Effects of an adapted physical activity program integrated with applied behavior analysis in children and adolescents with autism spectrum disorder: a pilot study
Volume 16, Issue 2 (2026)
Volume 16, Issue 2 (2026)
Effects of an adapted physical activity program integrated with applied behavior analysis in children and adolescents with autism spectrum disorder: a pilot study
Abstract:
Adapted Physical Activity (APA) represents an area of growing interest within rehabilitation pathways for individuals with Autism Spectrum Disorder (ASD), as it enables the integration of motor, behavioural, and socio-relational dimensions within structured educational contexts. The present pilot study aims to examine the functional impact and ecological validity of an APA protocol integrated with the principles of Applied Behaviour Analysis (ABA). Twenty participants diagnosed with ASD, aged between 3 and 17 years, took part in the study and were involved in a 10-week training programme. Outcome assessment was carried out using a mixed observational design, integrating caregivers’ perceptions collected through a post-intervention questionnaire and systematic observations conducted by ABA practitioners using a structured checklist. The results highlight an overall positive impact of the intervention, with significant improvements in motor functioning, active participation, and emotional and behavioural regulation. The findings suggest that APA integrated with ABA constitutes an ecologically valid and potentially effective intervention for promoting adaptive skills in individuals with ASD, confirming the central role of movement within integrated rehabilitation pathways.
Keywords:
Emotional self-regulation, Social interaction, Engagement, Setting
Full Text:
References:
Achenbach, T. M., & Ruffle, T. M. (2000). The Child Behavior Checklist and related forms for assessing behavioral/emotional problems and competencies. Pediatrics in Review, 21(8), 265-271. Aliberti, S., D’Elia, F., Giardullo, G., & Raiola, G. (2025). Agonism and performance in adolescent football players in informal physical education settings. Frontiers in Sports and Active Living, 7, 1511719. Altavilla, G. (2019). Monitoring training to adequate the teaching method in training: An interpretative concepts. Journal of Physical Education and Sport, 19, 1763-1766. Altavilla, G., Ceruso, R., Esposito, G., Raiola, G., & D’Elia, F. (2022). Physical education teaching in Italian primary school: theoretical lines and operational proposals. Pedagogy of Physical Culture and Sports, 26(3), 151-157. Altavilla, G., Aliberti, S., & D’Elia, F. (2024). Assessment of Motor Performance and Self-Perceived Psychophysical Well-Being in Relation to Body Mass Index in Italian Adolescents. Children, 11(9), 1119. Anderson-Hanley, C., Tureck, K., & Schneiderman, R. L. (2011). Autism and exergaming: effects on repetitive behaviors and cognition. Psychology Research and behavior Management, 129-137. Bhat, A. N. (2021). Motor impairment increases in children with autism spectrum disorder as a function of social communication, cognitive and functional impairment, repetitive behavior severity, and comorbid diagnoses: A SPARK study report. Autism Research, 14(1), 202-219. Bremer, E., Crozier, M., & Lloyd, M. (2016). A systematic review of the behavioural outcomes following exercise interventions for children and youth with autism spectrum disorder. Autism, 20(8), 899-915. Bruni, T. P. (2014). Test review: Social responsiveness scale–Second edition (SRS-2). Journal of Psychoeducational Assessment, 32(4), 365- 369. Cascone, C., De Cesare, G., & D’Elia, F. (2020). Physical education teacher training for disability. Journal Of Human Sport and Exercise, 15, 634-644. Ceruso, R., Focetola, G., Sferlazza, M. C., & Raiola, G. (2024a). Influence of Generalist Teachers Views on Training and Experience in Inclusive Education of Students with Autism Spectrum Disorder. Collegium Antropologicum, 48(4), 269-274. Ceruso, R., Giardullo, G., Di Lascio, G., Cusano, P., & Sannicandro, I. (2024b). Physical Activity Monitoring Model to Measure the Appropriateness of Weekly Physical Activity for the World Health Organization’s Physical Well-Being and Health Claims. Physical Education Theory and Methodology, 24(6), 905-911. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (Vol. 2, pp. 37-46). Pearson/Merrill-Prentice Hall. D’Elia, F., Di Domenico, F., D’Isanto, T., Altavilla, G., & Raiola, G. (2020). From biomechanics to motor learning. Acta Medica Mediterranea, 36, 3073-3078. D’Elia, F., Altavilla, G., Esposito, G., Aliberti, S., & Raiola, G. (2022). Perceptions and benefits of static and dynamic stretching in dancers: Qualitative and quantitative aspects. Journal of Physical Education, 33, e3339. D’Elia, F., D’Isanto, T., Esposito, G., Altavilla, G., & Raiola, G. (2023). Physical activity and sports science in Italian scientific research products. Health, sport, rehabilitation, 9(2), 38-47. D’Isanto, T., Altavilla, G., Esposito, G., D’Elia, F., & Raiola, G. (2022). Heuristic Learning and Sport: Theoretical Lines and Operational Proposals. Encyclopaideia, 69-80. D’Isanto, T., Aliberti, S., Raiola, G., & D’Elia, F. (2024). Assessment of motor skills in 5-6 year old Italian children using the MABC-2: a preliminary study. Physical Activity Review, 12(1). Di Domenico, F., Ceruso, R., Aliberti, S., & Esposito, G. (2024). Analyzing the Perception of the Impact of Sports Practice on Students in School Settings. Physical Education Theory and Methodology, 24(2), 276-282. Esposito, G., Di Domenico, F., Ceruso, R., Aliberti, S., & Raiola, G. (2024). Perceptions/opinions about the formation of the bachelor program in exercise and sports science by students aimed at the new professional profile of the basic kinesiologist. Sport Sciences for Health, 20(2), 659-664. Esposito, G., Ceruso, R., Aliberti, S., & Raiola, G. (2024). Ecological-dynamic approach vs. traditional prescriptive approach in improving technical skills of young soccer players. Journal of Functional Morphology and Kinesiology, 9(3), 162. Esposito, G. (2024). Effects of competitiveness in rhythmic gymnastics: a qualitative research. Acta Kinesiologica, 18(4), 54-63. Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: a synthesis and meta-analysis. Journal of autism and developmental disorders, 40(10), 1227-1240. Gallese, V. (2001). The’shared manifold’hypothesis. From mirror neurons to empathy. Journal of Consciousness Studies, 8(5-6), 33-50. Hansen, S., Drew, C., Etchison, H., & Demarco, J. (2022). Using applied behavior analysis to teach adaptive skills. In Handbook of autism and pervasive developmental disorder: Assessment, diagnosis, and treatment (pp. 845-873). Cham: Springer International Publishing. Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of consulting and clinical psychology, 55(1), 3. Oakland, T., & Harrison, P. L. (Eds.). (2011). Adaptive behavior assessment system-II: Clinical use and interpretation. Academic Press. Pan, C. Y. (2011). The efficacy of an aquatic program on physical fitness and aquatic skills in children with and without autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 657-665. Penedo, F. J., & Dahn, J. R. (2005). Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Current opinion in psychiatry, 18(2), 189-193. Raiola, G., D’Elia, F., & Altavilla, G. (2018). Physical activity and sports sciences between European Research Council and academic disciplines in Italy. Journal of Human Sport and Exercise, 13, 283-295. Raiola, G., Esposito, G., Aliberti, S., D’Elia, F., & D’Isanto, T. (2025). Physical Exercise and Psychophysical Learnings on Basic Strength Development. Methods and Protocols, 8(2), 40. Rizzolatti, G., & Sinigaglia, C. (2010). The functional role of the parieto-frontal mirror circuit: interpretations and misinterpretations. Nature Reviews Neuroscience, 11(4), 264-274. SINPIA. (2022). Clinical guidelines for autism: Psychoeducational, rehabilitative and pharmacological interventions. Italian Society of Child and Adolescent Neuropsychiatry. https://sinpia.eu/wp-content/uploads/2023/03/Sinpia_3_22_def.pdf Taleb, M., Aliberti, S., & D’Isanto, T. (2021). Core training to reduce the performance gap between abled and disabled athletes in the canoe discipline. Journal of Human Sport and Exercise, 16(3), 1039-1044. Williams, K. L., Kirby, A. V., Watson, L. R., Sideris, J., Bulluck, J., & Baranek, G. T. (2018). Sensory features as predictors of adaptive behaviors: A comparative longitudinal study of children with autism spectrum disorder and other developmental disabilities. Research in Developmental Disabilities, 81, 103-112.
