Older Adolescents and Young Adults With Autism Spectrum Disorder Have Difficulty Chaining Motor Acts When Performing Prehension Movements Compared to Typically Developing Peers

It is known that motor actions performed by individuals with autism spectrum disorders (ASD) are clumsy and a previous study revealed that children with ASD of around 8 years old showed less smooth movement and dysfunction of appropriate usage of online vision for grip aperture control. The present study investigates whether and how the kinematic properties of reach-to-grasp movements in older adolescents and adults with ASD [mean (±SD) age: 18.3 ± 2.1] differ from those in typically developing (TD) peers [mean (±SD) age: 19.1 ± 2.2]. Revealing the kinematic properties of reach-to-grasp movements in older adolescents and adults with ASD is indispensable in determining the developmental trajectory of this motor behavior in individuals with ASD. While wearing liquid crystal shutter goggles, participants reached for and grasped a cylinder with a diameter of either 4 or 6 cm. Two visual conditions were tested: a full vision (FV) condition (the goggles remained transparent during the movement) and a no vision (NV) condition (the goggles were closed immediately after the movement was initiated). These two visual conditions were either alternated with each trial in a single experimental session (alternated condition) or blocked within the session (blocked condition). We found that the reaching movement smoothness calculated as a normalized jerk score (i.e., index of skilled, coordinated human movements) of ASD participants did not differ significantly from that of TD peers although ASD participants showed smoother reaching in the alternated condition than in the blocked condition. The influence of online vision and its visual condition schedule on grip aperture during the in-flight phase was remarkably similar between the ASD and TD groups. Furthermore, we found that ASD group experienced a significant longer transition period from grasping end (i.e., stable holding when touching the surface of the object) to uplift initiation than the TD group. The results suggest that (1) deficits in movement smoothness and the use of online vision for motor control are rectified by the time individuals with ASD reach late adolescence and (2) older adolescents and adults with ASD still have difficulties chaining motor acts

Decreased utilization of allocentric coordinates during reaching movement in individuals with autism spectrum disorder.

Despite numerous reports of abnormalities in limb motor controls in spatial orientation in individuals with autism spectrum disorder (ASD), the underlying mechanisms have not been elucidated. We studied the influence of allocentric coordinates on ongoing reaching movements, which has been reported to strongly affect the reaching movements of typically developing (TD) individuals. ASD and TD participants observed a target presented randomly on one of the four corners of a frame on a screen. After it disappeared, another frame was presented slightly shifted leftward/rightward. The participants touched the memorized position of the target relatively congruent with a reference frame (allocentric condition) or ignoring it (egocentric condition). Results suggested that TD individuals were apt to touch the positions in allocentric manner rather than egocentric manner, while ASDs did not show this prioritization. Our findings demonstrate that decreased utilization of visual landmarks in ongoing movement may underlie motor disabilities in autism

RESEARCH ON UTILIZATION OF NATIONAL EMPLOYMENT WELFARE SERVICE BY PERSONS WITH INTRACTABLE DISEASES IN JAPAN

With the revision of the Services and Supports for Persons with Disabilities Act in 2013 to provide welfare service to patients with Intractable Diseases (IDs) and the enactment of a new act for these patients in 2015, employment support (ES) service for them has become an important issue in Japan because of the chronicity of many of the diseases. The objective of this research is to examine utilization of the ES welfare services, and to identify care expected from ES service providers and their current efforts. A questionnaire was mailed to every registered provider in Japan (12,483 locations). Among 6,053 respondents, 16 percent reported patients with IDs using their services, and that among them, 74 percent had a certificate of person of disabilities, which is not required under the current Act. As for the reasons for reporting non-utilization, the percentage of “absence of inquiry” was 77 percent, while that of “needed medical care,” “insufficient staff/facilities” and “lack of appropriate work” were all less than 3 percent. The result shows that dissemination of the ES service is still insufficient, and patients with IDs, their families, support providers and medical professionals need to be familiarized with the service in details