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Updated: Oct 14, 2025

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Characterising the Early Presentation of Motor Difficulties in Autistic Children
Jess E Reynolds1, Andrew J O Whitehouse2, Gail A Alvares2
1Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia. jess.reynolds@telethonkids.org.au.
Abstract:
This study aimed to explore the rates of motor difficulties in children from the Australian Autism Biobank, and how early motor concerns impacted on children functionally. Children with autism aged 2-7 years, including 441 with a Vineland Adaptive Behavior Scale (VABS-II) motor subscale and 385 with a Mullen Scales of Early Learning (MSEL) fine motor subscale were included (n total = 514; 80% male). Approximately 60% of children on the MSEL and ~ 25% on the VABS-II had clinically significant motor impairments. More children with delayed sitting and walking motor milestones had early childhood parent reported motor difficulties (p < 0.001). Early motor delays or concerns may assist identifying individuals who will likely benefit from early ongoing developmental monitoring and early support.
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