Assessment & Research

The rubber hand illusion reveals proprioceptive and sensorimotor differences in autism spectrum disorders.

Paton et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Autistic adults feel the rubber-hand trick yet keep better hand accuracy and weaker sight-touch ties than peers.

✓ Read this if BCBAs who coach older students or adults with autism on daily living or vocational motor skills.
✗ Skip if Clinicians serving only non-verbal preschoolers or genetic counseling cases.

01Research in Context

01

What this study did

Paton et al. (2012) brought adults with high-functioning autism and neurotypical adults into a lab.

Each person watched a fake rubber hand being stroked while their own hidden hand was stroked at the same time.

The team then measured where each person thought their real hand was and how fast they moved it.

02

What they found

Both groups felt the famous rubber-hand illusion.

Yet people with autism placed their real hand more accurately than controls.

They also showed weaker links between what they felt and what they saw.

03

How this fits with other research

Schertz et al. (2018) asked 472 autistic teens how tech helps them every day.

That paper shows teens use phones and tablets to stay calm and social, while Bryan et al. show small lab quirks in hand sense.

Batton et al. (2022) trained parents over Zoom during COVID and saw small gains, again showing modest but real effects outside the lab.

Together, the pattern is clear: tiny measurable differences in autism often sit beside big real-world strengths.

04

Why it matters

You may see a client who can code an app yet bumps into walls.

This study tells you the mismatch is real: their body map is precise, but sight-touch links are loose.

Use clear physical cues, like colored tape on the floor or weighted cuffs, to bridge the gap during motor tasks.

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Place a bright sticker on the client’s dominant hand before a typing or cooking task and watch if aim improves.

02At a glance

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

03Original abstract

Autism spectrum disorder (ASD) is characterised by differences in unimodal and multimodal sensory and proprioceptive processing, with complex biases towards local over global processing. Many of these elements are implicated in versions of the rubber hand illusion (RHI), which were therefore studied in high-functioning individuals with ASD and a typically developing control group. Both groups experienced the illusion. A number of differences were found, related to proprioception and sensorimotor processes. The ASD group showed reduced sensitivity to visuotactile-proprioceptive discrepancy but more accurate proprioception. This group also differed on acceleration in subsequent reach trials. Results are discussed in terms of weak top-down integration and precision-accuracy trade-offs. The RHI appears to be a useful tool for investigating multisensory processing in ASD.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1430-7