Autism & Developmental

Grasping motor impairments in autism: not action planning but movement execution is deficient.

Stoit et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Autistic movers think up the plan fine; the lag lives in the doing, so rehearse the doing.

✓ Read this if BCBAs running motor or daily-living skill sessions with school-age autistic clients.
✗ Skip if Clinicians focused only on language or social goals with no motor component.

01Research in Context

01

What this study did

The team asked kids and teens with autism to pick up and place small toys.

They filmed the reach and compared each move to kids of the same age without autism.

The goal was to see if the autism group planned the action wrong or simply carried it out slowly.

02

What they found

The autistic group planned the reach just as well as peers.

Their hand path, grip size, and timing choices looked normal.

The delay showed up only while the hand was moving; the actual lift and carry took longer.

03

How this fits with other research

Sparaci et al. (2015) saw odd movement paths and called it a planning issue.

The two papers seem to clash, but they measured different things: path shape versus movement speed.

Izadi-Najafabadi et al. (2015) later showed that kids with autism learn new sequences fine if you let them watch and copy; explicit verbal rules trip them up.

Sharp et al. (2010) had already found that hidden motor sequence learning stays intact, backing the idea that basic learning circuits work.

04

Why it matters

If the child knows what to do but moves slowly, skip long verbal explanations.

Give extra time for the motion itself and use physical prompts or video models.

Build practice around repeated full-speed reps instead of re-teaching the plan.

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Pick one grasp-and-place task, set a visible timer, and give three fast practice trials with minimal talk.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
31
Population
autism spectrum disorder
Finding
negative

03Original abstract

Different views on the origin of deficits in action chaining in autism spectrum disorders (ASD) have been posited, ranging from functional impairments in action planning to internal models supporting motor control. Thirty-one children and adolescents with ASD and twenty-nine matched controls participated in a two-choice reach-to-grasp paradigm wherein participants received cueing information indicating either the object location or the required manner of grasping. A similar advantage for location cueing over grip cueing was found in both groups. Both accuracy and reaction times of the ASD group were indistinguishable from the control group. In contrast, movement times of the ASD group were significantly delayed in comparison with controls. These findings suggest that movement execution rather than action planning is deficient in ASD, and that deficits in action chaining derive from impairments in internal action models supporting action execution.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-013-1825-8