Abstract
Motor impairment is common in autism spectrum disorder (ASD) and, as such, a potential target for interventions to improve adaptive functioning. This study investigated motor skill acquisition in children with ASD (n = 15, 12 males; ages 7–16 years) during iCan Bike Camp, a 1-week, community-based intervention (5 × 75-min sessions) to teach independent bicycle riding. After completing the camp’s task-oriented, individualized training program, all participants demonstrated motor skill acquisition on the bicycle, and nine participants rode independently at least 70 feet. Exploratory analyses showed that motor coordination and social communication correlated with rates of skill acquisition. These findings indicate the feasibility and efficacy of brief, community-based motor interventions to teach bicycle riding—an important developmental skill supporting adaptive functioning—to children with ASD.
Notes
ASD severity operationalized per Social Responsiveness Scale-2 age norms (Constantino and Gruber 2012).
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Arlington: American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596.744053.
Bhat, A. N., Landa, R. J., & Galloway, J. C. (2011). Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorders. Physical Therapy,91(7), 1116–1129. https://doi.org/10.2522/ptj.20100294.
Bower, J. M., & Parsons, L. (2003). Rethinking the “lesser brain”. Scientific American,289(2), 50–57.
Buja, A., Volfovsky, N., Krieger, A. M., Lord, C., Lash, A. E., Wigler, M., et al. (2018). Damaging de novo mutations diminish motor skills in children on the autism spectrum. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.1715427115.
Burt, T. L., Porretta, D. L., & Klein, R. E. (2007). Use of adapted bicycles on the learning of conventional cycling by children with mental retardation. Education and Training in Developmental Disabilities,42, 364–379.
Constantino, J., & Gruber, C. (2012). Social responsiveness scale (SRS). Torrance, CA: WPS.
Constantino, J. N. (2018). Deconstructing autism: From unitary syndrome to contributory developmental endophenotypes. International Review of Psychiatry. https://doi.org/10.1080/09540261.2018.1433133.
Estes, A., Zwaigenbaum, L., Gu, H., St. John, T., Paterson, S., Elison, J. T., … Piven, J. (2015). Behavioral, cognitive, and adaptive development in infants with autism spectrum disorder in the first 2 years of life. Journal of Neurodevelopmental Disorders, 7(1), 1–10. https://doi.org/10.1186/s11689-015-9117-6.
Goodrich, B., Gabry, J., Ali, I., & Brilleman, S. (2018). rstanarm: Bayesian applied regression modeling via Stan. R Package Version,2(17), 4.
Hawks, Z. W., Marrus, N., Glowinski, A. L., & Constantino, J. N. (2018). Early origins of autism comorbidity: Neuropsychiatric traits correlated in childhood are independent in infancy. Journal of Abnormal Child Psychology. https://doi.org/10.1007/s10802-018-0410-1.
Hoche, F., Guell, X., Sherman, J. C., Vangel, M. G., & Schmahmann, J. D. (2016). Cerebellar contribution to social cognition. Cerebellum,15(6), 732–743. https://doi.org/10.1007/s12311-015-0746-9.
iCan Shine. (2019). Who we are. Retrieved from https://icanshine.org.
Kanne, S. M., Gerber, A. J., Quirmbach, L. M., Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2011). The role of adaptive behavior in autism spectrum disorders: Implications for functional outcome. Journal of Autism and Developmental Disorders,41(8), 1007–1018. https://doi.org/10.1007/s10803-010-1126-4.
Klein, R. E., McHugh, E., Harrington, S. L., Davis, T., & Lieberman, L. J. (2005). Adapted bicycles for teaching riding skills. Teaching Exceptional Children,37(6), 50–56. https://doi.org/10.1177/004005990503700606.
Lang, R., Koegel, L. K., Ashbaugh, K., Regester, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders,4(4), 565–576. https://doi.org/10.1016/j.rasd.2010.01.006.
Leonard, H. C., & Hill, E. L. (2014). Review: The impact of motor development on typical and atypical social cognition and language: A systematic review. Child and Adolescent Mental Health,19(3), 163–170. https://doi.org/10.1111/camh.12055.
MacDonald, M., Esposito, P., Hauck, J., Jeong, I., Hornyak, J., Argento, A., et al. (2012). Bicycle training for youth with Down syndrome and autism spectrum disorders. Focus on Autism and Other Developmental Disabilities,27(1), 12–21. https://doi.org/10.1177/1088357611428333.
Mandich, A. D., Polatajko, H. J., & Rodger, S. (2003). Rites of passage: Understanding participation of children with developmental coordination disorder. Human Movement Science,22(4–5), 583–595. https://doi.org/10.1016/j.humov.2003.09.011.
Mostofsky, S. H., & Ewen, J. B. (2011). Altered connectivity and action model formation in autism is autism. Neuroscientist,17(4), 437–448. https://doi.org/10.1177/1073858410392381.
Mous, S. E., Jiang, A., Agrawal, A., & Constantino, J. N. (2017). Attention and motor deficits index non-specific background liabilities that predict autism recurrence in siblings. Journal of Neurodevelopmental Disorders,9(1), 32. https://doi.org/10.1186/s11689-017-9212-y.
Orsmond, G. I., Krauss, M. W., & Seltzer, M. M. (2004). Peer relationships and social and recreational activities among adolescents and adults with autism. Journal of Autism and Developmental Disorders,34(3), 245–256. https://doi.org/10.1023/B:JADD.0000029547.96610.df.
Pitetti, K. H., Rendoff, A. D., Grover, T., & Beets, M. W. (2007). The efficacy of a 9-month treadmill walking program on the exercise capacity and weight reduction for adolescents with severe autism. Journal of Autism and Developmental Disorders,37(6), 997–1006. https://doi.org/10.1007/s10803-006-0238-3.
Pugliese, C. E., Anthony, L., Strang, J. F., Dudley, K., Wallace, G. L., & Kenworthy, L. (2015). Increasing adaptive behavior skill deficits from childhood to adolescence in autism spectrum disorder: Role of executive function. Journal of Autism and Developmental Disorders,45(6), 1579–1587. https://doi.org/10.1007/s10803-014-2309-1.
Smits-Engelsman, B., Vinçon, S., Blank, R., Quadrado, V. H., Polatajko, H., & Wilson, P. H. (2018). Evaluating the evidence for motor-based interventions in developmental coordination disorder: A systematic review and meta-analysis. Research in Developmental Disabilities,74, 72–102. https://doi.org/10.1016/j.ridd.2018.01.002.
Todd, T., Reid, G., & Butler-Kisber, L. (2010). Cycling for students with ASD: Self-regulation promotes sustained physical activity. Adapted Physical Activity Quarterly,27(3), 226–241. https://doi.org/10.1123/apaq.27.3.226.
Ulrich, D. A., Burghardt, A. R., Lloyd, M., Tiernan, C., & Hornyak, J. E. (2011). Physical activity benefits of learning to ride a two-wheel bicycle for children with down syndrome: A randomized trial. Physical Therapy,91(10), 1463–1477. https://doi.org/10.2522/ptj.20110061.
Van de Cruys, S., De, Van, Evers, K., Van Der Hallen, R., & Van Eylen, L. (2014). Precise minds in uncertain worlds: Predictive coding in autism. Psychological Review. https://doi.org/10.1037/a0037665.
Van de Schoot, R., Kaplan, D., Denissen, J., Asendorpf, J. B., Neyer, F. J., & van Aken, M. A. G. (2014). A gentle introduction to bayesian analysis: Applications to developmental research. Child Development,85(3), 842–860. https://doi.org/10.1111/cdev.12169.
Van Waelvelde, H., Oostra, A., Dewitte, G., & Vanden Broeck, C. (2010). Stability of motor problems in young children with or at risk of autism spectrum disorders, ADHD, and or developmental coordination disorder. Developmental Medicine & Child Neurology,52, e174. https://doi.org/10.1111/j.1469-8749.2009.03606.x.
Wilson, B. N., Crawford, S. G., Green, D., Roberts, G., Aylott, A., & Kaplan, B. J. (2009). Psychometric properties of the revised developmental coordination disorder questionnaire. Physical and Occupational Therapy in Pediatrics,29(2), 182–202. https://doi.org/10.1080/01942630902784761.
Acknowledgments
This work was funded by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number U54 HD087011 (the Intellectual and Developmental Disabilities Research Center at Washington University) and National Institute of Mental Health (K08 MH112891 to NM). We would like to thank the Bike Camp participants and their families, the volunteers who served as spotters, the Missouri Families for Effective Autism Treatment (MO-FEAT), who hosted the camp, and the iCan Shine organization, who runs the camp. We would also like to thank Lauren Castelbaum, Jordan Albright, and Danielle Abrams for assistance with data collection.
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All authors contributed to the study conception, design, and material preparation. Data were collected by ZH, CW, and NM. ZH completed the data analysis and wrote the first draft of the manuscript. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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ZH, CW, and NM declare that they have no conflict of interest. JNC receives royalties from Western Psychological Services for commercial distribution of the Social Responsiveness Scale-2.
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All procedures performed in this study were in accordance with the ethical standards of the institutional research committee (Washington University School of Medicine IRB #201804135) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Hawks, Z., Constantino, J.N., Weichselbaum, C. et al. Accelerating Motor Skill Acquisition for Bicycle Riding in Children with ASD: A Pilot Study. J Autism Dev Disord 50, 342–348 (2020). https://doi.org/10.1007/s10803-019-04224-5
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DOI: https://doi.org/10.1007/s10803-019-04224-5