Is Motor Impairment in Autism Spectrum Disorder Distinct From Developmental Coordination Disorder? A Report From the SPARK Study.

Physical Therapy
Anjana Narayan Bhat

Abstract

Motor impairments are pervasive in Autism Spectrum Disorder (ASD); however, children with ASD rarely receive a dual diagnosis of Developmental Coordination Disorder (DCD). The Simons Foundation SPARK study engaged families affected by ASD through an online study. The DCD parent questionnaire (DCDQ) was used to assess the prevalence of a risk for motor impairment or DCD in children with ASD between 5 and 15 years of age. This study utilizes parent reports from a large database of children with ASD. A total of 16,705 parents of children with ASD completed the DCDQ. We obtained our final SPARK dataset (n = 11,814) after filtering out invalid data, using stronger cut-offs to confirm ASD traits, and excluding children with general neuromotor impairments/intellectual delays. We compared DCDQ total and subscale scores from the SPARK dataset with published norms for each age between 5 and 15 years. The proportion of children with ASD at risk for a motor impairment was very high at 86.9%. Children with ASD did not outgrow their motor impairments and continued to present with a risk for DCD even into adolescence. Yet, only 31.6% of children were receiving physical therapy services. Our analysis of a large database of parent-reported outc...Continue Reading

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Citations

Apr 8, 2020·International Journal of Environmental Research and Public Health·Rebeca Montes-MontesThais Pousada
Jan 10, 2021·Autism Research : Official Journal of the International Society for Autism Research·Leah R KetchesonChandler F Wentz
Aug 14, 2021·Current Psychiatry Reports·Casey J ZampellaAshley de Marchena

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