Case Report
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The Effect of Physical Activity on Quality of Life in a Person with Autism Spectrum Disorder - Case Study

Year 2025, Volume: 7 Issue: 4, 741 - 747, 30.12.2025
https://doi.org/10.56639/jsar.1804873

Abstract

This study aimed to examine the effects of various physical activities on the quality of life of an individual diagnosed with autism spectrum disorder.
The study was designed as a case study to examine the changes in the quality of life of a 7-year-old individual diagnosed with autism spectrum disorder (ASD) through a physical activity program.
The study spanned two years, and a structured, comprehensive training program was implemented to support the individual's physical and mental health. At the beginning of the study, the Gilliam Autistic Disorder Rating Scale-2 (GADS-2-TV), developed by Gilliam (1995) for screening and diagnosing individuals with autism, determining behavioral progress, and collecting data for scientific research, was administered. It consists of three subscales: Stereotypic Behaviors (14 items), Communication (14 items), and Social Interaction (14 items), totaling 42 items. This scale was administered five times throughout the study. The study found that the first measurement resulted in a Stereotyped Behavior Standard Score of 18, a Social Interaction Standard Score of 15, and an Autistic Disorder Index Standard Score of 132. The fifth measurement resulted in a Stereotyped Behavior Standard Score of 13, a Social Interaction Standard Score of 12, and an Autistic Disorder Index Standard Score of 110. In conclusion, this case study demonstrates that high-intensity physical activity can lead to significant improvements in both measurable scores and daily living behaviors in individuals with ASD.

References

  • Battaglia, G., Agrò, G., Cataldo, P., Palma, A., & Alesi, M. (2019). Influence of a specific aquatic program on social and gross motor skills in adolescents with autism spectrum disorders: Three case reports. Journal of Functional Morphology and Kinesiology, 4(2), 27. https://doi.org/10.3390/jfmk4020027
  • 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. https://doi.org/10.1177/1362361315616002
  • Buggey, T., Hoomes, G., Sherberger, M., & Williams, S. (2011). Facilitating social interactions of preschoolers with autism spectrum disorders using video self-modeling. Focus on Autism and Other Developmental Disabilities, 26(1), 25–36. https://doi.org/10.1177/1088357610378292
  • Chan, J. S. Y., Deng, K., & Yan, J. H. (2021). The effectiveness of physical activity interventions on communication and social functioning in autistic children and adolescents: A meta-analysis of controlled trials. Autism, 25(3), 874–886. https://doi.org/10.1177/1362361320966236
  • Colombo-Dougovito, A. M., & Block, M. E. (2019). Fundamental motor skill interventions for children and adolescents on the autism spectrum: A literature review. Review Journal of Autism and Developmental Disorders, 6(2), 159–171. https://doi.org/10.1007/s40489-018-00157-9
  • DeJesus, B. M., Oliveira, R. C., de Carvalho, F. O., de Jesus Mari, J., Arida, R. M., & Teixeira-Machado, L. (2020). Dance promotes positive benefits for negative symptoms in autism spectrum disorder (ASD): A systematic review. Complementary Therapies in Medicine, 49, 102299. https://doi.org/10.1016/j.ctim.2020.102299
  • Duronjić, F., & Válková, H. (2010). The effects of early intervention movement programs on motor skills development in children with autism spectrum disorders. European Journal of Adapted Physical Activity, 3(2), 45–53. https://doi.org/10.5507/euj.2010.007
  • Eversole, M., Collins, D. M., Karmarkar, A., Colton, L., Quinn, J. P., Karsbaek, R., Johnson, J. R., & Callier, N. P. (2016). Leisure activity enjoyment of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 46(1), 10–20. https://doi.org/10.1007/s10803-015-2539-y
  • Gilliam, J. E. (2005). Gilliam Autism Rating Scale (2nd ed.). PRO-ED.
  • Ketcheson, L., Hauck, J., & Ulrich, D. (2017). The effects of an early motor skill intervention on motor skills, levels of physical activity, and socialization in young children with autism spectrum disorder: A pilot study. Autism, 21(4), 481–492. https://doi.org/10.1177/1362361316650611
  • Koegel, R. L., Koegel, L. K., & Brookman, L. I. (2003). Empirically supported pivotal response interventions for children with autism. In A. E. Kazdin (Ed.), Evidence-based psychotherapies for children and adolescents (pp. 341–357). Guilford Press.
  • Lang, R., Koegel, L. K., Ashbaugh, K., Regester, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 4(4), 565–576. https://doi.org/10.1016/j.rasd.2010.01.006
  • Nazemzadegan, G., Babadi, A., Zeinali, Z., & Kakavandi, K. (2016). Effectiveness of ball exercises on reduction of stereotypic behavior of children with autism spectrum disorder with high performance. Iranian Rehabilitation Journal, 14(1), 121–126. https://doi.org/10.18869/nrip.irj.14.1.121
  • Pan, C. Y. (2010). Effects of a swimming program on children with autism spectrum disorders. Autism, 14(1), 9–28. https://doi.org/10.1177/1362361309339496
  • Pan, C. Y., Chu, C. H., Tsai, C. L., Sung, M. C., Huang, C. Y., & Ma, W. Y. (2017). The impacts of physical activity intervention on physical and cognitive outcomes in children with autism spectrum disorder. Autism, 21(2), 190–202. https://doi.org/10.1177/1362361316633562
  • Piek, J. P., Dawson, L., Smith, L. M., & Gasson, N. (2008). The role of early fine and gross motor development on later motor and cognitive ability. Human Movement Science, 27(5), 668–681. https://doi.org/10.1016/j.humov.2007.11.002
  • Ranieri, A., Mennitti, C., Falcone, N., La Monica, I., Di Iorio, M. R., Tripodi, L., Gentile, A., Vitale, M., Pero, R., Pastore, L., D’Argenio, V., Scudiero, O., & Lombardo, B. (2023). Positive effects of physical activity in autism spectrum disorder: How it influences behavior, metabolic disorder and gut microbiota. Frontiers in Psychiatry, 14, 1238797. https://doi.org/10.3389/fpsyt.2023.1238797
  • Schmitz Olin, S., McFadden, B. A., Golem, D. L., Pellegrino, J. K., Walker, A. J., Sanders, D. J., & Arent, S. M. (2017). The effects of exercise dose on stereotypical behavior in children with autism. Medicine & Science in Sports & Exercise, 49(5), 983–990. https://doi.org/10.1249/MSS.0000000000001187
  • Sefen, J. A. N., Al-Salmi, S., Shaikh, Z., AlMulhem, J. T., Rajab, E., & Fredericks, S. (2020). Beneficial use and potential effectiveness of physical activity in managing autism spectrum disorder. Frontiers in Behavioral Neuroscience, 14, 587560. https://doi.org/10.3389/fnbeh.2020.587560
  • Sowa, M., & Meulenbroek, R. (2012). Effects of physical exercise on autism spectrum disorders: A meta-analysis. Research in Autism Spectrum Disorders, 6(1), 46–57. https://doi.org/10.1016/j.rasd.2011.09.001
  • Toscano, C. V. A., Barros, L., Lima, A. B., Nunes, T., Carvalho, H. M., & Gaspar, J. M. (2021). Neuroinflammation in autism spectrum disorders: Exercise as a “pharmacological” tool. Neuroscience & Biobehavioral Reviews, 129, 63–74. https://doi.org/10.1016/j.neubiorev.2021.07.023

Otizm Spektrum Bozukluğu Olan Bir Kişide Fiziksel Aktivitenin Yaşam Kalitesi Üzerine Etkisi - Vaka Çalışması

Year 2025, Volume: 7 Issue: 4, 741 - 747, 30.12.2025
https://doi.org/10.56639/jsar.1804873

Abstract

Bu araştırmada, otizm spektrum bozukluğu tanısı konmuş bir bireyde çeşitli fiziksel aktivitelerin yaşam kalitesi üzerindeki etkilerinin incelenmesi amaçlanmıştır.
Araştırmada otizm spektrum bozukluğu (OSB) tanısı almış 7 yaşındaki bir kişinin yaşam kalitesinde fiziksel aktivite programı aracılığıyla sağlanan değişiklikleri incelemek amacıyla vaka çalışması olarak tasarlanmıştır.
Çalışma süresi iki yıl olup, bireyin fiziksel ve zihinsel sağlığını desteklemeye yönelik yapılandırılmış, kapsamlı bir antrenman programı uygulanmıştır. Araştırmanın başında Gilliam (1995) tarafından otistik bozukluk gösteren bireylere yönelik tarama ve tanılama, davranışsal ilerlemeyi belirleme ve bilimsel araştırmalar için veri toplama amacıyla geliştirilmiş Gilliam Otistik Bozukluk Derecelendirme Ölçeği-2 (GOBDÖ-2-TV) uygulanmıştır. Stereotipik Davranışlar (14 madde), İletişim (14 madde) ve Sosyal Etkileşim (14 madde) olmak üzere toplamda 42 maddeden oluşan üç alt ölçekten oluşmaktadır. Bu ölçek araştırma süreci boyunca toplamda 5 kez uygulandı. Araştırma sonucunda 1. Ölçüm değerleri Stereotip Davranışlar Standart Puan 18, Sosyal Etkileşim Standart Puan 15, Otistik Bozukluk İndeksi Satandart puanı 132 iken 5. Ölçüm Stereotip davranışlar Standart Puan 13, Sosyal Etkileşim Standart Puan 12, Otistik Bozukluk İndeksi Satandart puanı 110 olarak ölçülmüştür.
Sonuç olarak, bu vaka çalışması OSB’li kişide yüksek yoğunluklu fiziksel aktivitelerin hem ölçülebilir puanlarda hem de günlük yaşam davranışlarında anlamlı ilerleme sağlayabileceğini göstermektedir.

References

  • Battaglia, G., Agrò, G., Cataldo, P., Palma, A., & Alesi, M. (2019). Influence of a specific aquatic program on social and gross motor skills in adolescents with autism spectrum disorders: Three case reports. Journal of Functional Morphology and Kinesiology, 4(2), 27. https://doi.org/10.3390/jfmk4020027
  • 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. https://doi.org/10.1177/1362361315616002
  • Buggey, T., Hoomes, G., Sherberger, M., & Williams, S. (2011). Facilitating social interactions of preschoolers with autism spectrum disorders using video self-modeling. Focus on Autism and Other Developmental Disabilities, 26(1), 25–36. https://doi.org/10.1177/1088357610378292
  • Chan, J. S. Y., Deng, K., & Yan, J. H. (2021). The effectiveness of physical activity interventions on communication and social functioning in autistic children and adolescents: A meta-analysis of controlled trials. Autism, 25(3), 874–886. https://doi.org/10.1177/1362361320966236
  • Colombo-Dougovito, A. M., & Block, M. E. (2019). Fundamental motor skill interventions for children and adolescents on the autism spectrum: A literature review. Review Journal of Autism and Developmental Disorders, 6(2), 159–171. https://doi.org/10.1007/s40489-018-00157-9
  • DeJesus, B. M., Oliveira, R. C., de Carvalho, F. O., de Jesus Mari, J., Arida, R. M., & Teixeira-Machado, L. (2020). Dance promotes positive benefits for negative symptoms in autism spectrum disorder (ASD): A systematic review. Complementary Therapies in Medicine, 49, 102299. https://doi.org/10.1016/j.ctim.2020.102299
  • Duronjić, F., & Válková, H. (2010). The effects of early intervention movement programs on motor skills development in children with autism spectrum disorders. European Journal of Adapted Physical Activity, 3(2), 45–53. https://doi.org/10.5507/euj.2010.007
  • Eversole, M., Collins, D. M., Karmarkar, A., Colton, L., Quinn, J. P., Karsbaek, R., Johnson, J. R., & Callier, N. P. (2016). Leisure activity enjoyment of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 46(1), 10–20. https://doi.org/10.1007/s10803-015-2539-y
  • Gilliam, J. E. (2005). Gilliam Autism Rating Scale (2nd ed.). PRO-ED.
  • Ketcheson, L., Hauck, J., & Ulrich, D. (2017). The effects of an early motor skill intervention on motor skills, levels of physical activity, and socialization in young children with autism spectrum disorder: A pilot study. Autism, 21(4), 481–492. https://doi.org/10.1177/1362361316650611
  • Koegel, R. L., Koegel, L. K., & Brookman, L. I. (2003). Empirically supported pivotal response interventions for children with autism. In A. E. Kazdin (Ed.), Evidence-based psychotherapies for children and adolescents (pp. 341–357). Guilford Press.
  • Lang, R., Koegel, L. K., Ashbaugh, K., Regester, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 4(4), 565–576. https://doi.org/10.1016/j.rasd.2010.01.006
  • Nazemzadegan, G., Babadi, A., Zeinali, Z., & Kakavandi, K. (2016). Effectiveness of ball exercises on reduction of stereotypic behavior of children with autism spectrum disorder with high performance. Iranian Rehabilitation Journal, 14(1), 121–126. https://doi.org/10.18869/nrip.irj.14.1.121
  • Pan, C. Y. (2010). Effects of a swimming program on children with autism spectrum disorders. Autism, 14(1), 9–28. https://doi.org/10.1177/1362361309339496
  • Pan, C. Y., Chu, C. H., Tsai, C. L., Sung, M. C., Huang, C. Y., & Ma, W. Y. (2017). The impacts of physical activity intervention on physical and cognitive outcomes in children with autism spectrum disorder. Autism, 21(2), 190–202. https://doi.org/10.1177/1362361316633562
  • Piek, J. P., Dawson, L., Smith, L. M., & Gasson, N. (2008). The role of early fine and gross motor development on later motor and cognitive ability. Human Movement Science, 27(5), 668–681. https://doi.org/10.1016/j.humov.2007.11.002
  • Ranieri, A., Mennitti, C., Falcone, N., La Monica, I., Di Iorio, M. R., Tripodi, L., Gentile, A., Vitale, M., Pero, R., Pastore, L., D’Argenio, V., Scudiero, O., & Lombardo, B. (2023). Positive effects of physical activity in autism spectrum disorder: How it influences behavior, metabolic disorder and gut microbiota. Frontiers in Psychiatry, 14, 1238797. https://doi.org/10.3389/fpsyt.2023.1238797
  • Schmitz Olin, S., McFadden, B. A., Golem, D. L., Pellegrino, J. K., Walker, A. J., Sanders, D. J., & Arent, S. M. (2017). The effects of exercise dose on stereotypical behavior in children with autism. Medicine & Science in Sports & Exercise, 49(5), 983–990. https://doi.org/10.1249/MSS.0000000000001187
  • Sefen, J. A. N., Al-Salmi, S., Shaikh, Z., AlMulhem, J. T., Rajab, E., & Fredericks, S. (2020). Beneficial use and potential effectiveness of physical activity in managing autism spectrum disorder. Frontiers in Behavioral Neuroscience, 14, 587560. https://doi.org/10.3389/fnbeh.2020.587560
  • Sowa, M., & Meulenbroek, R. (2012). Effects of physical exercise on autism spectrum disorders: A meta-analysis. Research in Autism Spectrum Disorders, 6(1), 46–57. https://doi.org/10.1016/j.rasd.2011.09.001
  • Toscano, C. V. A., Barros, L., Lima, A. B., Nunes, T., Carvalho, H. M., & Gaspar, J. M. (2021). Neuroinflammation in autism spectrum disorders: Exercise as a “pharmacological” tool. Neuroscience & Biobehavioral Reviews, 129, 63–74. https://doi.org/10.1016/j.neubiorev.2021.07.023
There are 21 citations in total.

Details

Primary Language English
Subjects Physical Activity and Health
Journal Section Case Report
Authors

İsmail Gökhan 0000-0002-7556-4471

Ömer Faruk Elmas 0000-0002-7824-385X

Submission Date October 16, 2025
Acceptance Date December 13, 2025
Early Pub Date December 15, 2025
Publication Date December 30, 2025
Published in Issue Year 2025 Volume: 7 Issue: 4

Cite

APA Gökhan, İ., & Elmas, Ö. F. (2025). The Effect of Physical Activity on Quality of Life in a Person with Autism Spectrum Disorder - Case Study. Journal of Sport for All and Recreation, 7(4), 741-747. https://doi.org/10.56639/jsar.1804873

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