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Motor Functioning in Autism Spectrum Disorders

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Book cover Comprehensive Guide to Autism

Abstract

Motor impairment is consistently reported in autism spectrum disorders (ASD) and may be an early risk factor for core ASD symptomatology. This chapter provides an overview of empirical motor studies in ASD and considers clinical, behavioral, neurophysiological, and neuroimaging studies of motor impairment in ASD. The association between motor impairment and core social communication disturbance is also explored, as well as the high comorbidity between ASD, motor impairment, and other neurodevelopmental disorders such as attention deficit hyperactivity disorder (ADHD). Future research which aims to understand the specific motor pattern that may characterize ASD is suggested.

Alongside the core diagnostic features of autism, research has highlighted the significant and pervasive impact of motor dysfunction in autism spectrum disorders (ASD) (Fournier et al., J Autism Dev Disord 40(10):1227–40, 2010). Motor difficulties are commonly associated with ASD and potentially may be considered a “cardinal feature” (Fournier et al., J Autism Dev Disord 40(10):1227–40, 2010) of the disorder. Indeed, there has been an increase in the trajectory of motor research over the past decade, with greater understanding of the underlying neurobiological disruption that characterizes the disorder (Mostofsky et al., Brain 132:2413–25, 2009). This chapter will illustrate the importance of neuromotor assessment as a routine part of the diagnostic process and provide an overview of empirical research in the field.

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References

  • Allen G, Courchesne E. Attention function and dysfunction in autism. Front Biosci. 2001;6:D105–19.

    Article  PubMed  Google Scholar 

  • Allen G, Courchesne E. Differential effects of developmental cerebellar abnormality on cognitive and motor functions in the cerebellum: an fMRI study of autism. Am J Psychiatry. 2003;160:262–73.

    Article  PubMed  Google Scholar 

  • Allen G, Muller R-A, Courchesne E. Cerebellar function in autism: functional magnetic resonance image activation during a simple motor task. Biol Psychiatry. 2004;56(4):269–78.

    Article  PubMed  Google Scholar 

  • Amaral DG, Schumann CM, Wu NC. Neuroanatomy of autism. Trends Neurosci. 2007;31(3):137–45.

    Article  Google Scholar 

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders IV-TR. 4th ed. Washington, DC: American Psychiatric Association Press; 2000.

    Google Scholar 

  • Bastiaansen JA, Thioux M, Nanetti L, et al. Age-related increase in inferior frontal gyrus activity and social functioning in autism spectrum disorder. Biol Psychiatry. 2011;69(9):832–8.

    Article  PubMed  Google Scholar 

  • Bernier R, Dawson G, Webb S, Murias M. EEG mu rhythm and imitation impairments in individuals with autism spectrum disorder. Brain Cogn. 2007;64(3):228–37.

    Article  PubMed  Google Scholar 

  • Bradshaw J. Developmental disorders of the frontostriatal system: neuropsychological, neuropsychiatric, and evolutionary perspectives. Philadelphia: Psychology Press; 2001.

    Google Scholar 

  • Cattaneo L, Fabbri-Destro M, Boria S, et al. Impairment of actions chains in autism and its possible role in intention understanding. Proc Natl Acad Sci USA. 2007;104(45):17825–30.

    Article  PubMed  Google Scholar 

  • Courchesne E, Pierce K. Brain overgrowth in autism during a critical time in development: implications for frontal pyramidal neuron and interneuron development and connectivity. Int J Dev Neurosci. 2005;23(2–3):153–70.

    Article  PubMed  Google Scholar 

  • Cunnington R, Iansek R, Bradshaw JL, Phillips JG. Movement-related potentials in Parkinson’s disease: presence and predictability of temporal and spatial cues. Brain. 1995;118:935–50.

    Article  PubMed  Google Scholar 

  • Damasio AR, Maurer RG. A neurological model for childhood autism. Arch Neurol. 1978;35(12):777–86.

    Article  PubMed  Google Scholar 

  • Dapretto M, Davies MS, Pfeifer JH, et al. Understanding emotions in others: mirror neuron dysfunction in children with autism spectrum disorders. Nat Neurosci. 2006;9(1):28–30.

    Article  PubMed  Google Scholar 

  • Dewey D, Cantell M, Crawford SG. Motor and gestural performance in children with autism spectrum disorders, developmental coordination disorder, and/or attention deficit hyperactivity disorder. J Int Neuropsych Soc. 2007;13(2):246–256.

    Article  Google Scholar 

  • Dinstein I, Thomas C, Humphreys K, Minshew N, Behrmann M, Heeger DJ. Normal movement selectivity in autism. Neuron. 2010;66(3):461–9.

    Article  PubMed  Google Scholar 

  • Downey R. Motor activity in children with autism: a review of current literature. Pediatr Phys Ther. 2012;24(1):2–20.

    Article  PubMed  Google Scholar 

  • Enticott PG, Bradshaw JL, Iansek R, Tonge BJ, Rinehart NJ. Electrophysiological signs of supplementary motor area deficits in high-functioning autism but not Aspergers disorder: an examination of internally-cued movement-related potentials. Dev Med Child Neurol. 2009;51:787–91.

    Article  PubMed  Google Scholar 

  • Enticott PG, Rinehart NJ, Tonge BJ, Bradshaw JL, Fitzgerald PB. A preliminary transcranial magnetic stimulation study of cortical inhibition and excitability in high-functioning autism and Aspergers disorder. Dev Med Child Neurol. 2010;52(8):e179–83.

    Article  PubMed  Google Scholar 

  • Enticott PG, Rinehart NJ, Tonge BJ, Bradshaw JL, Fitzgerald PB. Repetitive transcranial magnetic stimulation (rTMS) improves movement-related cortical potentials in autism spectrum disorders. Brain Stimul. 2012a;5(1):30–7.

    Article  PubMed  Google Scholar 

  • Enticott PG, Kennedy HA, Rinehart NJ, et al. Mirror neuron activity associated with social impairments but not age in autism spectrum disorder. Biol Psychiatry. 2012b;71(5):427–33.

    Article  PubMed  Google Scholar 

  • Enticott PG, Kennedy HA, Rinehart NJ, Tonge BJ, Bradshaw JL, Fitzgerald PB. GABAergic activity in autism spectrum disorders: an investigation of cortical inhibition via transcranial magnetic stimulation. Neuropharmacology. 2013;68:202–209.

    Article  PubMed  Google Scholar 

  • Fan Y-T, Decety J, Yang C-Y, Liu J-L, Cheng Y. Unbroken mirror neurons in autism spectrum disorders. J Child Psychol Psychiatry. 2010;51(9):981–8.

    Article  PubMed  Google Scholar 

  • Fatemi SH, Folsom TD, Reutiman TJ, Thuras PD. Expression of GABA(B) receptors is altered in brains of subjects with autism. Cerebellum. 2009a;8(1):64–9.

    Article  PubMed  Google Scholar 

  • Fatemi SH, Reutiman TJ, Folsom TD, Thuras PD. GABA(A) receptor down regulation in brains of subjects with autism. J Autism Dev Disord. 2009b;39(2):223–30.

    Article  PubMed  Google Scholar 

  • Fombonne E. The epidemiology of autism: a review. Psychol Med. 1999;29:769–86.

    Article  PubMed  Google Scholar 

  • Fombonne E. Epidemiology of pervasive developmental disorders. Pediatr Res. 2009;65:591–8.

    Article  PubMed  Google Scholar 

  • Gallese V, Gernsbacher MA, Heyes C, Hickok G, Iacoboni M. Mirror neuron forum. Perspect Psychol Sci. 2011;6(4):369–407.

    Article  Google Scholar 

  • Gepner B, Feron F. Autism: a word changing too fast for a mis-wired brain? Neurosci Biobehav Rev. 2009;33(8):1227–42.

    Article  PubMed  Google Scholar 

  • Ghaziuddin M, Butler E. Clumsiness in autism and Asperger syndrome: a further report. J Intellect Disabil Res. 1998;42(1):43–8.

    Article  PubMed  Google Scholar 

  • Ghaziuddin M, Tsai LY, Ghaziuddin N. Brief report: a reappraisal of clumsiness as a diagnostic feature of Asperger syndrome. J Autism Devl Disord. 1992;22:651–6.

    Article  Google Scholar 

  • Ghaziuddin M, Butler E, Tsai L, Ghaziuddin N. Is clumsiness a marker for Asperger syndrome? J Intellect Disabil Res. 1994;38:519–27.

    Article  PubMed  Google Scholar 

  • Green D, Baird G, Barnett AL, Henderson L, Huber J, Henderson SE. The severity and nature of motor impairment in Asperger’s syndrome: a comparison with specific developmental disorder of motor function. J Child Psychol Psychiatry. 2002;43(5):655–68.

    Article  PubMed  Google Scholar 

  • Green D, Charman T, Pickles A, et al. Impairment in movement skills of children with autistic spectrum disorders. Dev Med Child Neurol. 2009;51(4):311–6.

    Article  PubMed  Google Scholar 

  • Hadjikhani N, Joseph RM, Snyder J, Tager-Flusberg H. Anatomical differences in the mirror neuron system and social cognition network in autism. Cereb Cortex. 2006;16:1276–82.

    Article  PubMed  Google Scholar 

  • Hadjikhani N, Joseph RM, Snyder J, Tager-Flusberg H. Abnormal activation of the social brain during face perception in autism. Hum Brain Mapp. 2007;28(5):441–9.

    Article  PubMed  Google Scholar 

  • Hallett M, Lebiedowska MK, Thomas SL, Stanhope SJ, Denckla MB, Rumsey J. Locomotion of autistic adults. Arch Neurol. 1993;50:1304–8.

    Article  PubMed  Google Scholar 

  • Holtmann M, Bolte S, Poustka F. Attention deficit hyperactivity disorder symptoms in pervasive developmental disorders: association with autistic behaviour domains and co-existing psychopathology. Psychopathology. 2007;40:172–7.

    Article  PubMed  Google Scholar 

  • Howlin P, Asharian A. The diagnosis of autism and Asperger’s syndrome: findings from a survey of 770 families. Dev Med Child Neurol. 1999;41:834–9.

    Article  PubMed  Google Scholar 

  • Hughes C. Brief report: planning problems in autism at the level of motor control. J Autism Dev Disord. 1996;26(1):99–108.

    Article  PubMed  Google Scholar 

  • Jansiewicz E, Goldberg M, Newschafter C, Denckla M, Landa R, Motofsky SH. Motor signs distinguish children with high functioning autism and Asperger’s syndrome from controls. J Autism Dev Disord. 2006;36:1573–3432.

    Article  Google Scholar 

  • Keen D, Ward S. Autistic spectrum disorder. Autism. 2004;8(1):39–48.

    Article  PubMed  Google Scholar 

  • Leary MR, Hill DA. Moving on: autism and movement disturbance. Ment Retard. 1996;34(1):39–53.

    PubMed  Google Scholar 

  • Manjiviona J, Prior M. Comparison of Asperger syndrome and high-functioning autistic children on a test of motor impairment. J Autism Dev Disord. 1995;25(1):23–9.

    Article  PubMed  Google Scholar 

  • Mari M, Castiell U, Marks D, Marraffa C, Prior M. The reach-to-grasp movement in children with autism spectrum disorder. Philos Trans R Soc Lond B Biol Sci. 2003;358(1430):393–403.

    Article  PubMed  Google Scholar 

  • Marsh LE, Hamilton AF. Dissociation of mirroring and mentalising systems in autism. Neuroimage. 2011;56:1511–9.

    Article  PubMed  Google Scholar 

  • McPartland JC, Reichow B, Volkmar F. Sensitivity and specificity of proposed DSM-5 diagnostic criteria for autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 2012;51(4):368–83.

    Article  PubMed  Google Scholar 

  • Minshew N, Keller TA. The nature of brain dysfunction in autism: functional brain imaging studies. Curr Opin Neurol. 2010;23(2):124–30.

    Article  PubMed  Google Scholar 

  • Miyahara M, Tsujii M, Hori M, Nakanishi K, Kageyama H, Sugiyama T. Brief report: motor incoordination in children with Asperger’s syndrome and learning disabilities. J Autism Dev Disord. 1997;27(5):595–603.

    Article  PubMed  Google Scholar 

  • Mostofsky SH, Powell S, Simmonds DJ, Goldberg M, Caffo B, Pekar J. Decreased connectivity and cerebellar activity in autism during motor task performance. Brain. 2009;132:2413–25.

    Article  PubMed  Google Scholar 

  • Muller RA, Pierce K, Ambrose JB, Allen G, Courchesne E. Atypical patterns of cerebral motor activation in autism: a functional magnetic resonance study. Biol Psychiatry. 2001;49(8):665–76.

    Article  PubMed  Google Scholar 

  • Nayate A, Tonge BJ, Bradshaw J, McGinley J, Iansek R, Rinehart N. Differentiation of high-functioning autism and Asperger’s disorder based on neuromotor function. J Autism Dev Disord. 2012;42(5):707–17.

    Article  PubMed  Google Scholar 

  • Nobile M, Perego P, Piccinini L, et al. Further evidence of complex motor dysfunction in drug naive children with autism using automatic motion analysis of gait. Autism. 2011;15(3):263–83.

    Article  PubMed  Google Scholar 

  • Noterdaeme M, Wriedt E, Hohne C. Asperger’s syndrome and high functioning autism: language, motor and cognitive profiles, Eur Child Adoles Psy. 2009;19:475–481.

    Article  Google Scholar 

  • Oberman LM, Hubbard EM, McCleery JP, Altschuler EL, Ramachandran VS, Pineda JA. EEG evidence for mirror neuron dysfunction in autism spectrum disorders. Cogn Brain Res. 2005;24:190–8.

    Article  Google Scholar 

  • Oberman LM, Ramachandran VS. The stimulating social mind: the role of the mirror neuron system and simulation in the social and communicative deficits of autism spectrum disorders. Psychol Bull. 2007;133(2):310–27.

    Article  PubMed  Google Scholar 

  • Oberman LM, Ramachandran VS, Pineda JA. Modulation of mu suppression in children with autism spectrum disorders in response to familiar or unfamiliar stimuli: the mirror neuron hypothesis. Neuropsychologia. 2008;46(5):1558–65.

    Article  PubMed  Google Scholar 

  • Oberman L, Eldaief M, Fecteau S, Ifert-Miller F, Tormos JM, Pascual-Leone A. Abnormal modulation of corticospinal excitability in adults with Asperger's syndrome. Eur J Neurosci. 2012;36(6):2782–2788.

    Article  Google Scholar 

  • Oblak A, Gibbs TT, Blatt GJ. Decreased GABAA receptors and benzodiazepine binding sites in the anterior cingulate cortex in autism. Autism Res. 2009;2(4):205–19.

    Article  PubMed  Google Scholar 

  • Papadopoulos N, McGinley J, Tonge BJ, Bradshaw J, Rinehart NJ. An investigation of upperlimb motor functioning in high functioning autism and Asperger’s disorder using repetitive Fitts’ aiming task. Res Autism Spectr Disord. 2012;6(1):286–92.

    Article  Google Scholar 

  • Papadopoulos N, McGinley J, Tonge B, Bradshaw J, Saunders K, Murphy A, Rinehart N. Motor proficiency and emotional/behavioural disturbance in autism and Asperger's disorder: another piece of the neurological puzzle? Autism. 2012;16(6):627–640.

    Article  PubMed  Google Scholar 

  • Perkins T, Stokes M, McGillivray J, Bittar R. Mirror neuron dysfunction in autism spectrum disorders. J Clin Neurosci. 2010;17(10):1239–43.

    Article  PubMed  Google Scholar 

  • Qiu A, Adler M, Crocetti D, Miller M, Mostofsky S. Basal ganglia shapes predict social, communication, and motor dysfunctions in boys with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 2010;49(6):539–51.

    PubMed  Google Scholar 

  • Reiersen A, Constantino M, Todd R. Co-occurrence of motor problems and autistic symptoms in attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2008;47(6):662–72.

    Article  PubMed  Google Scholar 

  • Reynolds S, Bendixen RM, Lawrence T, Lane SJ. A pilot study examining activity participation, sensory responsiveness and competence in children with high functioning autism spectrum disorder. J Autism Dev Disord. 2011;41(11):1496–506.

    Article  PubMed  Google Scholar 

  • Rinehart NJ, Bradshaw JL, Brereton AV, Tonge BJ. Movement preparation in high-functioning autism and Asperger’s disorder: a serial choice-reaction time task involving motor reprogramming. J Autism Dev Disord. 2001;31(1):79–88.

    Article  PubMed  Google Scholar 

  • Rinehart NJ, Tonge B, Bradshaw JA, Iansek BI, Enticott P. Gait function in children with high-functioning autism and Asperger’s disorder: evidence for basal ganglia and cerebellar involvement? Eur Child Adolesc Psychiatry. 2006a;15(5):256–64.

    Article  PubMed  Google Scholar 

  • Rinehart NJ, Tonge BJ, Iansek BI, et al. Gait function in newly diagnosed children with autism: cerebellar and basal ganglia related motor disorder. Dev Med Child Neurol. 2006b;48:819–24.

    Article  PubMed  Google Scholar 

  • Rinehart NJ, Bellgrove MA, Tonge BJ, Brereton AV, Howells-Rankin D, Bradshaw JL. An examination of movement kinematics in young people with high-functioning autism and Asperger’s disorder: further evidence for a motor planning deficit. J Autism Dev Disord. 2006c;36(6):757–67.

    Article  PubMed  Google Scholar 

  • Rinehart NJ, Tonge BJ, Bradshaw JL, Iansek R, Enticott PG, Johnson KA. Movement-related potentials in high-functioning autism and Asperger’s disorder. Dev Med Child Neurol. 2006d;48(4):272–7.

    Article  PubMed  Google Scholar 

  • Rizzolatti G, Fabbri-Destro M. Mirror neurons: from discovery to autism. Exp Brain Res. 2010;200(3–4):223–37.

    Article  PubMed  Google Scholar 

  • Rizzolatti G, Sinigaglia C. The functional role of the parieto-frontal mirror circuit: interpretations and misinterpretations. Nat Rev Neurosci. 2010;11(4):264–74.

    Article  PubMed  Google Scholar 

  • Sweedo S, Cook JE, Happe F et al. American Psychiatric Association DSM-5 development. 2010. American Psychiatric Association: USA.

    Google Scholar 

  • Teitelbaum P, Teitelbaum O, Nye J, Fryman J, Maurer RG. Movement analysis in infancy may be useful for early diagnosis of autism. Proc Natl Acad Sci USA. 1998;95:13982–7.

    Article  PubMed  Google Scholar 

  • Teitelbaum O, Benton T, Shah PK, Prince A, Kelly JL, Teitelbaum P. Eshkol-Wachman movement notation in diagnosis: the early detection of Asperger’s syndrome. Proc Natl Acad Sci USA. 2004;101(32):11909–14.

    Article  PubMed  Google Scholar 

  • Theoret H, Halligan E, Kobayashi M, Fregni F, Tager-Flusberg H, Pascual-Leone A. Impaired motor facilitation during action observation in individuals with autism spectrum disorder. Curr Biol. 2005;15(3):R84–5.

    Article  PubMed  Google Scholar 

  • Vernazza-Martin S, Martin N, Verbazza A, et al. Goal directed locomotion and balance control in autistic children. J Autism Dev Disord. 2005;35(1):91–102.

    Article  PubMed  Google Scholar 

  • Vilensky JA, Damasio AR, Maurer RG. Gait disturbances in patients with autistic behavior. Arch Neurol. 1981;38:646–9.

    Article  PubMed  Google Scholar 

  • Wing L. Asperger’s syndrome: a clinical account. Psychol Med. 1981;11(1):115–29.

    Article  PubMed  Google Scholar 

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Papadopoulos, N., Rinehart, N., Bradshaw, J., McGinley, J., Enticott, P. (2014). Motor Functioning in Autism Spectrum Disorders. In: Patel, V., Preedy, V., Martin, C. (eds) Comprehensive Guide to Autism. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4788-7_41

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