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Community-based postural control assessment in autistic individuals indicates a similar but delayed trajectory compared to neurotypical individuals
Journal article   Open access   Peer reviewed

Community-based postural control assessment in autistic individuals indicates a similar but delayed trajectory compared to neurotypical individuals

Nicholas E Fears, Gabriela M C Sherrod, Tylan N Templin, Nicoleta L Bugnariu, Rita M Patterson and Haylie L Miller
Autism research, Vol.16(3), pp.543-557
03/2023
DOI: 10.1002/aur.2889
PMID: 36627838
url
https://doi.org/10.1002/aur.2889View
Published (Version of record) Open Access

Abstract

Autistic individuals exhibit significant sensorimotor differences. Postural stability and control are foundational motor skills for successfully performing many activities of daily living. In neurotypical development, postural stability and control develop throughout childhood and adolescence. In autistic development, previous studies have focused primarily on individual age groups (e.g., childhood, adolescence, adulthood) or only controlled for age using age-matching. Here, we examined the age trajectories of postural stability and control in autism from childhood through adolescents using standardized clinical assessments. In study 1, we tested the postural stability of autistic (n = 27) and neurotypical (n = 41) children, adolescents, and young adults aged 7-20 years during quiet standing on a force plate in three visual conditions: eyes open (EO), eyes closed (EC), and eyes open with the head in a translucent dome (Dome). Postural sway variability decreased as age increased for both groups, but autistic participants showed greater variability than neurotypical participants across age. In study 2, we tested autistic (n = 21) and neurotypical (n = 32) children and adolescents aged 7-16 years during a dynamic postural control task with nine targets. Postural control efficiency increased as age increased for both groups, but autistic participants were less efficient compared to neurotypical participants across age. Together, these results indicate that autistic individuals have a similar age trajectory for postural stability and control compared to neurotypical individuals, but have lower postural stability and control overall.
Activities of Daily Living Adolescent Adult Autism Spectrum Disorder Autistic Disorder Child Humans Motor Skills Postural Balance Young Adult

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