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Comparison of Postural Control Among College Students With and Without Autism Spectrum Disorder

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Abstract

Objectives

Impairments in postural stability are present in children with autism spectrum disorder (ASD), but documentation of impairments as individuals age into adulthood are sparse and have yielded inconsistent results. Therefore, the purpose of this study was to assess postural control of college students with and without ASD during four conditions: eyes open and eyes closed, for both single- and double-leg stances.

Methods

Twenty participants (10 with ASD and 10 without ASD) between the ages of 18 and 30 performed three quiet standing trials in each of the four conditions. Antero-posterior (A-P) and medio-lateral (M-L) sway and sway velocity, as well as sway area and stance time, were calculated for each condition and compared between groups.

Results

In the double-leg eyes open and eyes closed conditions, A-P displacement and sway area were greater in individuals with ASD. There were no differences in sway between groups in the single-leg eyes open condition. Individuals with ASD demonstrated much shorter stance times than individuals without ASD in the single-leg eyes closed condition.

Conclusions

Young adults with ASD display less postural stability in both simple and complex balance tasks than young adults without ASD. It appears that the balance abnormalities reported in children with ASD persist into adulthood.

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Data Availability

All data are available at the Open Science Framework (https://osf.io/yx7dh/?view_only=8dd78acbecc147ce8919154661c0749a).

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.

  • Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson Rosenberg, C., White, T., Durkin, M. S., Imm, P., Nikolaou, L., Yeargin-Allsopp, M., Lee, L. C., Harrington, R., Lopez, M., Fitzgerald, R. T., Hewitt, A., … Dowling, N. F. (2018). Prevalence of autism spectrum disorder among children aged 8 years-Autism and developmental disabilities monitoring network, 11 Sites, United States, 2014. Morbidity and Mortality Weekly Report Surveillance Summaries, 67(6), 1-23. https://doi.org/10.15585/mmwr.ss6706a1

  • Bucci, M. P., Doyen, C., Contenjean, Y., & Kaye, K. (2013). The effect of performing a dual task on postural control in children with autism. ISRN Neuroscience, 2013, 1–5. https://doi.org/10.1155/2013/796174.

    Article  Google Scholar 

  • Chang, C. H., Wade, M. G., Stoffregen, T. A., Hsu, C. Y., & Pan, C. Y. (2010). Visual tasks and postural sway in children with and without autism spectrum disorders. Research in Developmental Disabilities, 31(6), 1536–1542. https://doi.org/10.1016/j.ridd.2010.06.003.

    Article  PubMed  Google Scholar 

  • Croen, L. A., Zerbo, O., Qian, Y., Massolo, M. L., Rich, S., Sidney, S., & Kripke, C. (2015). The health status of adults on the autism spectrum. Autism, 19(7), 814–823. https://doi.org/10.1177/1362361315577517.

    Article  PubMed  Google Scholar 

  • Doumas, M., McKenna, R., & Murphy, B. (2016). Postural control deficits in autism spectrum disorder: The role of sensory integration. Journal of Autism and Developmental Disorders, 46(3), 853–861. https://doi.org/10.1007/s10803-015-2621-4.

    Article  PubMed  Google Scholar 

  • Duarte, M., & Watanabe, R. N. (2021). Notes on scientific computing for biomechanics and motor control (Version v0.0.2). Zenodo. https://doi.org/10.5281/zenodo.4599319.

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Greffou, S., Bertone, A., Hahler, E. M., Hanssens, J. M., Mottron, L., & Faubert, J. (2012). Postural hypo-reactivity in autism is contingent on development and visual environment: A fully immersive virtual reality study. Journal of Autism and Developmental Disorders, 42(6), 961–970. https://doi.org/10.1007/s10803-011-1326-6.

    Article  PubMed  Google Scholar 

  • Hirjaková, Z., Šuttová, K., Kimijanová, J., Bzdúšková, D., & Hlavačka, F. (2018). Postural changes during quiet stance and gait initiation in slightly obese adults. Physiological Research, 67(6), 985.

    Article  Google Scholar 

  • Hoffman, M., Schrader, J., Applegate, T., & Koceja, D. (1998). Unilateral postural control of the functionally dominant and nondominant extremities of healthy subjects. Journal of Athletic Training, 33(4), 319–322.

    PubMed  PubMed Central  Google Scholar 

  • Kaur, M., Srinivasan, S. M., & Bhat, A. N. (2018). Comparing motor performance, praxis, coordination, and interpersonal synchrony between children with and without autism spectrum disorder (ASD). Research in Developmental Disabilities, 72, 79–95. https://doi.org/10.1016/j.ridd.2017.10.025.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Li, Y., Mache, M. A., & Todd, T. A. (2019). Complexity of center of pressure in postural control for children with autism spectrum disorders was partially compromised. Journal of Applied Biomechanics, 35(3), 190–195. https://doi.org/10.1123/jab.2018-0042.

    Article  PubMed  Google Scholar 

  • Li, B., Xiang, Q., & Zhang, X. (2020). The center of pressure progression characterizes the dynamic function of high-arched feet during walking. Journal of Leather Science and Engineering, 2(1), 1–10.

    Article  Google Scholar 

  • Mache, M. A., & Todd, T. A. (2016). Gross motor skills are related to postural stability and age in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 23, 179.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Ohlendorf, D., Troebs, P., Lenk, A., Wanke, E., Natrup, J., & Groneberg, D. (2017). Postural sway, working years and BMI in healthy truck drivers: An observational study. BMJ Open, 7(7), e013281. https://doi.org/10.1136/bmjopen-2016-013281.

    Article  PubMed  PubMed Central  Google Scholar 

  • Price, K. J., Shiffrar, M., & Kerns, K. A. (2012). Movement perception and movement production in Asperger’s syndrome. Research in Autism Spectrum Disorders, 6(1), 391–398.

    Article  Google Scholar 

  • Smoot Reinert, S., Jackson, K., & Bigelow, K. (2015). Using posturography to examine the immediate effects of vestibular therapy for children with autism spectrum disorders: A feasibility study. Physical & Occupational Therapy in Pediatrics, 35(4), 365–380. https://doi.org/10.3109/01942638.2014.975313.

    Article  Google Scholar 

  • Stins, J. F., Emck, C., de Vries, E. M., Doop, S., & Beek, P. J. (2015). Attentional and sensory contributions to postural sway in children with autism spectrum disorder. Gait and Posture, 42(2), 199–203. https://doi.org/10.1016/j.gaitpost.2015.05.010.

    Article  PubMed  Google Scholar 

  • Travers, B. G., Powell, P. S., Klinger, L. G., & Klinger, M. R. (2013). Motor difficulties in autism spectrum disorder: Linking symptom severity and postural stability. Journal of Autism and Developmental Disorders, 43(7), 1568–1583. https://doi.org/10.1007/s10803-012-1702-x.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

Authors

Contributions

MAM: collaborated with design of study, data analysis, and manuscript writing and editing. TAT: collaborated with design of study and manuscript writing and editing. DNJ: collaborated with data collection, data analysis, and manuscript writing and editing. KCG: collaborated with data collection, data analysis, and manuscript writing. All authors approved the final version of this manuscript.

Corresponding author

Correspondence to Melissa A. Mache.

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Ethics Approval

This research was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Institutional Review Board of California State University, Chico.

Informed Consent

All participants provided informed consent prior to participating in the present study. The informed consent process was approved by the university institutional review board.

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Mache, M.A., Todd, T.A., Jarvis, D.N. et al. Comparison of Postural Control Among College Students With and Without Autism Spectrum Disorder. Adv Neurodev Disord 5, 282–289 (2021). https://doi.org/10.1007/s41252-021-00204-y

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