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Executive function outcomes of rhythmic movement interventions in children and adolescents with autism spectrum disorder: a systematic review

Forfatter(e)
Tee, X. M., Ma’rof, A. M., Ghazali, N.
År
2026
DOI
10.1080/20473869.2026.2645073
Tidsskrift
International Journal of Developmental Disabilities
Sider
14
Kategori(er)
Autismespekter Kognisjon (hukommelse, oppmerksomhet og eksekutive funksjoner)
Tiltakstype(r)
Musikk/kunst- og uttrykksterapi
Abstract

Objectives

We synthesized evidence on rhythmic movement interventions for executive function in autistic children and adolescents.MethodsWe searched five databases through 5 August 2025 following PRISMA guidelines, including studies of rhythmic movement interventions measuring executive function quantitatively in autistic participants aged 3-18. Study quality was assessed using the EPHPP tool.

Results

Nine studies with 230 participants met criteria (3 RCTs, 2 quasi-experimental, 4 pre-post). Interventions included martial arts, dance, drumming, and exergaming (6-36 wk, 1-5 sessions/week). Inhibitory control showed the most consistent effects across five studies, with three RCTs reporting significant improvements (d = 0.26-1.36). Working memory and cognitive flexibility were supported by two to three studies yielding small-to-large effects. Attention and self-regulation were assessed in only one to two studies using uncontrolled designs and should be considered exploratory.

Conclusions

Rhythmic movement interventions show promise for supporting inhibitory control in autistic children. However, small sample sizes and heterogeneous assessment methods preclude firm conclusions.