Autism & Developmental

Promoting Executive Functioning in Children with Autism Spectrum Disorder Through Mixed Martial Arts Training.

Phung et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Twenty-six MMA classes can boost executive function in elementary kids with autism, especially if they don’t have strong ADHD traits.

✓ Read this if BCBAs working with school-age clients who need fresh ways to build self-management skills.
✗ Skip if Clinicians serving mainly non-verbal or motor-avoidant children who dislike close contact sports.

01Research in Context

01

What this study did

Researchers split kids with autism into two groups. One group took 26 mixed-martial-arts classes over 13 weeks. The other group stayed on a wait-list.

Coaches used clear rules, repeated practice, and praise. Classes met twice a week after school.

02

What they found

The kids who did MMA scored better on executive-function tests than the wait-list kids. Parents also said home routines felt easier.

Gains showed up in planning, staying on task, and switching activities.

03

How this fits with other research

Bahrami et al. (2016) ran a similar RCT with karate and saw better communication. Together, the two studies say any structured martial art can help kids with autism in different life skills.

de Vries et al. (2018) tried computer EF drills and saw only tiny gains. Reyes et al. (2019) switched to a lively sport and got clearer results. The new style seems to beat screen-based drills.

Rieth et al. (2022) later found EF training only helps autistic kids who also show ADHD traits. That warning still applies here: check for ADHD features before you bank on MMA alone.

04

Why it matters

You now have a low-cost, after-school option that parents like and data support. Pair MMA classes with your normal ABA program to give kids a fun way to practice self-control. Screen for ADHD traits first, track change with simple EF checklists, and share progress with families every four weeks.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a 30-minute MMA warm-up drill to your social-skills group and record how many times kids stop and restart on cue.

02At a glance

Intervention
other
Design
randomized controlled trial
Population
autism spectrum disorder
Finding
positive

03Original abstract

The present study evaluated the effectiveness of a mixed martial arts (MMA) intervention in improving executive functions (EFs) in a sample with autism spectrum disorder (ASD). School-aged children with ASD were randomly assigned to a MMA intervention group or a waitlist control (WLC) group. The intervention featured a 26-class program over a 13-week period; the WLC group did not participate in any martial arts between pre- and post-test. Results indicated that the MMA group had significantly better EFs at post-test compared to the WLC group. The intervention appeared to be efficacious in meeting its goals of improving the executive functioning of children with ASD. The present study extends the current literature on the malleability of EFs among children with ASD.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04072-3