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ABSTRACT
Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 83

Physiotherapy in Neurological conditions: AB No: 100: Factors contributing for decreased fine motor skills in Autism Spectrum Disorders


1 Faculty of Physiotherapy Sri Ramachandra Institute of Higher Education and Research
2 Department of Paediatrics Sri Ramachandra Institute of Higher Education and Research
3 Department of Neonatology
4 Department of Physiotherapy, Spastic Society of Physiotherapy

Date of Web Publication15-Nov-2022

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2456-7787.361066

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How to cite this article:
Muthusamy R, Padmanabhan R, Ninan B, Ganesan S. Physiotherapy in Neurological conditions: AB No: 100: Factors contributing for decreased fine motor skills in Autism Spectrum Disorders. J Soc Indian Physiother 2022;6:83

How to cite this URL:
Muthusamy R, Padmanabhan R, Ninan B, Ganesan S. Physiotherapy in Neurological conditions: AB No: 100: Factors contributing for decreased fine motor skills in Autism Spectrum Disorders. J Soc Indian Physiother [serial online] 2022 [cited 2023 Feb 5];6:83. Available from: http://www.jsip.ac.in/text.asp?2022/6/2/83/361066

Purpose: Autism spectrum disorder (ASD) is primarily considered as psychiatric disorder but physical features are associated with it. Motor impairments are manifested as delays and deficits where gross motor functions develop overtime but fine motor is still found delayed even at three years of age. Relevance: Reasons for delayed fine motor skills (FMS) could be multifold which include cognitive delays, limited attention and concentration and sensory processing deficits (SPD) and decreased hand grip strength (HGS) but the extent and consistency of the muscle weakness is not clear. This study intends to quantify HGS and analyse the relationship of the various contributing factors for the decreased FMS in ASD. Participants: This cross sectional study was carried out in 65 ASD children diagnosed with Childhood Autism Rating Scale. Subjects were recruited from Vidyasudha – Centre for children with special needs. Methods: Level of the FMS was assessed by Peabody Developmental Motor Scale and HGS was quantified with Martin Vigorimeter. Sensory Profile was used to assess their SPD and Cognitive and Adaptive functioning was assessed using Developmental assessment for young children. Analysis and Results: Unpaired t test showed statistically significant decrease in HGS with p <0.05. Pearson’s correlation showed strong positive correlation between FMS and various factors - HGS, SPD and cognition with r > 0.7 and p ≤ 0.05 and with r > 0.8 in adaptive functioning. Beta value of Logistic regression of HGS, Cognition, Tactile, Vestibular and Auditory processing was -0.172, -0.209, 0.336, 0.161 and 0.130 respectively which conveys that HGS, cognition and Tactile dysfunction has major impact followed by Vestibular and Visual dysfunction. Conclusion: There is significant decrease in HGS and cognition, HGS and Tactile dysfunction has greater influence followed by Vestibular and Visual which insists Paediatric therapist to comprehensively assess all components and individualize treatment based on deficits and simultaneously address when training FMS and activities of daily living.



Autism Spectrum Disorder, Fine motor skills, Hand grip strength, Peabody Developmental Motor Scales, Sensory processing Dysfunction






 

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