Autism & Developmental

Effect of Visual Information on Postural Control in Children with Autism Spectrum Disorder.

Lim et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Kids with autism balance just like peers when they can see and stand on two feet; problems show up only in tougher conditions.

✓ Read this if BCBAs writing motor goals for elementary or middle-school clients.
✗ Skip if Clinicians who only treat toddlers or adults.

01Research in Context

01

What this study did

Lim et al. (2020) watched kids stand still. Half had autism, half did not. The lab used a force plate to track tiny body sway. Kids stood twice: once with eyes open, once with eyes closed.

The team wanted to know if children with autism use visual cues for balance the same way typical kids do.

02

What they found

Both groups stood steadier when they could see. When the room went dark, sway grew equally for all kids.

There was no autism-only wobble. Visual help for balance looked typical.

03

How this fits with other research

Lim et al. (2019) ran the same test on adults. In that study, adults with autism swayed more and had to work harder to stay upright. Same lab, same task, opposite result. The difference is age, not method.

Miltenberger et al. (2013) and Boxum et al. (2018) also found balance trouble in autism, but only when the task got hard: one leg, foam pad, or low IQ. The 2020 kids stood on two legs on a firm floor, the easiest version.

Fradet et al. (2025) dug deeper into the same child sample. They pulled 75 force-plate numbers and found a handful that quietly split autistic and typical kids. The null headline hides small micro-patterns you can measure if you want them.

04

Why it matters

Quiet standing on flat ground is not a red flag for balance issues in school-age clients with autism. Save your assessment time for harder tasks like one-leg stands, uneven surfaces, or eyes-closed tandem walk. If you need a number, grab force-plate metrics flagged by Fradet et al. (2025), not just overall sway.

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Add a 10-second one-leg stand to your next motor probe; save the eyes-open two-leg test for quick warm-ups only.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
33
Population
autism spectrum disorder, neurotypical
Finding
null
Magnitude
negligible

03Original abstract

Visual information is crucial for postural control. Visual processing in children with autism spectrum disorder (ASD) was hypothesized to be less efficient and thus they would display a less stable standing posture than typically developing children. The present study compared the static standing responses and attentional demands of 15 children with ASD and 18 control participants in conditions of eyes open and eyes closed. The results showed that postural responses and attention invested in standing were similar between the participant groups in the two visual conditions. Both groups displayed a more stable posture when their eyes were open in comparison to eyes closed. The finding suggests that normal postural control development could occur in children with ASD.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04182-y