Intellectual
disability (ID) and autism spectrum disorder (ASD) are associated with
impairments in motor development, attention, and behavior. Physical activity
(PA) has been demonstrated to improve these conditions. However, many
individuals with ID and ASD are not motivated to persist at performing PA tasks
for an extended period of time. Therefore, there is a great need to find forms
of PA that could motivate individuals to stay at performing PA. One such form
of PA is Drums-Alive, which involves movement, drumming, and music to increase
enjoyment motivation. While it is speculated the Drums-Alive could have an
effect on motor skills, attention, and behavior, this concept has not been
examined in persons with ID and ASD. Therefore,
this study aimed to explore the effect of Drums-Alive on motor skills,
attention, and behavior for individuals with ID and ASD. Nine adolescents
diagnosed with ID or ASD participated in an eight-week Drums-Alive program intervention. Motor skills, attention, and behavior were measured
before and after the intervention. Paired-samples t-tests were used, and the
statistical significance was established at p≤ 0.05. The results suggested no significant
differences in motor skills, attention, and behavior before and after the
Drums-Alive intervention (p >
0.05). Though no statistical significance was found, improvements were observed
from the pretest and posttest means, and all participants expressed their
enjoyment of participating in the Drum-Alive program. More extended
intervention and more participants will be needed in future research.
References
[1]
Achenbach, T., & Rescorla, L. (2013). Achenbach System of Empirically Based Assessment (pp. 31-39). New York, NY: Springer. https://doi.org/10.1007/978-1-4419-1698-3_219
[2]
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington DC: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596
[3]
Antshel, K. M., Zhang-James, Y., Wagner, K. E., Ledesma, A., & Faraone, S. V. (2016). An Update on the Comorbidity of ADHD and ASD: A Focus on Clinical Management. Expert Review of Neurotherapeutics, 16, 279-293. https://doi.org/10.1586/14737175.2016.1146591
[4]
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., & Durkin, M. S. (2018). Prevalence of Autism Spectrum Disorder among Children Aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveillance Summaries, 676, 1. https://doi.org/10.15585/mmwr.ss6706a1
[5]
Bodde, A. E., Seo, D. C., Frey, G. C., Lohrmann, D. K., & Van Puymbroeck, M. (2012). Developing a Physical Activity Education Curriculum for Adults with Intellectual Disabilities. Health Promotion Practice, 13, 116-123. https://doi.org/10.1177/1524839910381698
[6]
Bregman, J. D. (1991). Current Developments in the Understanding of Mental Retardation Part II: Psychopathology. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 861-872. https://doi.org/10.1097/00004583-199111000-00001
[7]
Bruininks, R., & Bruininks, B. D. (2009). Bruininks-Oseretsky Test of Motor Proficiency (2nd ed.). Minneapolis, MN: NCS Pearson. https://doi.org/10.1037/t14992-000
[8]
Celiberti, D. A., Bobo, H. E., Kelly, K. S., Harris, S. L., & Handleman, J. S. (1997). The Differential and Temporal Effects of Antecedent Exercise on the Self-Stimulatory Behavior of a Child with Autism. Research in Developmental Disabilities, 18, 139-150. https://doi.org/10.1016/S0891-4222(96)00032-7
[9]
Dawson-Cook, S. (2010). Drums Alive. American Fitness, 28, 42.
[10]
Dieringer, S. T., Porretta, D. L., & Sainato, D. (2017). Music and On-Task Behaviors in Preschool Children with Autism Spectrum Disorder. Adapted Physical Activity Quarterly, 34, 217-234. https://doi.org/10.1123/apaq.2015-0033
[11]
Ekins, C., Boehr, J., Schulz, H., Wright, P. R., Owens, D., & Miller, W. (2019). Effects of a Drums Alive Kids Beats Intervention on Motor Skills and Behavior in Children with Intellectual Disabilities. Palaestra, 33, 16-25.
[12]
Elliott, R. O., Dobbin, A. R., Rose, G. D., & Soper, H. V. (1994). Vigorous, Aerobic Exercise versus General Motor Training Activities: Effects on Maladaptive and Stereotypic Behaviors of Adults with Both Autism and Mental Retardation. Journal of Autism and Developmental Disorders, 24, 565-576. https://doi.org/10.1007/BF02172138
[13]
Fancourt, D., Perkins, R., Ascenso, S., Carvalho, L. A., Steptoe, A., & Williamon, A. (2016). Effects of Group Drumming Interventions on Anxiety, Depression, Social Resilience, and Inflammatory Immune Response among Mental Health Service Users. PLoS ONE, 11, e0151136. https://doi.org/10.1371/journal.pone.0151136
[14]
Firman, K. B., Beare, P., & Loyd, R. (2002). Enhancing Self-Management in Students with Mental Retardation: Extrinsic versus Intrinsic Procedures. Education and Training in Mental Retardation and Developmental Disabilities, 37, 163-171.
[15]
García-Villamisar, D., Dattilo, J., & Muela, C. (2017). Effects of Therapeutic Recreation on Adults with ASD and ID: A Preliminary Randomized Control Trial. Journal of Intellectual Disability Research, 61, 325-340.
[16]
Hart, T., Whyte, J., Ellis, C., & Chervoneva, I. (2009). Construct Validity of an Attention Rating Scale for Traumatic Brain Injury. Neuropsychology, 23, 729-35. https://doi.org/10.1037/a0016153
[17]
Hart, T., Whyte, J., Millis, S., Bode, R., Malec, J., Richardson, R. N., & Hammond, F. (2006). Dimensions of Disordered Attention in Traumatic Brain Injury: Further Validation of the Moss Attention Rating Scale. Archives of Physical Medicine and Rehabilitation, 87, 647-655. https://doi.org/10.1016/j.apmr.2006.01.016
[18]
Hughes, C., Russell, J., & Robbins, T. W. (1994). Evidence for Executive Dysfunction in Autism. Neuropsychologia, 32, 477-492. https://doi.org/10.1016/0028-3932(94)90092-2
[19]
Janse van Rensburg, E., Hatting, R., van Rooyen, C. M., Chelin, M. B., van der Merwe, C., & Putter, L. (2016). The Short Term Effect of a Group Drumming Intervention on Aggressive Behavior among Adolescent Girls Diagnosed with Conduct Disorder. South African Journal of Occupational Therapy, 46, 16-22. http://dx.doi.org/10.17159/2310-3833/2016/v46n2a4
[20]
Jansiewicz, E. M., Goldberg, M. C., Newschaffer, C. J., Denckla, M. B., Landa, R., & Mostofsky, S. H. (2006). Motor Signs Distinguish Children with High Functioning Autism and Asperger’s Syndrome from Controls. Journal of Autism and Developmental Disorders, 36, 613-621. https://doi.org/10.1007/s10803-006-0109-y
[21]
Kalyani, D., McMurtrey, K. B., Neufeldt, S. R., & Sanford, M. S. (2011). Room-Temperature C-H Arylation: Merger of Pd-Catalyzed C-H Functionalization and Visible-Light Photocatalysis. Journal of the American Chemical Society, 133, 18566-18569. https://doi.org/10.1021/ja208068w
[22]
Klinger, L. G., & Renner, P. (2000). Performance-Based Measures in Autism: Implications for Diagnosis, Early Detection, and Identification of Cognitive Profiles. Journal of Clinical Child Psychology, 29, 479-492. https://doi.org/10.1207/S15374424JCCP2904_3
[23]
Koegel, R. L., Koegel, L. K., & McNerney, E. K. (2001). Pivotal Areas in Intervention for Autism. Journal of Clinical Child Psychology, 30, 19-32. https://doi.org/10.1207/S15374424JCCP3001_4
[24]
Kohen-Raz, R., Volkman, F. R., & Cohen, D. J. (1992). Postural Control in Children with Autism. Journal of Autism and Developmental Disorders, 22, 419-432. https://doi.org/10.1007/BF01048244
[25]
Lloyd, M., MacDonald, M., & Lord, C. (2013). Motor Skills of Toddlers with Autism Spectrum Disorders. Autism, 17, 133-146. https://doi.org/10.1177/1362361311402230
[26]
Maschi, T., & Bradley, C. (2010). Recreational Drumming: A Creative Arts Intervention Strategy for Social Work Teaching and Practice. Journal of Baccalaureate Social Work, 15, 53-66.
[27]
McCoy, S. M., & Morgan, K. (2020). Obesity, Physical Activity, and Sedentary Behaviors in Adolescents with Autism Spectrum Disorder Compared with Typically Developing Peers. Autism, 24, 387-399. https://doi.org/10.1177/1362361319861579
[28]
Miramontez, S. K., & Schwartz, I. S. (2017). The Effects of Physical Activity on the On-Task Behavior of Young Children with Autism Spectrum Disorders. International Electronic Journal of Elementary Education, 9, 405-418.
[29]
Murphy, E. R., Norr, M., Strang, J. F., Kenworthy, L., Gaillard, W. D., & Vaidya, C. J. (2017). Neural Basis of Visual Attentional Orienting in Childhood Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 47, 58-67. https://doi.org/10.1007/s10803-016-2928-9
[30]
Neely, L., Rispoli, M., Gerow, S., & Ninci, J. (2015). Effects of Antecedent Exercise on Academic Engagement and Stereotypy during Instruction. Behavior Modification, 39, 98-116. https://doi.org/10.1177/0145445514552891
[31]
Núnez, S. (2016). Medicinal Drumming: An Ancient and Modern-Day Healing Approach. NeuroQuantology, 14, 226-241. http://dx.doi.org/10.14704/nq.2016.14.2.939
[32]
Oriel, K. N., George, C. L., Peckus, R., & Semon, A. (2011). The Effects of Aerobic Exercise on Academic Engagement in Young Children with Autism Spectrum Disorder. Pediatric Physical Therapy, 23, 187-193. https://doi.org/10.1097/PEP.0b013e318218f149
[33]
Ozonoff, S., Strayer, D. L., McMahon, W. M., & Filloux, F. (1994). Executive Function Abilities in Autism and Tourette Syndrome: An Information Processing Approach. Journal of Child Psychology and Psychiatry, 35, 1015-1032.
[34]
Pan, C. Y., Chang, Y. K., Tsai, C. L., Chu, C. H., Cheng, Y. W., & Sung, M. C. (2017). Effects of Physical Activity Intervention on Motor Proficiency and Physical Fitness in Children with ADHD: An Exploratory Study. Journal of Attention Disorders, 21, 783-795. https://doi.org/10.1177/1087054714533192
[35]
Pan, C. Y., Tsai, C. L., & Hsieh, K. W. (2011). Physical Activity Correlates for Children with Autism Spectrum Disorders in Middle School Physical Education. Research Quarterly for Exercise and Sport, 82, 491-498. https://doi.org/10.1080/02701367.2011.10599782
[36]
Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The Physical Activity Guidelines for Americans. Journal of the American Medical Association, 320, 2020-2028.
[37]
Ragone, G. (2020). Designing Embodied Musical Interaction for Children with Autism. In The 22nd International ACM SIGACCESS Conference on Computers and Accessibility (pp. 1-4). New York, NY: Association for Computing Machinery. https://doi.org/10.1145/3373625.3417077
[38]
Reid, G., O’Connor, J., & Lloyd, M. (2003). The Autism Spectrum Disorders: Physical Activity Instruction—Part III. Palaestra, 19, 20-26.
[39]
Sefen, J. A. N., Al-Salmi, S., Shaikh, Z., AlMulhem, J. T., Rajab, E., & Fredericks, S. (2020). Beneficial Use and Potential Effectiveness of Physical Activity in Managing Autism Spectrum Disorder. Frontiers in Behavioral Neuroscience, 14, Article ID: 587560. https://doi.org/10.3389/fnbeh.2020.587560
[40]
Staples, K. L., & Reid, G. (2010). Fundamental Movement Skills and Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 40, 209-217. https://doi.org/10.1007/s10803-009-0854-9
[41]
Titus, S., & Porretta, D. L. (2012). Using Music to Decrease Off-Task Behavior for Children with Autism. Research Quarterly for Exercise and Sport, 83, Article No. A-91.
[42]
Vanhelst, J., Béghin, L., Duhamel, A., Manios, Y., Molnar, D., De Henauw, S. et al. (2016). Physical Activity Is Associated with Attention Capacity in Adolescents. The Journal of Pediatrics, 168, 126-131.E2. https://doi.org/10.1016/j.jpeds.2015.09.029
[43]
Vuijk, P. J., Hartman, E., Scherder, E., & Visscher, C. (2010). Motor Performance of Children with Mild Intellectual Disability and Borderline Intellectual Functioning. Journal of Intellectual Disability Research, 54, 955-965.
[44]
Zablotsky, B., Black, L. I., Maenner, M. J., Schieve, L. A., & Blumberg, S. J. (2015). Estimated Prevalence of Autism and Other Developmental Disabilities Following Questionnaire Changes in the 2014 National Health Interview Survey. National Health Statistics Reports, No. 87, 1-20. https://pubmed.ncbi.nlm.nih.gov/26632847/
