Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder

Background/Objectives: Children with autism exhibit deficits in fundamental motor skills, which are intensified when associated with attention-deficit/hyperactivity disorder (ADHD). Objective: To correlate motor competence in children with autism, autism levels according to the CARS scale, and the a...

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Main Authors: Jadiane Dionisio, Cristina dos Santos Cardoso de Sá, Susana Lúcio, Gabriela Neves de Almeida, Rita Cordovil
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/11/12/1518
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author Jadiane Dionisio
Cristina dos Santos Cardoso de Sá
Susana Lúcio
Gabriela Neves de Almeida
Rita Cordovil
author_facet Jadiane Dionisio
Cristina dos Santos Cardoso de Sá
Susana Lúcio
Gabriela Neves de Almeida
Rita Cordovil
author_sort Jadiane Dionisio
collection DOAJ
description Background/Objectives: Children with autism exhibit deficits in fundamental motor skills, which are intensified when associated with attention-deficit/hyperactivity disorder (ADHD). Objective: To correlate motor competence in children with autism, autism levels according to the CARS scale, and the association with ADHD. Methods: This cross-sectional study assessed motor competence using the Motor Competence Assessment (MCA), the severity of Autism Spectrum Disorder by Childhood Autism Rating Scale (CARS), and the presence of clinical signs for ADHD using Swanson, Nolan, and Pelham (SNAP-IV) questionnaire. A total of 68 children were recruited; however, 23 were not included due to non-acceptance and/or were excluded because of associated pathologies, high autism severity. Consequently, 45 children (11 with ADHD) between the ages of 5 and 11 (Mean: 8.15; ±1.75) with 83.72% being male. Results: Multiple linear regression revealed a significant inverse correlation between MCA scores and raw CARS data (<i>p</i> = 0.01), indicating that greater autism severity is associated with lower motor competence. The correlation was also observed in CARS classifications, with higher autism severity corresponding to lower motor percentiles (<i>p</i> = 0.05). However, the correlation between the presence of ADHD and motor competence in children with ASD did not reach significance. Overall, a significant correlation was observed (<i>p</i> = 0.006) when analyzing all variables (CARS scores, SNAP scores, and CARS classification). Conclusion: Therefore, it is believed that children with autism exhibit deficits in functional motor skills, with severity impacting motor competence. The findings underscore the need for systematic motor skill assessments in children with autism, emphasizing the importance of monitoring and intervention in this aspect of their development.
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spelling doaj-art-e65f17bbc9f54560ac74a1c617a7ea0a2024-12-27T14:17:57ZengMDPI AGChildren2227-90672024-12-011112151810.3390/children11121518Motor Competence in Autistic Children with Attention-Deficit Hyperactivity DisorderJadiane Dionisio0Cristina dos Santos Cardoso de Sá1Susana Lúcio2Gabriela Neves de Almeida3Rita Cordovil4Faculdade de Educação Física e Fisioterapia, Universidade Federal de Uberlândia, Uberlândia 38400-678, BrazilDepartamento de Fisioterapia, Escola Superior se Saúde de Alcoitão, 2649-506 Alcabideche, PortugalCADIn-Neurodesenvolvimento e Inclusão, 2750-782 Cascais, PortugalEscola de Saúde e Desenvolvimento Humano, Comprehensive Health Research Centre, Universidade de Évora, 7002-554 Évora, PortugalCIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz Quebrada-Dafundo, PortugalBackground/Objectives: Children with autism exhibit deficits in fundamental motor skills, which are intensified when associated with attention-deficit/hyperactivity disorder (ADHD). Objective: To correlate motor competence in children with autism, autism levels according to the CARS scale, and the association with ADHD. Methods: This cross-sectional study assessed motor competence using the Motor Competence Assessment (MCA), the severity of Autism Spectrum Disorder by Childhood Autism Rating Scale (CARS), and the presence of clinical signs for ADHD using Swanson, Nolan, and Pelham (SNAP-IV) questionnaire. A total of 68 children were recruited; however, 23 were not included due to non-acceptance and/or were excluded because of associated pathologies, high autism severity. Consequently, 45 children (11 with ADHD) between the ages of 5 and 11 (Mean: 8.15; ±1.75) with 83.72% being male. Results: Multiple linear regression revealed a significant inverse correlation between MCA scores and raw CARS data (<i>p</i> = 0.01), indicating that greater autism severity is associated with lower motor competence. The correlation was also observed in CARS classifications, with higher autism severity corresponding to lower motor percentiles (<i>p</i> = 0.05). However, the correlation between the presence of ADHD and motor competence in children with ASD did not reach significance. Overall, a significant correlation was observed (<i>p</i> = 0.006) when analyzing all variables (CARS scores, SNAP scores, and CARS classification). Conclusion: Therefore, it is believed that children with autism exhibit deficits in functional motor skills, with severity impacting motor competence. The findings underscore the need for systematic motor skill assessments in children with autism, emphasizing the importance of monitoring and intervention in this aspect of their development.https://www.mdpi.com/2227-9067/11/12/1518autism spectrum disordermotor skillsneurodevelopmental disordersexercise test
spellingShingle Jadiane Dionisio
Cristina dos Santos Cardoso de Sá
Susana Lúcio
Gabriela Neves de Almeida
Rita Cordovil
Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder
Children
autism spectrum disorder
motor skills
neurodevelopmental disorders
exercise test
title Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder
title_full Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder
title_fullStr Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder
title_full_unstemmed Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder
title_short Motor Competence in Autistic Children with Attention-Deficit Hyperactivity Disorder
title_sort motor competence in autistic children with attention deficit hyperactivity disorder
topic autism spectrum disorder
motor skills
neurodevelopmental disorders
exercise test
url https://www.mdpi.com/2227-9067/11/12/1518
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