Effects of Stability Balls on Children's On-Task Behavior, Academic Achievement, and Discipline Referrals: A Randomized Controlled Trial

Alicia Fedewa, Matthew A.C. Davis, Soyeon Ahn

Research output: Contribution to journalArticle

14 Scopus citations


CONCLUSION: This study did not find use of stability balls for entire general education classrooms to be a practical use of resources for schools. More research with rigorous controlled designs is needed to support the use of stability balls for the general education population.

OBJECTIVE: We used a randomized controlled design to investigate whether using stability balls during the school day was associated with higher levels of on-task behavior and academic achievement and fewer discipline referrals.

METHOD: Over 9 mo, students in 2 second-grade classrooms in a southeastern rural elementary school used stability balls as chairs while students in 2 control classrooms used chairs as usual. We collected measures of on-task behavior, standardized measures of literacy and mathematics achievement, and discipline referrals.

RESULTS: We found similar levels of on-task behavior and achievement in treatment and control classrooms and a downward trend in disruptive behaviors in treatment classrooms.

Original languageEnglish (US)
Pages (from-to)p1-p9
JournalAmerican Journal of Occupational Therapy
Issue number2
StatePublished - Mar 1 2015


ASJC Scopus subject areas

  • Medicine(all)

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