- Original article
- Open Access
Assessment of postural control system in autistic patients
The Egyptian Journal of Otolaryngology volume 28, pages 44–48 (2012)
Studies using clinical tests have reported abnormal postural balance in children with autism generally but it was only clinically significant when somatosensory input was disrupted alone or in combination with other sensory challenges.
To assess the postural control system in autistic children and correlate their age and Child Autism Rating Scale (CARS) score with their postural control.
Computerized dynamic posturography was performed in 20 autistic children with (IQ>70) between the ages of 5 and 15 years and 15 age-matched healthy children.
There was a statistically significant positive correlation between age in both the study and the control groups and the Sensory Organization Test (SOT) results in all SOT conditions. As regards the degree of autism, this study included 20 autistic children diagnosed by CARS and their CARS values ranged from 30 to 46, with a mean (33.7±3.22). In our study, we found that there was a statistically significant negative correlation between the CARS score in the study group and SOT results in all conditions, except in SOT condition 1.
The evidence from this study suggests the more general involvement of neural circuitry beyond the neural systems for social behavior, communication, and reasoning, all of which share a high demand on neural integration of information.
Caronna EB, Milunsky JM, Tager Flusberg H. Autism spectrum disorders: clinical and research frontiers. Arch Dis Child. 2008; 93: 518–523
Fournier KA, Kimberg CI, Radonovich KJ, Tillman MD, Chow JW, Lewis MH, et al. Decreased static and dynamic postural control in children with autism spectrum disorders. Gait Posture. 2010; 32: 6–9
NIDCD. National Institute on Deafness and other Communication Disorders. Autism and communication. 2008; Available at: http://www.nidcd.nih.gov/health/voice/autism.asp [Accessed on 2008]
Hill EL. Executive dysfunction in autism. Trends Cogn Sci. 2004; 8: 26–32
Klin A, Jones W, Schultz R, Volkmar F, Cohen D. Visual fixation patterns during viewing of naturalistic social situations as predictors of social competence in individuals with autism. Arch Gen Psychiatry. 2002; 59: 809–816
Minshew NJ, Goldstein G, Siegel DJ. Neuropsychologic functioning in autism: profile of a complex information processing disorder. J Int Neuropsychol Soc. 1997; 3: 303–316
Ghaziuddin M, Butler E. Clumsiness in autism and Asperger syndrome: a further report. J Intellect Disabil Res. 1998;42(Pt 1):43–48
Just MA, Cherkassky VL, Keller TA, Minshew NJ. Cortical activation and synchronization during sentence comprehension in high-functioning autism: evidence of underconnectivity. Brain. 2004;127(Pt 8):1811–1821
Gepner B, Mestre D, Masson G, de Schonen S. Postural effects of motion vision in young autistic children. Neuroreport. 1995; 6: 1211–1214
Molloy CA, Dietrich KN, Bhattacharya A. Postural stability in children with autism spectrum disorder. J Autism Dev Disord. 2003; 33: 643–652
Kohen Raz R, Volkmar FR, Cohen DJ. Postural control in children with autism. J Autism Dev Disord. 1992;22:419–432
Vilensky JA, Damasio AR, Maurer RG. Gait disturbances in patients with autistic behavior: a preliminary study. Arch Neurol. 1981; 38: 646–649
Green D, Baird G, Barnett AL, Henderson L, Huber J, Henderson SE. The severity and nature of motor impairment in Asperger’s syndrome: a comparison with specific developmental disorder of motor function. J Child Psychol Psychiatry. 2002; 43: 655–668
Henderson S, Sugden D Movement assessment battery for children. 1992 London: The Psychologica Corporation
O’Neill M, Jones RS. Sensory-perceptual abnormalities in autism: a case for more research? J Autism Dev Disord. 1997;27:283–293
Conflicts of interest
There are no conflicts of interest.
About this article
Cite this article
Shabana, M.I., El Shennawy, A.M., El Dessouky, T.M. et al. Assessment of postural control system in autistic patients. Egypt J Otolaryngol 28, 44–48 (2012). https://doi.org/10.7123/01.EJO.0000411082.28842.4c
- autism spectrum disorder
- postural control
- sensory analysis
- sensory organization test