognitive functions of children with autism spectrum disorders. Journal of Exercise Science and Medicine, 11(2).
Hassani, F., Shahrbanian, S., Shahidi, S. H., & Sheikh, M. (2020). Playing games can improve physical performance in children with autism [Article in Press]. International Journal of Developmental Disabilities. https://doi.org/10.1080/20473869.2020.1752995
Hawkins, B. L., Ryan, J. B., Cory, A. L., & Donaldson, M. C. (2014). Effects of Equine-Assisted Therapy on Gross Motor Skills of Two Children With Autism Spectrum Disorder: A Single-Subject Research Study. Therapeutic Recreation Journal, 48(2), 135-149. https://js.sagamorepub.com/trj/article/view/4633/4254
Hilton, C. L., Zhang, Y., Whilte, M. R., Klohr, C. L., & Constantino, J. (2012). Motor impairment in sibling pairs concordant and discordant for autism spectrum disorders. Autism, 16(4), 430-441. https://doi.org/10.1177%2F1362361311423018
Holloway, J. M., Long, T. M., & Biasini, F. J. (2021). The intersection of gross motor abilities and participation in children with autism spectrum disorder. Infants and Young Children, 34(3), 178-189. https://doi.org/10.1097/iyc.0000000000000192
Kaur, M., & Bhat, A. (2019). Creative Yoga Intervention Improves Motor and Imitation Skills of Children With Autism Spectrum Disorder. Physical Therapy, 99(11), 1520-1534. https://doi.org/https://doi.org/10.1093/ptj/pzz115
Kaur, M., Srinivasan, S. M. & Bhat, A. N. (2018). Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD). Research in Developmental Disabilities, 72, 79-95. https://doi.org/10.1016/j.ridd.2017.10.025
Ketcheson, L., Hauck, J., & Ulrich, D. (2017). The effects of an early motor skill intervention on motor skills, levels of physical activity, and socialization in young children with autism spectrum disorder: A pilot study. Autism, 21(4), 481-492. https://doi.org/10.1177%2F1362361316650611
Lawson, L. M., Bandy, M., Kadolph, A., Le, A., & Pettersson, S. (2019). The Descriptive Study of Concerns of Parents of Children with ASD and Factors Related to Obesity. Therapeutic Recreation Journal, 53(2), 117-131. https://doi.org/10.18666/TRJ-2019-V53-I2-9128
Lloyd, M., MacDonald, M., & Lord, C. (2011). Motor skills of toddlers with autism spectrum disorders. Autism, 17(2), 133-146. https://doi.org/10.1177/1362361311402230
Maenner, M. J., Shaw, K. A., Bakian, A. V., Bilder, D. A., Durkin, M. S., Esler, A., Furnier, S. M., Hallas, L., Hall-Lande, J., Hudson, A., Hughes, M. M., Patrick, M., Pierce, K., Poynter, J. N., Salinas, A., Shenouda, J., Vehorn, A., Warren, Z . . . Cogswell, M. E. (2021). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018. MMWR Surveill Summ, 70(11), 1-16. https://doi.org/10.15585/mmwr.ss7011a1
Mische Lawson, L., & Little, L. (2017). Feasibility of a Swimming Intervention to Improve Sleep Behaviors of Children With Autism Spectrum Disorder. Therapeutic Recreation Journal, 51(2), 97-108. https://doi.org/10.18666/trj-2017-v51-i2-7899
Monz, B. U., Houghton, R., Law, K., & Loss, G. (2019). Treatment patterns in children with autism in the United States. Autism research : Official Journal of the International Society for Autism Research, 12(3), 517-526. https://doi.org/10.1002/aur.2070
Najafabadi, M. G., Sheikh, M., Hemayattalab, R., Memari, A. H., Aderyani, M. R., & Hafizi, S. (2018). The effect of SPARK on social and motor skills of children with autism. Pediatrics & Neonatology, 59(5), 481-487. https://doi.org/https://doi.org/10.1016/j.pedneo.2017.12.005
Oxford Centre for Evidence-Based Medicine Levels of Evidence Working Group. (2011). The Oxford 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine. https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence
Pan, C. Y. (2011). The efficacy of an aquatic program on physical fitness and aquatic skills in children with and without autism spectrum disorders [Article]. Research in Autism Spectrum Disorders, 5(1), 657-665. https://doi.org/10.1016/j.rasd.2010.08.001
Pan, C. Y., Chu, C. H., Tsai, C. L., Sung, M. C., Huang, C. Y., & Ma, W. Y. (2017). The impacts of physical activity intervention on physical and cognitive outcomes in children with autism spectrum disorder. Autism, 21(2), 190-202. https://doi.org/10.1177%2F1362361316633562
P.L. 108-446. Individuals with Disabilities Education Act (IDEA) (2004). Retrieved from https://www.copyright.gov/legislation/pl108-446.pdf
Park, J., Krause-Parello, C. A., & Barnes, C. M. (2020). A Narrative Review of Movement-Based Mind-Body Interventions: Effects of Yoga, Tai Chi, and Qigong for Back Pain Patients. Holistic Nursing Practice, 34(1), 3-23. https://doi.org/10.1097/hnp.0000000000000360
PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation (2018). Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Rafie, F., Ghasemi, A., Zamani Jam, A., & Jalali, S. (2017). Effect of exercise intervention on the perceptual-motor skills in adolescents with autism. Journal of Sports Medicine & Physical Fitness, 57(1-2), 53-59. https://doi.org/https://doi.org/10.23736/s0022-4707.16.05919-3
Ruggeri, A., Dancel, A., Johnson, R., & Sargent, B. (2020). The effect of motor and physical activity intervention on motor outcomes of children with autism spectrum disorder: A systematic review. Autism, 24(3), 544-568. https://doi.org/10.1177/1362361319885215
Sansi, A., Nalbant, S., & Ozer, D. (2020). Effects of an Inclusive Physical Activity Program on the Motor Skills, Social Skills and Attitudes of Students with and without Autism Spectrum Disorder. Journal of Autism Develepmental Disorders. https://doi.org/10.1007/s10803-020-04693-z
Sarabzadeh, M., Azari, B. B., & Helalizadeh, M. (2019). The effect of six weeks of Tai Chi Chuan training on the motor skills of children with Autism Spectrum Disorder. Journal of Bodywork & Movement Therapies, 23(2), 284-290. https://doi.org/https://doi.org/10.1016/j.jbmt.2019.01.007
Srivastava, A. K., & Schwartz, C. E. (2014). Intellectual disability and autism spectrum disorders: causal genes and molecular mechanisms. Neuroscience and Biobehavioral Reviews, 46 Pt 2, 161-174. https://doi.org/10.1016/j.neubiorev.2014.02.015
Steiner, H., & Kertesz, Z. (2015). Effects of therapeutic horse riding on gait cycle parameters and some aspects of behavior of children with autism. Acta Physiologica Hungarica, 102(3), 324-335. https://10.1556/036.102.2015.3.10
van der Walt, J., Plastow, N. A., & Unger, M. (2020). Motor skill intervention for pre-school children: A scoping review. African Journal of Disabilities, 9 (0), a747. https://doi.org/10.4102/ajod.v9i0.747
Vukicevic, S., Dordevic, M., Glumbic, N., Bogdanovic, Z., & Duric Jovicic, M. (2019). A Demonstration Project for the Utility of Kinect-Based Educational Games to Benefit Motor Skills of Children with ASD [Controlled Clinical Trial]. Perceptual & Motor Skills, 126(6), 1117-1144. https://doi.org/10.1177/0031512519867521
Wenzel, K., Townsend, J., Hawkins, B. L., & Russell, B. (2020). Changes in Family Leisure Functioning Following a Family Camp for Children with Autism Spectrum Disorder (ASD). Therapeutic Recreation Journal, 54(1), 17-31. https://doi.org/https://doi.org/10.18666/TRJ-2020-V54-I1-9418
World Health Organization (WHO). (2001). International classification of functioning, disability, and health: ICF. https://apps.who.int/iris/handle/10665/42407
World Health Organization (WHO). (2007). International classification of functioning, disability, and health: children and youth version: ICF-CY. https://apps.who.int/iris/handle/10665/43737
Wilson, R. B., McCracken, J. T., Rinehart, N. J., & Jeste, S. S. (2018). What's missing in autism spectrum disorder motor assessments? Journal of Neurodevelopmental Disorders, 10(1), 33. https://doi.org/10.1186/s11689-018-9257-6
Wrotniak, B. H., Epstein, L. H., Dorn, J. M., Jones, K. E., & Kondilis, V. A. (2006). The relationship between motor proficiency and physical activity in children. Pediatrics, 118(6), e1758-1765. https://doi.org/10.1542/peds.2006-0742
Wuang, Y. P., Wang, C. C., Huang, M. H., & Su, C. Y. (2010). The effectiveness of simulated developmental horse-riding program in children with autism [Controlled Clinical Trial]. Adapted Physical Activity Quarterly, 27(2), 113-126. https://doi.org/10.1123/apaq.27.2.113
Zamani, A., Talab, R., Sheikh, M., & Torabi, F. (2017). The effect of gymnastic exercises on motor skills in autistic children [Article]. Indian journal of public health research and development, 8(4), 99‐103. https://doi.org/10.5958/0976-5506.2017.00322.9
Zanobini, M., & Solari, S. (2019). Effectiveness of the Program "Acqua Mediatrice di Comunicazione" (Water as a Mediator of Communication) on Social Skills, Autistic Behaviors and Aquatic Skills in ASD Children. Journal of Autism & Developmental Disorders, 49(10), 4134-4146. https://doi.org/https://10.1007/s10803-019-04128-4
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