The effects of adapted physical activity on physical activity levels and social adaptive behaviors in children with autism spectrum disorders: a study using the ICF-CY framework

Objective This study investigated the effects of an adapted physical activity (APA) program, based on the ICF-CY framework, on physical activity and social adaptive behaviors in children with autism spectrum disorder (ASD). Methods 41 children with ASD (aged 6~12) were ultimately included and divided into an experimental group (EG) and a control group (CG). The EG received the APA intervention, while the CG participated in routine extracurricular physical activity sessions. Both groups received 24-week interventions, with 3 sessions per week, each lasting 80 minutes. Assessments were conducted before and after the intervention using the ActiGraph wGT3X-BT triaxial accelerometer and the Child Adaptive Behavior Rating Scale (CABRS). Results After 24 weeks, the EG showed significant improvements in adaptive behaviors (independent, cognitive, social/self-control, and total scores), reduced sedentary time, and increased light and moderate-to-vigorous physical activity compared to the CG. Conclusions The ICF-CY-based APA program effectively enhanced physical activity levels and social adaptive behaviors in children with ASD.