University Medical Center Utrecht, Utrecht, The Netherlands.
Adelante Health Care, Valkenburg, The Netherlands.
J Autism Dev Disord. 2020 Feb;50(2):415-428. doi: 10.1007/s10803-019-04171-1.
Data supporting theoretical models linking autism spectrum disorders (ASD) to motor disturbance are inconclusive. In the present study, children and adolescents with ASD (n = 44) were compared with a matched group of typically developing individuals (n = 49) on both instrumental and observational assessments of motor abnormalities. No group differences were found in the instrumental data. However, more bradykinetic motor behavior was found using an observational scale in the ASD groups. More rigid motor behavior was found in the adolescents with ASD but not in the children. Individuals with ASD show significantly more hypokinetic behavior, which may not be strictly dopaminergic in origin, but may reflect a weak central coherency in neuronal networks related to the motor system in which developmental changes are present.
支持自闭症谱系障碍 (ASD) 与运动障碍相关的理论模型的数据尚无定论。在本研究中,将 ASD 患儿和青少年(n = 44)与匹配的正常发育个体(n = 49)进行比较,对运动异常进行仪器和观察评估。在仪器数据中未发现组间差异。然而,在 ASD 组中,使用观察量表发现了更多的运动迟缓行为。在 ASD 青少年中发现了更刻板的运动行为,但在儿童中没有发现。ASD 个体表现出明显更多的运动不足行为,这可能不是严格源于多巴胺能,而是可能反映了与运动系统相关的神经元网络的中央一致性较弱,其中存在发育变化。