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Handgrip strength in autism spectrum disorder compared with controls.
Janet K Kern1, David A Geier, James B Adams
1Institute of Chronic Illnesses, Inc., Silver Spring, Maryland, USA. jkern@dfwair.net
Journal of Strength and Conditioning Research
|July 25, 2013
Summary
Children with autism spectrum disorder (ASD) show significantly lower handgrip strength compared to neurotypical children. This finding suggests potential muscle weakness in individuals with ASD, warranting further investigation.
Area of Science:
- Neurology
- Developmental Pediatrics
- Musculoskeletal Health
Background:
- Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting social interaction and communication.
- Limited research exists on the physical characteristics, specifically muscle strength, in children with ASD.
- Handgrip strength is a reliable indicator of overall muscle strength and functional capacity.
Purpose of the Study:
- To compare handgrip strength between children diagnosed with ASD and age-matched neurotypical controls.
- To investigate potential muscle weakness as a physical characteristic associated with ASD.
- To explore the utility of handgrip strength measurement in assessing interventions for ASD.
Main Methods:
- A comparative study involving 33 children with ASD and 33 neurotypical controls, aged 2-17 years.
- Participants were matched for gender, race, and age.
- Handgrip strength was measured using a handheld dynamometer.
Main Results:
- Children with ASD exhibited significantly lower handgrip strength than neurotypical controls (p < 0.0001).
- Mean handgrip strength was 39.4 ± 17.7 kPa for children with ASD versus 65.1 ± 26.7 kPa for controls.
- The findings support the hypothesis of reduced handgrip strength in children with ASD.
Conclusions:
- Children with ASD demonstrate significantly weaker handgrip strength compared to their neurotypical peers.
- The results suggest underlying muscle weakness in the ASD population.
- Handgrip strength assessment may serve as a valuable tool for evaluating targeted treatments and understanding physical development in ASD.

