A Review of Literature on the Efficacy of Aerobic Exercises on Stereotypic Behaviour for Autism Spectrum Disorder
Background: Autism Spectrum Disorder (ASD) is a heterogeneous
neurobiological condition that features restricted, repetitive, and
stereotypic behaviour, and impairments in social interaction and verbal
and non-verbal communication. Autism is caused due to genetic and
environmental factors. Autism is classified into five major types: Rett’s
disorder, Asperger’s disorder, autistic disorder, childhood disintegrative
disorder, and pervasive developmental disorder not otherwise specified.
Stereotypic behaviour is involuntary; sensorial self-regulation activities
are present in autistic children. Aerobic exercise (AE) is described as a
type of exercise that elevates the heart rate and oxygen consumption
of the body. It has been seen to cause improvement in an ASD child’s
physical development, cognitive development, and body composition.
Aim: This article aims to present a review of the relevant literature on the
efficacy of aerobic exercises on stereotypic behaviour in ASD children.
Methods: This review is based on the PRISMA guidelines. The databases
used for searching the articles were PubMed and Google Scholar.
Inclusion criteria were taken care of while selecting the articles. The
articles between the years 2011 and 2022 were selected.
Results: In this review, ten studies were selected according to the
inclusion criteria and all these studies showed the effectiveness of
aerobic exercise and a decrease in stereotypic behaviour in ASD children.
Conclusion: This literature review analysed the efficacy of AE on
stereotypic behaviour in ASD children. This study concluded that physical
activity, which included aerobic exercise, reduced the stereotypic
behaviour of children affected by ASD.
How to cite this article:
Sonia DRL, Mohan P, Sedhunivas R, Kumar SS. A
Review of Literature on the Efficacy of Aerobic
Exercises on Stereotypic Behaviour for Autism
Spectrum Disorder. Chettinad Health City Med
Srinivasan SM, Pescatello LS, Bhat AN. Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorders. Phys Ther. 2014 Jun;94(6):875-89. [PubMed] [Google Scholar]
Demetriou EA, Lampit A, Quintana DS, Naismith SL, Song YJ, Pye JE, Hickie I, Guastella AJ. Autism spectrum disorders: a meta-analysis of executive function. Mol Psychiatry. 2018 May;23(5):1198-204. [PubMed] [Google Scholar]
Watts TJ. The pathogenesis of autism. Clin Med Pathol. 2008;1:99-103. [PubMed] [Google Scholar]
Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet. 2018 Aug 11;392(10146):508-20. [PubMed] [Google Scholar]
Bölte S, Girdler S, Marschik PB. The contribution of environmental exposure to the etiology of autism spectrum disorder. Cell Mol Life Sci. 2019;76(7):1275-97. [PubMed] [Google Scholar]
Daud SN, Maria M, Shahbodin F, Ahmad I. Assistive technology for autism spectrum disorder: a review of literature. Proceedings of the International MEDLIT Conference; 2018 Mar. p. 1-7. [Google Scholar]
Schmitz C, Rezaie P. The neuropathology of autism: where do we stand? Neuropathol Appl Neurobiol. 2008 Feb;34(1):4-11. [PubMed] [Google Scholar]
Yenkoyan K, Grigoryan A, Fereshetyan K, Yepremyan D. Advances in understanding the pathophysiology of autism spectrum disorders. Behav Brain Res. 2017 Jul 28;331:92-101. [PubMed] [Google Scholar]
Johnson CP, Myers SM; American Academy of Pediatrics Council on Children with Disabilities. Identification and evaluation of children with autism spectrum disorders. Pediatrics. 2007 Nov;120(5):1183-215. [PubMed] [Google Scholar]
Lang R, Koegel LK, Ashbaugh K, Regester A, Ence W, Smith W. Physical exercise and individuals with autism spectrum disorders: a systematic review. Res Autism Spectr Disord. 2010 Oct 1;4(4):565-76. [Google Scholar]
Hattier MA, Matson JL, Macmillan K, Williams L. Stereotyped behaviors in children with autism spectrum disorders and atypical development as measured by the BPI-01. Dev Neurorehabil. 2013 Oct;16(5):291-300. [PubMed] [Google Scholar]
Oriel KN, George CL, Peckus R, Semon A. The effects of aerobic exercise on academic engagement in young children with an autism spectrum disorder. Pediatr Phys Ther. 2011;23(2):187-93. [PubMed] [Google Scholar]
Patel H, Alkhawam H, Madanieh R, Shah N, Kosmas CE, Vittorio TJ. Aerobic vs anaerobic exercise training effects on the cardiovascular system. World J Cardiol. 2017 Feb 26;9(2):134. [PubMed] [Google Scholar]
Dhaliwal KK, Orso CE, Richard C, Haqq AM, Zwaigenbaum L. Risk factors for unhealthy weight gain and obesity among children with an autism spectrum disorder. Int J Mol Sci. 2019 Jul 4;20(13):3285. [PubMed] [Google Scholar]
Best JR. Effects of physical activity on children’s executive function: contributions of experimental research on aerobic exercise. Dev Rev. 2010;30(4):331-51. [PubMed] [Google Scholar]
Ferreira JP, Ghiarone T, Cabral Júnior CR, Furtado GE, Carvalho HM, Rodrigues AM, Toscano CV. Effects of physical exercise on the stereotyped behavior of children with autism spectrum disorders. Medicina (Kaunas). 2019 Oct;55(10):685. [PubMed] [Google Scholar]
Mays MN. Using antecedent aerobic exercise to decrease stereotypic and self-stimulatory behavior in children with autism [dissertation]. Georgia State University; 2013. [Google Scholar]
Neely L, Rispoli M, Gerow S, Ninci J. Effects of antecedent exercise on academic engagement and stereotypy during instruction. Behav Modif. 2015 Jan;39(1):98-116. [PubMed] [Google Scholar]
Young S, Furgal K. Exercise effects in individuals with autism spectrum disorder: a short review. Autism Open Access. 2016;6(3):1-2. [Google Scholar]
Oline SS, McFadden BA, Golem DL, Pellegrino JK, Walker AJ, Sanders DJ, Arent SM. The effects of exercise dose on stereotypical behavior in children with autism. Med Sci Sports Exerc. 2017 May 1;49(5):983-90. [PubMed] [Google Scholar]
Ferreira JP, Toscano CV, Rodrigues AM, Furtado GE, Barros MG, Wanderley RS, Carvalho HM. Effects of a Physical Exercise Program (PEP-Aut) on autisticchildren’s stereotyped behavior, metabolic and physical activity profiles, physical fitness, and health-related quality of life: a study protocol. Front Public Health. 2018 Mar 2;6:47. [PubMed] [Google Scholar]
Keerthna S, Manikumar M. Effectiveness of taskoriented aerobic exercise to evaluate the severity of autism in autism subjects with self-stimulatory behaviour. Int J Creat Res Thought. 2018;6(2):36-55. 23. Adesokan A, Ogunfeyitimi EO, Obafemi KE, Adesokan TT. Effect of physical exercise on weight reduction of students. ASEAN J Phys Educ Sport Sci. 2023;2(2):117-22. [Google Scholar]
Strofylla G, Charitou S, Asonitou K, Koutsouki D. Efficacy of 6-month adapted aerobic program on motor proficiency, BMI and cognitive abilities of students with autism spectrum disorder: three case reports. Open J Soc Sci. 2021 Sep;9(9):153-66. [Google Scholar]
Cole DK. The effect of aerobic exercise on children with autism spectrum disorder: a systematic literature review [dissertation]. University of Central Florida; 2021. [Google Scholar]
Tarr CW, Rineer-Hershey A, Larwin K. The effects of physical exercise on stereotypic behaviors in autism: small-n meta-analyses. Focus Autism Other Dev Disabil. 2020 Mar;35(1):26-35. [Google Scholar]