Exploring Active Gaming with Xbox Kinect as a Balance Intervention for Children with Autism Spectrum Disorder: Pilot Randomized Controlled Trial

Postural instability and motor deficits are frequently observed in children with autism spectrum disorder largely due to atypical sensory integration and poor motor planning. These difficulties usually make it difficult for them to perform everyday duties endanger their independence and negatively affect their overall quality of life. Though they can sometimes lack originality and may not sustain long-term interest traditional therapeutic approaches can enhance motor function and balance. Conversely interactive and entertaining active video games (AVGs) such as those played with an Xbox Kinect combine therapeutic effectiveness with enjoyment and active engagement.  Aim To assess the feasibility and early effectiveness of Xbox Kinect based active video game interventions in enhancing balance among children with autism spectrum disorder.  Materials and Methods This pilot RCT involved 30 children with ASD (6–12 years), randomized to an intervention group (Xbox Kinect + physiotherapy, n = 15) or control group (physiotherapy alone n = 15). Training was delivered thrice weekly for 8 weeks. Feasibility was assessed through adherence safety and acceptability while preliminary outcomes included the Paediatric Balance Scale (PBS) and Timed Up and Go (TUG) test.  Results Recruitment and retention were excellent with all participants completing the study (100%). No adverse events occurred supporting the intervention’s feasibility. Compared with the control group, the intervention group demonstrated significant gains in PBS (p < 0.001) and TUG (p < 0.001).  Conclusion This pilot trial suggests Xbox Kinect–based training is safe, feasible and acceptable for children with ASD with preliminary evidence of balance benefits larger RCTs are needed to confirm efficacy and long-term outcomes.