To date, information on associations between motor skills and executive functions (EF) in autistic children is limited. The purpose of this study was to compare motor skills and EF performance between autistic children and typically developing (TD) children and to examine the relationships between motor skills and EF in these two groups. Forty-eight autistic children and 48 TD children aged 6 to 12 years were recruited for this study. Motor skills were measured with the Bruininks-Oseretsky Test of Motor Proficiency-2 (BOT-2). EF was assessed with the Stroop Color and Word Test, the Wisconsin Card Sorting Task (WCST), and the Test of Attentional Performance: Go/No-go test. Independent sample t-tests were used to compare the BOT-2 scores and EF measures between autistic children and TD children. Pearson product-moment correlation and regressions were conducted to assess the relationships between the BOT-2 scores and the EF measures for each group. Results showed that autistic children scored significantly lower than TD children on all four BOT-2 composite scores and a total motor composite. Autistic children also demonstrated significantly lower levels of performance on all EF measures than TD children. Further, autistic children showed more significant associations between motor skills and EF than TD children, particularly pronounced in the domains of fine manual control and manual coordination to cognitive flexibility, as well as manual coordination and inhibitory control. Continued development of motor skills and EF in autistic children is important. The relationships between motor skills and EF were significant among autistic children, suggesting future research on promoting EF through motor skill interventions in autistic children is required.
Adolph, K. E. (2005). Learning to learn in the development of action. In J. J. Rieser, J. J. Lockman, & C. A. Nelson (Eds.), Action as an organizer of learning and development: Vol.33 in the Minnesota Symposia on Child Psychology (pp. 91–122). Lawrence Erlbaum Associates Publishers.
Adolph, K. E. (2019). An ecological approach to learning in (not and) development. Human Development, 63(3–4), 180–201. https://doi.org/10.1159/000503823
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
Anderson, P. (2002). Assessment and development of executive function (EF) during childhood. Child Neuropsychology, 8(2), 71–82. https://doi.org/10.1076/chin.8.2.71.8724
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
Bruininks, R. H., & Bruininks, B. D. (2005). Bruininks‐Oseretsky test of motor proficiency (2nd ed.). Pearson Assessments.
Centers for Disease Control and Prevention. (2023). Data and statistics on autism spectrum disorder. https://www.cdc.gov/ncbddd/autism/data.html
Chen, S.‐F., Chien, Y.‐L., Wu, C.‐T., Shang, C.‐Y., Wu, Y.‐Y., & Gau, S. S. (2016). Deficits in executive functions among youths with autism spectrum disorders: An age‐stratified analysis. Psychological Medicine, 46(8), 1625–1638. https://doi.org/10.1017/S0033291715002238
D'Cruz, A.‐M., Ragozzino, M. E., Mosconi, M. W., Shrestha, S., Cook, E. H., & Sweeney, J. A. (2013). Reduced behavioral flexibility in autism spectrum disorders. Neuropsychology, 27(2), 152–160. https://doi.org/10.1037/a0031721
Demetriou, E. A., Lampit, A., Quintana, D. S., Naismith, S. L., Song, Y. J. C., Pye, J. E., Hickie, I., & Guastella, A. J. (2018). Autism spectrum disorders: A meta‐analysis of executive function. Molecular Psychiatry, 23(5), 1198–1204. https://doi.org/10.1038/mp.2017.75
Diamond, A. (2000). Close interrelation of motor development and cognitive development and of the cerebellum and prefrontal cortex. Child Development, 71(1), 44–56. https://doi.org/10.1111/1467-8624.00117
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168.
Dyck, M. J., Piek, J. P., Hay, D., Smith, L., & Hallmayer, J. (2006). Are abilities abnormally interdependent in children with autism? Journal of Clinical Child & Adolescent Psychology, 35(1), 20–33. https://doi.org/10.1207/s15374424jccp3501_3
El‐Hady, S. S. A., El‐Azim, F. H. A., & El‐Talawy, H. A. E.‐A. M. (2018). Correlation between cognitive function, gross motor skills and health – Related quality of life in children with down syndrome. Egyptian Journal of Medical Human Genetics, 19(2), 97–101.
Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta‐analysis. Journal of Autism and Developmental Disorders, 40(10), 1227–1240.
Gabriels, R. L., Agnew, J. A., Holt, K. D., Shoffner, A., Zhaoxing, P., Ruzzano, S., Clayton, G. H., & Mesibov, G. (2012). Pilot study measuring the effects of therapeutic horseback riding on school‐age children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 6(2), 578–588. https://doi.org/10.1016/j.rasd.2011.09.007
Geertsen, S. S., Thomas, R., Larsen, M. N., Dahn, I. M., Andersen, J. N., Krause‐Jensen, M., Korup, V., Nielsen, C. M., Wienecke, J., Ritz, C., Krustrup, P., & Lundbye‐Jensen, J. (2016). Motor skills and exercise capacity are associated with objective measures of cognitive functions and academic performance in preadolescent children. PLoS One, 11(8), e0161960. https://doi.org/10.1371/journal.pone.0161960
Golden, C. J., Freshwater, S. M., & Golden, Z. (2003). Stroop color and word test, Children's version for ages 5–14: A manual for clinical and experimental uses. Stoelting Co.
Heaton, R. K., & PAR Staff. (2003). Wisconsin card sorting test: Computer version 4. Psychological Assessment Resources.
Hertzberg, O. E. (1929). The relationship of motor ability to the intelligence of kindergarten children. Journal of Educational Psychology, 20(7), 507–519. https://doi.org/10.1037/h0070410
Hilton, C. L., Zhang, Y., Whilte, M. R., Klohr, C. L., & Constantino, J. (2012). Motor impairment in sibling pairs concordant and discordant for autism spectrum disorders. Autism, 16(4), 430–441. https://doi.org/10.1177/1362361311423018
Houwen, S., Visser, L., van der Putten, A., & Vlaskamp, C. (2016). The interrelationships between motor, cognitive, and language development in children with and without intellectual and developmental disabilities. Research in Developmental Disabilities, 53–54, 19–31. https://doi.org/10.1016/j.ridd.2016.01.012
Iverson, J. M., West, K. L., Schneider, J. L., Plate, S. N., Northrup, J. B., & Roemer Britsch, E. (2023). Chapter four ‐ early development in autism: How developmental cascades help us understand the emergence of developmental differences. In C. S. Tamis‐Lemonda & J. J. Lockman (Eds.), Advances in child development and behavior (Vol. 64, pp. 109–134). JAI. https://doi.org/10.1016/bs.acdb.2022.10.005
Leung, R. C., & Zakzanis, K. K. (2014). Brief report: Cognitive flexibility in autism spectrum disorders: A quantitative review. Journal of Autism and Developmental Disorders, 44(10), 2628–2645. https://doi.org/10.1007/s10803-014-2136-4
Liu, T., Capistran, J., & ElGarhy, S. (2021). Fine and gross motor competence in children with autism spectrum disorder. The Physical Educator, 78(3), 227–241. https://doi.org/10.18666/TPE-2021-V78-I3-9644
Lloyd, M., MacDonald, M., & Lord, C. (2013). Motor skills of toddlers with autism spectrum disorders. Autism, 17(2), 133–146. https://doi.org/10.1177/1362361311402230
Ludyga, S., Pühse, U., Gerber, M., & Herrmann, C. (2019). Core executive functions are selectively related to different facets of motor competence in preadolescent children. European Journal of Sport Science, 19(3), 375–383. https://doi.org/10.1080/17461391.2018.1529826
Maenner, M. J., Warren, Z., Williams, A. R., et al. (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2020. MMWR. Surveillance Summaries, 14, 72. https://doi.org/10.15585/mmwr.ss7202a1
Maurer, M. N., & Roebers, C. M. (2019). Towards a better understanding of the association between motor skills and executive functions in 5‐ to 6‐year‐olds: The impact of motor task difficulty. Human Movement Science, 66, 607–620. https://doi.org/10.1016/j.humov.2019.06.010
Pesce, C., Masci, I., Marchetti, R., Vazou, S., Sääkslahti, A., & Tomporowski, P. D. (2016). Deliberate play and preparation jointly benefit motor and cognitive development: Mediated and moderated effects. Frontiers in Psychology, 7, 349. https://doi.org/10.3389/fpsyg.2016.00349
Piek, J. P., Dyck, M. J., Nieman, A., Anderson, M., Hay, D., Smith, L. M., McCoy, M., & Hallmayer, J. (2004). The relationship between motor coordination, executive functioning and attention in school aged children. Archives of Clinical Neuropsychology, 19(8), 1063–1076. https://doi.org/10.1016/j.acn.2003.12.007
Ramello de Carvalho, A. C., Quintas, R., Blascovi‐Assis, S., & Seabra, A. (2020). Motor performance, intelligence, and executive function in children with ASD. International Journal of Development Research, 10, 34053–34060.
Robinson, S., Goddard, L., Dritschel, B., Wisley, M., & Howlin, P. (2009). Executive functions in children with autism spectrum disorders. Brain and Cognition, 71(3), 362–368. https://doi.org/10.1016/j.bandc.2009.06.007
Roebers, C. M., & Kauer, M. (2009). Motor and cognitive control in a normative sample of 7‐year‐olds. Developmental Science, 12(1), 175–181. https://doi.org/10.1111/j.1467-7687.2008.00755.x
Roebers, C. M., Röthlisberger, M., Neuenschwander, R., Cimeli, P., Michel, E., & Jäger, K. (2014). The relation between cognitive and motor performance and their relevance for children's transition to school: A latent variable approach. Human Movement Science, 33, 284–297. https://doi.org/10.1016/j.humov.2013.08.011
Schurink, J., Hartman, E., Scherder, E. J. A., Houwen, S., & Visscher, C. (2012). Relationship between motor and executive functioning in school‐age children with pervasive developmental disorder not otherwise specified. Research in Autism Spectrum Disorders, 6(2), 726–732. https://doi.org/10.1016/j.rasd.2011.10.013
Staples, K. L., & Reid, G. (2010). Fundamental movement skills and autism Spectrum disorders. Journal of Autism and Developmental Disorders, 40(2), 209–217. https://doi.org/10.1007/s10803-009-0854-9
Sung, M.‐C., Ku, B., Leung, W., & MacDonald, M. (2022). The effect of physical activity interventions on executive function among people with neurodevelopmental disorders: A meta‐analysis. Journal of Autism and Developmental Disorders, 52(3), 1030–1050. https://doi.org/doi.org/10.1007/s10803-021-05009-5
Sung, M.‐C., McClelland, M. M., Massey, W., Logan, S. W., & MacDonald, M. (2024). Association between motor skills and executive function of children with autism spectrum disorder in Taiwan and the United States. Frontiers in Public Health, 11, 1292695. https://doi.org/10.3389/fpubh.2023.1292695
van der Fels, I. M. J., te Wierike, S. C. M., Hartman, E., Elferink‐Gemser, M. T., Smith, J., & Visscher, C. (2015). The relationship between motor skills and cognitive skills in 4–16 year old typically developing children: A systematic review. Journal of Science and Medicine in Sport, 18(6), 697–703. https://doi.org/10.1016/j.jsams.2014.09.007
Vanvuchelen, M., Roeyers, H., & De Weerdt, W. (2007). Nature of motor imitation problems in school‐aged boys with autism: A motor or a cognitive problem? Autism, 11(3), 225–240. https://doi.org/10.1177/1362361307076846
Woolard, A., Stratton, E., Demetriou, E. A., Boulton, K. A., Pellicano, E., Glozier, N., Gibbs, V., Rogerson, N., Quinn, P., Hickie, I. B., & Guastella, A. J. (2021). Perceptions of social and work functioning are related to social anxiety and executive function in autistic adults. Autism, 25(7), 2124–2134. https://doi.org/10.1177/13623613211013664
Wunsch, K., Pfister, R., Henning, A., Aschersleben, G., & Weigelt, M. (2016). No interrelation of motor planning and executive functions across young ages. Frontiers in Psychology, 7, 1031.
Zhang, Z., Peng, P., & Zhang, D. (2020). Executive function in high‐functioning autism spectrum disorder: A meta‐analysis of fMRI studies. Journal of Autism and Developmental Disorders, 50, 4022–4038. https://doi.org/10.1007/s10803-020-04461-z
Zimmermann, P., & Fimm, B. (2012). Test for attentional performance (TAP) (version 2.1). Psytest, Herzogenrath.
Grants
NSTC 112-2410-H-017-029-MY2/National Science and Technology Council
106-2410-H-017-022-MY3/Ministry of Science and Technology, Taiwan