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Standing Postural Control in Individuals with Autism Spectrum Disorder: Systematic Review and Meta-analysis

Abstract

Impairments in postural control affect the development of motor and social skills in individuals with autism spectrum disorder (ASD). This review compared the effect of different sensory conditions on static standing postural control between ASD and neurotypical individuals. Results from 19 studies indicated a large difference in postural control between groups across all sensory conditions. This review revealed sensorimotor and multiple sensory processing deficits in ASD. The tendency for individuals with ASD to be more susceptible to postural instability with use of visual information compared with somatosensory information suggests perinatal alterations in sensory development. There is further scope for studies on the use of sensory information and postural control to provide additional evidence about sensorimotor processing in ASD.

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Acknowledgments

This review is done in preparation for a Doctor of Philosophy dissertation.

Author Contributions

All authors were involved in the design of the study and writing of the protocol. YHL and KP participated in the literature search process and identified relevant articles for inclusion in the systematic review and meta-analysis. YHL coded the articles and conducted the statistical analysis. SM provided statistical guidance. YHL wrote the first draft of the manuscript and all authors contributed to and have approved the final manuscript.

Funding

This study received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Corresponding authors

Correspondence to Yi Huey Lim or Susan L. Morris.

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This article does not contain any studies with human participants or animals performed by any of the authors.

Appendix

Appendix

EMBASE Search Strategy

  1. 1

    (autism spectrum disorder or autism or Asperger or pervasive developmental disorder).mp. (46,643).

  2. 2

    (postural control or balance or posture or postural stability or sway).mp. (311,599).

  3. 3

    1 or 2 (529)

  4. 4

    limit 3 to English language (493).

Medline (Ovid) Search Strategy

  1. 1

    (autism spectrum disorder or autism or Asperger or pervasive developmental disorder).mp. (23,105).

  2. 2

    (postural control or balance or posture or postural stability or sway).mp. (234,438).

  3. 3

    1 or 2 (236)

  4. 4

    limit 3 to English language (226).

PsycINFO Search Strategy

  1. 1

    (autism spectrum disorder or autism or Asperger or pervasive developmental disorder).mp. (36,397).

  2. 2

    (postural control or balance or posture or postural stability or sway).mp. (43,714).

  3. 3

    1 or 2 (328)

  4. 4

    limit 3 to English language (297).

PubMed Search Strategy

  • #3(((((autism spectrum disorder) OR autism) OR Asperger) OR pervasive development disorder)) AND ((((((postural control) OR postural stability) OR posture) OR balance) OR sway)) (370).

  • #2((((postural control) OR postural stability) OR posture) OR balance) OR sway (262,692).

  • #1(((autism spectrum disorder) OR autism) OR Asperger) or pervasive development disorder (33,436).

Scopus Search Strategy

1 ((TITLE-ABS-KEY (autism spectrum disorder) or TITLE-ABS-KEY (pervasive development disorder) or TITLE-ABS-KEY (autism) or TITLE-ABS-KEY (Asperger)) AND DOCTYPE (ar)) AND ((TITLE-ABS-KEY (postural control) OR TITLE-ABS-KEY (balance) OR TITLE-ABS-KEY (posture) OR TITLE-ABS-KEY (postural stability) OR TITLE-ABS-KEY (sway)) AND DOCTYPE (ar); 375).

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Lim, Y.H., Partridge, K., Girdler, S. et al. Standing Postural Control in Individuals with Autism Spectrum Disorder: Systematic Review and Meta-analysis. J Autism Dev Disord 47, 2238–2253 (2017). https://doi.org/10.1007/s10803-017-3144-y

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Keywords

  • Posture
  • Motor skills
  • Motor impairment
  • Sensory information
  • ASD
  • Sensorimotor