The purpose of this pilot study was to determine if participation in an aquatic exercise program improves sleep in children with Autism Spectrum Disorder (ASD). Participants included 8 children. An A-B-A withdrawal design was utilized. Each phase lasted for 4 weeks. The treatment included 60 min of aquatic exercise 2X/week. Phone calls to parents of the participants were made throughout the duration of the study. Parents were asked questions related to sleep latency, nighttime wakenings, and sleep duration. A one way repeated-measures analysis of variance (ANOVA) was utilized to determine if differences existed between phases. Statistically significant difference existed for sleep latency (p < .001) and sleep duration (p < .001). These results suggest that participation in aquatic exercise may improve the sleep habits of children with ASD.
AllikH.LarssonJ.SmedjeH. (2006). Sleep patterns of school-age children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders, 36, 585–595.
2.
BestJ. F.JonesJ. G. (1974). Movement therapy in the treatment of autistic children. Australian Occupational Therapy Journal, 21, 72–86.
3.
BrandS.GerberM.BeckJ.HatzingerM.PühseU.Holsboer-TrachslerE. (2010). High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: A comparison of athletes and controls. Journal of Adolescent Health, 46, 133–141.
4.
Case-SmithJ.MillerH. (1999). Occupational therapy with children with pervasive developmental disorders. American Journal of Occupational Therapy, 53, 506–551.
ChamblessD. L.HollonS. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.
7.
EggerdingC. (2010, April1). Put sleep difficulties to bed: Advice for parents of children with autism. Exceptional Parent Magazine, 22, 40.
8.
Fragala-PinkhamM.HaleyS. M.O’NeilM. E. (2008). Group aquatic aerobic exercise for children with disabilities. Developmental Medicine & Child Neurology, 50, 822–827.
9.
Fragala-PinkhamM.HaleyS. M.O’NeilM. E. (2010). Summative evaluation of a pilot aquatic exercise program for children with disabilities. Disability and Health Journal, 3, 162–170.
10.
HoffmanC.SweeneyD.GilliamJ.ApodacaD.Lopez-WagnerM.CastilloM. (2005). Sleep problems and symptomology in children with autism. Focus on Autism and Other Developmental Disabilities, 20, 194–200.
11.
HuettigC.Darden-MeltonB. (2004). Acquisition of aquatic skills by children with autism. Palaestra, 20, 20–25, 45–46.
12.
JohnsonK.MalowB. (2008). Assessment and pharmacologic treatment of sleep disturbance in autism. Child and Adolescent Psychiatric Clinics of North America, 17, 773–785.
13.
MalowB.AdkinsK.McGrewS.WangL.GoldmanS.FawkesD.BurnetteC. (2012). Melatonin for sleep in children with autism: A controlled trial examining dose, tolerability, and outcomes. Journal of Autism and Developmental Disorders, 42, 1729–1737.
14.
OrielK.MarcheseV.ShirkA.WagnerL.YoungE.MillerL. (2012). The psychosocial benefits of an inclusive community-based aquatics program. Pediatric Physical Therapy, 24, 361–368.
15.
OwensJ. A.SpiritoA.McGuinnM. (2000). The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1051.
16.
PanC. Y. (2010). Effects of water exercise swimming program on aquatic skills and social behaviors in children with autism spectrum disorders. SAGE Publications and The National Autistic Society, 14, 9–28.
17.
PortneyL. G.WatkinsM. P. (2000). Foundations of clinical research: Applications to practice (2nd ed.). Upper Saddle River, NJ: Prentice Hall.
18.
ReynoldsA.MalowB. (2011). Sleep and autism spectrum disorders. Pediatric Clinics of North America, 58, 685–698.
19.
RichdaleA.SchreckK. (2009). Sleep problems in autism spectrum disorders: Prevalence, nature, and possible biopsychosocial aetiologies. Sleep Medicine Reviews, 13, 403–411.
20.
RogersL.HemmeterM. L.WoleryM. (2010). Using a constant time delay procedure to teach foundational swimming skills to children with autism. Topics in Early Childhood Special Education, 30, 102–111.
21.
SadehA.GruberR.RavivA. (2003). The effects of sleep restriction and extension on school-age children: What a difference an hour makes. Child Development, 74, 444–455.
22.
SoudersM.MasonT.ValladaresO.BucanM.LevyS.MandellD.. . .Pinto-MartinJ. (2009). Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep, 32, 1566–1578.
23.
Vonder HullsD. S.WalkerL. K.PowellJ. M. (2006). Clinicians’ perceptions of the benefits of aquatic therapy for young children with autism: A preliminary study. Physical & Occupational Therapy in Pediatrics, 26, 13–22.
24.
VriendJ. L.CorkumP. V.MoonE. C.SmithI. M. (2011). Behavioral interventions for sleep problems in children with autism spectrum disorders: Current findings and future directions. Journal of Pediatric Psychology, 36(9), 1017–1029.
25.
WilliamsP. G.SearsL. L.AllardA. (2006). Sleep problems in children with autism. Journal of Sleep Research, 13, 265–268.
26.
WolfsonA.LacksP.FuttermanA. (1992). Effects of parent training on infant sleeping patterns, parents’ stress, and perceived parental competence. Journal of Consulting and Clinical Psychology, 60, 41–48.
27.
YilmazI.YanardagM.BirkanB.BuminG. (2004). Effects of swimming training on physical fitness and water orientation in autism. Pediatrics International, 46, 624–626.
28.
YoungstedtS. D. (2005). Effects of exercise on sleep. Clinics in Sports Medicine, 24, 355–365.
