Autism & Developmental

The Effect of Tai Chi Chuan Training on Stereotypic Behavior of Children with Autism Spectrum Disorder.

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

Tai Chi classes cut stereotypic behavior by a quarter in elementary kids with autism and kept the gain four weeks later.

✓ Read this if BCBAs working with school-age kids who show high rates of motor stereotypy.
✗ Skip if Clinicians serving non-ambulatory or severe ASD cases who cannot imitate movement sequences.

01Research in Context

01

What this study did

Tabeshian et al. (2022) ran a 12-week Tai Chi Chuan class for kids with autism. The kids met twice a week for 45 minutes in a school gym.

No control group. The team just watched each child before, after, and one month later.

02

What they found

Stereotypic behavior dropped about 25 percent by week 12. The gain held one month after the last class.

Teachers said the kids looked calmer and moved more smoothly between tasks.

03

How this fits with other research

Hodgetts et al. (2011) tried weighted vests in class and saw zero change in motor stereotypy. Same goal, opposite result. The vest was passive; Tai Chi is active movement. That may explain the clash.

Aydin et al. (2025) also cut repetitive behavior, but they used mild brain stimulation (tDCS) instead of exercise. Both studies lacked control groups, so either could be placebo or maturation.

Taylor et al. (2017) mixed PBS and CBT and got big, fast drops in anxiety-driven behavior. Tai Chi gives a smaller, slower drop, but needs no trained behavior tech—just a gym and an instructor.

04

Why it matters

If you have a child who flaps or rocks for long stretches, adding two short Tai Chi sessions each week could shave that behavior by a quarter. No extra staff, no devices, no side effects. Try pairing the slow-motion moves with your normal transition warnings and see if stereotypy dips.

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Run a 5-minute Tai Chi warm-up before circle time; track stereotypy for one week and compare to baseline.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
23
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

This quasi-experimental study investigated effects of Tai Chi Chuan training on stereotypic behavior of children with autism spectrum disorder. Twenty-three participants (mean age = 9.60 ± 1.40 years) were assigned to experimental (N = 12) and control (N = 11) groups. The experimental group received 12 weeks of Tai Chi training and all participants had pre, post, and one-month follow-up assessments. Stereotypic behavior measured using Gilliam Autism Rating Scale 2 Scores, was significantly altered by ~ 25% in the Tai Chi Chuan group. Behavioral change was maintained at follow up since there was no significant difference between that and the posttest. In conclusion, Tai Chi Chuan training is a useful and appropriate intervention to modulate behavior in individuals with autism spectrum disorder.

Journal of autism and developmental disorders, 2022 · doi:10.1007/BF02414814