Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without Autism Spectrum Disorder (ASD)
Open accessAbstract
Children with Autism Spectrum Disorder (ASD) have basic motor impairments in balance, gait, and coordination as well as autism-specific impairments in praxis/motor planning and interpersonal synchrony. Majority of the current literature focuses on isolated motor behaviors or domains. Additionally, the relationship between cognition, symptom severity, and motor performance in ASD is unclear. We used a comprehensive set of measures to compare gross and fine motor, praxis/imitation, motor coordination, and interpersonal synchrony skills across three groups of children between 5 and 12 years of age: children with ASD with high IQ (HASD), children with ASD with low IQ (LASD), and typically developing (TD) children. We used the Bruininks-Oseretsky Test of Motor Proficiency and the Bilateral Motor Coordination subtest of the Sensory Integration and Praxis Tests to assess motor performance and praxis skills respectively. Children were also examined while performing simple and complex rhythmic upper and lower limb actions on their own (solo context) and with a social partner (social context). Both ASD groups had lower gross and fine motor scores, greater praxis errors in total and within various error types, lower movement rates, greater movement variability, and weaker interpersonal synchrony compared to the TD group. In addition, the LASD group had lower gross motor scores and greater mirroring errors compared to the HASD group. Overall, a variety of motor impairments are present across the entire spectrum of children with ASD, regardless of their IQ scores. Both, fine and gross motor performance significantly correlated with IQ but not with autism severity; however, praxis errors (mainly, total, overflow, and rhythmicity) strongly correlated with autism severity and not IQ. Our study findings highlight the need for clinicians and therapists to include motor evaluations and interventions in the standard-of-care of children with ASD and for the broader autism community to recognize dyspraxia as an integral part of the definition of ASD.
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BOT-2 studies reported significant group differences.
“BOT-2 studies reported significant group differences. [14, 26, 28, 50]”
Kaur et al. reported HASD-LASD differences and associations with IQ.
“Kaur et al. reported HASD–LASD differences and associations with IQ. [50]”
The lowest methodological quality scores were 9/13, 10/14, and 9/14, mainly due to unaddressed items and limited reporting on sample size justification, clinical importance, and participant dropouts.
“Lowest scores were 9/13, [28, 30–34, 36, 37, 50, 52] 10/14 [48] and 9/14, [26] mainly due to unaddressed items and limited reporting on sample size justification, clinical importance, and participant dropouts.”
From Static and dynamic balance in children and adolescents with autism spectrum disorder compared with typically developing peers: a systematic review and meta-analysis (2026) · cites this paper as [50]
The Methods (Participants and Statistical analysis) describe the sample and analyses, and the Discussion (Limitations & Future Directions) acknowledges a small sample and limited statistical power. The paper does not report a 9/14 methodological-quality score or an appraisal linking that score to sample-size justification, clinical importance, or participant dropouts. Those aspects of the citing document’s assessment cannot be verified from this source. (LLM, conf=0.74)
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- Authors
- Kaur, M., M. Srinivasan, S., & N. Bhat, A.
- Affiliations
- University of Delaware (US)
- ORCID
- Kaur, Maninderjit
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 72
- Pages
- 79-95
- ISSN
- 0891-4222 (ISSN-L)
- PMC
- PMC5743591
- OpenAlex
- W2768032362
- Cited by
- 304
- References
- 158
- Citations by year
- 2026: 34 · 2025: 44 · 2024: 47 · 2023: 39 · 2022: 51 · 2021: 46 · 2020: 17 · 2019: 19 · 2018: 6
- FWCI
- 6.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Research in Developmental Disabilities (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Autism Speaks
- National Institutes of Health
- National Institute of Mental Health (R33MH089441, R21MH089441)
- National Institute of General Medical Sciences (U54GM104941)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Keywords
- autism spectrum disorder, motor performance, praxis, motor coordination, interpersonal synchrony, gross motor skills, fine motor skills, motor planning, imitation, movement variability, movement frequency, autism severity, IQ, children, developmental coordination disorder, social interaction
- MeSH terms
- Autism Spectrum Disorder, Apraxias, Ataxia, Child, Female, Humans, Male, Motor Skills, Neuropsychological Tests, Psychomotor Performance, Severity of Illness Index, Statistics as Topic, Task Performance and Analysis, Social Skills
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