Motor behaviors in children with autism spectrum disorder with a neurotypical sibling

Introduction

 

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by social communication challenges and restricted, repetitive behaviors. While these core features are widely recognized, children with ASD may also experience difficulties in other areas, including motor development.

A recent study published in June 2024 by Yuemei Lu and Janet L. Hauck delves into this under-researched aspect of ASD. The research explores motor behaviors in children with ASD, specifically those who have neurotypical siblings. This unique sibling comparison provides valuable insights into how ASD might influence motor development.

Motor Development and ASD: A Complex Landscape

 

Motor development encompasses a range of skills, from gross motor skills like running and jumping to fine motor skills like grasping objects and manipulating utensils. Delays in motor development aren’t considered a defining characteristic of ASD. However, research suggests a link between ASD and motor challenges.

Children with ASD may experience difficulties with:

  • Planning and coordination: Sequencing complex movements and coordinating different body parts can be challenging.
  • Sensory processing: Sensory sensitivities can impact how children with ASD perceive and interact with their environment, potentially affecting motor skills.
  • Balance and proprioception: Maintaining balance and having a sense of body awareness in space can be more difficult for some children with ASD.

These potential challenges can translate into lower levels of physical activity and participation in sports or leisure activities.

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Investigating Motor Behaviors in ASD-Sibling Pairs

 

The Lu and Hauck study employed a cross-sectional design, meaning data was collected at one point in time. The researchers recruited 17 families, each consisting of a child with ASD (aged unspecified in the referenced study), their neurotypical sibling, and both parents. This resulted in a total of 51 participants.

To assess motor behaviors, the researchers utilized a multi-pronged approach:

  • Parent Questionnaires: Questionnaires provided insights into parents’ perceptions of their child with ASD’s motor competence in areas like running, jumping, and catching a ball.
  • Family Dynamics Surveys: Surveys gathered information on family dynamics that might influence motor behaviors, such as parental support for physical activity or sibling interactions.
  • Objective Measurement: Researchers used ActiGraph GT3X accelerometers, worn like a watch, to objectively measure physical activity levels in the children with ASD.

This combination of subjective and objective data painting a more complete picture of motor behaviors in the participating children.

Key Findings and Considerations: A Glimpse into Motor Skill Differences

 

The study’s findings highlight some interesting aspects of motor behaviors in children with ASD who have neurotypical siblings:

  • Lower Physical Activity Levels: Children with ASD participated in significantly more sedentary activities compared to leisure-time or sports activities. This suggests a potential need for interventions that encourage participation in physical activities that children with ASD find enjoyable.
  • Parental Perception of Motor Competence: Parents perceived their children with ASD to have lower motor competence compared to their neurotypical siblings. This finding underscores the importance of incorporating motor skill development into interventions for children with ASD.
  • Sibling Interaction and Support: Parents reported more interaction and felt more confident (self-efficacy) in supporting physical activity in their children with ASD compared to siblings. This suggests that siblings can play a positive role in encouraging physical activity, and interventions could explore ways to further leverage this sibling support.
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It’s important to remember that this was a cross-sectional study, meaning it cannot establish cause-and-effect relationships. For instance, it’s not possible to say definitively whether having ASD directly causes lower physical activity levels. However, the findings offer valuable insights into potential differences in motor behaviors between children with ASD and their neurotypical siblings.

Future Directions and Family-Based Support for Motor Development

 

The study by Lu and Hauck emphasizes the need for further research on motor development in ASD. This includes:

  • Investigating a Wider Range: Studying motor development across a wider range of ages and demographics, including children from diverse backgrounds, can provide a more comprehensive understanding.
  • Focusing on Family Priorities: Research should prioritize outcomes that are most important to autistic individuals and their families. This might involve including family members in research design and focusing on skills that enhance daily life activities.

The research also suggests the potential benefits of family-based interventions that promote physical activity in children with ASD. Siblings and parents can play a crucial role in supporting these activities by:

  • Engaging in Activities Together: Participating in activities that children with ASD enjoy, like adapted sports or games that involve movement, can be a great way to promote physical activity.
  • Creating a Supportive Environment: Providing positive reinforcement and celebrating progress can help build confidence and motivation for physical activity.
  • Seeking Professional Guidance: Occupational therapists or physical therapists can provide targeted interventions to address specific motor skill challenges.

 

This study adds to our understanding of motor development in ASD and underscores the importance of considering family dynamics when designing interventions. With further research and innovative approaches, we can create a more comprehensive support system for children with ASD to thrive in all aspects of their development, including motor skills.

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Source:

https://onlinelibrary.wiley.com/doi/abs/10.1111/fare.13052

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