Atypical Impact of Action Effect Delay on Motor Performance in Autism.
Noam Karsh, Marissa Hartston, Bat-Sheva Hadad
PMID 38316696WHAT IT FOUND
Immediate visual feedback made key-press responses faster in both adults with autism and adults with typical development.
Adults with autism did not slow down more as feedback delay increased. This is a lab timing difference, not a tested treatment effect.
Key findings
01Adults with autism were slower overall to press the matching key than adults with typical development.
02Immediate visual feedback after a key press made responses faster than no feedback in both groups.
03Adults with autism did not distinguish between short and long feedback delays as clearly as adults with typical development.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only 20 adults with autism and 20 adults with typical development were analysed, and all had normal or corrected-to-normal vision and IQ within the normal range. The authors note that response time is not the only way to measure motor performance and that other tasks, such as endpoint movement tasks, may be needed. There was large variability within the autism group: approximately a third showed an opposite trend, a similar proportion showed no noticeable impact, and the rest showed a typical effect. Participants were recruited through a university advertisement and a hostel providing living assistance for adults with autism, so the sample may not represent all adults with autism. The analysed sample was 20 adults with autism and 20 adults with typical development after exclusions, and the pre-processing section notes that one adult with typical development was removed because of an Autism Quotient score. The theoretical explanation that atypical sensory processing caused the motor pattern was not tested directly; the authors note this awaits independent examination.
Declared interests
The authors declare that they have no conflict of interest.
The easy way to misread this
Do not read the immediate feedback result as proof that a therapy works. The study measured keyboard response time in a laboratory task, and adults with autism did not show the typical slowing across feedback delay levels.