Children with autism spectrum disorder (ASD) often have motor impairments. A promising strategy to improve motor and social functioning in children with ASD may be an aquatic intervention because of the properties of water. This systematic review investigated the characteristics and effects of aquatic interventions on motor and social skills in children with ASD. Searches in six databases on studies conducted between 2000 and 2023 resulted in 19 intervention studies involving 429 children aged 3 to 17 years with ASD. Best evidence syntheses and meta-analyses were used to evaluate the effects. Aquatic interventions guided by a combination of professionals in influencing behavior and in aquatic skills improved motor and social skills and significantly decreased autistic behavior in children with ASD.
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