Impairment in movement skills of children with autistic spectrum disorders

Developmental Medicine and Child Neurology - Tập 51 Số 4 - Trang 311-316 - 2009
Dido Green1, Tony Charman2, Andrew Pickles3, Susie Chandler2, Tom Loucas4, Emily Simonoff5, Gillian Baird1
1Guy’s and St Thomas’ NHS Foundation Trust, London, UK
2University College London Institute of Child Health, London, UK
3Biostatistics Group, Division of Epidemiology and Health Sciences, University of Manchester, Manchester, UK
4School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
5Department of Child and Adolescent Psychiatry, King's College London Institute of Psychiatry, London, UK

Tóm tắt

Aim  We undertook this study to explore the degree of impairment in movement skills in children with autistic spectrum disorders (ASD) and a wide IQ range.Method  Movement skills were measured using the Movement Assessment Battery for Children (M‐ABC) in a large, well defined, population‐derived group of children (n=101: 89 males,12 females; mean age 11y 4mo, SD 10mo; range 10y–14y 3mo) with childhood autism and broader ASD and a wide range of IQ scores. Additionally, we tested whether a parent‐completed questionnaire, the Developmental Coordination Disorder Questionnaire (DCDQ), was useful in identifying children who met criteria for movement impairments after assessment (n=97 with complete M‐ABCs and DCDQs).Results  Of the children with ASD, 79% had definite movement impairments on the M‐ABC; a further 10% had borderline problems. Children with childhood autism were more impaired than children with broader ASD, and children with an IQ less than 70 were more impaired than those with IQ more than 70. This is consistent with the view that movement impairments may arise from a more severe neurological impairment that also contributes to intellectual disability and more severe autism. Movement impairment was not associated with everyday adaptive behaviour once the effect of IQ was controlled for. The DCDQ performed moderately well as a screen for possible motor difficulties.Interpretation  Movement impairments are common in children with ASD. Systematic assessment of movement abilities should be considered a routine investigation.

Từ khóa


Tài liệu tham khảo

10.1007/BF02178165

Stott DH, 1972, The test of motor impairment

10.1046/j.1365-2788.1998.00065.x

Bruininks RH, 1978, Bruininks–Oseretsky Test of Motor Proficiency – manual

10.1023/A:1025834211548

Henderson SE, 1992, The Movement Assessment Battery for Children

10.1017/S1355617707070270

10.1007/s10803-006-0109-y

10.1111/j.1469-8749.2007.00734.x

10.1111/1469-7610.00054

10.1111/j.2044-8279.1987.tb00865.x

10.1007/s10803-006-0229-4

10.5014/ajot.54.5.484

10.1016/S0140-6736(06)69041-7

10.1023/A:1005592401947

10.1007/BF02172145

World Health Organisation, 1993, The ICD-10 classification of mental and behavioural disorders

10.1177/030802260506800102

Wechsler D, 1992, Wechsler Intelligence Scale for Children

Raven JC, 1990, Coloured progressive matrices

Raven JC, 1990, Standard progressive matrices

Sparrow SS, 1984, Vineland Adaptive Behavior Scales

10.1097/00001648-199001000-00010

10.1214/ss/1177013815

10.1007/BF01046333

10.1023/A:1005617831035

10.1097/CHI.0b013e318179964f

Thông tin
Thông tin xuất bản

Developmental Medicine and Child Neurology

Tập 51 Số 4

311-316

Thông tin tác giả