Autism & Developmental

Can a Community-Based Football Program Benefit Motor Ability in Children with Autism Spectrum Disorder? A Pilot Evaluation Considering the Role of Social Impairments.

Howells et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Signing autistic kids up for community football improves balance and ball skills but leaves fine hand work unchanged.

✓ Read this if BCBAs whose clients need gross-motor help and have access to local sports leagues.
✗ Skip if Clinicians focusing only on tabletop fine-motor or vocational tasks.

01Research in Context

01

What this study did

Pickard et al. (2022) ran a pilot study with autistic children who joined a local kids' football league. The team gave standard motor tests before and after the season and compared scores to kids who got usual therapy only.

Coaches, not researchers, ran the practices. Games happened in real city parks. This makes the study a 'real-world' test, not a lab demo.

02

What they found

Kids who played football gained medium-size boosts on the MABC-2 total score, plus clear jumps in aiming, catching, and balance. Fine hand skills stayed flat.

The gains match what parents see: better kicking, smoother running, and fewer falls.

03

How this fits with other research

Healy et al. (2018) pooled 29 studies and found physical-activity programs give medium-to-large motor gains for autistic youth. The football results land right inside that range, so the new data support the older meta-analysis.

Heald et al. (2020) tested an 8-week judo class and saw a small rise in daily vigorous activity. Football shows a similar pattern: community sport helps, yet each sport tweaks different skills.

Ament et al. (2015) showed autistic kids are especially weak at catching and balance. The football program hit those exact pain points and moved the needle, giving a targeted fix for known deficits.

04

Why it matters

You can recommend community sports as part of the intervention mix. A local football season is cheap, inclusive, and now has pilot evidence for motor progress. Track MABC-2 catching and balance sub-scores at intake and again after one season to show families clear data. Keep fine-motor goals on the clinical plan, because the study shows hand skills need a different tool.

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Add 'enroll in community football' to the caregiver choice menu and pre-post MABC-2 to track change.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
35
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

This non-randomised pilot study evaluated the impact of a community football program on motor ability in children aged 5-12 years with autism spectrum disorder. Sixteen children were evaluated at baseline-and-post attendance in a football program for a varied number of weeks and compared to 19 children engaging in treatment-as-usual. Primary analyses indicated a statistically significant increase in total MABC-2, aiming and catching, and balance scores for the intervention group, with no changes in scores in the comparison group. There were no changes in manual dexterity across either group. At a between group level, the changes in aiming and catching scores were significantly greater for the intervention group. Further analyses highlighted the potential importance of social impairments regarding aiming and catching.

Journal of autism and developmental disorders, 2022 · doi:10.1007/s10803-011-1421-8