Autism & Developmental

Fundamental movement skills in children diagnosed with autism spectrum disorders and attention deficit hyperactivity disorder.

Pan et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Autism brings larger motor delays than ADHD, and those gaps limit real-world participation.

✓ Read this if BCBAs in schools or clinics serving elementary students with autism or ADHD.
✗ Skip if Practitioners focused only on verbal behavior or older clients whose motor needs are already met.

01Research in Context

01

What this study did

The team compared basic movement skills across three groups of elementary-age children: autism, ADHD, and neurotypical peers.

They used a standard motor test that looks at running, jumping, throwing, and catching.

No one got an intervention; the study simply measured where each child stood.

02

What they found

Children with autism scored lowest on every skill.

Kids with ADHD also lagged behind peers, but their gap was smaller than the autism group.

The take-home: motor delays are bigger in autism than in ADHD.

03

How this fits with other research

Ohan et al. (2015) used the same three-group design and again ranked autism lowest, but they looked at daily living skills instead of motor skills.

The pattern matches: autism shows the widest deficit no matter which domain you test.

Oliveira et al. (2023) took the idea one step further. They showed that the very locomotor and ball skills Chien-Yu flagged predict how often kids with autism join recess, PE, and birthday parties.

Ketcheson et al. (2017) proves the gap can close: eight weeks of daily motor play pushed preschoolers with autism from delayed to age-typical on the same test.

Together the papers form a timeline: identify the lag early, understand the social cost, then treat it.

04

Why it matters

If you work with elementary students, add a quick motor screen to your intake.

Low scores signal a child may soon sit out games and lose social practice.

Pair the screen with referral to OT, PT, or a structured motor club.

Fixing the skill can open the door to friendships and recess inclusion.

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→ Action — try this Monday

Pull out a simple locomotor checklist—run, hop, throw—and note which kids with autism miss steps; flag them for motor intervention before social exclusion sets in.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
91
Population
autism spectrum disorder, adhd, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

The purpose of this study was to compare the movement skills of children with autism spectrum disorders (ASD), attention deficit hyperactivity disorder (ADHD), and those without disabilities. Ninety-one children (ASD, n = 28; ADHD, n = 29; control, n = 34), ages 6-10 years, were of average IQ participated. After controlling for age, both ASD and ADHD groups scored significantly lower than controls (p's < .05) on overall gross motor development as well as locomotor and object control subtests, and the ASD group performed more poorly than the ADHD group (p's < .01) on both subtests. Of the children with ASD and ADHD, only 16% had clinical levels of impairment. Potential underlying factors are discussed, with suggestions for future research.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-009-0813-5