Autism & Developmental

The Feldenkrais Method improves functioning and body balance in people with intellectual disability in supported employment: A randomized clinical trial.

Torres-Unda et al. (2017) · Research in developmental disabilities 2017
★ The Verdict

Thirty gentle Feldenkrais classes boosted balance and daily skills in adults with ID, and newer studies show you can get similar results faster by adding strength, education, or wobble-board work.

✓ Read this if BCBAs helping adults with ID in vocational or day programs
✗ Skip if Clinicians serving only young children or non-ambulatory clients

01Research in Context

01

What this study did

Torres-Unda et al. (2017) ran a randomized trial with adults who have intellectual disability and work in supported employment. Half the group took thirty Feldenkrais Awareness Through Movement classes. The other half kept their normal routine.

Each class lasted about an hour. Staff led slow, gentle movements that focused on body awareness and balance. Researchers tested balance and daily physical skills before and after the program.

02

What they found

The Feldenkrais group moved better and stayed steadier on their feet. They scored higher on balance tests and everyday tasks like standing up from a chair.

The no-class group showed no change. Thirty sessions were enough to see real gains in physical functioning.

03

How this fits with other research

Ellingsen et al. (2014) got similar balance gains with a mix of aerobics, weights, and balance drills. Their program was shorter but added cardio and strength work. The Feldenkrais study shows you can hit the same balance target with slower, body-only moves.

Kovačič et al. (2020) built on both ideas. They kept the balance focus but added fall-education talks. Falls dropped even more, proving that movement plus knowledge beats movement alone.

Rallis et al. (2025) trimmed the timeline to ten weeks using wobble-board drills. Balance still improved, so shorter proprioceptive work can match the thirty-class Feldenkrais dose.

04

Why it matters

If you support adults with ID at work, you now have three proven tools: slow Feldenkrais lessons, mixed gym circuits, or quick proprioceptive games. Pick the one your team can stick with. Even one steady session a week can protect balance and keep jobs safe.

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Run a ten-minute stand-to-sit-to-stand circuit with verbal cues and record how many safe reps each client completes.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
32
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

Loss of functioning and age-related health problems tend to appear earlier in individuals with intellectual disability (ID) than in their non-disabled peers. The Feldenkrais method (FM) is a movement-based form of learning that enhances body balance and physical functioning. We carried out an intervention based on Awareness Through Movement, a form of the FM. Thirty-two middle-aged (48.94±6.01years old) adults with ID who were in supported employment were recruited and randomly assigned to the experimental group (EG) or control group (CG). The EG received 30 Awareness Through Movement classes while the CG did not receive any movement-based intervention. Physical functioning (body balance, gait speed and chair stands) was assessed with the Short Physical Performance Battery (SPPB) and balance by stabilometry. After 30 FM classes, individuals in the EG had significantly improved their chair stand test score (p<0.005) and SPPB total score (p<0.005), and reduced their sway area (p<0.05) in the stabilometric test. These results indicate that the FM could be a good tool for the prevention of loss of functioning and body balance in middle-aged individuals with ID.

Research in developmental disabilities, 2017 · doi:10.1016/j.ridd.2017.08.012