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Evaluating an Eight-Week Therapeutic Swimming Program in Children with Autism Spectrum Disorder: A Mixed-Methods
Stefan Alecu1, Gheorghe Adrian Onea1
1Department of Physical Education and Special Motricity, Faculty of Physical Education and Mountain Sports, Transilvania University, 500068 Brasov, Romania.
Therapeutic swimming offers significant benefits for children with autism spectrum disorder (ASD), enhancing well-being, physical activity, and social skills alongside behavioral therapies. This adapted physical activity program complements Applied Behaviour Analysis (ABA) therapy, showing positive developmental changes.
Area of Science:
- Pediatric Therapy
- Developmental Psychology
- Sports Science
Background:
- Autism Spectrum Disorder (ASD) interventions in Romania primarily focus on behavioral and educational methods.
- Adapted Physical Activity (APA) and therapeutic swimming are underutilized in ASD treatment.
- Therapeutic swimming presents potential for addressing physical and psychosocial challenges in children with ASD.
Purpose of the Study:
- To explore parent-perceived changes in children with ASD undergoing an adapted therapeutic swimming program.
- To assess the impact of therapeutic swimming on well-being, learning, attention, physical activity, and social functioning.
- To evaluate therapeutic swimming as a complementary approach to Applied Behaviour Analysis (ABA) therapy.
Main Methods:
- A cohort of 39 children with ASD participated in an 8-week therapeutic swimming program.
- Parent-report questionnaires (PPQ-Autism-Swim) measured perceived changes across five developmental domains.
- Data were collected at three time points: pre-ABA, post-ABA, and post-swimming intervention.
Main Results:
- Parents reported significant perceived improvements across multiple domains following the swimming program.
- Children demonstrated progress in physical activity regulation and self-confidence.
- Qualitative feedback highlighted calmer behavior, improved sleep, and enhanced social interaction.
Conclusions:
- Therapeutic swimming is an effective and engaging form of APA for children with ASD.
- It complements traditional behavioral therapies like ABA, addressing diverse developmental needs.
- The program shows promise in enhancing overall well-being and functional skills in children with ASD.
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