Hemisphere functioning and motor imitation in autistic persons

Previous research has found that a high proportion of autistic individuals exhibit an atypical pattern of hemispheric specialization suggestive of impaired left hemisphere functioning: namely, right hemisphere dominance for both verbal and visual-spatial processing. Studies of brain-damaged persons have suggested that the left hemisphere is specialized for the use of nonverbal gesture. Since a major characteristic of autism is an impairment in the use of gesture, it was predicted that autistic persons would also show atypical hemispheric specialization for motor imitation. To test this hypothesis, hemispheric activation was measured using EEG recordings of alpha rhythm in autistic and matched normal control subjects during four motor imitation tasks. Autistic subjects showed significantly greater right hemisphere activation during the imitation tasks, than normal subjects. This pattern was particularly evident in younger autistic subjects and during oral, rather than manual, imitation tasks.     

Effect of dual tasking on a dynamic balance task in children with and without DCD

The purpose of this study was to compare performance of children with Developmental Coordination Disorder (DCD) and typically developing (TD) children in a dual task paradigm with a dynamic balance task on the Wii Fit as primary task and a concurrent cognitive (counting) or a concurrent bimanual fine motor task as secondary tasks.Using a cross-sectional design, 25 children with DCD and 38 TD children were assessed with the Movement Assessment Battery for Children, 2nd edition (MABC-2) and Divided Attention (DA) task of the KiTAP. Next, the single- and dual-tasks were performed and the level of interference or facilitation of the dual tasks was calculated. Regression analysis determined the predictive value of the DA and MABC-2 component balance outcomes on the dual task performance. On the motor and attentional tasks, the group of children with DCD scored significantly below the level of the TD children. The dual task effect showed similar interference and facilitation of tasks in the different dual-task conditions in both groups.In the dual task-cognitive condition, the divided attention abilities and the MABC-2 balance score predicted 25% of the Wii Fit dynamic balance task performance, whereas in the dual task-motor condition this was higher (31.6%). In both conditions, DA was a stronger predictor than MABC balance score and appears to be an important factor to consider when developing motor task training for children with DCD.     

自闭症儿童的中心信息整合及其与心理理论的关系

研究用积木测验和镶嵌图形测验测量中心信息整合,用5个信念任务测量心理理论能力,比较了12名自闭症儿童和同等言语能力的28名正常儿童的表现,并分析了心理理论和中心信息整合的相关。结果表明:(1)中心信息整合的测量指标积木测验和镶嵌图形测验成绩保持中高度相关;(2)自闭症儿童中心信息整合显著弱于正常儿童;(3)心理理论和中心信息整合成绩相互独立。     

Comorbid Problems in ADHD: Degree of Association,Shared Endophenotypes,and Formation of Distinct Subtypes. Implications for a Future <Emphasis Type="Italic">DSM</Emphasis>

We aimed to assess which comorbid problems (oppositional defiant behaviors, anxiety, autistic traits, motor coordination problems, and reading problems) were most associated with Attention-Deficit/Hyperactivity Disorder (ADHD); to determine whether these comorbid problems shared executive and motor problems on an endophenotype level with ADHD; and to determine whether executive functioning (EF)—and motor-endophenotypes supported the hypothesis that ADHD with comorbid problems is a qualitatively different phenotype than ADHD without comorbid problems. An EF—and a motor-endophenotype were formed based on nine neuropsychological tasks administered to 816 children from ADHD—and control-families. Additional data on comorbid problems were gathered using questionnaires. Results indicated that oppositional defiant behaviors appeared the most important comorbid problems of ADHD, followed by autistic traits, and than followed by motor coordination problems, anxiety, and reading problems. Both the EF—and motor-endophenotype were correlated and cross-correlated in siblings to autistic traits, motor coordination problems and reading problems, suggesting ADHD and these comorbid problems may possibly share familial/genetic EF and motor deficits. No such results were found for oppositional defiant behaviors and anxiety. ADHD in co-occurrence with comorbid problems may not be best seen as a distinct subtype of ADHD, but further research is warranted. Electronic supplementary material  The online version of this article (doi:) contains supplementary material, which is available to authorized users.     

Cognitive imitation in typically-developing 3- and 4-year olds and individuals with autism

Individuals diagnosed with autism suffer from numerous social, affective and linguistic impairments. It has also been suggested that they have a global imitation deficit. That hypothesis, however, is compromised by the fact that individuals with autism suffer from various motor impairments. Here we describe an experiment on cognitive imitation, a type of imitation that doesn’t require motor learning. Nine male autistic subjects and 20 typically-developing 3- and 4-year olds were trained to respond, in a prescribed order, to different lists of photographs that were displayed simultaneously on a touch-sensitive monitor. Because the position of the photographs varied randomly from trial to trial, sequences could not be learned by motor imitation. In three different imitation treatments, including a ghost control, autistic subjects learned new sequences more rapidly after observing a model execute those sequences than when they had to learn new sequences entirely by trial and error. Moreover, the performance of autistic subjects did not significantly differ from the performance of typically-developing controls. The result of this and other studies suggests that individuals with autism suffer from a specific novel motor imitation deficit.     

Reliance on visual feedback from ocular accommodation on motor skills in children with developmental coordination disorder and typically developing controls

Children with developmental coordination disorder (DCD) present with marked impairments in motor skills, including visual-motor integration. Oculomotor anomalies are more prevalent in children with DCD than typically developing children. Children with DCD further demonstrate altered use of visual feedback compared to typically developing controls. We investigated whether the accommodation system, a key component of the oculomotor system, contributes to visual feedback during fine and gross motor skills performance; and whether children with DCD demonstrate differences in reliance on visual feedback from accommodation. Minus dioptre lenses were used to maximally induce accommodation and impede accommodation dynamics. Children with DCD and typically developing controls performed motor skills tests assessing balance, upper limb coordination, visual-motor performance, gross and fine dexterity. Motor skills performance in controls was significantly affected by impeded accommodation in all tasks. Children with DCD demonstrated reliance on accommodation feedback in upper limb and visual-motor tasks only. Children with DCD may be less reliant on visual feedback obtained from accommodation due to adaptive mechanisms to overcome faulty information in the presence of oculomotor anomalies. These results strengthen our previous findings that accommodation anomalies contribute to motor skills impairment, and suggest that performance on these motor tasks is heavily reliant on visual feedback from accommodation.     

TOO MUCH REINFORCEMENT,TOO LITTLE BEHAVIOR: ASSESSING TASK INTERSPERSAL PROCEDURES IN CONJUNCTION WITH DIFFERENT REINFORCEMENT SCHEDULES WITH AUTISTIC CHILDREN

Task interspersal procedures have been quite effective in increasing autistic children's motivation to learn. These procedures have typically demonstrated that the inclusion of reinforced maintenance tasks (previously learned tasks) increases responding to new acquisition tasks because more reinforcers, in general, are available. However, studies have not specifically addressed the effects of various schedules of reinforcement, used in conjunction with task interspersal procedures, upon response acquisition. In the present study, a multiple baseline design across subjects was used to assess different reinforcement schedules. Five autistic children participated in learning sessions, during which trials of an acquisition task were interspersed with trials of three maintenance tasks. Correct responses to acquisition tasks were continuously reinforced throughout all conditions, while the reinforcement schedule for competent performance of maintenance tasks differed systematically. Results indicated that all children learned the new tasks when food reinforcers were presented only for acquisition tasks. Results are discussed in terms of behavioral contrast and improving the effectiveness of motivation-enhancing procedures for autistic children.     

Motor Behavior Concepts in the Study of Balance: A Scoping Review

Abstract

Previous research suggests that using Fitts’ law; attentional focus or challenge point framework (CPF) is beneficial in balance control studies. A scoping review was conducted to examine studies that utilized these motor behavior concepts during balance control tasks. An extensive literature search was performed up to January 2018. Two independent reviewers conducted a study selection process followed by data extraction of the search results. Forty-six studies were identified, with 2 studies related to CPF, 12 studies related to Fitts’ law and 32 studies related to focus of attention. The CPF appears to be a useful method for designing a progressive therapeutic program. Fitts’ law can be used as a tool for controlling the difficulty of motor tasks. Focus of attention studies indicate that adopting an external focus of attention improves task performance. Overall, studies included in this review report benefit when using the selected motor behavior concepts. However, the majority (>80%) of studies included in the review involved healthy populations, with only three clinical trials. In order to ascertain the benefits of the selected motor behavior concepts in clinical settings, future research should focus on using these concepts for clinical trials to examine balance control among people with balance impairments.     

NORMAL PEER MODELS AND AUTISTIC CHILDREN'S LEARNING

Present research and legislation regarding mainstreaming autistic children into normal classrooms have raised the importance of studying whether autistic children can benefit from observing normal peer models. The present investigation systematically assessed whether autistic children's learning of discrimination tasks could be improved if they observed normal children perform the tasks correctly. In the context of a multiple baseline design, four autistic children worked on five discrimination tasks that their teachers reported were posing difficulty. Throughout the baseline condition the children evidenced very low levels of correct responding on all five tasks. In the subsequent treatment condition, when normal peers modeled correct responses, the autistic children's correct responding increased dramatically. In each case, the peer modeling procedure produced rapid achievement of the acquisition criterion which was maintained after the peer models were removed. These results are discussed in relation to issues concerning observational learning and in relation to the implications for mainstreaming autistic children into normal classrooms.     

What Causes Internalising Traits and Autistic Traits to Co-occur in Adolescence? A Community-Based Twin Study

Autism shows a high degree of comorbidity with anxiety disorders. Adolescence is a time of increased stress and vulnerability to internalising problems. This study addresses for the first time the degree of genetic and environmental overlap between autistic traits (total measure and subscales) and internalising traits in a community-based adolescent twin sample. Parents of 12-14-year-old twins (N?=?3,232 pairs; 3,460 males, 3,004 females) reported on the twins’ internalising and autistic traits. Autistic trait subscales were created using principal component analysis. Bivariate twin model-fitting was conducted. Autistic and internalising traits correlated moderately (r?=?0.30). Genetic influences on individual traits were substantial but genetic overlap between traits was moderate (genetic correlation: males?=?0.30, females?=?0.12). Shared environmental influences were low for internalising traits and moderate for autistic traits, and showed considerable overlap (shared environmental correlation: males?=?0.53, females?=?1). Nonshared environmental influences were moderate for internalising traits and low for autistic traits and showed low overlap. A multiple component solution was found for autistic traits and of the derived subscales, autistic-like ‘Social Unease’ showed the most phenotypic and genetic overlap with internalising traits.     

Object-based and egocentric mental rotation performance in older adults: The importance of gender differences and motor ability

In this study, mental rotation performance was assessed in both an object-based task, human figures and letters as stimuli, and in an egocentric-based task, a human figure as a stimulus, in 60 older persons between 60 and 71 years old (30 women, 30 men). Additionally all participants completed three motor tests measuring balance and mobility. The results show that the reaction time was slower for letters than for both human figure tasks and the mental rotation speed was faster over all for egocentric mental rotation tasks. Gender differences were found in the accuracy measurement, favoring males, and were independent of stimulus type, kind of transformation, and angular disparity. Furthermore, a regression analysis showed that the accuracy rate for object-based transformations with body stimuli could be predicted by gender and balance ability. This study showed that the mental rotation performance in older adults depends on stimulus type, kind of transformation, and gender and that performance partially relates to motor ability.     

Perceptual-motor contributions to static and dynamic balance control in children

The authors addressed balance control in children from the perspective of skill development and examined the relationship between specific perceptual and motor skills and static and dynamic balance performance. Fifty 11- to 13-year-old children performed a series of 1-legged balance tasks while standing on a force platform. Postural control was reflected in the maximum displacement of the center of mass in anterior-posterior and mediolateral directions. Simple visual, discrimination, and choice reaction times; sustained attention; visuomotor coordination; kinesthesis; and depth perception were also assessed in a series of perceptual and motor tests. The correlation analysis revealed that balancing under static conditions was strongly associated with the ability to perceive and process visual information, which is important for feedback-based control of balance. On the other hand, when greater task demands were imposed on the system under dynamic balancing conditions, the ability to respond to the destabilizing hip abductions-adductions in order to maintain equilibrium was associated with motor response speed, suggesting the use of a descending, feedforward control strategy. Therefore, like adults, 11- to 13-year-old children have the ability to select varying balance strategies (feedback, feedforward, or both), depending on the constraints of a particular task.     

Perceptual-Motor Contributions to Static and Dynamic Balance Control in Children

The authors addressed balance control in children from the perspective of skill development and examined the relationship between specific perceptual and motor skills and static and dynamic balance performance. Fifty 11- to 13-year-old children performed a series of 1-legged balance tasks while standing on a force platform. Postural control was reflected in the maximum displacement of the center of mass in anterior-posterior and mediolateral directions. Simple visual, discrimination, and choice reaction times; sustained attention; visuomotor coordination; kinesthesis; and depth perception were also assessed in a series of perceptual and motor tests. The correlation analysis revealed that balancing under static conditions was strongly associated with the ability to perceive and process visual information, which is important for feedback-based control of balance. On the other hand, when greater task demands were imposed on the system under dynamic balancing conditions, the ability to respond to the destabilizing hip abductions-adductions in order to maintain equilibrium was associated with motor response speed, suggesting the use of a descending, feedforward control strategy. Therefore, like adults, 11- to 13-year-old children have the ability to select varying balance strategies (feedback, feedforward, or both), depending on the constraints of a particular task.     

Motor proficiency and emotional/behavioural disturbance in autism and Asperger's disorder: another piece of the neurological puzzle?

The relationship of motor proficiency with emotional/behavioural disturbance, autistic symptoms and communication disturbance was investigated in children diagnosed with autism and Asperger's disorder (AD). The Movement Assessment Battery for Children was used as a measure of motor impairment, and the Developmental Behavioural Checklist was used as a measure of emotional/behavioural disturbance in the following groups: AD (n?=?22), high functioning autism (HFA) (n?=?23), LFA (n?=?8) and typically developing children (n?=?20). The HFA group had more difficulty with motor items, such as ball skills and balance, than did the AD group. There were significant positive correlations between impairments in motor proficiency (in particular ball skills and balance) and emotional/behavioural disturbance, autistic symptoms and communication disturbance. These findings are consistent with the hypothesis that there are qualitative and quantitative differences in the motor profile between autism and AD. In addition, the association between motor proficiency impairment and emotional/behavioural disturbance in autism and AD emphasizes the importance for screening of co-occurring emotional/behavioural symptoms in individuals with motor difficulties. These findings have implications for the potential use of adjunct motor measures in the diagnosis and definition of autism spectrum disorders.     

Cognitive Differences Between Patients with Left-sided and Right-sided Parkinson’s Disease. A Review

At disease onset, patients with Parkinson’s disease (PD) typically report one side of the body to be more affected than the other. Previous studies have reported that this motor symptom asymmetry is associated with asymmetric dopaminergic degeneration in the brain. Research on the cognitive repercussions of this asymmetric degeneration has yielded inconsistent results. Here, we review studies that reported on the cognitive performance of patients with left-sided (LPD) or right-sided (RPD) motor symptom predominance. We present evidence that patients with RPD typically experience problems with language-related tasks and verbal memory, whereas patients with LPD more often perform worse on tasks of spatial attention, visuospatial orienting and memory and mental imagery. In general, no differences were found between both groups on tasks measuring attention and executive function. The association between motor asymmetry and cognitive performance indicates that PD does not lead to one typical cognitive profile. The effect of symptom laterality on the cognitive complaints should be considered in the assessment and treatment of each individual patient.     

Effects of dynamic and isometric motor practice on position control,force control and corticomuscular coherence in preadolescent children

In this study, we investigated the effects of motor practice with an emphasis on either position or force control on motor performance, motor accuracy and variability in preadolescent children. Furthermore, we investigated corticomuscular coherence and potential changes following motor practice.We designed a setup allowing discrete wrist flexions of the non-dominant hand and tested motor accuracy and variability when the task was to generate specific movement endpoints (15–75 deg) or force levels (5–25% MVC). All participants were tested in both tasks at baseline and post motor practice without augmented feedback on performance. Following baseline assessment, participants (44 children aged 9–11 years) were randomly assigned to either position (PC) or force control (FC) motor practice or a resting control group (CON). The PC and FC groups performed four blocks of 40 trials motor practice with augmented feedback on performance.Following practice, improvements in movement accuracy were significantly greater in the PC group compared to the FC and CON groups (p < 0.001). None of the groups displayed changes in force task performance indicating no benefits of force control motor practice and low transfer between tasks (p-values:0.08–0.45). Corticomuscular coherence (C4-FCR) was demonstrated during the hold phase in both tasks with no difference between tasks. Corticomuscular coherence did not change from baseline to post practice in any group. Our findings demonstrate that preadolescent children improve position control following dynamic accuracy motor practice. Contrary to previous findings in adults, preadolescent children displayed smaller or no improvements in force control following isometric motor practice, low transfer between tasks and no changes in corticomuscular coherence.     

Intra-individual stability of neuromotor tasks from 6 to 18 years: a longitudinal study

This study investigates the intra-individual stability of the speed of several motor tasks and the intensity of associated movements in 256 children (131 girls, 125 boys) from the Zurich generational study using the Zurich neuromotor assessment battery (ZNA) over a 12-year period from the age of 6 to 18 years. The stability was assessed by correlograms of standard deviation scores calculated from age- and gender-adjusted normative values and compared with standing height and full scale intelligence quotient (IQ). While motor tasks of hand, finger and foot (HFT) and contralateral associated movements (CAM) exhibited a moderate stability (summary measure as correlation coefficients between two measurements made 4 years apart: .61 and .60), other tasks (dynamic balance, static balance and pegboard) were only weakly stable (.46, .47 and .49). IQ and height were more stable than neuromotor components (.72 and .86). We conclude that the moderately stable HFT and CAM may reflect “motor traits”, while the stability of the pegboard and balance tasks is weaker because these skills are more experience related and state-dependent.     

Age differences between children and young adults in the dynamics of dual-task prioritization: body (balance) versus mind (memory)

Task prioritization can lead to trade-off patterns in dual-task situations. The authors compared dual-task performances in 9- and 11-year-old children and young adults performing a cognitive task and a motor task concurrently. The motor task required balancing on an ankle-disc board. Two cognitive tasks measured working memory and episodic memory at difficulty levels individually adjusted during the course of extensive training. Adults showed performance decrements in both task domains under dual-task conditions. In contrast, children showed decrements only in the cognitive tasks but actually swayed less under dual-task than under single-task conditions and continued to reduce their body sway even when instructed to focus on the cognitive task. The authors argue that children perform closer to their stability boundaries in the balance task and therefore prioritize protection of their balance under dual-task conditions.     

References for motor tasks--gender differences across age in motor performance: a meta-analysis

In 1985 we published a meta-analysis of gender differences across age in motor performance in Psychological Bulletin, but it did not include an indexing of each motor task to the references from which it was obtained. This paper provides a table listing the 20 motor tasks and the references from which data for each task were taken. The range of tasks was from fundamental movements (e.g., catching, jumping, running, throwing) to motor fitness (e.g., agility, arm hang, balance, grip strength) to perceptual-motor abilities (e.g., anticipation timing, fine eye-motor coordination, pursuit-rotor tracking, reaction time). The arm hang was represented in the fewest papers (n = 2) while the dash and long jump were most frequently referenced (n = 21).     

High cognitive sensitivity to activational effects of testosterone in parents of offspring with autism spectrum disorders

The existence of mild forms of autistic-like characteristics in parents of children with autism spectrum disorders (ASDs) has been defined as a broader autistic phenotype (BAP). Excessive prenatal exposure to testosterone (T) seems to play a role in its development. The aims of this study were to characterize whether ASD parents show masculinized brains or high T prenatal exposure compared to a normative population, using cognitive questionnaires, and also to examine the T level changes in response to different cognitive tasks. ASD parents were found to present higher autistic and lower empathic trait scores than controls. They also have higher T levels and magnitude of T response to cognitive tasks. Specific correlation patterns between masculinized brain types and T levels were observed only in ASD parents. Thus, it seems that first-degree relatives of people with ASD have high T levels during task performance, which, in turn, produce slight cognitive masculinization. Our findings should be considered for understanding the role of androgens in the etiology of ASD. Nevertheless, the masculinization parameters described throughout the study are subtle and require further analysis.