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Gepubliceerd in:
08-07-2021 | Original Paper
Effects of Physical Exercise Interventions on Stereotyped Motor Behaviours in Children with ASD: A Meta-Analysis
Auteurs: Elizabeth J. Teh, Ranjith Vijayakumar, Timothy Xing Jun Tan, Melvin J. Yap
Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 7/2022
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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.
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1
A form of Chinese mind–body exercise, based upon Zen principles of martial arts and healing, involving sets of slow, gentle, and smooth movements.
2
Since the study by Nazemzadegan et al. (2016) had a relatively low quality score of 2, we conducted further sensitivity analyses by re-running all the meta-analyses without this study. The overall effect size increased slightly (Method 1: from g = 1.16 to g = 1.19; Method 2: from g = 0.51 to g = 0.52), and heterogeneity I2 was slightly higher (Method 1: from 76.3% to 77.0%); Method 2: from 40.9% to 42.9%). The pattern of significance for overall and moderator effects remained unchanged. Thus, we decided to retain the study in the review to avoid reducing the sample sizes above.
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Metagegevens
- Titel
- Effects of Physical Exercise Interventions on Stereotyped Motor Behaviours in Children with ASD: A Meta-Analysis
- Auteurs
-
Elizabeth J. Teh
Ranjith Vijayakumar
Timothy Xing Jun Tan
Melvin J. Yap
- Publicatiedatum
- 08-07-2021
- Uitgeverij
- Springer US
- Gepubliceerd in
-
Journal of Autism and Developmental Disorders
/ Uitgave 7/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432 - DOI
- https://doi.org/10.1007/s10803-021-05152-z
