The Influence of Task Difficulty and Participant Age on Balance Control in ASD
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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.
KeywordsAutism Spectrum Disorder Balance control Sensorimotor integration Postural control Center of pressure
- 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.CrossRefPubMedGoogle Scholar
- Bodfish, J. W., Symons, F.J., Lewis, M.H. (1999). The repetitive behavior scale. Western Carolina Center Research Reports.Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefGoogle Scholar
- 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.CrossRefPubMedCentralPubMedGoogle Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefGoogle Scholar
- 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.Google Scholar
- Wechsler, D. (1999). Wechsler abbreviated intelligence scale. San Antonio: The Psychological Corporation.Google Scholar
- 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.