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A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls

Anecdotal reports suggest children with autism spectrum disorder (ASD) ambulate differently than peers with typical development (TD). Little empirical evidence supports these reports. Children with ASD exhibit delayed motor skills, and it is important to determine whether or not motor movement defic...

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Autores principales: Dufek, Janet S., Eggleston, Jeffrey D., Harry, John R., Hickman, Robbin A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635776/
https://www.ncbi.nlm.nih.gov/pubmed/29099017
http://dx.doi.org/10.3390/medsci5010001
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author Dufek, Janet S.
Eggleston, Jeffrey D.
Harry, John R.
Hickman, Robbin A.
author_facet Dufek, Janet S.
Eggleston, Jeffrey D.
Harry, John R.
Hickman, Robbin A.
author_sort Dufek, Janet S.
collection PubMed
description Anecdotal reports suggest children with autism spectrum disorder (ASD) ambulate differently than peers with typical development (TD). Little empirical evidence supports these reports. Children with ASD exhibit delayed motor skills, and it is important to determine whether or not motor movement deficits exist during walking. The purpose of the study was to perform a comprehensive lower-extremity gait analysis between children (aged 5–12 years) with ASD and age- and gender-matched-samples with TD. Gait parameters were normalized to 101 data points and the gait cycle was divided into seven sub-phases. The Model Statistic procedure was used to test for statistical significance between matched-pairs throughout the entire gait cycle for each parameter. When collapsed across all participants, children with ASD exhibited large numbers of significant differences (p < 0.05) throughout the gait cycle in hip, knee, and ankle joint positions as well as vertical and anterior/posterior ground reaction forces. Children with ASD exhibited unique differences throughout the gait cycle, which supports current literature on the heterogeneity of the disorder. The present work supports recent findings that motor movement differences may be a core symptom of ASD. Thus, individuals may benefit from therapeutic movement interventions that follow precision medicine guidelines by accounting for individual characteristics, given the unique movement differences observed.
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spelling pubmed-56357762017-10-26 A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls Dufek, Janet S. Eggleston, Jeffrey D. Harry, John R. Hickman, Robbin A. Med Sci (Basel) Article Anecdotal reports suggest children with autism spectrum disorder (ASD) ambulate differently than peers with typical development (TD). Little empirical evidence supports these reports. Children with ASD exhibit delayed motor skills, and it is important to determine whether or not motor movement deficits exist during walking. The purpose of the study was to perform a comprehensive lower-extremity gait analysis between children (aged 5–12 years) with ASD and age- and gender-matched-samples with TD. Gait parameters were normalized to 101 data points and the gait cycle was divided into seven sub-phases. The Model Statistic procedure was used to test for statistical significance between matched-pairs throughout the entire gait cycle for each parameter. When collapsed across all participants, children with ASD exhibited large numbers of significant differences (p < 0.05) throughout the gait cycle in hip, knee, and ankle joint positions as well as vertical and anterior/posterior ground reaction forces. Children with ASD exhibited unique differences throughout the gait cycle, which supports current literature on the heterogeneity of the disorder. The present work supports recent findings that motor movement differences may be a core symptom of ASD. Thus, individuals may benefit from therapeutic movement interventions that follow precision medicine guidelines by accounting for individual characteristics, given the unique movement differences observed. MDPI 2017-01-06 /pmc/articles/PMC5635776/ /pubmed/29099017 http://dx.doi.org/10.3390/medsci5010001 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dufek, Janet S.
Eggleston, Jeffrey D.
Harry, John R.
Hickman, Robbin A.
A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls
title A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls
title_full A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls
title_fullStr A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls
title_full_unstemmed A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls
title_short A Comparative Evaluation of Gait between Children with Autism and Typically Developing Matched Controls
title_sort comparative evaluation of gait between children with autism and typically developing matched controls
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635776/
https://www.ncbi.nlm.nih.gov/pubmed/29099017
http://dx.doi.org/10.3390/medsci5010001
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