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A further study of relations between motor impairment and social communication, cognitive, language, functional impairments, and repetitive behavior severity in children with ASD using the SPARK study dataset.
- Source :
-
Autism research : official journal of the International Society for Autism Research [Autism Res] 2022 Jun; Vol. 15 (6), pp. 1156-1178. Date of Electronic Publication: 2022 Mar 31. - Publication Year :
- 2022
-
Abstract
- Motor impairments are pervasive and persistent in children with autism spectrum disorder (ASD) throughout childhood and adolescence. Based on recent studies examining motor impairments in children with ASD between 5 and 15 years (i.e., SPARK study sample), 87-88% of this population is at-risk for a motor impairment, these problems persisted until 15 years, and related to their core (social communication skills and repetitive behaviors [RBs]) and comorbid (language, cognitive, and functional) impairments. Persistent motor impairments extending into adolescence/adulthood could negatively impact their independent daily living skills, physical fitness/activity levels, and physical/mental health. While multiple studies have examined relations between motor dimensions and core/comorbid impairments in young children with ASD, few studies have examined such relations in school-age children/adolescents with ASD. This paper conducts a further multidimensional study of which motor domains (i.e., gross-motor including visuo-motor or multilimb coordination/planning, fine motor [FM] or general coordination [GC] skills) best distinguish subgroups of school-age children/adolescents with ASD and help predict core and comorbid impairments after accounting for age and sex. Visuomotor, FM and certain GC skills were better at explaining variations in/predicting social communication impairments whereas FM skills were slightly better at explaining variations in/predicting RB severity. Multilimb coordination/planning and FM skills explained variations in/predicted cognitive delays whereas visuomotor and FM skills explained variations in and better predicted language delays. All three motor dimensions explained variations in/predicted functional delays. This study provides further evidence for inclusion of motor impairments within the ASD definition (criteria or specifiers). LAY SUMMARY: Gross-motor skills were related to social communication and functional delays of children with ASD (visuomotor skills related to language delays and multilimb coordination/planning skills related to cognitive delays). Fine-motor skills were related to repetitive behavior severity, language, cognitive, and functional delays in ASD. Diagnosticians should recommend systematic motor screening, further evaluations, and treatments for children at-risk for and diagnosed with ASD. Motor advocacy and enhanced public/clinical community awareness is needed to fulfill the unmet motor needs of children with ASD.<br /> (© 2022 International Society for Autism Research and Wiley Periodicals LLC.)
- Subjects :
- Adolescent
Adult
Child
Child, Preschool
Cognition
Communication
Humans
Language
Autism Spectrum Disorder complications
Autism Spectrum Disorder diagnosis
Autism Spectrum Disorder epidemiology
Language Development Disorders complications
Language Development Disorders epidemiology
Motor Disorders complications
Motor Disorders epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1939-3806
- Volume :
- 15
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Autism research : official journal of the International Society for Autism Research
- Publication Type :
- Academic Journal
- Accession number :
- 35357764
- Full Text :
- https://doi.org/10.1002/aur.2711