Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD).
Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD).
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DOI：
10.1016/j.ridd.2017.10.025
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发表时间：
2018-01
影响因子：
3.1
通讯作者：
N Bhat A
中科院分区：
文献类型：
--
作者：
Kaur M;M Srinivasan S;N Bhat A
患有自闭症谱系障碍（ASD）的儿童在平衡，步态和协调方面存在基本的运动障碍，以及在实践/运动规划和人际同步方面的自闭症特异性障碍。目前的文献大多集中在特定的运动行为或领域。此外，认知、ASD严重程度和ASD运动表现之间的关系尚不清楚。我们使用了一套全面的测量方法来比较5至12岁的三组儿童的粗大和精细运动、练习/模仿、运动协调和人际同步技能：高智商ASD儿童（HASD）、低智商ASD儿童（LASD）和典型发育（TD）儿童。我们使用Bruininks-Oseretsky运动能力测试和感觉统合和实践测试的双侧运动协调子测试分别评估运动性能和实践技能。孩子们也进行了检查，同时执行简单和复杂的节奏上肢和下肢的行动，对自己（独奏背景下），并与社会合作伙伴（社会背景下）。与TD组相比，ASD组的粗运动和精细运动评分较低，总体和各种错误类型中的实践错误较大，运动率较低，运动变异性较大，人际同步性较弱。此外，与HASD组相比，LASD组的粗大运动评分较低，镜像错误较大。总体而言，各种运动障碍存在于ASD儿童的整个谱系中，无论他们的智商得分如何。这两个，精细和粗大的运动表现与智商显着相关，但不与自闭症的严重程度，然而，实践错误（主要是，总，溢出，和节奏）与自闭症的严重程度，而不是智商强相关。我们的研究结果强调了临床医生和治疗师需要将运动评估和干预纳入ASD儿童的护理标准中，并让更广泛的自闭症社区认识到运动障碍是ASD定义的一个组成部分。
Children with Autism Spectrum Disorder (ASD) have basic motor impairments in balance, gait, and coordination as well as autism-specific impairments in praxis/motor planning and interpersonal synchrony. Majority of the current literature focuses on specific motor behaviors or domains. Additionally, the relationship between cognition, ASD severity, and motor performance in ASD is unclear. We used a comprehensive set of measures to compare gross and fine motor, praxis/imitation, motor coordination, and interpersonal synchrony skills across three groups of children between 5 and 12 years of age: children with ASD with high IQ (HASD), children with ASD with low IQ (LASD), and typically developing (TD) children. We used the Bruininks-Oseretsky Test of Motor Proficiency and the Bilateral Motor Coordination subtest of the Sensory Integration and Praxis Tests to assess motor performance and praxis skills respectively. Children were also examined while performing simple and complex rhythmic upper and lower limb actions on their own (solo context) and with a social partner (social context). Both ASD groups had lower gross and fine motor scores, greater praxis errors in total and within various error types, lower movement rates, greater movement variability, and weaker interpersonal synchrony compared to the TD group. In addition, the LASD group had lower gross motor scores and greater mirroring errors compared to the HASD group. Overall, a variety of motor impairments are present across the entire spectrum of children with ASD, regardless of their IQ scores. Both, fine and gross motor performance significantly correlated with IQ but not with autism severity; however, praxis errors (mainly, total, overflow, and rhythmicity) strongly correlated with autism severity and not IQ. Our study findings highlight the need for clinicians and therapists to include motor evaluations and interventions in the standard-of-care of children with ASD and for the broader autism community to recognize dyspraxia as an integral part of the definition of ASD.
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影响因子：
2.9
作者：
Bhat AN;Hoffman MD;Trost SL;Culotta ML;Eilbott J;Tsuzuki D;Pelphrey KA
通讯作者：
Pelphrey KA
影响因子：
6.9
作者：
Charman, T.;Pickles, A.;Baird, G.
通讯作者：
Baird, G.
影响因子：
2.1
作者：
Bhat, A. N.;Galloway, J. C.;Landa, R. J.
通讯作者：
Landa, R. J.
影响因子：
3.9
作者：
Casanova, Manuel F.;El-Baz, Ayman;Farag, Aly
通讯作者：
Farag, Aly
影响因子：
3.9
作者：
Ament, Katarina;Mejia, Amanda;Buhlman, Rebecca;Erklin, Shannon;Caffo, Brian;Mostofsky, Stewart;Wodka, Ericka
通讯作者：
Wodka, Ericka