Autism spectrum disorder, motor skill difficulties, and therapeutic intervention with Exergaming: A narrative review
DOI:
https://doi.org/10.62827/fb.v27i2.1147Keywords:
Autism Spectrum Disorder; Motor Skills Disorders; Exergaming.Abstract
Introduction: Autism Spectrum Disorder (ASD) is classified as a human neurodevelopmental disorder that presents uniquely in each individual, potentially affecting behaviors involving communication, speech, social interaction, and motor functions. In this context, diverse functional impairments are observed in this population. Objective: To analyze, through a narrative review, the impact of exergaming as a therapeutic intervention tool on the motor skills of individuals with ASD. Methods: The search was conducted in the National Library of Medicine (PubMed) and Scientific Electronic Library Online (SciELO) databases. A timeframe from 2000 to 2025 was used, including studies in Portuguese and English. Keywords were consulted in the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH): "Autism Spectrum Disorder", "Exergaming", and "Motor Skills Disorders". Experimental studies and systematic reviews on motor interventions via virtual reality were included, while case reports and studies focused exclusively on pharmacology were excluded. Results: The screening resulted in the selection of 30 articles. Data indicate that exergames promote significant improvements in balance, executive functions, motor coordination, and agility. The combination of visual and playful stimuli facilitated motor learning and the integration of sensory-motor experiences. Conclusion: Exergaming constitute an effective and viable therapeutic tool for Physical Therapy, assisting in overcoming adherence barriers. This study reinforces the need for standardized protocols to consolidate the use of this technology in clinical practice.
References
World Health Organization. ICD-10: international statistical classification of diseases and related health problems: tenth revision. 2. ed. Geneva: World Health Organization; 2004.
American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. 5. ed. Nascimento MIC, tradutor. Porto Alegre: Artmed; 2014.
Genovese A, Butler MG. Clinical assessment, genetics, and treatment approaches in Autism Spectrum Disorder (ASD). Int J Mol Sci. 2020;21(13):4726.
Christensen DL, Baio J, Braun KV, Bilder D, Charles J, Constantino JN, et al. Prevalence and characteristics of Autism Spectrum Disorder among children aged 8 years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2012. MMWR Surveill Summ. 2016;65(3):1-23.
Zablotsky B, Black LI, Maenner MJ, Schieve LA, Danielson ML, Bitsko RH, et al. Prevalence and trends of developmental disabilities among children in the United States: 2009-2017. Pediatrics. 2019;144(4):e20190811.
Ceccarelli SB, Ferrante C, Gazzola E, Marzocchi GM, Nobile M, Molteni M, et al. Fundamental motor skills intervention for children with Autism Spectrum Disorder: a 10-year narrative review. Children. 2020;7(11):250.
Trakoshis S, Martínez-Cañada P, Rocchi F, Canella C, You W, Chakrabarti B, et al. Intrinsic excitation-inhibition imbalance affects medial prefrontal cortex differently in autistic men versus women. eLife. 2020;9:e55684.
McPartland J, Volkmar FR. Autism and related disorders. Handb Clin Neurol. 2012;106:407-18.
Galvez-Contreras AY, Zarate-Lopez D, Torres-Chavez AL, Gonzalez-Perez O. Role of Oligodendrocytes and Myelin in the Pathophysiology of Autism Spectrum Disorder. Brain Sci. 2020;10(12):951.
Schättin A, Pickles J, Flagmeier D, Schärer B, Riederer Y, Niedecken S, et al. Development of a Novel Home-Based Exergame With On-Body Feedback: Usability Study. JMIR Serious Games. 2022;10(4):e38703.
Lima JL, Axt G, Teixeira DS, Monteiro D, Cid L, Yamamoto T, et al. Exergames for Children and Adolescents with Autism Spectrum Disorder: An Overview. Clin Pract Epidemiol Ment Health. 2020;16:1-6.
Srinivasan SM, Pescatello LS, Bhat AN. Current perspectives on physical activity and exercise recommendations for children and adolescents with autism spectrum disorder. Phys Ther. 2014;94(6):875-89.
Stein DJ, Szatmari P, Gaebel W, Reed GM, Pike KM, Furegato AR, et al. Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes. BMC Med. 2020;18(1):21.
McAuliffe D, Zhao Y, Pillai AS, Ament K, Adamek J, Caffo BS, et al. Learning of skilled movements via imitation in ASD. Autism Res. 2020;13(5):777-84.
Kaur M, Srinivasan SM, Bhat AN. Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD). Res Dev Disabil. 2018;72:79-95.
Srinivasan SM, Kaur M, Park IK, Gifford TD, Marsh KL, Bhat AN. The Effects of Rhythm and Robotic Interventions on the Imitation/Praxis, Interpersonal Synchrony, and Motor Performance of Children with Autism Spectrum Disorder (ASD): A Pilot Randomized Controlled Trial. Autism Res Treat. 2015;2015:736516.
Sharma SR, Gonda X, Tarazi FI. Autism Spectrum Disorder: Classification, Diagnosis and Therapy. Pharmacol Ther. 2018;190:91-104.
Mostofsky SH, Powell SK, Simmonds DJ, Goldberg MC, Caffo B, Pekar JJ. Decreased connectivity and cerebellar activity in autism during motor task performance. Brain. 2009;132(9):2413-25.
Kozlowski KF, Lopata C, Donnelly JP, Thomeer ML, Rodgers JD, Seymour C. Feasibility and Associated Physical Performance Outcomes of a High-Intensity Exercise Program for Children With Autism. Res Q Exerc Sport. 2021;92(3):289-300.
Anderson-Hanley C, Tureck K, Schneiderman RL. Autism and exergaming: effects on repetitive behaviors and cognition. Psychol Res Behav Manag. 2011;4:129-37.
Pan CY, Chu CH, Tsai CL, Sung MC, Huang CY, Ma WY, et al. The impacts of physical activity intervention on physical and cognitive outcomes in children with autism spectrum disorder. Autism. 2017;21(2):190-202.
Fang Q, Aiken CA, Fang C, Pan Z. Effects of exergaming on physical and cognitive functions in individuals with autism spectrum disorder: a systematic review. Games Health J. 2019;8(2):74-84.
Weiss PL, Rand D, Katz N, Kizony R. Video capture virtual reality as a flexible and effective rehabilitation tool. J Neuroeng Rehabil. 2004;1(1):12.
Brasil. Ministério da Saúde. Guia de Atividade Física para a População Brasileira [Internet]. Brasília: Ministério da Saúde; 2021 [citado 2022 nov 26]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_atividade_fisica_populacao_brasileira.pdf.
Bull FC, Al-Ansari S, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62. doi: 10.1136/bjsports-2020-102955.
Bowling AB, Slavet J, Hendrick C, Beyl R, Nauta P, Augustyn M, et al. The Adaptive GameSquad Xbox-Based Physical Activity and Health Coaching Intervention for Youth With Neurodevelopmental and Psychiatric Diagnoses: Pilot Feasibility Study. JMIR Form Res. 2021;5(5):e24566.
Hilton CL, Cumpata K, Klohr C, Gaetke S, Artner A, Johnson H, et al. Effects of exergaming on executive function and motor skills in children with autism spectrum disorder: a pilot study. Am J Occup Ther. 2014;68(1):57-65.
Rogers SJ, Bennetto L, McEvoy R, Pennington BF. Imitation and pantomime in high-functioning adolescents with autism spectrum disorders. Child Dev. 1996;67(5):2060-73.
Grola NR, Cerqueira HSC, Custódio RJ, Martinelli Jr CE, Filho HT. Effects of a physical exercise program using exergames on gross motor development in children with autism spectrum disorder. Fisioter Mov. 2025;38:e38134.
Hocking DR, Farhat H, Gavrila R, Caeyenberghs K, Shields N. Do active video games improve motor function in people with developmental disabilities? A meta-analysis of randomized controlled trials. Arch Phys Med Rehabil. 2019;100(4):769-81.
Salem Y, Gropack SJ, Coffin D, Godwin EM. Effectiveness of a low-cost virtual reality system for children with developmental delay: a preliminary randomised single-blind controlled trial. Physiotherapy. 2012;98(3):189-95.
Bai D, Yip BHK, Windham GC, Sourander A, Francis R, Yoffe R, et al. Association of Genetic and Environmental Factors With Autism in a 5-Country Cohort. JAMA Psychiatry. 2019;76(10):1035-43.
Estes ML, McAllister AK. Maternal immune activation: implications for neuropsychiatric disorders. Science. 2016;353(6301):772-7.
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