Motor problems in autism: Co-occurrence or feature?

Area of Science:

• Neurodevelopmental disorders
• Motor control and coordination

Background:

• Motor features are recognized in autism spectrum disorder (ASD).
• Current guidelines allow co-occurring diagnosis of developmental coordination disorder (DCD) for autistic individuals with motor deficits.
• Overlap exists between motor features of ASD and DCD, but underlying mechanisms may differ.

Purpose of the Study:

• To highlight the prevalence and underdiagnosis of motor problems in autism.
• To advocate for changes in the clinical pipeline for motor issues in autism.
• To emphasize the need for research and evidence-based practices.

Main Methods:

• Review of existing literature on motor problems in autism and DCD.
• Analysis of current diagnostic and clinical guidelines.
• Identification of unmet needs in research and clinical practice.

Main Results:

• Motor problems are highly prevalent in autistic individuals.
• These motor issues are frequently underdiagnosed and inadequately managed.
• There is a significant need for improved clinical recognition, assessment, diagnosis, and intervention strategies.

Conclusions:

• An evidence-based clinical pipeline for motor problems in autism is urgently required.
• Development of valid and reliable screening and assessment tools for autistic individuals is essential.
• Consensus and further research are needed to optimize clinical practice and address motor deficits effectively.