Effects of Physical Exercise Interventions on Stereotyped Motor Behaviours in Children with ASD: A Meta-Analysis
Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the e...
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| Published in | Journal of autism and developmental disorders Vol. 52; no. 7; pp. 2934 - 2957 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.07.2022
Springer Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0162-3257 1573-3432 1573-3432 |
| DOI | 10.1007/s10803-021-05152-z |
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| Abstract | Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the effect of exercise on SMB and its potential moderators. Multi-level modelling revealed a large overall effect, Hedges’
g
= 1
.
16, with significant heterogeneity across participant, treatment, and study levels. Further, a more appropriate model using between-case estimation for within-subject effects to improve comparability between single-case and group-design studies, yielded a smaller but still significant effect,
g
= 0.51. Lastly, higher exercise intensity, but not age, exercise duration or settings, reliably predicted treatment effectiveness. Implications for clinical practice and research are discussed. |
|---|---|
| AbstractList | Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the effect of exercise on SMB and its potential moderators. Multi-level modelling revealed a large overall effect, Hedges' g = 1.16, with significant heterogeneity across participant, treatment, and study levels. Further, a more appropriate model using between-case estimation for within-subject effects to improve comparability between single-case and group-design studies, yielded a smaller but still significant effect, g = 0.51. Lastly, higher exercise intensity, but not age, exercise duration or settings, reliably predicted treatment effectiveness. Implications for clinical practice and research are discussed.Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the effect of exercise on SMB and its potential moderators. Multi-level modelling revealed a large overall effect, Hedges' g = 1.16, with significant heterogeneity across participant, treatment, and study levels. Further, a more appropriate model using between-case estimation for within-subject effects to improve comparability between single-case and group-design studies, yielded a smaller but still significant effect, g = 0.51. Lastly, higher exercise intensity, but not age, exercise duration or settings, reliably predicted treatment effectiveness. Implications for clinical practice and research are discussed. Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the effect of exercise on SMB and its potential moderators. Multi-level modelling revealed a large overall effect, Hedges' "g" = 1.16, with significant heterogeneity across participant, treatment, and study levels. Further, a more appropriate model using between-case estimation for within-subject effects to improve comparability between single-case and group-design studies, yielded a smaller but still significant effect, "g" = 0.51. Lastly, higher exercise intensity, but not age, exercise duration or settings, reliably predicted treatment effectiveness. Implications for clinical practice and research are discussed. Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary in design and outcome. The present systematic review and meta-analysis included 22 studies, involving 274 children with ASD, to quantify the effect of exercise on SMB and its potential moderators. Multi-level modelling revealed a large overall effect, Hedges’ g = 1 . 16, with significant heterogeneity across participant, treatment, and study levels. Further, a more appropriate model using between-case estimation for within-subject effects to improve comparability between single-case and group-design studies, yielded a smaller but still significant effect, g = 0.51. Lastly, higher exercise intensity, but not age, exercise duration or settings, reliably predicted treatment effectiveness. Implications for clinical practice and research are discussed. |
| Audience | Academic |
| Author | Vijayakumar, Ranjith Yap, Melvin J. Teh, Elizabeth J. Tan, Timothy Xing Jun |
| Author_xml | – sequence: 1 givenname: Elizabeth J. orcidid: 0000-0001-7389-1113 surname: Teh fullname: Teh, Elizabeth J. email: entejt@nus.edu.sg organization: Department of Otolaryngology/Division of Graduate Medical Studies, Yong Loo Lin School of Medicine, National University of Singapore – sequence: 2 givenname: Ranjith surname: Vijayakumar fullname: Vijayakumar, Ranjith organization: Department of Psychology, National University of Singapore – sequence: 3 givenname: Timothy Xing Jun surname: Tan fullname: Tan, Timothy Xing Jun organization: Department of Psychology, National University of Singapore – sequence: 4 givenname: Melvin J. surname: Yap fullname: Yap, Melvin J. organization: Department of Psychology, National University of Singapore |
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| ContentType | Journal Article |
| Copyright | The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 COPYRIGHT 2022 Springer The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021. 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. |
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| Snippet | Studies have reported that physical exercise reduces maladaptive stereotyped motor behaviours (SMB) in children with ASD, but these intervention studies vary... |
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| SubjectTerms | Analysis Autism Autism Spectrum Disorders Behavior Behavior Problems Behavioral Science and Psychology Care and treatment Child and School Psychology Children Clinical research Communication Skills Diagnosis Effect Size Exercise Exercise therapy Exhibits Health aspects Homeostasis Inhibition Interpersonal Relationship Intervention Meta Analysis Moderators Motor ability Neurosciences Original Paper Otolaryngology Patient outcomes Pediatrics Pervasive Developmental Disorders Program Effectiveness Psychological Patterns Psychology Public Health Risk factors Social Development Social interaction Stereotype (Psychology) Stereotypes Stimulation Systematic review |
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| Title | Effects of Physical Exercise Interventions on Stereotyped Motor Behaviours in Children with ASD: A Meta-Analysis |
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