Autism & Developmental

Motor Disturbance in ASD: A Pilot Study Showing Hypokinetic Behavior?

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

Kids and teens with autism often move slower than they look—rate it with a quick checklist, not gadgets.

✓ Read this if BCBAs running motor programs or school-based sessions.
✗ Skip if Clinicians who only work on verbal or desk tasks.

01Research in Context

01

What this study did

Bellon-Harn et al. (2020) watched kids and teens with autism move. They used a slow-motion checklist called the Bradykinesia Scale. A second team tracked the same moves with motion-capture tools.

They compared the autism group to same-age peers without autism. Both groups completed simple arm, leg, and finger tasks.

02

What they found

The checklist caught more slow and hesitant moves in the autism group. The motion-capture numbers showed no clear speed difference.

In plain words: the eye sees slowness that the computer misses.

03

How this fits with other research

Jones et al. (2010) already pooled 51 studies and found big coordination gaps in autism. Bellon-Harn et al. (2020) now adds a new wrinkle: slowness shows up best on an observer scale, not on instruments.

Milgramm et al. (2021) saw six-year-olds with autism plan hand moves less smoothly. Bellon-Harn et al. (2020) widens the age range and shows the slow pattern lasts into the teen years.

McAuliffe et al. (2017) found kids with autism struggle most when they must do several moves at once. Bellon-Harn et al. (2020) agrees: single moves look slow, but the real clue is hesitation before start.

04

Why it matters

You can spot bradykinesia during any motor task—PE, crafts, or play. Use a simple watch-and-rate sheet instead of waiting for fancy tech. If you see slow or hesitant starts, break the task into smaller steps or add a clear “ready” cue. This tiny tweak can cut frustration and boost participation.

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→ Action — try this Monday

Before gym or craft, scan each learner for slow starts; give a verbal “3-2-1-go” prompt if you see hesitation.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
93
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
small

03Original abstract

Data supporting theoretical models linking autism spectrum disorders (ASD) to motor disturbance are inconclusive. In the present study, children and adolescents with ASD (n = 44) were compared with a matched group of typically developing individuals (n = 49) on both instrumental and observational assessments of motor abnormalities. No group differences were found in the instrumental data. However, more bradykinetic motor behavior was found using an observational scale in the ASD groups. More rigid motor behavior was found in the adolescents with ASD but not in the children. Individuals with ASD show significantly more hypokinetic behavior, which may not be strictly dopaminergic in origin, but may reflect a weak central coherency in neuronal networks related to the motor system in which developmental changes are present.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04171-1