Research finds video games improve mobility for children with autism

Mar 25, 2024

3 min


University of Delaware professor Anjana Bhat has a long history of finding creative ways to keep autistic children engaged with the added benefit of improving their flexibility and gross motor skills. She’s used dance and play in the past but is now testing video games to see if they’re a viable intervention to promote movement in this population.


Bhat and her team in the Move to 2 Learn Innovation Lab at UD's STAR Campus have been using Ring Fit on Nintendo Switch to help children with autism get their daily dose of exercise.


“Children love video games, and they’re fun,” said Bhat, professor of physical therapy in UD's College of Health Sciences. “But there’s also a lot of evidence that video games with an exercise component have positive effects on cognition, social interactions and general physical activity levels.”


She added that children with autism have a predilection for technology with a love of computers and robots, but exergaming hasn’t been studied in this population.


“Technologies that have been tested and studied in children with autism mainly target sedentary functions that look at improvement in executive function and decision-making, but not necessarily exergaming,” Bhat said. “Exergaming has been studied in older populations and healthy children, but not so much in children with autism, so this study is unique.”


After testing the intervention on a dozen children with autism over eight weeks, the consensus is that it works.


“I’ve never seen anything grab their attention so much. Across the board, this tool is far more engaging than any other tool we’ve used before, including music and movement, yoga, general exercise, and outdoor play, which do not always work for every child,” Bhat said. “With exergaming and the variety of content that exists, most children remain engaged, and that’s what’s so unusual about this intervention compared to past interventions.”


Games like tennis, volleyball, badminton, golf, sword fighting and bowling focus on the upper extremities, while soccer focuses on the lower extremities. Bhat receives accurate measures of improvement in a child’s ability through accelerometers in the video game controllers.


“This is one place where children with autism shine,” Bhat said. “Their visual learning and sensory enhancements help them excel. This gives them a sense of self-efficacy and self-assurance that — they’re good at this,” she said. “It also gives them a sense of connection to the community because they can make friends and feel empowered. Video games are a great equalizer.”


Bhat’s innovative pilot study was funded through a $50,000 award from the donor-created Maggie E. Neumann Health Sciences Research Fund, which targets research and innovation that aims to improve the lives of people with disabilities. Equipped with data from this study, Bhat hopes to expand access to the intervention and test it in the community. It’s already available at D-Fit Plus, an inclusive fitness center in New Castle that aims to help those with special needs explore fitness to build social skills and confidence, grow cognition, and manage stress.


“It’s relatively low cost,” Bhat said. “Another advantage of this intervention is that you don’t need a highly skilled person present to work the intervention because the game leads the activity, making it accessible if embedded in the community.”


This also provides a social outlet for the child’s parents.


“Community settings bring a sense of connection for the child’s parents, who are always looking for community-based activities, and many environments aren’t suitable for children with autism,” Bhat said. “Many environments are too noisy or distracting. Exergaming removes those barriers and allows the child to engage with the game and maybe another partner.”


Bhat’s previously published research has shown that 80% of people with autism face motor challenges. Her research is so compelling that she’s made a case to change the definition of autism to include motor impairments so those on the spectrum can get the proper physical therapy or gross motor interventions that could dramatically improve their quality of life.

Powered by

You might also like...

Check out some other posts from University of Delaware

Survey says: Senior leaders are using AI, but they could use more direction featured image

4 min

Survey says: Senior leaders are using AI, but they could use more direction

Over the years, study upon study has shown that senior leaders are slower to adapt to new technology – email, the Internet and social media – than younger employees. That’s not necessarily so with AI, according to the University of Delaware’s Saleem Mistry. Mistry, associate professor of management at UD's Alfred Lerner College of Business & Economics, recently conducted a survey of more than 200 university alumni, 75% of which had more than 16 years of professional experience. He found that senior leaders are actively adopting AI to solve their biggest challenges. However, they are doing so largely without structured support or guidance. Here are four findings from Mistry's survey that shows how AI is actually being used at the top. Senior Leaders Are Overwhelmingly Self-Taught Mistry said his most glaring finding is the gap between high AI adoption among senior leaders and the near-total absence of formal corporate support. Although a majority use these tools, they are almost entirely self-taught, which highlights visible opportunity that organizations aren’t really steering the AI conversation for leaders: • High usage. 62% of all senior leaders surveyed use AI tools "regularly" or "occasionally" in their work. • Training gap. Of those users, an overwhelming 80% report their organization provides "Never" or only "Sometimes" (mostly never) adequate training. Mistry said this shows that leaders from VP level down are using tools like ChatGPT and Copilot informally to keep up with heavy workloads, without any real organizational guidance. The stakes are high. In the survey, a vice president of legal was using AI for compliance tasks and a manager of three was using it for performance reviews, both with no formal training. “These are senior leaders handling sensitive work while essentially figuring it out on their own,” Mistry said. There is a clear ladder of AI use Leaders are not using AI randomly. There is a clear progression in how they use it, moving through three levels. • Tier 1 (The Drafters) This is the most common starting point. Leaders use AI to improve writing and communication. They draft emails, shape documents, and refine tone. As one Director of Product put it, it helps him "polish phrasing" and adjust tone and voice. • Tier 2 (The Synthesizers) At this stage, leaders use AI to manage information overload. They summarize meetings, condense documents, and pull together research so they can keep up with large volumes of input. As one leader managing a team of 200 said, "Being a leader requires attention in a variety of areas. AI helps me manage the vast amounts of information I need to consume." • Tier 3 (The Architects) Here, leaders move beyond writing and summarizing. They use AI to automate parts of their work. This includes building agents, creating custom GPTs, or designing tools that track work and performance. One leader managing 300 people said, "It will eliminate half or more of my overhead." Managers and individual contributors use AI for different reasons People managers and individual contributors (IC) are using AI for very different reasons based on their roles. • For people managers, their main challenge is scale. They are overloaded with communication and administration, so they use AI to reduce noise and keep up. They lean heavily on summarization and tone adjustment tools. • For project leads and ICs, their focus is output. They use AI to produce work faster, including drafting content, building decks, writing code, or generating ideas. This difference reflects their jobs. One group is trying to keep up, the other is trying to produce more. It also shows that AI is not a single-use tool. Its value depends on the problem it is being used to solve. This difference reflects their jobs. One group is trying to keep up, the other is trying to produce more. It also shows that AI is not a single-use tool. Its value depends on the problem it is being used to solve. Resistance to AI is mostly intentional Among the 38 percent of leaders who do not use AI, resistance is usually not based on lack of awareness. It falls into three groups: • The Ethical Objectors. Some avoid AI due to concerns about its broader impact. • The Quality Skeptics. Some do not trust the output and feel it is not reliable enough for important work. • The Blocked. Some are not allowed to use AI due to company policy. Mistry concludes that there is a clear overall pattern: Leaders are using AI in practical ways, but mostly without structured support or guidance. “If it feels like you are figuring this out as you go without much help from your organization, that is consistent with what most leaders are experiencing,” Mistry said. To connect directly with Mistry and arrange an interview, visit his profile page and click on the "connect" button. Interested reporters can also email MediaRelations@udel.edu.

Hantavirus cruise ship outbreak: Epidemiologist discusses causes and challenges featured image

1 min

Hantavirus cruise ship outbreak: Epidemiologist discusses causes and challenges

A deadly outbreak of hantavirus on a cruise ship currently stuck off Cape Verde, Africa, has put the virus on the national radar for the first time since 1993. University of Delaware epidemiologist Jennifer Horney can talk about the potential for a larger outbreak and the challenges associated with responding to the emergency. There have been nearly 1,000 cases of hantavirus in the U.S. since surveillance began in 1993. That year, an outbreak of the severe respiratory disease in the four corners area of the U.S. Southwest was linked to domestic exposure to rodents, Horney said. Horney can discuss the following points in reference to the Dutch vessel M/V Hondius, which has seen three people die since departing from Argentina on April 1. • The response to this global public health emergency will be challenging given the cuts to U.S. public health and extensive leadership turnover at the Centers for Disease Control and Prevention. • Climate change and global transit likely contributed to the new cases, as rodent populations thrive during certain weather conditions. • When humans inhale rodent feces, urine or saliva, often when dust is aerosolized through cleaning, they can become infected. While symptoms may develop up to two months after exposure, the disease has a mortality rate of up to 50%. To reach Horney directly and arrange an interview, visit her profile and click on the "contact" button. Interested media can also send an email to MediaRelations@udel.edu.

Gritty like his city: How the Philadelphia Flyers' mascot went from punchline to sensation featured image

2 min

Gritty like his city: How the Philadelphia Flyers' mascot went from punchline to sensation

How did Gritty, the fluffy, orange, menacing whatchamacallit that backs the Philadelphia Flyers, go from a punchline when he was rolled out in 2018 to one of sports' most well-known and beloved mascots? The University of Delaware's Matt Robinson took a shot, and scored, with some answers. Robinson, a professor of sport management at UD's Lerner College of Business & Economics, said Gritty embodies the tough attitude that Philadelphia is known for. Also, some of his bizarre features and personality traits go straight to the heart of the demeanor and history of the Flyers, who are currently battling their way through the NHL playoffs. Those are among the ingredients that go into marketing and launching a successful mascot.  Robinson can discuss the following: • Why some mascots take off and others flop. After his launch, Gritty was ridiculed as a concept on late night TV and "Saturday Night Live." But he was still garnering billions of views on social media and millions in earned media for the franchise. The Flyers kept pushing the concept despite its early unpopularity, which led to his eventual success. "Any public relations is good public relations," Robinson said. • Mascots need to be authentic. Gritty embodies the team he represents and the city that team plays in. Robinson noted Philadelphia's "grit" and love of players who play hard, like the Broad Street Bullies – the nasty group of Flyers' players who led the team to two Stanley Cup wins in the 1970s.  • The best mascots transcend sports. Robinson pointed to the film and character "Rocky," whose statue sits in the front of the city's Art Museum, as well as the city's reputation as one with a bit of an edge. "We're the ones who threw snowballs at Santa Claus," Robinson said, referring to the infamous 1968 incident when Philadelphia Eagles fans pelted Kris Kringle from the stands. • Players and coaches come and go, but the mascot stays the same. Mascots can be part of ticket sales and community engagement in the offseason, when players may not be in the city or moving to another via free agency. • Mascots offer an attachment point for fans that is not sport related. Kids respond to mascots and, from there, connection with the team, players and the sport can grow. To contact Robinson directly for an interview, visit his profile and click on the "contact" button. Interested reporters can also email MediaRelations@udel.edu.

View all posts