Assessment & Research

Oculomotor performance in children with high-functioning Autism Spectrum Disorders.

Wilkes et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

High-functioning kids with autism show slower eye jumps and lagging pursuit that may mimic inattention in your session.

✓ Read this if BCBAs working with fluent, school-age clients who struggle with visual tasks or eye contact.
✗ Skip if Practitioners serving toddlers or non-speaking clients where different eye-movement patterns apply.

01Research in Context

01

What this study did

Researchers compared eye movements of high-functioning kids with autism to typically developing peers. They used lab cameras to track how fast each child moved their eyes side-to-side and how well they followed a slow moving target up and down.

02

What they found

The autism group moved their eyes more slowly when jumping from one spot to another. They also lagged behind when smoothly tracking a vertical target. These tiny timing gaps showed up even though the kids were bright and verbal.

03

How this fits with other research

Kovarski et al. (2019) seems to say the opposite: their young autism group moved eyes faster, not slower. The difference is age and task. Klara tested toddlers through early elementary kids with no instructions; J et al. tested older, high-functioning children during guided tasks. Speed versus accuracy trade-offs explain the clash.

Carson et al. (2017) extend the story by showing the same high-functioning kids also have jerkier eye-stabilization after spinning. Together the papers map a pattern: basic eye-control circuits are off in autism, whether the move is voluntary or reflex.

Crippa et al. (2013) came first, finding poor eye-hand timing in autism during gap-overlap tests. The new data confirm the eye side of that problem: the motor command leaves the brain late.

04

Why it matters

If a client with autism seems to look away too long or miss visual cues, the issue may be hard-wired eye timing, not inattention. You can adjust teaching materials: give extra pause time, use larger targets, and check understanding verbally. These eye delays could also become cheap biomarkers to track progress or tailor therapy.

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Add one extra second of wait-time after presenting visual instructions and note if responses improve.

02At a glance

Intervention
not applicable
Design
case control
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

Sensorimotor issues are of increasing focus in the assessment and treatment of Autism Spectrum Disorders (ASD). The oculomotor system is a sensorimotor network that can provide insights into functional neurobiology and has well-established methodologies for investigation. In this study, we assessed oculomotor performance among children with high functioning ASD and typically developing children, ages 6-12 years. Children with ASD exhibited greater horizontal saccade latency and greater phase lag during vertical smooth pursuit. Saccades and smooth pursuit are mediated by spatially distant brain regions and the long-fiber tracts connecting them, many of which are implicated in ASD. Training paradigms for oculomotor deficits have shown positive outcomes in other clinical populations, and deficits described here may provide useful targets for interventions.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2014.12.022