David FJ, Baranek GT, Wiesen C, Miao AF and Thorpe DE (2012) Coordination of precision grip in 2–6 years-old children with autism spectrum disorders compared to children developing typically and children with developmental disabilities. Front. Integr. Neurosci. 6:122. doi: 10.3389/fnint.2012.00122
A precision grip task was used to quantify and analyze motor coordination. The motor coordination variables were two temporal variables (grip to load force onset latency and time to peak grip force) and two force variables (grip force at onset of load force and peak grip force). Functional motor skills were assessed using the Fine Motor Age Equivalents of the Vineland Adaptive Behavior Scale and the Mullen Scales of Early Learning. Mixed regression models were used for all analyses. Children with ASD presented with significant motor coordination deficits only on the two temporal variables, and these variables differentiated children with ASD from the children with TD, but not from children with DD. Fine motor functional skills had no statistically significant associations with any of the motor coordination variables.
The timing of maximal peak grip force is programmed utilizing previous experience about object load and requires incorporating this information in the motor program in an anticipatory or predictive, feed-forward manner for subsequent precision grip trials (Flanagan and Wing, 1993). In older children who are typically developing, the time to peak grip force is reduced and is indicative of better feed-forward control (David et al., 2009). In the current sample of young children with ASD and DD, the prolonged times to peak grip force are suggestive of a control mode that relies on reactive/feedback rather than predictive/feed-forward control especially given that this pattern is not improving with increasing MA. By contrast, the TD group shows development toward more adult-like patterns in time to peak grip force with increasing MA.