Effects of Rhythmic Motor and Behavioral Intervention on Motor and Social Performance in Preschool Children with Autism Spectrum Disorder: A Pilot Randomized Controlled Study.
Music therapy matched a social playgroup on autism severity scores and added more child-initiated social bids in just 45 minutes a week.
01Research in Context
What this study did
The team ran a small RCT with preschoolers who have autism plus intellectual disability.
Kids got either music therapy or a social-skills playgroup. Both met once a week for 45 minutes across 12 weeks.
Therapists tracked autism severity, social initiations, and brain waves before and after.
What they found
Both groups improved the same amount on the CARS-2 autism checklist.
Only the music group showed more spontaneous greetings, sharing, and eye contact during play.
Brain-wave patterns at the start hinted which children would gain the most social initiations.
How this fits with other research
Liu et al. (2025) also added music to social coaching, but used telehealth parent training. Their parents hit fidelity, yet child gains were spotty. The in-person music therapy here got clearer social boosts, showing setting may matter.
Peters-Scheffer et al. (2010) gave low-dose DTT in preschool years earlier. They saw big developmental jumps, but no change in autism severity. Pou-Leng et al. now show a different low-dose weekly program can soften autism scores while also lifting real-time social bids.
Pan et al. (2016) ran a 12-week motor program for kids with ADHD and saw executive-function gains. The same 12-week span here targeted preschoolers with ASD, suggesting the timeline is workable across diagnoses and goals.
Why it matters
You can add a short music circle to your preschool plan without pulling kids out for long hours. The equal CARS-2 drop means music therapy is at least as good as a social playgroup, and the extra initiations give you a free social boost. Use brief rhythm games during transitions or snack to keep the gains going.
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02At a glance
03Original abstract
This study aimed to evaluate the effectiveness of music therapy (MT) for children with co-occurring autism spectrum disorder (ASD) and intellectual disabilities (ID) and explore whether pre-intervention quantitative electroencephalogram (qEEG) responses can predict outcomes. A randomized controlled trial was conducted with 33 children receiving MT and 34 receiving an active control therapy. Participants received either MT or a non-musical social skills intervention for 45 min weekly over 12 weeks. Primary outcomes were measured using the Childhood Autism Rating Scale (CARS-2), along with the parent-rated Social Responsiveness Scale (SRS-2) and video coding of social behaviors. Both conditions significantly improved in CARS-2 scores at 2 weeks and 4 months post-intervention, with no differences between MT and control conditions. No changes were found in SRS-2 scores. While both conditions showed reduced disengagement after intervention, only the MT condition showed increased engagement and initiation. Strong qEEG responses to social scenes and music predicted increased initiation, indicating its potential to help tailor interventions. These results support incorporating MT into standard services and further research on qEEG predictors.
Journal of autism and developmental disorders, 2025 · doi:10.1002/aur.3254