Breaking the vicious cycle of activity avoidance in an adolescent boy diagnosed with DCD and mild Asperberger's disorder

Client Presentation: This case study involves a 14-year-old male who has been diagnosed with Developmental Coordination Disorder (DCD) and mild Asperger's Disorder. Before, starting the program, the participant provided assent and parental consent, acknowledging that the findings may be published.

Intervention: A one-on-one structured weight training program is followed weekly. Based on sound training principles, the aim of the training is to develop proper exercise technique, maximal strength, balance and coordination in order to fast-track movement skills. The program progresses at a level specific to the participant; exercise selection is based on what the participant feels comfortable doing. He also has regular contact with a counsellor who specialises in exercise psych ology. Therapeutic intervention takes a strength-based approach, focusing on improvements in physical abilities and confidence. Cognitive Behavioural Therapy is used to address self-esteem and self-efficacy for physical activity concerns.

Results: Following the first 12 weeks of training, positive changes in exercise self-efficacy (Physical Activity SelfEfficacy Scale markers improved by 12.5%) (Marcus et al., 1992) and self-esteem (Rosenburg Self-Esteem Scale markers improved by 10%) (Rosenberg, 1965) have been observed. These results have coincided with an increase in load lifted per session and physical activity enjoyment (Physical Activity Enjoyment Scale markers improved by 10%) (Kendzierski and Decarlo, 1991).

Conclusions: This study in progress provides an example of a multi-disciplinary approach by exercise science professionals working in a clinical framework. The bringing together of expertise in exercise psychology, motor development and strength and conditioning has enabled the design of this client centred intervention.

Abstract only.