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Effects of a 12-Week Exercise Intervention on Primitive Reflex Retention and Social Development in Children with ASD and ADHD

Bibliographic Data

ID15713004
AuthorsNorikazu Hirose (0000-0001-7212-6057, Waseda University, corresponding author), Yuki Tashiro (0000-0002-0341-2866, JEOL (Japan)), Tomoya Takasaki (JEOL (Japan))
Year2025
Volume12
Issue8
Pages987-987
Publication date2025-07-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children12080987
PMID40868439
OpenAlexW4412699762
LanguageEN
Citations received3
References cited38

Objective: Retained primitive reflexes are associated with delayed motor and behavioral development in children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). This study examined the effects of a 12-week structured exercise intervention on reflex integration, motor coordination, and socio-behavioral outcomes in these populations. Method: Fifteen children with ASD (13 boys, 2 girls) and twelve with ADHD (8 boys, 4 girls), aged 6-12 years, participated in rhythmic, balance, and coordination-based exercises. Primitive reflexes, including the asymmetrical tonic neck reflex (ATNR), were assessed using standardized protocols, and fine motor coordination was evaluated using the Finger and Thumb Opposition Test (FOT). Behavioral outcomes were measured using the Social Responsiveness Scale-2 (SRS-2) for the ASD group and the Conners 3 for the ADHD group. Results: The ASD group showed significant reductions in left-standing ATNR retention scores ( p = 0.012) and improvements in right-hand FOT scores ( p = 0.023). In the ADHD group, significant improvements were also observed in right-hand FOT scores ( p = 0.007). Furthermore, Conners 3 Total and Global Index scores significantly decreased in the ADHD group ( p = 0.016 and 0.020, respectively). Reflex retention patterns appeared broader and more bilateral in ASD than in ADHD, suggesting distinct motor developmental profiles. Conclusions: Short-term rhythmic, balance, and whole-body coordination exercise interventions may support behavioral and motor development in children with ASD and ADHD. Tailored programs emphasizing reflex integration hold promise for clinical and educational applications

Audiology · Autism · Autism spectrum disorder · Balance (ability · Developmental psychology · Gross motor skill · Motor coordination · Motor skill · Physical medicine and rehabilitation · Physical therapy · Psychiatry · Psychological intervention · Reflex · Attention Deficit Hyperactivity Disorder · Autism Spectrum Disorder Research · Children's Physical and Motor Development · Clinical Psychology · Medicine · Neuroscience · Psychology

  • Persisting primitive reflexes and motor and cognitive development in children

    Open Access•Adam Provazník, Martin Musalek et al.•Acta Psychologica•2026

  • Effects of exercise on anxiety and psychiatric comorbidities in children with autism spectrum disorder

    Open Access•Liqiang Zhang, W Y Song et al.•Frontiers in Psychiatry•2026

  • Effects of a 6-Month Exercise Intervention on Primitive Reflexes in Children with Developmental Language Disorder—A Case for Multisensory and Sensorimotor Integration

    Open Access•Brigitta Tele-Heri, Krisztina Csapó et al.•Children•2025

  • Adult outcome for children with autism

    Open Access•Patricia Howlin, Susan Goode et al.•Journal of Child Psychology and…•2004

  • Disinhibition of Primitive Reflexes in Attention Deficit and Hyperactivity Disorder

    Open Access•Petr Bob, Jana Konicarová et al.•Frontiers in Psychiatry•2021

  • Primitive Reflex Activity in Relation to the Sensory Profile in Healthy Preschool Children

    Open Access•Anna Pecuch, Ewa Gieysztor et al.•International Journal of…•2020

  • Primitive Reflex Factors Influence Walking Gait in Young Children

    Open Access•Ewa Gieysztor, Mateusz Kowal et al.•International Journal of…•2022

  • Gross motor impairment and its relation to social skills in autism spectrum disorder

    Leah A L Wang, Victoria Petrulla et al.•Psychological Bulletin•2022

Unique citing works3
Citations per year3
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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