Abstract
Visual information is crucial for postural control. Visual processing in children with autism spectrum disorder (ASD) was hypothesized to be less efficient and thus they would display a less stable standing posture than typically developing children. The present study compared the static standing responses and attentional demands of 15 children with ASD and 18 control participants in conditions of eyes open and eyes closed. The results showed that postural responses and attention invested in standing were similar between the participant groups in the two visual conditions. Both groups displayed a more stable posture when their eyes were open in comparison to eyes closed. The finding suggests that normal postural control development could occur in children with ASD.
References
Abu-Dahab, S. M., Skidmore, E. R., Holm, M. B., Rogers, J. C., & Minshew, N. J. (2013). Motor and tactile-perceptual skill differences between individuals with high-functioning autism and typically developing individuals ages 5–21. Journal of Autism and Developmental Disorders, 43(10), 2241–2248. https://doi.org/10.1007/s10803-011-1439-y.
Ament, K., Mejia, A., Buhlman, R., Erklin, S., Caffo, B., Mostofsky, S., et al. (2015). Evidence for specificity of motor impairments in catching and balance in children with autism. Journal of Autism and Developmental Disorders, 45(3), 742–751. https://doi.org/10.1007/s10803-014-2229-0.
Chen, F., & Tsai, C. (2015). A light fingertip touch reduces postural sway in children with autism spectrum disorders. Gait and Posture, 43(1), 137–140. https://doi.org/10.1016/j.gaitpost.2015.09.012.
Constantino, J. N., & Todd, R. D. (2005). Intergenerational transmission of subthreshold autistic traits in the general population. Biological Psychiatry, 57(6), 655–660.
Cornilleau-Peres, V., Shabana, N., Droulez, J. D., Goh, J. C., Lee, G. S., & Chew, P. T. (2005). Measurement of the visual contribution to postural steadiness from the COP movement: Methodology and reliability. Gait and Posture, 22(2), 96–106. https://doi.org/10.1016/j.gaitpost.2004.07.009.
Cuisinier, R., Olivier, I., Vaugoyeau, M., Nougier, V., & Assaiante, C. (2011). Reweighting of sensory inputs to control quiet standing in children from 7 to 11 and in adults. PLoS ONE, 6(5), 1–4. https://doi.org/10.1371/journal.pone.0019697.
Falkmer, M., Bjällmark, A., Larsson, M., & Falkmer, T. (2011). Recognition of facially expressed emotions and visual search strategies in adults with Asperger syndrome. Research in Autism Spectrum Disorders, 5(1), 210–217. https://doi.org/10.1016/j.rasd.2010.03.013.
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. https://doi.org/10.1007/s10803-010-0981-3.
Gepner, B., & Mestre, D. R. (2002). Brief report: Postural reactivity to fast visual motion differentiates autistic from children with Asperger syndrome. Journal of Autism and Developmental Disorders, 32(3), 231–238. https://doi.org/10.1023/A:1015410015859.
Gotham, K., Pickles, A., & Lord, C. (2012). Trajectories of autism severity in children using standardized ADOS scores. Pediatrics, 130(5), e1278–e1284. https://doi.org/10.1542/peds.2011-3668.
Graham, S. A., Abbott, A. E., Nair, A., Lincoln, A. J., Muller, R.-A., & Goble, D. J. (2015). The influence of task difficulty and participant age on balance control in ASD. Journal of Autism and Developmental Disorders, 45(5), 1419–1427. https://doi.org/10.1007/s10803-014-2303-7.
Horak, F. B. (2006). Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls? Age and Ageing, 35(Suppl 2), ii7–ii11. https://doi.org/10.1093/ageing/afl077.
Lake, D. K., Moorman, J. R., & Cao, H. (2016). Sample entropy estimation using sampen. Retrieved January 10, 2019 from https://www.physionet.org/physiotools/sampen/.
Lappe, M., Bremmer, F., & van den Berg, A. V. (1999). Perception of self-motion from visual flow. Trends in Cognitive Sciences, 3(9), 329–336.
Leung, D., Ordqvist, A., Falkmer, T., Parsons, R., & Falkmer, M. (2013). Facial emotion recognition and visual search strategies of children with high functioning autism and Asperger syndrome. Research in Autism Spectrum Disorders, 7(7), 833–844. https://doi.org/10.1016/j.rasd.2013.03.009.
Lim, Y. H., Lee, H. C., Falkmer, T., Allison, G. T., Tan, T., Lee, W. L., et al. (2018). Effect of visual information on postural control in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-018-3634-6.
Lim, Y. H., Partridge, K., Girdler, S., & Morris, S. L. (2017). Standing postural control in individuals with autism spectrum disorder: Systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 47(7), 2238–2253. https://doi.org/10.1007/s10803-017-3144-y.
Lord, S. R., & Menz, H. B. (2000). Visual contributions to postural stability in older adults. Gerontology, 46(6), 306–310. https://doi.org/10.1159/000022182.
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. https://doi.org/10.1016/j.rasd.2012.09.010.
Minshew, N. J., Sung, K., Jones, B. L., & Furman, J. M. (2004). Underdevelopment of the postural control system in autism. Neurology, 63(11), 2056–2061.
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.
Morris, S. L., Foster, C. J., Parsons, R., Falkmer, M., Falkmer, T., & Rosalie, S. M. (2015). Differences in the use of vision and proprioception for postural control in autism spectrum disorder. Neuroscience, 307, 273–280. https://doi.org/10.1016/j.neuroscience.2015.08.040.
Palmieri, R. M., Ingersoll, C. D., Stone, M. B., & Krause, B. A. (2002). Center-of-pressure parameters used in the assessment of postural control. Journal of Sport Rehabilitation, 11(1), 51–66.
Peterka, R. J. (2002). Sensorimotor integration in human postural control. Journal of Neurophysiology, 88(3), 1097–1118.
Riach, C. L., & Hayes, K. C. (1987). Maturation of postural sway in young children. Developmental Medicine and Child Neurology, 29(5), 650–658.
Richman, J. S., & Moorman, J. R. (2000). Physiological time-series analysis using approximate entropy and sample entropy. American Journal of Physiology. Heart and Circulatory Physiology, 278(6), H2039–H2049.
Roerdink, M., Hlavackova, P., & Vuillerme, N. (2011). Center-of-pressure regularity as a marker for attentional investment in postural control: A comparison between sitting and standing postures. Human Movement Science, 30(2), 203–212.
Steindl, R., Kunz, K., Schrott-Fischer, A., & Scholtz, A. W. (2006). Effect of age and sex on maturation of sensory systems and balance control. Developmental Medicine and Child Neurology, 48(6), 477–482. https://doi.org/10.1017/s0012162206001022.
Teng, Y. L., Chen, C. L., Lou, S. Z., Wang, W. T., Wu, J. Y., Ma, H. I., et al. (2016). Postural stability of patients with schizophrenia during challenging sensory conditions: Implication of sensory integration for postural control. PLoS ONE, 11(6), 1–16. https://doi.org/10.1371/journal.pone.0158219.
Wechsler, D. (2011). Wechsler Abbreviated Scale of Intelligence-Second Edition (WASI-II). San Antonio, TX: NCS Pearson.
Woollacott, M., & Shumway-Cook, A. (2002). Attention and the control of posture and gait: A review of an emerging area of research. Gait and Posture, 16(1), 1–14. https://doi.org/10.1016/S0966-6362(01)00156-4.
Yentes, J. M., Hunt, N., Schmid, K. K., Kaipust, J. P., McGrath, D., & Stergiou, N. (2013). The appropriate use of approximate entropy and sample entropy with short data sets. Annals of Biomedical Engineering, 41(2), 349–365. https://doi.org/10.1007/s10439-012-0668-3.
Acknowledgments
The authors would like to acknowledge the contribution of the Australian Government Research Training Program Scholarship, Curtin University Hub for Immersive Visualisation and eResearch, and Telethon Kids Institute in supporting this research. The authors would also like to thank all participants and their families who took part in this study. We gratefully acknowledge the considerable assistance and technical guides of Dr Alex Goh, Dr Richard Parsons, Professor Andrew Whitehouse, Dr Kandice Varcin, Dr Andrew Woods, Paul Davey, Jesse Helliwell, and Joshua Hollick.
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YHL participated in thes conception and design of the study, coordination and acquisition of data, analysis and interpretation of the data, and drafted the manuscript. HCL, TF, GA, TT, WLL, and SM participated in the design of the study, interpretation of the data, and helped to draft the manuscript. All authors read and approved the final manuscript.
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Lim, Y.H., Lee, H.C., Falkmer, T. et al. Effect of Visual Information on Postural Control in Children with Autism Spectrum Disorder. J Autism Dev Disord 50, 3320–3325 (2020). https://doi.org/10.1007/s10803-019-04182-y
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DOI: https://doi.org/10.1007/s10803-019-04182-y