Autism & Developmental

Effect of Social Stimuli on Postural Responses in Individuals with Autism Spectrum Disorder.

Ghanouni et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Faces make kids with autism lose balance—plan seating or hand support before eye-contact drills.

✓ Read this if BCBAs running social-skills groups or toilet-training that needs long standing.
✗ Skip if Clinicians who only run tabletop DTT with no face-to-face demands.

01Research in Context

01

What this study did

Ghanouni et al. (2017) watched how kids with autism stood still while looking at faces or objects. They used a force plate to measure tiny body wobbles. The team compared kids with autism to typically developing peers.

02

What they found

Children with autism swayed more when they saw faces than when they saw objects. Their peers without autism showed no difference. The sway grew even larger for kids with more severe autism traits.

03

How this fits with other research

LeBlanc et al. (2003) first showed that kids with autism wobble more under any changed sensory condition. Parisa adds that social pictures, not just blurry vision, can trigger that wobble.

Martín-Díaz et al. (2026) pooled 34 studies and confirmed poorer balance in autism. The new twist: faces alone can act like a balance challenge.

Kaartinen et al. (2016) found that kids who stay physiologically tense during eye contact have worse social skills. Parisa links the same social stress to a visible motor sign—more sway.

04

Why it matters

Expect more rocking, toe-tapping, or falling when you ask a child with autism to look at you. Offer a chair, a wall, or a footstool during face-to-face work. Start teaching social skills while the child is already seated or leaning against something sturdy.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Place a low bench behind the child during greeting drills so they can steady themselves.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
51
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

This study was aimed to investigate the effects of social versus non-social stimuli on postural responses in 21 boys with autism spectrum disorder (ASD) (mean age of 11.6 ± 1.5) compared with 30 typically developing (TD) boys (mean age of 11.7 ± 1.8). Postural control of children was examined while they were standing on a force plate and viewing images of an object, male face, or female face in sequence. Each image was shown in two trials and each trial lasted for 20 s. Results indicated a significant interaction between group and task (p < 0.05), meaning that children with ASD but not TD children showed an increased postural sway during face tasks than during object task. Furthermore children with higher autism severity compared to those with lower severity showed an increased change in response to social stimuli (p < 0.01). It seems that the postural control of children with ASD was more affected by the social stimuli than TD children.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3032-5