Postural sway dynamics in adults across the autism spectrum: a multifactor approach.
Bess F Bloomer, Amanda R Bolbecker, Emily L Gildea and 4 others
PMID 40877953WHAT IT FOUND
Autistic adults stood with more sway, especially side-to-side trembling, and fast sway measures accounted for more of their sway than slow measures.
This describes balance differences, not a tested treatment.
Key findings
01Autistic adults had greater sway path than neurotypical adults after accounting for weight and race.
02Autistic adults had greater side-to-side trembling than neurotypical adults.
03Fast-timescale sway variables explained approximately 70% of sway variance in autistic adults and approximately 54% in neurotypical adults.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The four standing conditions were always presented in the same order, so fatigue or task adjustment may have affected later or earlier conditions. The groups differed in body weight and race, and these variables were used as covariates rather than matched. Not all autistic participants had records or gold-standard diagnostic confirmation; some relied on self-identification and clinical interviews. Most participants were young adults, especially in the 20 to 30 year range, so findings may not apply to older autistic adults. Many autistic participants were taking psychotropic medication, and medication may influence sway. The paper reports 143 analysed participants in the table but says 144 were eligible, so the analysed count is not fully consistent. Autism symptom severity was not included, so sway differences cannot be linked to symptom severity.
Declared interests
The study was funded by the National Institute of Mental Health.
The easy way to misread this
Do not read the sway differences as proof that autism causes balance problems or that balance training will help. The study was observational, did not test an intervention, and groups differed in weight, race, and medication use.