Laboratoire Dynamique Du Langage, CNRS UMR5596, Université Lyon 2, Lyon, France.
Department of Statistical Sciences, University of Padua, Italy.
Autism. 2024 Feb;28(2):415-432. doi: 10.1177/13623613231171980. Epub 2023 May 25.
A vast majority of individuals with autism spectrum disorder experience impairments in motor skills. Those are often labelled as additional developmental coordination disorder despite the lack of studies comparing both disorders. Consequently, motor skills rehabilitation programmes in autism are often not specific but rather consist in standard programmes for developmental coordination disorder. Here, we compared motor performance in three groups of children: a control group, an autism spectrum disorder group and a developmental coordination disorder group. Despite similar level of motor skills evaluated by the standard movement assessment battery for children, in a Reach-to-Displace Task, children with autism spectrum disorder and developmental coordination disorder showed specific motor control deficits. Children with autism spectrum disorder failed to anticipate the object properties, but could correct their movement as well as typically developing children. In contrast, children with developmental coordination disorder were atypically slow, but showed a spared anticipation. Our study has important clinical implications as motor skills rehabilitations are crucial to both populations. Specifically, our findings suggest that individuals with autism spectrum disorder would benefit from therapies aiming at improving their anticipation, maybe through the support of their preserved representations and use of sensory information. Conversely, individuals with developmental coordination disorder would benefit from a focus on the use of sensory information in a timely fashion.
绝大多数自闭症谱系障碍患者的运动技能都存在损伤。尽管缺乏比较两种疾病的研究,但这些损伤通常被贴上额外的发育性协调障碍的标签。因此,自闭症患者的运动技能康复计划通常不是专门的,而只是发育性协调障碍的标准计划。在这里,我们比较了三组儿童的运动表现:对照组、自闭症谱系障碍组和发育性协调障碍组。尽管儿童标准运动评估成套测验评估的运动技能水平相似,但在伸手移位任务中,自闭症谱系障碍和发育性协调障碍儿童表现出特定的运动控制缺陷。自闭症谱系障碍儿童无法预测物体属性,但能够像正常发育的儿童一样纠正他们的运动。相比之下,发育性协调障碍儿童的动作速度异常缓慢,但表现出未受损的预测能力。我们的研究具有重要的临床意义,因为运动技能康复对这两个群体都至关重要。具体来说,我们的发现表明,自闭症谱系障碍患者可能会受益于旨在提高他们的预测能力的治疗方法,也许可以通过支持他们保留的表示和使用感官信息来实现。相反,发育性协调障碍患者可能会受益于及时关注感官信息的使用。