Observing Autism Spectrum Disorder in an Ecological Context: Refinement and Validation of the “Arrampi-Care” Monitoring Tool
Parole chiave:
autism spectrum disorder; climbing; observational tool; skill monitoring; ecological contextAbstract
Autism Spectrum Disorder (ASD) is a complex condition characterized by multiple difficulties across motor, cognitive, and socio-relational domains, which impact the daily life of individuals with ASD as well as those they interact with. In this context, physical activity has been shown to offer valuable opportunities for people with ASD. It provides an engaging and supportive environment for children and adolescents to develop core skills in the mentioned domains. The ARRAMPI-CARE project aimed to assess the potential of a structured climbing-based intervention in fostering motor, cognitive, and social skill development in individuals with ASD. A specific observational tool was developed to monitor participants’ performance in motor, cognitive, and emotional–relational domains during climbing-based activities. In this paper, we report how the monitoring tool functioned in a real-world setting and identify the key elements for its improvement and refinement. The refined instrument is intended to provide both reliable monitoring of skill development and practical guidance for instructors, supporting an integrated approach to promoting well-being and participation in individuals with ASD.
Riferimenti bibliografici
Alsaedi, R. H. (2025). Relation between executive functioning, sensory processing, and motor performance in children with autism. BMC pediatrics, 25(1), 457. https://doi.org/10.1186/s12887-025-05756-9
Broupi, A. E., Kokaridas, D., Tsimaras, V., Goudas, M. (2025). Effect of an indoor climbing program on selective attention of children with autism spectrum disorder (ASD). Human Movement. 26(4), 120–129. https://doi.org/10.5114/hm/211148
Date, S., Munn, E., & Frey, G. C. (2024). Postural balance control interventions in autism spectrum disorder (ASD): A systematic review. Gait & Posture, 109, 170–182. https://doi.org/10.1016/j.gaitpost.2024.01.034
De Jaegher, H. (2013). Embodiment and sense-making in autism. Frontiers in Integrative Neuroscience, 7. https://doi.org/10.3389/fnint.2013.00015
Forti, S., Valli, A., Perego, P., Nobile, M., Crippa, A., & Molteni, M. (2011). Motor planning and control in au-tism. A kinematic analysis of preschool children. Research in Autism Spectrum Disorders, 5(2), 834–842. https://doi.org/10.1016/j.rasd.2010.09.013
Gallagher, S. (2013). When the problem of intersubjectivity becomes the solution. In M. Legerstee, D. Haley & M. Bornstein (Eds.), The infant mind: Origins of the social brain, (pp. 48–74). Guildford Press.
Grace, N., Johnson, B. P., Rinehart, N. J., & Enticott, P. G. (2018). Are motor control and regulation problems part of the ASD motor profile? A handwriting study. Developmental Neuropsychology, 43(7), 581–594. https://doi.org/10.1080/87565641.2018.1504948
Hodges, H., Fealko, C., & Soares, N. (2020). Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. Translational pediatrics, 9(Suppl 1), S55–S65. http://dx.doi.org/10.21037/tp.2019.09.09
Huang, J., Du, C., Liu, J., & Tan, G. (2020). Meta-analysis on intervention effects of physical activities on children and adolescents with autism. International journal of environmental research and public health, 17(6). https://doi.org/10.3390/ijerph17061950
Kikuchi, K., Honda, M., Baba, Y., Kita, Y., & Higuchi, T. (2024). Difficulties in perceptual–motor coordination of reaching behavior in children with autism spectrum disorder. Cortex, 180, 111–125. https://doi.org/10.1016/j.cortex.2024.08.005
Klymus, T. M., Ravchyna, T. V., Herus, O., Kozak, M. Y., Tiurina, T. G., Shkoliar, M. V., & Marcucci, G. (2023). Using the sensory integration technique for people with autism spectrum disorders during training at the climbing section. Polski Merkuriusz Lekarski, 51(5), 558–562. https://doi.org/10.36740/Merkur202305116
Kokaridas, D., Demerouti, I., Margariti, P., & Krommidas, C. (2018). The effect of an indoor climbing program on improving handgrip strength and traverse speed of children with and without autism spectrum di-sorder. Palaestra, 32(3)
Kou, R., Li, Z., Li, M., Zhou, R., Zhu, F., Ruan, W., & Zhang, J. (2024). Comparative effectiveness of physical exercise interventions on sociability and communication in children and adolescents with autism: a sy-stematic review and network meta-analysis. BMC psychology, 12(1). https://doi.org/10.1186/s40359-024-02210-w
Lai, M. C., Lombardo, M. V., & Baron-Cohen, S. (2014). Autism. Lancet, 383(9920), 896–910. https://doi.org/10.1016/S0140-6736(13)61539-1
Levante, A., Martis, C., Antonioli, G., Dima, M., Duma, L., Perrone, M., Russo, L., & Lecciso, F. (2023). The effect of sports activities on motor and social skills in autistic children and adolescents: a systematic narrative review. Current Developmental Disorders Reports, 10(3), 155–174. https://doi.org/10.1007/s40474-023-00277-5
Nešić, J. (2023). Ecological-enactive account of autism spectrum disorder. Synthese, 201(2). https://doi.org/10.1007/s11229-023-04073-x
Oriel, K. N., Kanupka, J. W., Fuehrer, A. T., et al. (2018). The impact of a rock climbing program for adolescents with autism spectrum disorder: A pilot study. International Journal of Kinesiology in Higher Education. 2(4), 113–126. https://doi.org/10.1080/24711616.2018.1425601
Pan, C. Y., Sung, M. C., Tsai, C. L., Chen, F. C., Chen, Y. J., & Chen, C. C. (2024). The relationships between motor skills and executive functions in children with and without autism spectrum disorder. Autism Re-search, 17(6), 1149–1160. https://doi.org/10.1002/aur.3136
Perna, S., Allegra, M., Benigno, V., Bertoldi, L. Città, G., Galizia, N., Herd Smith, A., Tosto, C., Zamara, L., Gentile, M. (2025). Climbing as an embodied practice for addressing autism spectrum disorder. IN-TED2025 Proceeding, 4777–4784. IATED Digital Library. https://doi.org/10.21125/inted.2025.1196
Rosales, M. R., Butera, C. D., Wilson, R. B., Zhou, J., Maus, E., Zhao, H., Chow, J. C., Dao, A., Freeman J., & Dusing, S. C. (2025). Systematic review and meta-analysis of the effect of motor intervention on cognition, communication, and social interaction in children with autism spectrum disorder. Physical & Occupational Therapy in Pediatrics, 45(5), 688–710. https://doi.org/10.1080/01942638.2025.2498357
Suarez-Manzano, S., Ruiz-Ariza, A., de Loureiro, N. E. M., & Martinez-Lopez, E. J. (2024). Effects of physical activity on cognition, behavior, and motor skills in youth with autism spectrum disorder: a systematic review of intervention studies. Behavioral Sciences, 14(4). https://doi.org/10.3390/bs14040330
van Dijk, J., & Oral, L. (2025). In support of neurodiverse participatory sensemaking. Language Sciences, 110. https://doi.org/10.1016/j.langsci.2025.101717
van t Hooft, P., Moeijes, J., Hartman, C., van Busschbach, J., & Hartman, E. (2024). Aquatic interventions to improve motor and social functioning in children with ASD: a systematic review. Review Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s40489-024-00464-z
Wen, L., & Wu, Z. (2025). The impact of sensory integration based sports training on motor and social skill development in children with autism spectrum disorder. Scientific Reports, 15(1). https://doi.org/10.1038/s41598-025-05393-3
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Copyright (c) 2026 Crispino Tosto, Mario Allegra, Vincenza Benigno, Lorenzo Bertoldi, Giuseppe Città, Beatrice Fossat, Nicola Galizia, Manuel Gentile, Anna Herd Smith, Ludovico Zamara, Salvatore Perna
Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 4.0 Internazionale.
