Motor problems in autism: Co‐occurrence or feature?

Developmental Medicine & Child Neurology, Journal Year: 2023, Volume and Issue: 66(1), P. 16 - 22

Published: June 18, 2023

Motor features of autism have long been acknowledged by clinicians, researchers, and community stakeholders. Current DSM-5 ICD-11 guidelines allow clinicians to assign a co-occurring diagnosis developmental [motor] coordination disorder (DCD) for autistic individuals with significant motor problems. DCD is characterized poor proficiency an onset symptoms in early development. Studies shown considerable overlap the behavioral observed DCD. However, others indicate that problems may stem from different underlying sensorimotor mechanisms. Regardless whether has unique phenotype or DCD, changes need be made clinical pipeline address at stages recognition, assessment, diagnosis, intervention. Consensus needed unmet needs research on etiology their optimize practice guidelines. The development screening assessment tools are valid reliable use essential, evidence-based urgently needed. WHAT THIS PAPER ADDS: highly prevalent, yet underdiagnosed poorly managed. An

Language: Английский

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Where do neurodevelopmental conditions fit in transdiagnostic psychiatric frameworks? Incorporating a new neurodevelopmental spectrum

World Psychiatry, Journal Year: 2024, Volume and Issue: 23(3), P. 333 - 357

Published: Sept. 16, 2024

Features of autism spectrum disorder, attention‐deficit/hyperactivity learning disorders, intellectual disabilities, and communication motor disorders usually emerge early in life are associated with atypical neurodevelopment. These “neurodevelopmental conditions” grouped together the DSM‐5 ICD‐11 to reflect their shared characteristics. Yet, reliance on categorical diagnoses poses significant challenges both research clinical settings (e.g., high co‐occurrence, arbitrary diagnostic boundaries, within‐disorder heterogeneity). Taking a transdiagnostic dimensional approach provides useful alternative for addressing these limitations, accounting underpinnings across neurodevelopmental conditions, characterizing common co‐occurrence developmental continuity other psychiatric conditions. Neurodevelopmental features have not been adequately considered frameworks, although this would fundamental implications practices. Growing evidence from studies structure conditions indicates that cluster together, delineating spectrum” ranging normative impairing profiles. Studies genetic underpinnings, overlapping cognitive neural profiles, similar course efficacy support/treatment strategies indicate validity spectrum. Further, alongside dimensions has utility, as it fuller view an individual's needs strengths, greater prognostic utility than categories. Based compelling body evidence, we argue incorporating new into frameworks considerable potential transforming our understanding, classification, assessment, practices around

Language: Английский

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Clarifying the developmental association between gesture and later vocabulary for autistic children

Infant Behavior and Development, Journal Year: 2025, Volume and Issue: 79, P. 102058 - 102058

Published: April 11, 2025

Language: Английский

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A comparative study on fundamental movement skills among children with autism spectrum disorder and typically developing children aged 7–10

Frontiers in Psychology, Journal Year: 2024, Volume and Issue: 15

Published: March 28, 2024

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with unique differences in social interaction, communication, and spectrum of behavioral characteristics. In the past, motor disturbance individuals ASD has not been considered significant core deficit due to predominant focus on sociability communication issues. However, recent studies indicate that deficits are indeed associated fundamental symptoms ASD. As there limited research behavior children ASD, particularly China, objective this study investigate development movement skills (FMS) compare them typically developing children. The recruited 108 (87 boys, 21 girls) aged 7-10 years from two special education rehabilitation centers Wuhan, China. For comparison, control group children, matched by age gender, was randomly selected three local primary schools. FMS were assessed using Movement Assessment Battery for Children - Second Edition (MABC-2), which evaluates manual dexterity, aiming catching, as well static dynamic balance. Group MABC-2 percentile scores analyzed descriptive statistics Mann-Whitney U test. Effect sizes also calculated practical significance. Findings showed majority, around 80%, either displayed challenges or at risk such delays. When comparing their peers, scored notably lower areas ball skills, both balance (with all these findings being statistically p < 0.001). Interestingly, gender did show influence results (p > 0.05). addition addressing other skill outlined diagnostic clinicians diagnosing treating should assess presence development. who have co-existing difficulties, it essential offer evidence-based interventions tailored specific needs.

Language: Английский

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Fewer children with autism spectrum disorder with motor challenges receive physical and recreational therapies compared to standard therapies: A SPARK data set analysis

Autism, Journal Year: 2023, Volume and Issue: 28(5), P. 1161 - 1174

Published: Aug. 22, 2023

Approximately 85% of children with autism spectrum disorder from the SPARK study receiving standard interventions such as speech-language and occupational therapies. In contrast, only 32%–13% received movement therapies physical recreational therapies, respectively. Little is known about how service receipt changes a function children’s motor difficulties. Parents completed online surveys to provide report their child’s difficulties using Developmental Coordination Disorder–Questionnaire well various child (speech-language therapy, applied behavioral analysis, social skill interventions, therapy) by location (at school, privately/in community, or both). While (occupational increased increasing risk severity, there continued be large disparities in therapy (37%–55%) (15%–19%) compared (85%–92%) across settings indicating clear unmet needs for specific services given that 88.3% this sample at difficulties/Developmental Disorder. fine- gross-motor subscale scores were fairly comparably affected yet therapy/recreational less versus therapy. These findings explain paucity activity programs individuals need experts receive appropriate access training work disorder. Lay Abstract There are provided (physical therapies) therapies). Children greater funding programs. Movement including PTs, adapted educators, community exercise/sports coaches/professionals basic, specialized, continuing education meet adults not providing early developmental school-based but also ensuring built environments general therapy/adapted

Language: Английский

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Ligustilide inhibits Purkinje cell ferritinophagy via the ULK1/NCOA4 pathway to attenuate valproic acid-induced autistic features

Phytomedicine, Journal Year: 2024, Volume and Issue: 126, P. 155443 - 155443

Published: Feb. 15, 2024

Language: Английский

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A multimodal approach can identify specific motor profiles in autism and attention‐deficit/hyperactivity disorder

Autism Research, Journal Year: 2023, Volume and Issue: 16(8), P. 1550 - 1560

Published: Aug. 1, 2023

Abstract It is still unclear whether and to what extent the motor difficulties are specific autism. This study aimed determine a multimodal assessment of skills could accurately discriminate autistic children from attention‐deficit/hyperactivity disorder (ADHD) typically developing (TD) peers. Seventy‐five children, aged 7–13, equally divided into three groups, were assessed with developmental coordination questionnaire (DCDQ), movement battery for 2 (MABC2), sensorimotor subtests NEPSY‐II, kinematic analysis reach‐to‐drop task. Principal component (PCA) on DCDQ subscales revealed one factor—Caregiver Report—, whereas MABC2/NEPSY‐II scores identified factors—namely, Object Interception Balance, Motor Imitation, Fine‐Motor Skills—. Lastly, PCA variables four factors: PC1, loaded by parameters velocity acceleration throughout task, PC2 PC3 involved temporal two submovements, PC4 accounted wrist inclination at ball drop. When comparing TD Caregiver Report Imitation factors predicted membership 87.2% accuracy. In model ADHD Skills an accuracy 73.5%. last model, Balance factor differentiated line our previous findings, kinematics did not differentiate school‐aged The present findings show that profiles in autism can be isolated investigation skills.

Language: Английский

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Enhanced motor noise in an autism subtype with poor motor skills

Molecular Autism, Journal Year: 2024, Volume and Issue: 15(1)

Published: Sept. 3, 2024

Abstract Background Motor difficulties are common in many, but not all, autistic individuals. These can co-occur with other problems, such as delays language, intellectual, and adaptive functioning. Biological mechanisms underpinning less well understood. Poor motor skills tend to be more individuals carrying highly penetrant rare genetic mutations. Such may have downstream consequences of altering neurophysiological excitation-inhibition balance lead enhanced behavioral noise. Methods This study combined publicly available in-house datasets (n = 156), typically-developing (TD, n 149), developmental coordination disorder (DCD, 23) children (age 3–16 years). Autism subtypes were identified based on patterns abilities measured from the Movement Assessment Battery for Children 2nd edition. Stability-based relative clustering validation was used identify autism evaluate generalization accuracy held-out data. tested differences noise, operationalized degree dissimilarity between repeated kinematic trajectories recorded during a simple reach-to-drop task. Results Relatively ‘high’ 87) versus ‘low’ 69) could detected which generalize 89% The relatively subtype lower general intellectual ability older at age independent walking, did differ first words or traits symptomatology. noise considerably higher compared ( Cohen’s d 0.77) TD 0.85), similar 0.08). Enhanced also most pronounced feedforward phase reaching actions. Limitations sample size this work is limited. Future larger samples along replication important. only one specific Thus, comprehensive assessment many tasks needed. Conclusions split into least two discrete that characterized by differing levels suggests underpinned different biological mechanisms.

Language: Английский

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Digital motor intervention effects on physical activity performance of individuals with developmental disabilities: a systematic review

Disability and Rehabilitation, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 16

Published: Sept. 4, 2024

Post-pandemic, use of digital technologies (e.g., mobile app, Zoom, virtual reality, and videogaming) to promote physical activity (PA) in populations with intellectual developmental disabilities (IDD) has increased. The efficacy various promoting PA individuals IDD varies. We conducted a systematic review examine current literature findings on the interventions outcomes IDD.

Language: Английский

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Relationship between service receipt during the COVID‐19 pandemic and autistic children's multisystem outcomes and autism severity: A SPARK dataset analysis

Autism Research, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 7, 2025

Children with autism spectrum disorder (ASD) display a variety of core and co-occurring difficulties in social, communication, everyday functioning, cognitive, motor, language domains. Receiving combination services to accommodate needs autistic individuals is essential for improving their future outcomes. During the COVID-19 pandemic, reduced service access negatively impacted children's This study aimed examine relationship between receipt parental perceived outcomes children while accounting various demographic, child, factors. We utilized impact survey data from SPARK (N = 6067). Ordinal logistic regression analyses were used predict child Demographic, factors included prediction models. Service SLT, ABA, PT/OT, MED, MH associated PT/OT ABA predicted improvements domains social interaction, activity, overall severity; SLT contributed improved communication MED was worsening on all Younger age, males, higher family income, lower severity, function, cognitive delay, greater absence mental health issues Overall, are functional whereas also provide wholistic view affecting relationships during pandemic.

Language: Английский

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