Abstract
The purpose of this study was to investigate the utility of using a driving simulator to address the motor aspects of pre-driving skills with young adults with Autism Spectrum Disorder (ASD). A group of neurotypical control participants and ten participants with ASD completed 18 interactive steering and pedal exercises with the goal to achieve error-free performance. Most participants were able to achieve this goal within five trials for all exercises except for the two most difficult ones. Minimal performance differences were observed between the two groups. Participants with ASD needed more time to complete the tasks. Overall, the interactive exercises and the process used worked well to address motor related aspects of pre-driving skills in young adults with ASD.
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References
Adams, W., & Sheslow, D. (1995). Wide range assessment of visual motor abilities. Lutz, FL: PAR.
Bauman, M. L. (1992). Motor dysfunction in autism. In A. B. Joseph & R. R. Young (Eds.), Movement disorders in neurology and psychiatry (pp. 660–663). Boston: Blackwell.
Brooks, J. O., Mossey, M. E., Tyler, P., & Collins, J. C. (2013). An exploratory investigation: Are driving simulators appropriate to teach pre-driving skills to young adults with intellectual disabilities. British Journal of Learning Disabilities, 42(3), 204–213.
Calhoun, M., Longworth, M., & Chester, V. (2010). Gait patterns in children with autism. Clinical Biomechanics, 26, 200–206.
Centers for Disease Control and Prevention. (2014). Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 Sites, United States, 2010. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6302a1.htm.
Classen, S., Monahan, M., & Hernandez, S. (2013). Indicators of simulated driving skills in adolescents with autism spectrum disorder. The Open Journal of Occupational Therapy, 1(4), Article 2.
CNS Vital Signs. Retrieved from www.cnsvitalsigns.com.
Cox, N. B., Reeve, R. E., Cox, S. M., & Cox, D. J. (2012). Brief report: Driving and young adults with ASD: Parents’ experiences. Journal of Autism and Developmental Disorders, 42(10), 2257–2262.
Cox, D. J., Taylor, P., & Kovatchev, B. (1999). Driving simulation performance predicts future accidents among older drivers. Journal of the American Geriatrics Society, 47(3), 381–382.
Daly, B. P., Nicholls, E. G., Patrick, K. E., Brinckman, D. D., & Schultheis, M. T. (2014). Driving behaviors in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(12), 3119–3128.
Dziuk, M. A., Gidley Larson, J. C., Apostu, A., Mahone, E. M., Denckla, M. B., & Mostofsky, S. H. (2007). Dyspraxia in autism: Association with motor, social, and communicative deficits. Developmental Medicine and Child Neurology, 49(10), 734–739.
Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 40(10), 1227–1240.
Galski, T., Ehle, H. T., & Williams, J. B. (1997). Off-road driving evaluations for persons with cerebral injury: A factor analytic study of predriver and simulator testing. American Journal of Occupational Therapy, 51(5), 352–359.
Ghaziuddin, M., Butler, E., Tsai, L., & Ghaziuddin, N. (1994). Is clumsiness a marker for Asperger syndrome? Journal of Intellectual Disability Research, 38(5), 519–527.
Gualtieri, C. T., & Johnson, L. G. (2006). Reliability and validity of a computerized neurocognitive test battery, CNS Vital Signs. Archives of Clinical Neuropsychology, 21(7), 623–643.
Hallett, M., Lebiedowska, M. K., Thomas, S. L., Stanhope, S. J., Denckla, M. B., & Rumsey, J. (1993). Locomotion of autistic adults. Archives of Neurology, 50, 1304–1308.
Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Science, 8(1), 26–32.
Huang, P., Kao, T., Curry, A. E., & Durbin, D. R. (2012). Factors associated with driving in teens with autism spectrum disorders. Journal of Developmental and Behavioral Pediatrics, 33(1), 70–74.
Lee, H. C., Lee, A. H., Cameron, D., & Li-Tsang, C. (2003). Using a driving simulator to identify older drivers at inflated risk of motor vehicle crashes. Journal of Safety Research, 34(4), 453–459.
Manjiviona, J., & Prior, M. (1995). Comparison of Asperger syndrome and high functioning autistic children on a test of motor impairment. Journal of Autism and Developmental Disorders, 25, 23–39.
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.
Mostofsky, S. H., Burgess, M. P., & Gidley Larson, J. C. (2007). Increased motor cortex white matter volume predicts motor impairment in autism. Brain, 130(Pt 8), 2117–2122.
Ozonoff, S., & Rogers, S. (2003). From Kanner to the millennium. In S. Ozonoff, S. J. Rogers, & R. L. Hendren (Eds.), Autism spectrum disorders: a research review for practitioners (pp. 3–33). Washington, DC: American Psychiatric Press.
Rapin, I. (1997). Autism. New England Journal of Medicine, 337(2), 97–104.
Reimer, B., Fried, R., Mehler, B., Joshi, G., Bolfek, A., Godfrey, K. M., & Biederman, J. (2013). Brief report: Examining driving behavior in young adults with high functioning autism spectrum disorders: A pilot study using a driving simulation paradigm. Journal of Autism and Developmental Disorders, 43(9), 2211–2217.
Rinehart, N. J., Bellgrove, M. A., Tonge, B. J., Brereton, A. V., Howells-Rankin, D., & Bradshaw, J. L. (2006). An examination of movement kinematics in young people with high functioning autism and Asperger’s disorder: Further evidence for a motor planning deficit. Journal of Autism and Developmental Disorders, 36(6), 757–767.
Rogers, S., Hepburn, S., & Wehner, E. (2003). Parent report of sensory symptoms in toddlers with autism and those with other developmental disorders. Journal of Autism and Developmental Disorders, 33(6), 631–642.
Ross, V., Jongen, E. M. M., Vanvuchelen, M., Brijs, T., Brijs, K., & Wets, G. (2015). Exploring the driving behavior of youth with an autism spectrum disorder: A driver instructor questionnaire. Proceedings of the eighth international driving imposium on human factors in driving assessment, training and vehicle design, 98–104.
Sheppard, E., Ropar, D., Underwood, G., & van Loon, E. (2010). Brief report: Driving hazard perception in autism. Journal of Autism and Developmental Disorders, 40, 504–508.
Stanfield, A. C., McIntosh, A. M., Spencer, M. D., Philip, R., Gaur, S., & Lawrie, S. M. (2008). Towards a neuroanatomy of autism: A systematic review and meta-analysis of structural magnetic resonance imaging studies. European Psychiatry, 23(4), 289–299.
Stone, W. S., & Iguchi, L. (2013). Stress and mental flexibility in autism spectrum disorders. North American Journal of Medicine and Science., 6(3), 145–153.
Volkmar, F. R., & Nelson, D. S. (1990). Seizure disorders in autism. Journal of the American Academy of Child and Adolescent Psychiatry, 1, 127–129.
Acknowledgments
The authors would like to thank Christ Church Episcopal School in Greenville, SC for their generous support to host the researchers for several months during data collection and to encourage their students to take part in our research. Thanks to Ken Melnrick from DriveSafety for his technical support with the CDS-250 driving simulator, to Miriam Monahan for her training session with the team, as well as to Mic Anderson and Joe Manganelli for their support during data collections and analyses. Furthermore, the authors would like to thank Kara Schulte-Holierhoek for her valuable feedback as pilot participant and Diann Tinsley for her support in administrative and logistical affairs.
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Brooks, J., Kellett, J., Seeanner, J. et al. Training the Motor Aspects of Pre-driving Skills of Young Adults With and Without Autism Spectrum Disorder. J Autism Dev Disord 46, 2408–2426 (2016). https://doi.org/10.1007/s10803-016-2775-8
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Keywords
- Driving simulator
- Pre-driving skills
- Driver training
- Autism Spectrum Disorder
- Motor skills