Comparing the gross motor performance levels of 7–10 age group children with autism spectrum disorder and typical developing

Keywords: autism spectrum disorder, epilepsy, epileptic seizures, physical activity


Background and Study Aim. The children and adolescents with Autism Spectrum Disorder lead a sedentary lifestyle and, as a result, they are more affected by health problems such as being overweight and obese.  They are physically less active than their peers showing typical developing. The aim of the study is to carry out a general comparison of the gross motor performance levels of elementary school-age children living in Germany diagnosed with autism spectrum disorder and children showing typical developing. Material and Methods. A total of 68 children diagnosed with autism spectrum disorder and 73 children showing normal development between the ages 7 and 10 participated in the study. Of the participants, 55 were diagnosed with autism spectrum disorder were boys and 13 were girls, and the average age of the boys was 8.40±1.09 years, while the average age of the girls was 8.85±1.14 years. Of the 73 participants, 36 showing typical development consisted of boys and 37 of them consisted of girl students, and the average age of the boys was 8.56±1.08 years while the average age of the girls was 8.43±1.21 years. The Body Coordination Test for Children was used to evaluate gross motor performance components in the study. Results. The results of the study showed that girls had lower general body coordination than boys on average. It was concluded that children who had an autism spectrum disorder diagnosis displayed statistically lower total motor performance in all of the administered tests compared to their peers showing normal development (p<0.05). Conclusion. It is considered that the data obtained will provide important clues about the motor coordination values and body composition of children with autism spectrum disorder and will contribute to taking precautions against the health risks of children with autism spectrum disorder, who are more affected by a sedentary lifestyle compared to their normally developing peers.


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Author Biography

Ebubekir Aksay, Department of Health, Rehabilitation and Disability Sport, Germany TV Eberbach e.V.
Prof. Dr.;; Department of Health, Rehabilitation and Disability Sport, Germany TV Eberbach e.V.; Eberbach, Germany; Gelisim University; School of Physical Education and Sport; Istanbul, Turkey.


1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Fifth Edition. American Psychiatric Association; 2013.
2. Autism Society of America. [Internet]; 2014 [cited 2021 Nov 15]. Available from:
3. Tarver J, Pearson E, Edwards G, Shirazi A, Potter L, Malhi P, et al. Anxiety in autistic individuals who speak few or no words: A qualitative study of parental experience and anxiety management. Autism, 2021; 25(2): 429–439.
4. Aksay E, Alp A. The effects of a physical activity rehabilitation program on the motor skills and physical performance of children with autism spectrum disorder (ASD). Movement therapy and ASD. International Journal of Academic Research, 2014; 6(1): 12–19.
5. Callahan EH, Gillis JM, Romanczyk RG, Mattson RE. The behavioral assessment of social interactions in young children: An examination of convergent and incremental validity. Research in Autism Spectrum Disorders, 2011; 5(2): 768–774.
6. Yarımkaya E, İlhan EL. The Effect of Peer-Mediated Physical Activities on Communication Deficit of Children with Autism Spectrum Disorder. Beden Eğitimi ve Spor Bilimleri Dergisi, 2020; 14(2): 233–245.
7. Green D, Charman T, Pickles A, Chandler S, Loucas T, Simonoff E, et al. Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine & Child Neurology, 2009; 51: 311–316.
8. Ozonoff S, Young GS, Goldring S, Greiss-Hess L, Herrera AM, Steele J, et al. Gross motor development, movement abnormalities, and early identification of autism. Journal of Autism and Developmental Disorders, 2008; 38: 644–656.
9. Bhat AN, Landa RJ, Galloway JC. Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorder. Journal of the American Physical Therapy Association, 2011; 91: 1–14.
10. Curtin C, Anderson SE, Must A, Bandini L. The prevalence of obesity in children with autism: A secondary data analysis using nationally representative data from the National Survey of Children’s Health. BMC Pediatrics, 2010; 10: 2–5.
11. Srinivasan SM, Pescatello LS, Bhat AN. Current perspectives on physical activity and exercise recommendations for children and adolescents with Autism Spectrum Disorders. Physical Therapy, 2014; 201(94): 875–889.
12. De Vinck-Baroody O, Shui A, Macklin EA, Hyman SL, Leventhal JM, Weitzman C. Overweight and obesity in a sample of children with autism spectrum disorder. Academic Pediatrics, 2015; 15: 396–404.
13. McCoy SM, Jakicic JM, Gibbs BB. Comparison of obesity, physical activity, and sedentary behaviors between adolescents with autism spectrum disorders and without. Journal of Autism and Developmental Disorders, 2016; 46: 2317–2326.
14. Curtin C, Mirjana J, Bandini L. Obesityin Children with Autism Specktrum Disorder. Harvard Review of Psychiatry, 2014;22(2): 93.103. HRP.0000000000000031
15. MacDonald M, Esposito P, Ulrich D. The physical activity patterns of children with autism. BMC Research Notes, 2011; 4: 422.
16. Pan CY, Frey GC. Physical activity patterns in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 2006; 36: 597–606.
https://doi. org/10.1007/s10803-006-0101-6.
17. Whyatt CP, Craig CM. Motor skills in children aged 7-10 years, diagnosed with autism spectrum disorder Journal of Autism and Developmental Disorders, 2012; 42: 1799–1809.
18. Duquette MM, Carbonneau H, Roult R, Crevier L. Sport and physical activity: Facilitating interventions with young people living with an autism spectrum disorder. Physical Activity Review, 2016; 4: 40–49.
19. Obrusnikova I, Cavalier AR. Perceived Barriers and Facilitators of Participation in After-School Physical Activity by Children with Autism Spectrum Disorders. J Dev Phys Disabil, 2011;23:195–211.
20. Haegele JA, Lee J, Chang SH. Physical Activity of Parents of Children with Autism Spectrum Disorder. International Journal of Disability, Development and Education, 2017;64:368–77.
21. Shields N, Synnot AJ. An exploratory study of how sports and recreation industry personnel perceive the barriers and facilitators of physical activity in children with disability. Disability and Rehabilitation, 2014; 36(24): 2080–2084.
22. Stiller A, Neuman M. Freizeitangebote für autistische Kinder und Jugendliche: Wie zufrieden sind Eltern und was wünschen sie sich für ihre Kinder? [Leisure activities for autistic children and adolescents: How satisfied are parents and what do they want for their children?]. Praxis der Kinderpsyhologie und Kinderpsychiatrie, 2021; 70: 217–38. (In German).
23. Provost B, Heimerl S, Lopez, B. Levels of gross and fine motor development in young children with autism spectrum disorder. Physical & Occupational Therapy, 2007; 27: 21–36.
24. Fournier KA, Hass CJ, Naik SK, Lodha N, Cauraugh JH. Motor coordination in autism spectrum disorders: a synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 2010; 40(10): 1227–1240.
25. Yilmaz I, Yanardag M, Birkan BA, Bumin G. Effects of swimming training on physical fitness and water orientation in autism. Pediatrics International, 2004; 46: 624–626.
26. Utley A, Steenbergen B, Astill S. Ball catching in children with developmental coordination disorder: Control of degrees of freedom. Developmental Medicine & Child Neurology, 2006; 49(1): 34–8.
27. Hilton C, Wente L, LaVesser P, Ito M, Reed C, Hertzberg G. Relationship between motor skill impairment and severity in children with asperger syndrome. Research in Autism Spectrum Disorders, 2007; 1: 339–349.
28. Minshew NJ, Sung MB, Jones BL, Furman JM. Underdevelopment of the postural control system in autism. Neurology, 2004; 63(11): 2056–2061.
29. Downey R, Rapport MJ. Motor activity in children with autism: a review of current literature. Pediatric Physical Therapy, 2012; 24(1): 2–20.
30. Rinehart N, Tonge B, Bradshaw J, Lansek R, Enticott PG, McGinley J, et al. Gait function in high-functioning autism and Asperger's disorder. European Child and Adolescent Psychiatry, 2006; 15(5): 256–64.
31. Memari A, Ghanounib P, Gharibzadehc S, Eghlidi J, Ziaee V, Moshayedi P. Postural sway patterns in children with autism spectrum disorder compared with typically developing children. Research in Autism Spectrum Disorders, 2013; 7(2): 325–32.
32. Khodaverdi Z, Bahram A, Khalaji H, Kazemnejad A, Ghadiri F, Lopes PV. Performance assessments on three different motor competence testing batteries in girls aged 7–10. Sport Sciences for Health, 2020; 16:747–753.
33. Barrodi Sedehi AA, Ghasemi A, Kashi A, Azimzadeh E. The relationship between the motor skills level and the severity of autism disorder in children with autism. Pedagogy of Physical Culture and Sports, 2021;25(1):59–65.
34. Staples KL, Reid G. Fundamental movement skills and autism spectrum disorders. Journal of Autism and Developmental Disorders, 2010; 40: 209–217.
35. Mulligan S, White BP. Sensory and motor behaviors of infant siblings of children with and without autism. The American Journal of Occupational Therapy, 2012; 556–566.
36. Vasileva N. Diagnosis and therapy of motor disturbances in children with autism. Journal of Special Education and Rehabilitation, 2012; 13: 55–68.
37. Kiphard EJ, Schilling F. Körperkoordinationstest für Kinder. 2. Überarbeitete und ergänzte Auflage [Body coordination test for children. 2. Revised and expanded edition]. Weinheim: Beltz Test GmbH.; 2007. (In German).
38. Kiphard EJ, Schilling F. Körperkoordinationstest für Kinder [Body coordination test for children]. Weinheim: Beltz Test GmbH. 1974. (In German).
39. Cools W, Martelaer KD, Samaey C, Andries C. Movement skill assessment of typically developing preschool children: a review of seven movement skill assessment tools. The Journal of Sports Science and Medicine, 2009; 8: 154–168.
40. Wabitsch M, Kunze D. (federführend für die AGA). Konsensbasierte (S2) Leitlinie zur Diagnostik, Therapie und Prävention von Übergewicht und Adipositas im Kindes- und Jugendalter. [Consensus-based (S2) guideline for the diagnosis, therapy and prevention of overweight and obesity in children and adolescents]. Hg. v. Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter (AGA). Version 15.10.2015. [Internet]; 2015. [cited 2021 Nov 15]. (In German) Available from:
41. Word Health Organisation. [Internet]; 2007. [cited 2021 Nov 15]. Available from: age_field/en/
42. George D, Mallery M. SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Pearson: Boston; 2010.
43. Curtin C, Mirjana J, Bandini L. Obesityin Children with Autism Specktrum Disorder. Harvard Review of Psychiatry, 2014;22(2): 93.103. HRP.0000000000000031
44. Takeuchi E. Incidence of obesity among school children with mental retardation in Japan. American Journal of Mental Retardation, 1994; 99(3): 283–288.
45. Tyler K, MacDonald M, Menear K. Physical activity and physical fitness of school-aged children and youth with autism spectrum disorders. Autism Research and Treatment, 2014; 312163: 1–6.
46. Egan AM, Dreyer ML, Odar CC, Beckwith M, Garrison CB. Obesity in Young Children with Autism Spectrum Disorders: Prevalence and Associated Factors. Childhood Obesity, 2013; 9(2):125–131.
47. Xiong N, Ji C, Li Y, He Z, Bo H, Zhao Y. The physical status of children with autism in China. Research in developmental disabilities, 2007; 30(1): 70–76.
48. Curtin C, Bandini L, Perrin E, Tybor D, Must A. Prevalence of overweight in children and adolescents with attention deficit hyperactivity disorder and autism spectrum disorders: A chart review. BMC Pediatrics, 2005; 25(5): 48.
49. Aksay E, Güllü M. Effects of physical activity programs with visual stimuli on physical development of children with autism spectrum disorder. Visual stimuli and movement therapy. Journal of Education and Sociology, 2014; 5(1): 34–43.
50. Bofosa T, Miangindula B, Ekisawa NC, Bumoko G, Lasi K. Prevalence of overweight and obesity in sedentary children and adolescents with or without intellectual disability in the Democratic Republic of Congo. Turkish Journal of Kinesiology, 2019; 5(3): 117–123.
51. Evans EW, Must A, Anderson SE, Curtin C, Scampini R, Maslin, M et al. Dietary Patterns and Body Mass Index in Children with Autism and Typically Developing Children. Research in autism spectrum disorders, 2012; 6(1): 399–405.
52. Aksay E. Eğitmen ve Aile Destekli Uyarlanmış̧ Fiziksel Aktivitelerin Otizm Spektrum Bozukluğu Olan Gençlerin Fiziksel Uygunluk Düzeylerine Etkileri: Deneysel Çalışma [The Effects of Trainer-and Family-Supported Adjusted Physical Activities on the Physical Fitness Levels of Youngsters with Autism Spectrum Disorder: Experimental Study]. Turkiye Klinikleri Journal of Sports Sciences, 2021; 13(3):416–24. (In Turkish).
53. Hoppen T. Kinder mit Autismus-Spektrum-Störung bewegen sich zu wenig!. [Children with Autism Spectrum Disorder do not exercise enough]. Pädiatrie, 2021; 33: 15. (In German).
54. Koçak Uyaroğlu A, Ertüzün E, Taş Arslan F. The effect of the therapeutic recreation program for children with autistic spectrum disorder on their social skills. Balt J Health Phys Activ 2021; 1(2): 23-31.
55. Nazzarali N, Glazebrook CM, Elliott D. Movement planning and reprogramming in individuals with autism. Journal of Autism and Developmental Disorders, 2009; 39: 1401–1411.
56. Rinehart NJ, Bradshaw JL, Bereton A, Tonge BJ. Movement preparation in high-functioning autism and Asperger disorder: a serial choice reaction time task involving motor reprogramming. Journal of Autism and Developmental Disorders, 2001; 31: 79–88.
57. Altfeld K. Die Entwicklung der Gesamtkörperkoordination im Grundschulalter. [The development of total body coordination in elementary school age]. [Thesis]. Cologne; 1998. (In German).
58. Drees, C. Bestimmung der Häufigkeit psychomotorischer Auffälligkeiten bei Schulkindern im Alter von 6 – 8 Jahren [Determination of the frequency of psychomotor abnormalities in school children aged 6 - 8 years]. [Thesis]. Cologne; 1998. (In German).
59. Dordel S, Drees C, Liebel A. Motorische Auffälligkeiten in der Eingangsklasse der Grundschule. Haltung und Bewegung [Motor abnormalities in the entry class of elementary school]. Posture and movement, 2000; 20(3): 5–16. (In German).
60. Vandorpe B, Vandendriessche J, Lefevre J, Pion J, Vaeyens R, Matthys, et al. The Körperkoordinations Test für Kinder: reference values and suitability for 6-12-year-old children in Flanders. Journal of Medicine & Science in Sports, 2011; 21(3):378–88.
61. Hardman CM, Wanderley Junior RS, Oliveira E, Barros M. Relationship between physical activity and BMI with level of motor coordination performance in schoolchildren. Rev Bras Cineantropom Desempenho Hum. 2017; 19: 50–61.
62. Prätorius B, Milani TL. Motorische Leistungsfähigkeit bei Kindern: Koordinations- und Gleichgewichtsfähigkeit: Untersuchung des Leistungsgefälles zwischen Kindern mit verschiedenen Sozialisationsbedingungen [Motor performance in children: Coordination and balance: Investigation of the performance gap between children with different socialization conditions]. Deutsche Zeitschrift für Sportmedizin, 2004; 55(7/8). (In German).
63. Chovanova E. Differences in motor coordination levels between the Slovak and Portuguese school-aged populations. Physical Activity Review, 2018; 6: 251–256.
64. Söğüt M. A comparison of serve speed and motor coordination between elite and club level tennis players. Journal of Human kinetics, 2017; 55(1): 171–6.
65. Freitag CM, Kleser C, Schnieder M, Von Gontard A. Quantitative assessment of neuromotor function in adolescents with high functioning autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 2007; 37: 948–959.
66. Antunes AM, Maia JA, Stasinopoulos MD, Gouveia ÉR, Thomis MA, Lefevre JA, et al. Gross motor coordination and weight status of Portuguese children aged 6-14 years: Motor Coordination and Weight Status. Am J Hum Biol, 2015;27:681–9.
67. Fransen J, D’Hondt E, Bourgois J, Vaeyens R, Philippaerts RM, Lenoir M. Motor competence assessment in children: Convergent and discriminant validity between the BOT-2 Short Form and KTK testing batteries. Research in Developmental Disabilities, 2014; 35(6): 1375–1383.
68. Arzoglou D, Tsimaras V, Kotsikas G, Fotiadou E, Sidiropoulou M, Proios M, et al. The effect of a traditional dance training program on neuromuscular coordination of individuals with autism. Journal of Physical Education and Sport, 2013;13(4): 563– 569.
How to Cite
Aksay E. Comparing the gross motor performance levels of 7–10 age group children with autism spectrum disorder and typical developing. Pedagogy of Physical Culture and Sports. 2022;26(1):26-7.