Clinical gait analysis in older children with autism spectrum disorder.

Individuals with autism spectrum disorder (ASD) often exhibit motor deficits that increase their risk of falls. There is a lack of understanding regarding gait biomechanics demonstrated by older children with ASD. The purpose of the study was to determine differences in gait patterns between older children with ASD and typically developing children. Eleven children with ASD and 11 age- and gender-matched typically developing children were recruited for the study. Participants walked on a force-instrumented treadmill at a constant speed (1.1 ​m/s ​- ​1.2 ​m/s) for five minutes (min). Participants performed maximal voluntary contractions to assess their knee muscular strength. Differences between individuals with ASD and matched control participants were examined through paired t -tests with a significance level of p  ​≤ ​0.05. Individuals with ASD demonstrated a smaller knee extensor torque compared to controls ( p  ​= ​0.002). Participants with ASD exhibited a shorter stride length ( p  ​= ​0.04), a greater cadence ( p  ​= ​0.03), and a higher variation in stride width ( p  ​= ​0.04) compared to control participants. The individuals with ASD experienced a greater braking ground reaction force ( p  ​= ​0.03) during loading response. The results indicate older children with ASD develop a unique gait pattern signified by a reduced stride length, increased cadence, and an increase of variation in stride width. This unique gait pattern may represent a movement strategy used by the individuals with ASD to compensate for the weakness associated with their knee extensor muscles. Individuals with ASD who demonstrate these unique gait deviations may face reduced postural stability and an increased risk of fall-related injuries.