A Structured Sensory-Motor Exercise Program Improves Balance and Parent-Reported Sensory Reactivity in Autistic Children

Children with autism spectrum disorder (ASD) often present co-occurring sensory reactivity differences and balance deficits. This randomized controlled trial examined if a 16-week sensory-motor exercise program could improve balance and sensory reactivity in autistic children. Twenty children (6-12 years) were randomized to the intervention group (n = 10) or a conventional therapy control (n = 10), and sixteen children (eight per group) completed the study. The primary outcome was balance (Berg Balance Scale, BBS); the secondary, exploratory outcome was parent-reported sensory reactivity (Short Sensory Profile, SSP). The intervention group showed significantly greater improvements in balance (p < .001) and parent-reported reductions in atypical sensory reactivity (p < .001). These results support incorporating structured sensory-motor activities into therapeutic programs for ASD to enhance children's functional balance, reduce atypical sensory reactivity, and improve their participation in daily life activities, which are critical components of occupational performance.