Motor demands impact speed of information processing in autism spectrum disorders
Open accessAbstract
The apparent contradiction between preserved or even enhanced perceptual processing speed on inspection time tasks in autism spectrum disorders (ASD) and impaired performance on complex processing speed tasks that require motor output (e.g., Wechsler Processing Speed Index) has not yet been systematically investigated. This study investigates whether adding motor output demands to an inspection time task impairs ASD performance compared to that of typically developing control (TDC) children. The performance of children with ASD (n = 28; mean Full Scale IQ (FSIQ) = 115) and TDC (n = 25; mean FSIQ = 122) children was compared on processing speed tasks with increasing motor demand. Correlations were run between ASD task performance and Autism Diagnostic Observation Schedule (ADOS) Communication scores. Performance by the ASD and TDC groups on a simple perceptual processing speed task with minimal motor demand was equivalent, though it diverged (ASD worse than TDC) on 2 tasks with the same stimuli but increased motor output demands. ASD performance on the moderate but not the high speeded motor output demand task was negatively correlated with ADOS communication symptoms. These data address the apparent contradiction between preserved inspection time in the context of slowed "processing speed" in ASD. They show that processing speed is preserved when motor demands are minimized, but that increased motor output demands interfere with the ability to act on perceptual processing of simple stimuli. Reducing motor demands (e.g., through the use of computers) may increase the capacity of people with ASD to demonstrate good perceptual processing in a variety of educational, vocational, and social settings.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
It is critical to include motor control in studies related to processing speed due to their common overlapping deficit.
“It is critical to include motor control in studies related to processing speed due to their common overlapping deficit30,31,47,55,61,81.”
From Diagnostic Associations of Processing Speed in a Transdiagnostic, Pediatric Sample (2020) · cites this paper as [55]
The Discussion says that, in ASD, movement demands significantly limit performance on processing-speed tasks and should be considered separately. The study supports accounting for motor demands when studying processing speed in children with ASD, but it does not establish a common overlapping deficit across populations or processing-speed studies generally. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe motor demand in tasks may partly explain differences between autistic and nonautistic groups in PSI, as increasing motor requirement increases group differences on speeded tasks and pure inspection time may be a relative strength for autistic people.
“The motor demand in tasks may partly explain the differences between autistic and nonautistic groups in PSI, as increasing the motor requirement increases group differences on speeded tasks (Kenworthy et al., 2013) and pure inspection time (without a motor requirement) may represent a relative strength for autistic people (Barbeau et al., 2013).”
From Cognitive Profile in Autism and ADHD: A Meta-Analysis of Performance on the WAIS-IV and WISC-V (2024) · cites this paper as Kenworthy et al., 2013
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Lord, C., Rutter, M., & Le Couteur, A. (1994) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02172145 · Cited by 9,065 · see citing works
Autistic disturbances of affective contact.
Kanner, L. (1968) · PubMed · Cited by 2,273 · see citing works
The level and nature of autistic intelligence
Dawson, M., Soulières, I., Ann Gernsbacher, M., & Mottron, L. (2007) · Psychological Science · doi:10.1111/j.1467-9280.2007.01954.x · Cited by 549 · see citing works
Mayes, S. D., & Calhoun, S. L. (2007) · Child Neuropsychology · doi:10.1080/09297040601112773 · Cited by 420 · cited 2× · see citing works
“For example, studies of ASD performance on Wechsler intelligence tests identify weaknesses on the Processing Speed Index (PSI) when compared with verbal and perceptual abilities (e.g., Mayes & Calhoun, 2007, 2008; Nydén, Billstedt, Hjelmquist, & Gillberg, 2001; Wechsler, 2003).”
BackgroundMotor Abilities in Autism: A Review Using a Computational Context
Gowen, E., & Hamilton, A. F. D. C. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1574-0 · Cited by 405 · see citing works
Developmental dyspraxia is not limited to imitation in children with autism spectrum disorders
Mostofsky, S. H., Dubey, P., Jerath, V., Jansiewicz, E. M., Goldberg, M. C., & DENCKLA, M. B. (2006) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617706060437 · Cited by 341 · see citing works
WISC-IV and WIAT-II Profiles in Children With High-Functioning Autism
Mayes, S. D., & Calhoun, S. L. (2008) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-007-0410-4 · Cited by 331 · see citing works
Comparison of Asperger syndrome and high-functioning autistic children on a Test of Motor Impairment
Manjiviona, J., & Prior, M. R. (1995) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02178165 · Cited by 328 · see citing works
Oliveras-Rentas, R. E., Kenworthy, L., Roberson, R. B., Martin, A., & Wallace, G. L. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1289-7 · Cited by 231 · cited 4× · see citing works
“Like Wallace, Anderson, and Happé (2009), we show intact performance on the IT task in children with ASD compared to TDC, but not an advantage in speeded perceptual processing in ASD as described by Scheuffgen et al. (2000). Unlike either of these previous investigations of IT in ASD, in which the IT variable of inter…”
BackgroundMethodInfluentialSelf-citationExecutive processes in Asperger syndrome: Patterns of performance in a multiple case series
Hill, E. L., & Bird, C. M. (2006) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2006.06.007 · Cited by 228 · see citing works
Children with autism show specific handwriting impairments
Fuentes, C. T., Mostofsky, S. H., & Bastian, A. J. (2009) · Neurology · doi:10.1212/wnl.0b013e3181c0d48c · Cited by 209 · see citing works
Specificity of dyspraxia in children with autism.
MacNeil, L. K., & Mostofsky, S. H. (2012) · Neuropsychology · doi:10.1037/a0026955 · Cited by 158 · see citing works
High “intelligence,” low “IQ”? Speed of processing and measured IQ in children with autism
SCHEUFFGEN, K., HAPPEÉ, F., ANDERSON, M., & FRITH, U. (2000) · Development and Psychopathology · doi:10.1017/s095457940000105x · Cited by 126 · cited 1× · see citing works
“Like Wallace, Anderson, and Happé (2009), we show intact performance on the IT task in children with ASD compared to TDC, but not an advantage in speeded perceptual processing in ASD as described by Scheuffgen et al. (2000).”
BackgroundNeurocognitive stability in Asperger syndrome, ADHD, and reading and writing disorder: a pilot study
Nydén, A., Billstedt, E., Hjelmquist, E., & Gillberg, C. (2001) · Developmental Medicine and Child Neurology · doi:10.1017/s0012162201000329 · Cited by 78 · see citing works
Wallace, G. L., Anderson, M., & Happé, F. (2009) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-008-0684-1 · Cited by 50 · cited 1× · see citing works
“Like Wallace, Anderson, and Happé (2009), we show intact performance on the IT task in children with ASD compared to TDC, but not an advantage in speeded perceptual processing in ASD as described by Scheuffgen et al. (2000).”
BackgroundSelf-citationWallace, G. L., Happe, F. G. E., & Giedd, J. N. (2009) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2008.0330 · Cited by 44 · see citing works
Self-citationBrock, J., Xu, J. Y., & Brooks, K. R. (2011) · Perception · doi:10.1068/p6953 · Cited by 43 · see citing works
Neuropsychological mechanisms of Digit Symbol Substitution Test impairment in Asperger Disorder
Yoran-Hegesh, R., Kertzman, S., Vishne, T., Weizman, A., & Kotler, M. (2009) · Psychiatry Research · doi:10.1016/j.psychres.2007.11.015 · Cited by 25 · see citing works
Analysis of Substitution Test Performance Using Eye Movement and Video Data
Stephens, R. J., & Sreenivasan, B. (2002) · Applied Neuropsychology · doi:10.1207/s15324826an0903_6 · Cited by 14 · cited 1× · see citing works
“…output task (symbol search) in ASD, but not TDC participants, is consistent with data presented elsewhere (Yoran-Hegesh, et al., 2009; Stephens & Sreenivasan, 2002) indicating that motor output demands interfere on Wechsler type processing speed tasks for people with ASD but not…”
Result
Flagged first, then by citations
Research works printed but not linked: 1
- Frith U 1991 Asperger and his syndrome Frith U Autism and Asperger syndrome 37 92 Cambridge, UK Cambridge University Press (Original work published 1944)
Cited by
Sorted by citations
Lehnhardt, F.-G., Falter, C. M., Gawronski, A., Pfeiffer, K., Tepest, R., Franklin, J., & Vogeley, K. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2558-7 · Cited by 153 · see citing works
“Regarding the socio-adaptive abilities, lower processing speed abilities in ASD were associated with more communication symptoms (Black et al. 2009; Hedvall et al. 2013; Kenworthy et al. 2013) and negatively influenced the level of educational achievements during childhood and adolescence as well as occupational prosp…”
BackgroundHaigh, S. M., Walsh, J. A., Mazefsky, C. A., Minshew, N. J., & Eack, S. M. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3515-z · Cited by 100 · see citing works
“In addition, the inspection time studies included children with ASD (Scheuffgen et al. 2000; Wallace et al. 2009; Kenworthy et al. 2013), or a broad range of ages from adolescence and adulthood (Barbeau et al.”
BackgroundMethodCurry, A. E., Yerys, B. E., Huang, P., & Metzger, K. B. (2017) · Autism · doi:10.1177/1362361317699586 · Cited by 84 · see citing works
“Furthermore, individuals with ASD typically have dysfunction in skills that have been shown to be critical to safe driving (Michon, 1978)—attention, executive functioning, processing speed, and motor coordination (Corbett and Constantine, 2006; Kenworthy et al., 2013; Oliveras-Rentas et al., 2012; Wallace et al., 2016…”
BackgroundSelf-citationKirk, H., Gray, K. M., Ellis, K., Taffe, J. R., & Cornish, K. M. (2016) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12615 · Cited by 57 · see citing works
Laparoscopic splenectomy: lessons from the learning curve.
Poulin, E. C., & Mamazza, J. (1998) · Europe PMC (PubMed Central) · Cited by 51 · see citing works
Demopoulos, C., Yu, N., Tripp, J., Mota, N., Brandes-Aitken, A. N., Desai, S. S., Hill, S. S., Antovich, A. D., Harris, J., Honma, S. M., et al. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00259 · Cited by 48 · see citing works
“Other studies, however, have failed to identify significant differences in processing speed for participants with ASD relative to typically developing peers (Scheuffgen et al., 2000; Wallace et al., 2009), particularly when motor demands are minimized (Kenworthy et al., 2013).”
BackgroundResultInfluentialZapparrata, N. M., Brooks, P. J., & Ober, T. M. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05736-3 · Cited by 44 · see citing works
“Research suggests that ASD groups may show comparable performance to age-matched neurotypical groups on inspection time tasks, especially if the task requires simple button press responses (Kenworthy et al., 2013; Wallace et al., 2009).”
BackgroundDevelopmental Changes in Brain Function Underlying Inhibitory Control in Autism Spectrum Disorders
Padmanabhan, A., Garver, K. E., O’Hearn, K. M., Nawarawong, N. N., Liu, R., Minshew, N. J., Sweeney, J. A., & Luna, B. (2014) · Autism Research · doi:10.1002/aur.1398 · Cited by 45 · see citing works
“There is little fMRI evidence showing activation differences in putamen in ASD, with one study linking reduced activation in putamen with repetitive behavior symptoms and verbal fluency in ASD [Kenworthy et al., 2013].”
BackgroundCognitive Profile in Autism and ADHD: A Meta-Analysis of Performance on the WAIS-IV and WISC-V
Wilson, A. C. (2024) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acad073 · Cited by 42 · see citing works
“…the differences between autistic and nonautistic groups in PSI, as increasing the motor requirement increases group differences on speeded tasks (Kenworthy et al., 2013) and pure inspection time (without a motor requirement) may represent a relative strength for autistic people (Barbeau et al.,…”
BackgroundClinical correlates of sluggish cognitive tempo in adolescents with autism spectrum disorder
Duncan, A., Tamm, L., Birnschein, A. M., & Becker, S. P. (2019) · Autism · doi:10.1177/1362361318811329 · Cited by 42 · see citing works
“…of processing speed, including both motoric (e.g. Haigh et al., 2018; Mayes and Calhoun, 2007; Oliveras-Rentas et al., 2012) and inspection time (e.g. Barbeau et al., 2013; Kenworthy et al., 2013; Scheuffgen et al., 2000; Wallace et al., 2009) measures that may be differentially implicated in ASD.”
BackgroundAltered Dynamics of the fMRI Response to Faces in Individuals with Autism
Kleinhans, N. M., Richards, T. L., Greenson, J., Dawson, G., & Aylward, E. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2565-8 · Cited by 42 · see citing works
“2005), which may have been compounded by the simple motor response included in our paradigm (Kenworthy et al. 2013).”
BackgroundReduced Efficiency and Capacity of Cognitive Control in Autism Spectrum Disorder
Mackie, M., & Fan, J. (2015) · Autism Research · doi:10.1002/aur.1517 · Cited by 36 · see citing works
Compromised Motor Dexterity Confounds Processing Speed Task Outcomes in Stroke Patients
Low, E., Crewther, S. G., Ong, B., Perre, D., & Wijeratne, T. (2017) · Frontiers in Neurology · doi:10.3389/fneur.2017.00484 · Cited by 35 · see citing works
“In fact, the utility of the IT task in measuring cognitive speed has been studied in intracranial tumor patients and in individuals with autism spectrum disorders, with favorable outcomes observed (59, 60).”
BackgroundAbbott, P., Happe, F. G. E., & Charlton, R. A. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3675-x · Cited by 35 · see citing works
Stephenson, K. G., Beck, J. S., South, M., Norris, M., & Butter, E. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1846543 · Cited by 35 · see citing works
“Previous research has shown that differences in processing speed abilities in ASD are related to increased motor demands, with an ASD group showing no differences in processing speed compared to neurotypical peers when only limited motor skills were required (Kenworthy et al., 2013).”
BackgroundDiagnostic Associations of Processing Speed in a Transdiagnostic, Pediatric Sample
Kramer, E., Koo, B., Restrepo, A., Koyama, M., Neuhaus, R., Pugh, K., Andreotti, C., & Milham, M. (2020) · Scientific Reports · doi:10.1038/s41598-020-66892-z · Cited by 28 · see citing works
Empathy and face processing in adults with and without autism spectrum disorder
Rigby, S. N., Stoesz, B. M., & Jakobson, L. S. (2018) · Autism Research · doi:10.1002/aur.1948 · Cited by 28 · see citing works
Jones, D. R., Dallman, A., Harrop, C., Whitten, A., Pritchett, J., Lecavalier, L., Bodfish, J. W., & Boyd, B. A. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-04965-2 · Cited by 18 · see citing works
Linnenbank, M., Feldmann, R., Schulte‐Körne, G., Beimdiek, S., & Strittmatter, E. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05249-5 · Cited by 12 · see citing works
Sartin, E. B., Myers, R. K., Labows, C. G., Metzger, K. B., Carey, M. E., Yerys, B. E., McDonald, C. C., Mollen, C. J., & Curry, A. E. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05372-3 · Cited by 10 · see citing works
Self-citationHow Children Learn to Discover Their Environment
Mulder, H., Oudgenoeg‐Paz, O., Hellendoorn, A., & Jongmans, M. J. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-801638-1.00009-4 · Cited by 10 · see citing works
Kirsch, S., Maier, S. J., Lin, M., Guendelman, S., Kaufmann, C., Dziobek, I., & van Elst, L. T. (2025) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2025.01.007 · Cited by 6 · see citing works
WISC-IV UK profiles of children with autism spectrum disorder in a specialist autism service
Stack, K., Murphy, R., Prendeville, P., & O’Halloran, M. (2017) · Educational and Child Psychology · doi:10.53841/bpsecp.2017.34.2.40 · Cited by 5 · see citing works
Legal Defense in Criminal Cases
Crehan, E. T., & Ury, F. S. (2021) · Springer eBooks · doi:10.1007/978-3-030-70913-6_6 · Cited by 4 · see citing works
Chouinard, B., Pesquita, A., Enns, J. T., & Chapman, C. S. (2024) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2024.108880 · Cited by 3 · see citing works
AMbiARt : A generative ambient application for restorative experience
Dalton, C. (2016) · International Conference on Virtual Systems and Multimedia (VSMM) · doi:10.1109/vsmm.2016.7863155 · Cited by 2 · see citing works
“The decision to limit interaction to simple and intuitive gestures is suggested by research indicating that motor activity children with ASDs impacts negatively on the speed of information processing (32).”
BackgroundAutism Spectrum Disorder: Cognition
Kelley, E. A., & Dodwell, A. (2023) · Springer eBooks · doi:10.1007/978-3-031-20792-1_15 · Cited by 2 · see citing works
Chocano, A. D., Zamora, J. M. C., Centeno, C. V., Torres, C. J. B., Guanilo, C. D. A., Vásquez-Florentino, B., Torres-Chamorro, A. S., Millones-Choquicondo, C., Cáceda, J. B. M., & Espinoza, L. A. (2022) · Propósitos y Representaciones · doi:10.20511/pyr2022.v10n1.1210 · Cited by 2 · see citing works
Driving/Transportation and Transition
Bishop, H. J., Curry, A. E., & Yerys, B. E. (2022) · The International Library of Bioethics · doi:10.1007/978-3-030-91487-5_7 · Cited by 2 · see citing works
Self-citationNicklas, P., Cruz, L. N., Terilli, C., Bojanek, E. K., Sanctis, P. D., Freedman, E. G., Molholm, S., & Foxe, J. J. (2026) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-026-09677-1 · Cited by 2 · see citing works
“…demonstrated that increasing motor demands interfere with processing speed in children with ASD, but not their typically developing counterparts [74], which provides further evidence that there is a disrupted ability in ASD to adapt under dual-and tri-modal demands and that their capacity…”
Autism in preschool children: Cognitive aspects and interventions
Hedvall, Å. (2014) · Cited by 1 · see citing works
Assessing the Overall Driving Performance of Older Drivers
Babaee, S., Shen, Y., Hermans, E., Brijs, T., Wets, G., & Cuenen, A. (2014) · COTA International Conference of Transportation Professionals (CICTP) · doi:10.1061/9780784413623.226
Handwriting Isochrony in Autistic and Non-Autistic Children
Benchekri, A., Fradet, L., Bogdanova, O., Cazalets, J.-R., Guillaud, E., Lemonnier, É., Cottenceau, H., Jaber, M., Perrochon, A., Amestoy, A., et al. (2026) · Research in Autism · doi:10.1016/j.reia.2026.203042
- Authors
- Kenworthy, L., Yerys, B. E., Weinblatt, R., Abrams, D. N., & Wallace, G. L.
- Affiliations
- Children's National (US)
- Children's Hospital of Philadelphia (US)
- Center for Autism and Related Disorders (US)
- National Institutes of Health (US)
- Venue
- Neuropsychology
- Published
- 2013
- Volume
- 27
- Issue
- 5
- Pages
- 529-536
- ISSN
- 0894-4105 (ISSN-L)
- 1931-1559
- PMC
- PMC4603390
- OpenAlex
- W1988414782
- Cited by
- 33
- References
- 19
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 1 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 3 · 2014: 3
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (K23MH086111)
- The Singer Family Foundation
- The Isadore and Bertha Gudelsky Family Foundation
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- autism spectrum disorder, processing speed, motor demands, inspection time, motor output, perceptual processing, children, computer-based testing
- MeSH terms
- Child, Child Development Disorders, Pervasive, Female, Humans, Male, Mental Processes, Psychomotor Performance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review