Effectiveness of vestibular and proprioceptive exercises in reducing hyperactivity in children with autism spectrum disorder: A randomized controlled trial

Abstract

This study aimed to evaluate the efficacy of vestibular and proprioceptive exercises in children with autism spectrum disorder (ASD). 22 children with mild-to-moderate ASD were randomized to control (ASD-C) or experimental (ASD-E) groups. The ASD-E group received conventional physiotherapy in addition to vestibular and proprioceptive exercises. The ASD-C group received conventional physiotherapy only. Assessments included the Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS), Dunn's Sensory Profile, and the Post-Rotatory Nystagmus (PRN) test. The ASD-E group showed significant reductions in hyperactivity and impulsivity, with reduced VADPRS scores. Both groups showed significant improvements in sensory processing and modulation. PRN test showed no significant differences in vestibular function. Vestibular and proprioceptive training significantly reduced hyperactivity and impulsivity while improving sensory processing and modulation. While there were improvements in behavior and emotional responses, there were no significant changes in vestibular function. Vestibular and proprioceptive exercises synergistically reduce hyperactivity and impulsivity in children with ASD.