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Effectiveness of surf therapy for children with disabilities
Open accessAbstract
Background Few researchers have examined the effects of surf programs on children with disabilities. Due to previous research findings, surfing is being used, as the focus of physical activity intervention due to its numerous health and therapeutic benefits.Objective/hypothesis The purpose of this study was to explore the effects of an eight-week surfing intervention on various physical fitness measures in 71 children with disabilities such as autism spectrum disorder, down syndrome, global developmental delays, and cerebral palsy. The study also sought to compare the differences in overall fitness levels between the surf therapy group and an unstructured pool playgroup. Researchers predicted significant differences in the surf therapy group.Methods The assessment procedure consisted of pre and post physical fitness measures selected from the Brockport Physical Fitness Test in two groups: surfing (n = 71) and an unstructured aquatic program (n = 20).Results The results demonstrated significant improvements in core strength (p = 0.00), upper body strength (p = 0.00), flexibility (p = 0.01) and cardiorespiratory endurance (p = 0.00) in the surfing group. However, there were no significant differences in overall fitness levels between the surfing and unstructured pool playgroups. Body composition measurements on the surfing group demonstrated a significant reduction in total body fat % (p = 0.016) and fat free mass (p = 0.008) and a significant improvement in bone mineral density (p = 0.004) pre to post surf therapy.Conclusions This research demonstrated the effectiveness and physiological benefits of surf therapy for children with selected disabilities.
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Surf therapy programs for adults and children provide physical benefits, including helping with brain injury, post-hip surgery recovery, cerebral palsy, and Autism Spectrum and Down Syndrome symptomatology.
“Surf therapy programs for adults and children provide physical benefits, including helping with brain injury, 2 post-hip surgery recovery, 8 cerebral palsy, 9 and Autism Spectrum and Down Syndrome 9 symptomatology.”
From The Groundswell Community Surf Therapy Intervention for At-Risk Women and Changes in Body Acceptance, Resilience, and Emotional Regulation (2024) · cites this paper as [9]
The Abstract (page unavailable) reports improved physical-fitness measures after surf therapy in children with disabilities including cerebral palsy, autism spectrum disorder, and Down syndrome. It does not establish improvements in symptoms specific to those conditions, and it found no significant difference in overall fitness between the surfing and pool-play groups. The adult brain-injury and post-hip-surgery examples carry other citations and are not assessed here. (LLM, conf=0.86)
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Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,842
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,600
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007) · Behavior Research Methods · doi:10.3758/bf03193146 · Cited by 65,971
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,415
Diagnostic and Statistical Manual of Mental Disorders
(2012) · Springer eBooks · doi:10.1007/springerreference_121117 · Cited by 20,772
Prevalence of Childhood and Adult Obesity in the United States, 2011-2012
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014) · JAMA · doi:10.1001/jama.2014.732 · Cited by 8,072
HASKELL, W. L., LEE, I.-M., PATE, R. R., POWELL, K. E., BLAIR, S. N., FRANKLIN, B. A., MACERA, C. A., HEATH, G. W., THOMPSON, P. D., & BAUMAN, A. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180616b27 · Cited by 4,616
Prevalence of Obesity Among Adults and Youth: United States, 2015-2016.
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2017) · PubMed · Cited by 3,889
Nonparametric Statistical Methods.
Knott, M. J., Hollander, M., & Wolfe, D. A. (1974) · Journal of the Royal Statistical Society Series A (General) · doi:10.2307/2344557 · Cited by 2,687
Physical activity participation among persons with disabilities
Rimmer, J. H., Riley, B., Wang, E., Rauworth, A. E., & Jurkowski, J. M. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.02.002 · Cited by 986
Nonparametric Statistical Methods
Hollander, M., Wolfe, D. A., & Chicken, E. (2015) · Wiley series in probability and statistics · doi:10.1002/9781119196037 · Cited by 763
Murphy, N., & Carbone, P. S. (2008) · PEDIATRICS · doi:10.1542/peds.2008-0566 · Cited by 470
Rimmer, J. H., Yamaki, K., Lowry, B. M. D., Wang, E., & Vogel, L. C. (2010) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2010.01305.x · Cited by 354
Physiological Aspects of Surfboard Riding Performance
Méndez-Villanueva, A., & Bishop, D. J. (2005) · Sports Medicine · doi:10.2165/00007256-200535010-00005 · Cited by 204
Group aquatic aerobic exercise for children with disabilities
Fragala-Pinkham, M. A., Haley, S. M., & O’Neil, M. E. (2008) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2008.03086.x · Cited by 160
Body composition analysis in the pediatric population.
Weber, D. R., Leonard, M. B., & Zemel, B. S. (2012) · PubMed · Cited by 152
The Validity and Reliability of the Back Saver Sit-and-Reach Test in Middle School Girls and Boys
Patterson, P., Wiksten, D. L., Ray, L., Flanders, C., & Sanphy, D. (1996) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1996.10607976 · Cited by 103
Correlates of young children's interactions with classmates with disabilities
Okagaki, L., Diamond, K. E., Kontos, S., & Hestenes, L. L. (1998) · Early Childhood Research Quarterly · doi:10.1016/s0885-2006(99)80026-x · Cited by 91
Good practice in testing for an association in contingency tables
Ruxton, G. D., & Neuhäuser, M. (2010) · Behavioral Ecology and Sociobiology · doi:10.1007/s00265-010-1014-0 · Cited by 81
Summative evaluation of a pilot aquatic exercise program for children with disabilities
Fragala-Pinkham, M. A., O’Neil, M. E., & Haley, S. M. (2010) · Disability and health journal · doi:10.1016/j.dhjo.2009.11.002 · Cited by 57
The Ocean as a Unique Therapeutic Environment: Developing a Surfing Program
Clapham, E. D., Armitano‐Lago, C., Lamont, L. S., & Audette, J. G. (2014) · Journal of Physical Education Recreation & Dance · doi:10.1080/07303084.2014.884424 · Cited by 34
Self-citationBone Density in Adolescents and Young Adults with Autism Spectrum Disorders
Ekhlaspour, L., Baskaran, C., Reyes, K. J. C., Sokoloff, N. C., Neumeyer, A. M., & Misra, M. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2871-9 · Cited by 32
Benefits of surfing for children with disabilities: a pilot study
Armitano, C. N., Clapham, E. D., Lamont, L. S., & Audette, J. G. (2015) · PALAESTRA · doi:10.18666/palaestra-2015-v29-i3-6912 · Cited by 31
Self-citationParents’ Perspectives on Surf Therapy for Children with Disabilities
Moore, A. M., Clapham, E. D., & Deeney, T. A. (2017) · International Journal of Disability Development and Education · doi:10.1080/1034912x.2017.1400660 · Cited by 24
Self-citationHeart Rate Responses of High School Students Participating in Surfing Physical Education
Bravo, M., Cummins, K. M., Nessler, J. A., & Newcomer, S. C. (2015) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000001263 · Cited by 23
Brockport Physical Fitness Test Manual: A Health-Related Assessment for Youngsters With Disabilities
Winnick, J. P., & Short, F. X. (2014) · Medical Entomology and Zoology · Cited by 17
Workloads of Competitive Surfing: Work-to-Relief Ratios, Surf-Break Demands, and Updated Analysis
Farley, O. R. L., Secomb, J. L., Raymond, E., Lundgren, L. E., Ferrier, B. K., Abbiss, C. R., & Sheppard, J. M. (2018) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000002659 · Cited by 17
The Effect of a Single Bout of Surfing on Exercise Induced Affect
Pittsinger, R. F., Kress, J., & Crussemeyer, J. A. (2017) · International journal of exercise science · doi:10.70252/xbnu4472 · Cited by 13
Rates of Vocational Rehabilitation System Closure Into Competitive Employment
Butterworth, J., & Gilmore, D. S. (1998) · Mental Retardation · doi:10.1352/0047-6765(1998)036 · Cited by 7
Ocean Surfing as a Novel Physiotherapy Environment: A Commentary
Clapham, E. D. (2014) · Journal of Novel Physiotherapies · doi:10.4172/2165-7025.1000e133 · Cited by 6
Self-citationPlanning and Implementing a Surf Camp for Students With Autism Spectrum Disorder
Cavanaugh, L., Rademacher, S. J., Rademacher, J., & Simons, R. G. (2013) · Palaestra · Cited by 6
Development of a Wet Suit for Children With Down Syndrome
Lamont, L. S., Panagiotis, P., Armitano‐Lago, C., & Clapham, E. D. (2014) · International Journal of Aquatic Research and Education · doi:10.1123/ijare.2013-0021 · Cited by 2
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- Lopes, 2015, Adapted surfing as a tool to promote inclusion and rising disability awareness in Portugal, J Sports Dev., 3, 1
- Fernhall, 2001, Limitations to work capacity in individuals with intellectual disabilities, Clin Exerc Physiol, 3, 176
Cited by
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Surfing the waves: Environmental and socio-economic aspects of surf tourism and recreation
Román, C., Borja, Á., Uyarra, M. C., & Pouso, S. (2022) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2022.154122 · Cited by 54
Sport and Autism: What Do We Know so Far? A Review
Grosprêtre, S., Ruffino, C., Derguy, C., & Gueugneau, N. (2024) · Sports Medicine - Open · doi:10.1186/s40798-024-00765-x · Cited by 34
The Physical and Mental Health Benefits of Lifestyle Sports for Disabled People: A Scoping Review
Youngson, L., Foster, C. E., & Lambert, J. D. (2023) · International Journal of Disabilities Sports & Health Sciences · doi:10.33438/ijdshs.1197978 · Cited by 25
Säfvenbom, R., Strittmatter, A.-M., & Bernhardsen, G. P. (2023) · Social Sciences · doi:10.3390/socsci12050299 · Cited by 17
Armstrong, M., Sharaievska, I., Crowe, B. M., & Gagnon, R. J. (2022) · Journal of Intellectual & Developmental Disability · doi:10.3109/13668250.2022.2104449 · Cited by 16
Modified sports interventions for children and adolescents with disabilities: A scoping review
de Sousa, R. R., Sousa, A. B., de Lima, A. F. B., Santos‐Rehder, R. D. B., Simão, C. R., Fischer, G., Camargos, A. C. R., Clutterbuck, G. L., & Leite, H. R. (2024) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15952 · Cited by 18
Surfing on physical education curriculum and the impact on student’s well-being
Silva, B., Cruz, G., Bentes, R., & Lima, R. (2022) · journal of physical education · doi:10.4025/jphyseduc.v33i1.3317 · Cited by 14
Ruffino, C., Gueugneau, N., & Grosprêtre, S. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1580462 · Cited by 12
Measuring nature-based health interventions – a rapid review of instrumentation and outcomes
Reis, A. C., Gray, T. L., Mann, J., Mallinson, J., Katnoria, M., Seach, W., & Peel, N. (2023) · Journal of Outdoor and Environmental Education · doi:10.1007/s42322-023-00135-3 · Cited by 14
Esmailiyan, M., Marandi, S. M., Darvishi, M., Javanmard, S. H., & Amerizadeh, A. (2023) · Advanced Biomedical Research · doi:10.4103/abr.abr_363_21 · Cited by 9
Usher, L. E. (2023) · Leisure/Loisir · doi:10.1080/14927713.2023.2224370 · Cited by 7
Peng, Y., Zou, Y., & Asakawa, T. (2025) · BioScience Trends · doi:10.5582/bst.2024.01356 · Cited by 6
Effectiveness of surfing on psychological health in military members: a systematic review
González-Devesa, D., Vilanova-Pereira, M., Araújo-Solou, B., & Ayán-Pérez, C. (2024) · BMJ Military Health · doi:10.1136/military-2024-002856 · Cited by 4
Health effects of outdoor water sports in chronic disease: a scoping review
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Franceschi, L., Small, N., Goldsby, T., Goldsby, M., Padamada, S., Ziegler, M. G., & Mills, P. J. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241278970 · Cited by 3
“7 Surf therapy programs for adults and children provide physical bene fi ts, including helping with brain injury, 2 post-hip surgery recovery, 8 cerebral palsy, 9 and Autism Spectrum and Down Syndrome 9 symptomatology.”
BackgroundLipszyc, R. T., Rodda, C. P., Wright, M., & Duckham, R. L. (2025) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.70063 · Cited by 3
Feng, M., Hou, Y., Zhou, S., & Song, X. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1745638 · Cited by 3
Swimming in children: benefits for early aquatic development
Mancheno, F. D. B. (2024) · MENTOR revista de investigación educativa y deportiva · doi:10.56200/mried.v3i8.7640 · Cited by 3
Johnson, M. E., & David, H. M. (2021) · PM&R · doi:10.1002/pmrj.12674 · Cited by 3
Meloni, M., Natale, D., Caria, A., Porco, I. G., Ventura, L., Blasio, A. D., Modugno, N., Paulus, K. S., Solla, P., Bandiera, P., et al. (2025) · Sport Sciences for Health · doi:10.1007/s11332-024-01321-6 · Cited by 3
Parasports for cerebral palsy: Thinking and ‘prescribing’ beyond the Paralympics
Hanes, J. E., Ewert, J. J., Holmsen‐Wong, A., Rosenbaum, P., Mishaal, R. A., & Eilig, D. (2025) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.70115 · Cited by 2
Training profile and performance in european adaptive surfing athletes
Cruz, G., Silva, B., & Bentes, R. (2021) · Advances in Rehabilitation · doi:10.5114/areh.2021.105878 · Cited by 2
Jacob, U. S., Nurhayati, S., & Maguvhe, M. O. (2026) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2026.1793290 · Cited by 1
Barrero, A. M., Lazarraga, P. C., & Maqueda, P. (2021) · Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte · doi:10.24310/riccafd.2021.v10i3.12622 · Cited by 1
do Rosario, M. L. V. V., Dias, E. R. A., & Pereira, B. N. (2021) · REVISTA DA ASSOCIAÇÃO BRASILEIRA DE ATIVIDADE MOTORA ADAPTADA · doi:10.36311/2674-8681.2020.v21n2.p317-332
EFEITOS DA TERAPIA AQUÁTICA EM CRIANÇAS COM TRANSTORNO DO ESPECTRO AUTISTA
DOHARA, S. N. Y., CAVALCANTE, I. B., MEIRELLES, D. Y., & SALLES, P. M. B. D. (2023) · doi:10.58871/ed.academic.00037.v1
HOSOKAWA, K., Yano, N., & Sumimoto, A. (2023) · Suiei Suichu Undo Kagaku · doi:10.2479/swex.26.11
Tørring, M. F., & Pedersen, A. V. (2026) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2026.1800156
de Sousa, R. R., Sousa, A. B., de Lima, A. F. B., Santos‐Rehder, R. D. B., Simão, C. R., Fischer, G., Camargos, A. C. R., Clutterbuck, G. L., & Leite, H. R. (2024) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15963
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Blaine, J. (2025) · American Journal of Sports Science · doi:10.11648/j.ajss.20251301.12
Affengruber, L., Grillich, L., Schultes, M.-T., & Sommer, I. (2025) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2025.102700
Carolo, D. (2025) · MOJ Sports Medicine · doi:10.15406/mojsm.2025.08.00178
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KOÇ, S., Yılmaz, A., & Özkan, Z. (2026) · International Journal of Disabilities Sports & Health Sciences · doi:10.33438/ijdshs.1899590
Carolo, D., Dudley, D. A., Queiroga, A. C., & Martins, J. (2026) · Quest · doi:10.1080/00336297.2026.2655226
Munroe, B., Ashcroft, S. K., Lock, S., Turner, K., Arnold, B., & Reedman, S. E. (2026) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.70306
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Metadata
- Authors
- Clapham, E. D., Lamont, L. S., Shim, M., Lateef, S., & Armitano, C. N.
- Affiliations
- University of Rhode Island (US)
- Corresponding author
- Clapham, Emily D.
- ORCID
- Clapham, Emily D.
- Venue
- Disability and Health Journal
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 13
- Issue
- 1
- Pages
- 100828
- ISSN
- 1876-7583 (ISSN-L)
- 1936-6574
- OpenAlex
- W2966441996
- Cited by
- 39
- References
- 32
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 6 · 2023: 7 · 2022: 5 · 2021: 4
- FWCI
- 4.52
- Type
- journal article
- Language
- en
- Open access
- Locations
- Disability and health journal (publishedVersion)
- PubMed (publishedVersion)
- Journal of Media Literacy Education (submittedVersion, cc-by)
- ODU Digital Commons (Old Dominion University) (submittedVersion)
- Funders
- Doug Flutie, Jr. Foundation for Autism
- John E. Fogarty Foundation for Persons with Intellectual and Developmental Disabilities
- Topics
- Social Sciences › Education › Inclusion and Disability in Education and Sport
- Health Sciences › Medicine › Rehabilitation › Cerebral Palsy and Movement Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- surf therapy, children with disabilities, autism spectrum disorder, Down syndrome, global developmental delay, cerebral palsy, physical fitness, aquatic exercise, core strength, flexibility, cardiorespiratory fitness, body composition, bone mineral density
- MeSH terms
- Autism Spectrum Disorder, Adipose Tissue, Adolescent, Body Composition, Body Fluid Compartments, Cerebral Palsy, Child, Developmental Disabilities, Down Syndrome, Female, Humans, Male, Physical Endurance, Physical Fitness, Play and Playthings, Sports, Water, Exercise, Bone Density, Range of Motion, Articular, Treatment Outcome, Children with Disabilities, Muscle Strength, Sports for Persons with Disabilities
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