Motor Behavior

The Effect of a Period of Selected Exercises Over Soft and Hard Surfaces on the Static Balance of Children with Autism Spectrum Disorder

Document Type : Research Paper

Authors

1 Assistant Professor, Motor Behavior and Sport Management Department, Faculty of Sport Sciences, University of Isfahan

2 MA of Motor Behavior, Motor Behavior and Sport Management Department, Faculty of Sport Sciences, University of Isfahan

3 Associate Professor, Motor Behavior and Sport Management Department, Faculty of Sport Sciences, University of Isfahan

Abstract
The purpose of this study was to determine the effect of a selected exercise period on soft and hard surfaces on the static balance of children with autism spectrum disorder. Twenty children with autism spectrum disorder (age 7.8±2.81 years) were selected by use of convenience sampling from Ordibehesht Autism Center of Isfahan. Then, they were matched for age, sex, height, weight and autism index and assigned into two groups of 10 persons whom exercised on a soft surface and hard surface. They participated in a period of selected balance exercises for 24 sessions (three times a week). Static balance of these children was evaluated in the pretest and post-test by assessing the amount of displacement of the center of pressure in the anteroposterior and mediolateral directions while standing on the Foot Scan for 18 seconds. To analyze the data, the mixed (2 × 2) variance analysis was used (p <0.05).  The results showed that static balance with open eyes of both groups improved significantly after the intervention. However, there was not significant difference between the two groups of exercise on the soft and hard surfaces. Exercise on surfaces with different stiffness improves the balance of children with autism spectrum disorder by reinforcement of the proprioceptors.

Keywords

Main Subjects

  1. Ahmadi A, Shahi Y. Effect of perceptual-motor practices on motor and mathematical skills in autism, a single-subject design. Journal of Fundamentals of Mental Health. 2010;12(46):534-41. (In Persian).
  2. Atigh A, Akbarfahimi M, Alizadeh M, Mahmoodirad, M. Effect of rhythmical physical activity on balance performance of children with autism. Journal of Kermanshah University of Medical Science. 2013;17(8):483-91. (In Persian). 
  3. Fombonne E. The epidemiology of autism: a review. Psychol Med. 1999;29(4):769-86.
  4. Fooladgar M, Bahramipoor M, Ansarieshahidi M. Autism. Isfahan: Jahad Daneshgahi; 2009. p. 69-70. (In Persian).
  5. Grafman J, Litvan I. Importance of deficits in executive functions. Lancet. 1999; 354(9194):1921-3.
  6. Noterdaeme M, Mildenberger K, Minow F, Amorosa H. Evaluation of neuromotor deficits in children with autism and children with a specific speech and language disorder. Eur Child Adolesc Psychiatry. 2002;11(5):219-25.
  7. Hejazishirmard M. Motor deficits in autism spectrum disorder children and it’s subsequences. Paper presented at: 6th International Congress on Child and Adolescent Psychiatry; 2013 September 17-19; Tabriz, Iran.
  8. Fournier KA, Kimberg CI, Radonovich KJ, Tillman MD, Chow JW, Lewis MH, et al. Decreased static and dynamic postural control in children with autism spectrum disorders. Gait Posture. 2010;32(1):6-9.
  9. Jansiewicz EM, Goldberg MC, Newschaffer CJ, Denckla MB, Landa R, Mostofsky SH. Motor signs distinguish children with high functioning autism and Asperger’s syndrome from controls. J Autism Dev Disord. 2006;36(5):613-21.
  10. Vilensky, J. A., Damasio, A. R., & Maurer, R. G. (1981). Gait disturbances in patients with autistic behavior: A preliminary study. Arch Neurol, 38(10), 646–649.
  11. Minshew NJ, Sung K, Jones BL, Furman JM. Underdevelopment of the postural control system in autism. Neurology. 2004;63(11):2056-61.
  12. Cheldavi H, Shakerian S, Boshehri SN, Zarghami M. The effects of balance training intervention on postural control of children with autism spectrum disorder: role of sensory information. Research in Autism Spectrum Disorders. 2014;8(1):8-14.
  13. Kim Y, Todd T, Fujii T, Lim JC, Vrongistinos K, Jung T. Effects of Taekwondo intervention on balance in children with autism spectrum disorder. J Exerc Rehabil. 2016;12(4):314-319.
  14. Memari AH, Ghanouni P, Gharibzadeh S, Eghlidi J, Ziaee V, Moshayedi P. Postural sway patterns in children with autism spectrum disorder compared with typically developing children. Research in Autism Spectrum Disorders. 2013;7(2):325-32.
  15. Somogyi E, Kapitány E, Kenyeres K, Donauer N, Fagard J, Kónya A. Visual feedback increases postural stability in children with autism spectrum disorder. Research in Autism Spectrum Disorders. 2016; 29:48-56.
  16. Wang Z, Hallac RR, Conroy KC, White SP, Kane AA, Collinsworth AL, Sweeney JA, Mosconi MW. Postural orientation and equilibrium processes associated with increased postural sway in autism spectrum disorder (ASD). J Neurodev Disord. 2016;8(1):43-60.
  17. Balasubramaniam R, Wing AM. The dynamics of standing balance. Trends Cogn Sci. 2002;6(12):531-6.
  18. Morris SL, Foster CJ, Parsons R, Falkmer M, Falkmer T, Rosalie SM. Differences in the use of vision and proprioception for postural control in autism spectrum disorder. Neuroscience. 2015; 307:273-80.
  19. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 2010; 319:1701–7.
  20. Voukelatos A, Merom D, Sherrington C, Rissel C, Cumming RG, Lord SR. The impact of a home-based walking program on falls in older people: the easy steps randomised controlled trial. Age Ageing. 2015; 44:377–83.
  21. Park YH, Kim YM, Lee BH. An ankle proprioceptive control program im­proves balance, gait ability of chronic stroke patients. J Phys Ther Sci. 2013; 25:1321-4.
  22. Carter JM, Beam WC, McMahan SG, Barr ML, Brown LE. The effects of stability ball training on spinal stability in sedentary individuals. J Strength Cond Res. 2006; 20:429-35.
  23. McIlroy WE, Bishop DC, Staines WR, Nelson AJ, Maki BE, Brooke JD. Modulation of afferent inflow during the control of balancing tasks using the lower limbs. Brain Res. 2003; 961:73–80.
  24. Behm DG, Leonard AM, Young WB, Bonsey WAC, MacKinnon SN. Trunk muscle electromyographic activity with unstable and unilateral exercises. J Strength Cond Res. 2005; 19: 193–201.
  25. Shumway-Cook A, Woollacott MH: Motor control: translating research into clinical practice. 3rd ed. Philadelphia: Lippincott Williams &Wilkins; 2007, p. 3–83.
  26. Behm DG, Drinkwater EJ, Willardson JM, Cowley PM. Canadian Society for Exercise Physiology position stand: the use of instability to train the core in athletic and nonathletic conditioning. Applied Physiology, Nutrition, and Metabolism. 2010; 35(1):109-12.
  27. Cuğ M, Ak E, Özdemir RA, Korkusuz F, Behm DG. The effect of instability training on knee joint proprioception and core strength. J Sports Sci Med. 2012;11(3):468-474.
  28. Nam HC, Cha HG, Kim MK. The effects of exercising on an unstable surface on the gait and balance ability of normal adults. J Phys Ther Sci. 2016;28(7):2102-4.
  29. Lamoth CJ, van Lummel RC, Beek PJ. Athletic skill level is reflected in body sway: a test case for accelometry in combination with stochastic dynamics. Gait Posture. 2009;29(4):546-51.
  30. Shumway-Cook A, Hutchinson S, Kartin D, Price R, Woollacott M. Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child Neurol. 2003;45(9):591-602.
  31. Pan CY, Frey GC. Physical activity patterns in youth with autism spectrum disorders. J Autism Dev Disord. 2006;36(5):597-606.
  32. Heitkamp HC, Horstmann T, Mayer F, Weller J, Dickhuth HH. Gain in strength and muscular balance after balance training. Int J Sports Med. 2001;22(04):285-90.
  33. Fiene L, Brownlow C. Investigating interoception and body awareness in adults with and without autism spectrum disorder. Autism Res. 2015;8(6):709-16.
  34. Bart O, Bar-Haim Y, Weizman E, Levin M, Sadeh A, Mintz M. Balance treatment ameliorates anxiety and increases self-esteem in children with comorbid anxiety and balance disorder. Res Dev Disabil. 2009;30(3):486-95.
  35. Gallahue DL, Ozmun JC. Understanding motor development: infants, children, adolescents, adults. Trans Hemayattalab R, Fooladian J, Farsi A, Movahedi A. Tehran: Science and motor Publication; 2014. p. 660. (In Persian)
  36. Maurer G. Soft Surface Training. www.newparadigmpartners.com. 2011.
  37. Ahmadi J, Safari T, Hematian M, Khalili Z. Guidance of Gilliam Autism Rating Scale (GARS-2). Isfahan: Jahad daneshgahi Publication; 2012. p. 32-54. (In Persian)
  38. RS Scan International. Available at: http://www.rsscan.com/ [cited 2014 May 5].
  39. Cheatum, BA, Hammond AA.  Physical activities for improving children’s learning and behavior: a guide to sensory motor development. Trans Aslankhani M, Chaharbaghi Z, Rafei M. Shahid Beheshti University. Tehran. Iran; 2000. p. 250-257. (In Persian)
  40. Kohen-Raz R, Volkman FR, Cohen DJ. Postural control in children with autism. J Autism Dev Disord. 1992;22(3):419-32.
  41. Beecham J, O'neill T, Goodman R. Supporting young adults with hemiplegia: services and costs. Health Soc Care Community. 2001;9(1):51-9.
  42. Smoot Reinert S, Jackson K, Bigelow K. Using posturography to examine the immediate effects of vestibular therapy for children with autism spectrum disorders: A feasibility study. Phys Occup Ther Pediatr. 2015;35(4):365-80.
  43. Yilmaz I, Yanardağ M, Birkan B, Bumin G. Effects of swimming training on physical fitness and water orientation in autism. Pediatr Int. 2004;46(5):624-6.
  44. Magnusson JE, Cobham C, McLeod R. Beneficial effects of clinical exercise rehabilitation for children and adolescents with autism spectrum disorder (ASD). Journal of Exercise Physiology Online. 2012;15(2): 71-79.
  45. Stins JF, Emck C. Balance performance in autism: a brief overview. Front Psychol. 2018; 9:901-906.
  46. Ershad N, Kahrizi S. Balance and posture in low back pain patients. Research in Rehabilitation Sciences. 2007;3(1):85-92. (In Persian).
  47. Taube W, Gruber M, Gollhofer A. Spinal and supraspinal adaptations associated with balance training and their functional relevance. Acta Physiol (Oxf). 2008;193(2):101-6.
  48. Rolf Ch. The sports injuries handbook: diagnosis and management. Trans Rahnama N, Mashhadi M, Kalali Navid, Bagherian S. Tehran: Sport Sciences Research Institute of Iran; 2012. p. 128. (In Persian).
  49. Blanche EI, Reinoso G, Chang MC, Bodison S. Proprioceptive processing difficulties among children with autism spectrum disorders and developmental disabilities. Am J Occup Ther. 2012;66(5):621-4.
  50. Molloy CA, Dietrich KN, Bhattacharya A. Postural stability in children with autism spectrum disorder. J Autism Dev Disord. 2003;33(6):643-52.
Motor Behavior
Volume 12, Issue 42 - Serial Number 42
Winter 2021
December 2020
Pages 55-80

  • Receive Date 26 May 2019
  • Revise Date 04 December 2019
  • Accept Date 22 December 2019

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