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Walking Mechanics and Movement Pattern Variability in Monozygotic Twins with Autism Spectrum Disorder
The study of monozygotic (MZ) twins enables researchers to understand the inheritability and manifestation of many disorders due to the presence of near identical genotypes. It is reasonable to speculate that the heterogeneous manifestations of Autism Spectrum Disorder (ASD) present unique movement...
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Published in: | Journal of developmental and physical disabilities 2018-12, Vol.30 (6), p.793-805 |
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description | The study of monozygotic (MZ) twins enables researchers to understand the inheritability and manifestation of many disorders due to the presence of near identical genotypes. It is reasonable to speculate that the heterogeneous manifestations of Autism Spectrum Disorder (ASD) present unique movement challenges to each MZ twin, regardless of nearly identical genotypes. However, such a study has yet to be performed. Additionally, no study has attempted to quantify the movement dysfunctions previously observed in this population. The purpose of this investigation was to examine gait parameters and movement pattern variability within one pair of monozygotic (MZ) twins diagnosed with ASD. One nine-year old pair of MZ twins with clinical diagnoses of ASD walked over-ground while kinetic and kinematic gait parameters were obtained. Point-by-point statistical and effect size (ES) analyses were performed throughout the gait cycle between twins. Movement pattern variability was quantified to explain the mechanical differences observed. Significant, (α |
doi_str_mv | 10.1007/s10882-018-9620-2 |
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It is reasonable to speculate that the heterogeneous manifestations of Autism Spectrum Disorder (ASD) present unique movement challenges to each MZ twin, regardless of nearly identical genotypes. However, such a study has yet to be performed. Additionally, no study has attempted to quantify the movement dysfunctions previously observed in this population. The purpose of this investigation was to examine gait parameters and movement pattern variability within one pair of monozygotic (MZ) twins diagnosed with ASD. One nine-year old pair of MZ twins with clinical diagnoses of ASD walked over-ground while kinetic and kinematic gait parameters were obtained. Point-by-point statistical and effect size (ES) analyses were performed throughout the gait cycle between twins. Movement pattern variability was quantified to explain the mechanical differences observed. Significant, (α < 0.05) and clinically meaningful (ES < 0.79) differences were observed for ground reaction forces (GRF) in vertical and horizontal axes and for sagittal plane joint positions. Unique magnitudes of joint position variability were detected in each twin. These MZ twins diagnosed with ASD exhibited different walking mechanics, reflecting the heterogeneity of ASD. Distinct walking mechanics appear related to movement pattern variability. Regardless of nearly identical genotypes, ASD appears to manifest in different walking mechanics and repeatability. These findings highlight the importance of precision medicine based treatment plans and support the reclassification of ASD as a pervasive developmental disorder.</description><identifier>ISSN: 1056-263X</identifier><identifier>EISSN: 1573-3580</identifier><identifier>DOI: 10.1007/s10882-018-9620-2</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Autism ; Autism Spectrum Disorders ; Behavioral Science and Psychology ; Child and School Psychology ; Gait ; Genotypes ; Mechanics ; Monozygotic ; Original Article ; Pediatrics ; Pervasive developmental disorders ; Precision medicine ; Psychology ; Public Health ; Twins ; Variability ; Walking</subject><ispartof>Journal of developmental and physical disabilities, 2018-12, Vol.30 (6), p.793-805</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>Journal of Developmental and Physical Disabilities is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c316t-8b2dc0b37a05982d55c6f85289fffe78f56332a6bb5049cd72d4180a5bf948803</citedby><cites>FETCH-LOGICAL-c316t-8b2dc0b37a05982d55c6f85289fffe78f56332a6bb5049cd72d4180a5bf948803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2259587341?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21378,21394,21395,27924,27925,30999,33611,33877,34530,43733,43880,44115</link.rule.ids></links><search><creatorcontrib>Dufek, Janet S.</creatorcontrib><creatorcontrib>Harry, John R.</creatorcontrib><creatorcontrib>Eggleston, Jeffrey D.</creatorcontrib><creatorcontrib>Hickman, Robbin A.</creatorcontrib><title>Walking Mechanics and Movement Pattern Variability in Monozygotic Twins with Autism Spectrum Disorder</title><title>Journal of developmental and physical disabilities</title><addtitle>J Dev Phys Disabil</addtitle><description>The study of monozygotic (MZ) twins enables researchers to understand the inheritability and manifestation of many disorders due to the presence of near identical genotypes. It is reasonable to speculate that the heterogeneous manifestations of Autism Spectrum Disorder (ASD) present unique movement challenges to each MZ twin, regardless of nearly identical genotypes. However, such a study has yet to be performed. Additionally, no study has attempted to quantify the movement dysfunctions previously observed in this population. The purpose of this investigation was to examine gait parameters and movement pattern variability within one pair of monozygotic (MZ) twins diagnosed with ASD. One nine-year old pair of MZ twins with clinical diagnoses of ASD walked over-ground while kinetic and kinematic gait parameters were obtained. Point-by-point statistical and effect size (ES) analyses were performed throughout the gait cycle between twins. Movement pattern variability was quantified to explain the mechanical differences observed. Significant, (α < 0.05) and clinically meaningful (ES < 0.79) differences were observed for ground reaction forces (GRF) in vertical and horizontal axes and for sagittal plane joint positions. Unique magnitudes of joint position variability were detected in each twin. These MZ twins diagnosed with ASD exhibited different walking mechanics, reflecting the heterogeneity of ASD. Distinct walking mechanics appear related to movement pattern variability. Regardless of nearly identical genotypes, ASD appears to manifest in different walking mechanics and repeatability. These findings highlight the importance of precision medicine based treatment plans and support the reclassification of ASD as a pervasive developmental disorder.</description><subject>Autism</subject><subject>Autism Spectrum Disorders</subject><subject>Behavioral Science and Psychology</subject><subject>Child and School Psychology</subject><subject>Gait</subject><subject>Genotypes</subject><subject>Mechanics</subject><subject>Monozygotic</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Pervasive developmental disorders</subject><subject>Precision medicine</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Twins</subject><subject>Variability</subject><subject>Walking</subject><issn>1056-263X</issn><issn>1573-3580</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>HEHIP</sourceid><sourceid>M0P</sourceid><sourceid>M2S</sourceid><recordid>eNp1kF1LwzAUhosoOKc_wLuA19WTpEnTyzE_YUPB-XEX0jTdMtd0Jqlj_no7Jnjl1Tlwnvc98CTJOYZLDJBfBQxCkBSwSAtOICUHyQCznKaUCTjsd2A8JZy-HycnISwBgJOiGCTmTa0-rJujqdEL5awOSLkKTdsv0xgX0ZOK0XiHXpW3qrQrG7fIuv7u2u_tvI1Wo9nGuoA2Ni7QqIs2NOh5bXT0XYOubWh9ZfxpclSrVTBnv3OYvNzezMb36eTx7mE8mqSaYh5TUZJKQ0lzBawQpGJM81owIoq6rk0uasYpJYqXJYOs0FVOqgwLUKysi0wIoMPkYt-79u1nZ0KUy7bzrn8pCWEFEznNcE_hPaV9G4I3tVx72yi_lRjkzqbc25S9TbmzKUmfIftM6Fk3N_6v-f_QD5LReFc</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Dufek, Janet S.</creator><creator>Harry, John R.</creator><creator>Eggleston, Jeffrey D.</creator><creator>Hickman, Robbin A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20181201</creationdate><title>Walking Mechanics and Movement Pattern Variability in Monozygotic Twins with Autism Spectrum Disorder</title><author>Dufek, Janet S. ; Harry, John R. ; Eggleston, Jeffrey D. ; Hickman, Robbin A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c316t-8b2dc0b37a05982d55c6f85289fffe78f56332a6bb5049cd72d4180a5bf948803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Autism</topic><topic>Autism Spectrum Disorders</topic><topic>Behavioral Science and Psychology</topic><topic>Child and School Psychology</topic><topic>Gait</topic><topic>Genotypes</topic><topic>Mechanics</topic><topic>Monozygotic</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Pervasive developmental disorders</topic><topic>Precision medicine</topic><topic>Psychology</topic><topic>Public Health</topic><topic>Twins</topic><topic>Variability</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dufek, Janet S.</creatorcontrib><creatorcontrib>Harry, John R.</creatorcontrib><creatorcontrib>Eggleston, Jeffrey D.</creatorcontrib><creatorcontrib>Hickman, Robbin A.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Education Journals</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest sociology</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Journal of developmental and physical disabilities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dufek, Janet S.</au><au>Harry, John R.</au><au>Eggleston, Jeffrey D.</au><au>Hickman, Robbin A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Walking Mechanics and Movement Pattern Variability in Monozygotic Twins with Autism Spectrum Disorder</atitle><jtitle>Journal of developmental and physical disabilities</jtitle><stitle>J Dev Phys Disabil</stitle><date>2018-12-01</date><risdate>2018</risdate><volume>30</volume><issue>6</issue><spage>793</spage><epage>805</epage><pages>793-805</pages><issn>1056-263X</issn><eissn>1573-3580</eissn><abstract>The study of monozygotic (MZ) twins enables researchers to understand the inheritability and manifestation of many disorders due to the presence of near identical genotypes. It is reasonable to speculate that the heterogeneous manifestations of Autism Spectrum Disorder (ASD) present unique movement challenges to each MZ twin, regardless of nearly identical genotypes. However, such a study has yet to be performed. Additionally, no study has attempted to quantify the movement dysfunctions previously observed in this population. The purpose of this investigation was to examine gait parameters and movement pattern variability within one pair of monozygotic (MZ) twins diagnosed with ASD. One nine-year old pair of MZ twins with clinical diagnoses of ASD walked over-ground while kinetic and kinematic gait parameters were obtained. Point-by-point statistical and effect size (ES) analyses were performed throughout the gait cycle between twins. Movement pattern variability was quantified to explain the mechanical differences observed. Significant, (α < 0.05) and clinically meaningful (ES < 0.79) differences were observed for ground reaction forces (GRF) in vertical and horizontal axes and for sagittal plane joint positions. Unique magnitudes of joint position variability were detected in each twin. These MZ twins diagnosed with ASD exhibited different walking mechanics, reflecting the heterogeneity of ASD. Distinct walking mechanics appear related to movement pattern variability. Regardless of nearly identical genotypes, ASD appears to manifest in different walking mechanics and repeatability. These findings highlight the importance of precision medicine based treatment plans and support the reclassification of ASD as a pervasive developmental disorder.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s10882-018-9620-2</doi><tpages>13</tpages></addata></record> |
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subjects | Autism Autism Spectrum Disorders Behavioral Science and Psychology Child and School Psychology Gait Genotypes Mechanics Monozygotic Original Article Pediatrics Pervasive developmental disorders Precision medicine Psychology Public Health Twins Variability Walking |
title | Walking Mechanics and Movement Pattern Variability in Monozygotic Twins with Autism Spectrum Disorder |
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