Abstract
Impairments in sensorimotor integration are reported in Autism Spectrum Disorder (ASD). Poor control of balance in challenging balance tasks is one suggested manifestation of these impairments, and is potentially related to ASD symptom severity. Reported balance and symptom severity relationships disregard age as a potential covariate, however, despite its involvement in balance development. We tested balance control during increasingly difficult balance conditions in children with ASD and typically developing peers, and investigated relationships between balance control and diagnostic/symptom severity metrics for participants with ASD, including age as a covariate. Balance deficits in ASD were exacerbated by stance alterations, but were not related to symptom severity when age was considered. These findings support impaired balance in ASD, especially in challenging conditions, but question a link between balance and symptom severity.
Similar content being viewed by others
References
American Psychiatric Association. (2013). Diagnostic and statistical manual for mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
Beaulieu, M., Allard, P., Simoneau, M., Dalleau, G., Hazime, F. A., & Rivard, C. H. (2010). Relationship between oscillations about the vertical axis and center of pressure displacements in single and double leg upright stance. American Journal of Physical Medicine and Rehabilitation, 89(10), 809–816. doi:10.1097/PHM.0b013e3181f1b4af.
Bodfish, J. W., Symons, F.J., Lewis, M.H. (1999). The repetitive behavior scale. Western Carolina Center Research Reports.
Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30(3), 237–243. doi:10.1023/A:1005596502855.
Centers for Disease Control and Prevention (2014). Autism spectrum disorders. Retrieved from: http://www.cdc.gov/ncbddd/autism/data.html.
Chang, J. O., Levy, S. S., Seay, S. W., & Goble, D. J. (2014). An alternative to the balance error scoring system: Using a low-cost balance board to improve the validity/reliability of sports-related concussion balance testing. Clinical Journal of Sport Medicine, 24(3), 256–262. doi:10.1097/JSM.0000000000000016.
Cheldavi, H., Shakerian, S., Shetab Boshehri, S. N., & Zarghami, M. (2014). The effects of balance training intervention on postural control of children with autism spectrum disorder: Role of sensory information. Research in Autism Spectrum Disorders, 8(1), 8–14. doi:10.1016/j.rasd.2013.09.016.
Chukoskie, L., Townsend, J., & Westerfield, M. (2013). Motor skill in autism spectrum disorders: A subcortical view. International Review of Neurobiology, 113, 207. doi:10.1016/B978-0-12-418700-9.00007-1.
Clark, R. A., Bryant, A. L., Pua, Y., McCrory, P., Bennell, K., & Hunt, M. (2010). Validity and reliability of the Nintendo Wii balance board for assessment of standing balance. Gait and Posture, 31, 307–310. doi:10.1016/j.gaitpost.2009.11.012.
Damasio, A. R., & Maurer, R. G. (1978). A neurological model for childhood autism. Archives of Neurology, 35(12), 777–786. doi:10.1001/archneur.1978.00500360001001.
Esbensen, A. J., Seltzer, M. M., Lam, K. S., & Bodfish, J. W. (2009). Age-related differences in restricted repetitive behaviors in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 57–66. doi:10.1007/s10803-008-0599-x.
Fecteau, S., Mottron, L., Berthiaume, C., & Burack, J. A. (2003). Developmental changes of autistic symptoms. Autism, 7(3), 255–268. doi:10.1177/1362361303007003003.
Fournier, K. A., Kimber, C. I., Radonovich, K. J., Tillman, M. D., Chow, J. W., Lewis, M. H., et al. (2010). Decreased static and dynamic postural control in children with autism spectrum disorders. Gait and Posture, 32, 6–9. doi:10.1016/j.gaitpost.1010.02.007.
Freitag, C. M., Kleser, C., Schneider, M., & Gontard, A. V. (2007). Quantitative assessment of neuromotor function in adolescents with high functioning autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 37, 948–959. doi:10.1007/s10803-006-0235-6.
Goble, D. J., Cone, B. L., & Fling, B. W. (2014). Using the Wii fit as a tool for balance assessment and neurorehabilitation: The first half decade of “Wii-search”. Journal of neuroengineering and rehabilitation, 11(1), 12. doi:10.1186/1743-0003-11-12.
Gotham, K., Risi, S., Pickles, A., & Lord, C. (2007). The autism diagnostic observation schedule: Revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disorders, 37(4), 613–627. doi:10.1007/s10803-006-0280-1.
Gowen, E., & Hamilton, A. (2013). Motor abilities in autism: A review using a computational context. Journal of Autism and Developmental Disorders, 43(2), 323–344. doi:10.1007/s10803-012-1574-0.
Happé, F., Ronald, A., & Plomin, R. (2006). Time to give up on a single explanation for autism. Nature Neuroscience, 9(10), 1218–1220. doi:10.1038/nn1770.
Hass, C., Fournier, K., Selbst, J., Benefield, H., Lewis, M., & Radonovich, K. (2009). Are restricted, repetitive behaviors and postural control linked in autism spectrum disorders? Retrieved from: http://www.asbweb.org/conferences/2009/1016.pdf.
Huurnink, A., Fransz, D. P., Kingma, I., & van Dieën, J. H. (2013). Comparison of a laboratory grade force platform with a Nintendo Wii Balance Board on measurement of postural control in single-leg stance balance tasks. Journal of Biomechanics, 46(7), 1392–1395. doi:10.1016/j.jbiomech.2013.02.018.
Hytönen, M., Pyykkö, I., Aalto, H., & Starck, J. (1993). Postural control and age. Acta Oto-Laryngologica, 113(1–2), 119–122. doi:10.3109/00016489309135778.
Jansiewicz, E. M., Goldberg, M. C., Newschaffer, C. J., Denckla, M. B., Landa, R., & Mostofsky, S. H. (2006). Motor signs distinguish children with high functioning autism and Asperger’s syndrome from controls. Journal of Autism and Developmental Disorders, 36, 613–621. doi:10.1007/s10803-006-0109-y.
Jasmin, E., Couture, M., McKinley, P., Reid, G., Fombonne, E., & Gisel, E. (2009). Sensori-motor and daily living skills of preschool children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(2), 231–241. doi:10.1007/s10803-008-0617-z.
Kohen-Raz, R., Volkmar, F. R., & Cohen, D. J. (1992). Postural control in children with autism. Journal of Autism and Developmental Disorders, 22(3), 419–432. doi:10.1007/BF01048244.
Lam, K. S. L., & Aman, M. G. (2007). The Repetitive Behavior Scale-Revised: Independent validation in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(5), 855–866. doi:10.1007/s10803-006-0213-z.
Leary, M. R. & Hill, D. A. (1996). Moving on: Autism and movement disturbance. Mental Retardation, 34(1), 39–53. Retrieved from: http://psycnet.apa.org/psycinfo/1996-00622-004.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The Autism Diagnostic Observation Schedule-Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. doi:10.1023/A:1005592401947.
Marco, E. J., Hinkley, L. B., Hill, S. S., & Nagarajan, S. S. (2011). Sensory processing in autism: A review of neurophysiologic findings. Pediatric Research, 69(5 Pt 2), 48R–54R. doi:10.1203/PDR.0b013e3182130c54.
Memari, A. H., Ghanouni, P., Gharibzadeh, S., Eghlidi, J., Ziaee, V., & Moshayedi, P. (2013). Postural sway patterns in children with autism spectrum disorder compared with typically developing children. Research in Autism Spectrum Disorders, 7(2), 325–332. doi:10.1016/j.rasd.2012.09.010.
Ming, X., Brimacombe, M., & Wagner, G. C. (2007). Prevalence of motor impairment in autism spectrum disorders. Brain and Development, 29(9), 565–570. doi:10.1016/j.braindev.2007.03.002.
Minshew, N. J., Sung, K., Jones, B. L., & Furman, J. M. (2004). Underdevelopment of the postural control system in autism. Neurology, 63, 2056–2061. doi:10.1212/01.WNL.0000145771.98657.62.
Molloy, C. A., Dietrich, K. N., & Bhattacharya, A. (2003). Postural stability in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 33(6), 643–652. doi:10.1023/B:JADD.0000006001.00667.4c.
Nayate, A., Bradshaw, J. L., & Rinehart, N. J. (2005). Autism and Asperger’s disorder: Are they movement disorders involving the cerebellum and/or basal ganglia? Brain Research Bulletin, 67(4), 327–334. doi:10.1016/j.brainresbull.2005.07.011.
Papadopoulos, N., McGinley, J., Tonge, B., Bradshaw, J., Saunders, K., Murphy, A., et al. (2011). Motor proficiency and emotional/behavioral disturbance in autism and asperger’s disorder: Another piece of the neurological puzzle? Autism,. doi:10.1177/1362361311418692.
Peterson, M. L., Christou, E., & Rosengren, K. S. (2006). Children achieve adult-like sensory integration during stance at 12-years-old. Gait and Posture, 23(4), 455–463. doi:10.1016/j.gaitpost.2005.05.003.
Radonovich, K. J., Fournier, K. A., & Hass, C. J. (2013). Relationship between postural control and restricted, repetitive behaviors in autism spectrum disorders. Frontiers in Integrative Neuroscience, 7(28), 1–7. doi:10.3389/fnint.2013.00028.
Rival, C., Ceyte, H., & Olivier, I. (2005). Developmental changes of static standing balance in children. Neuroscience Letters, 376(2), 133–136. doi:10.1016/j.neulet.2004.11.042.
Rutter, M., Le Couteur, A., & Lord, C. (2003). Manual for the ADI–WPS version. Los Angeles: Western Psychological Services.
Seltzer, M. M., Shattuck, P., Abbeduto, L., & Greenberg, J. S. (2004). Trajectory of development in adolescents and adults with autism. Mental retardation and developmental disabilities research reviews, 10(4), 234–247. doi:10.1002/mrdd.20038.
Steindl, R., Kunz, K., Schrott-Fischer, A., & Scholtz, A. (2006). Effect of age and sex on maturation of sensory systems and balance control. Developmental Medicine and Child Neurology, 48, 477–482. doi:10.1111/j.1469-8749.2006.tb01299.x.
Travers, B. G., Powell, P. S., Klinger, L. G., & Klinger, M. R. (2012). Motor difficulties in autism spectrum disorder: Linking symptom severity and postural stability. Journal of Autism and Developmental Disorders, 43(7), 1568–1583. doi:10.1007/s10803-012-1702-x.
Wechsler, D. (1999). Wechsler abbreviated intelligence scale. San Antonio: The Psychological Corporation.
Whyatt, C. P., & Craig, C. M. (2012). Motor skills in children aged 7–10 years, diagnosed with autism spectrum disorder. Journal of Autism and Developmental Disorders, 42, 1799–1809. doi:10.1007/s10803-011-1421-8.
Winter, D. A., Patla, A. E., Prince, F., Ishac, M., & Gielo-Perczak, K. (1998). Stiffness control of balance in quiet standing. Journal of Neurophysiology, 80(3), 1211–1221. Retrieved from: http://jn.physiology.org/content/80/3/1211.short.
Wolff, D. R., Rose, J., Jones, V. K., Bloch, D. A., Oehlert, J. W., & Gamble, J. G. (1998). Postural balance measurements for children and adolescents. Journal of Orthopaedic Research, 16(2), 271–275. doi:10.1002/jor.1100160215.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Graham, S.A., Abbott, A.E., Nair, A. et al. The Influence of Task Difficulty and Participant Age on Balance Control in ASD. J Autism Dev Disord 45, 1419–1427 (2015). https://doi.org/10.1007/s10803-014-2303-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-014-2303-7