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Autism Spectrum Disorder (ASD) is a neurodevelopmental condition often associated with delayed motor skills. The Motor Assessment Battery for Children – Second Edition (MABC-2) is a standardized motor assessment for identifying motor delays pertaining to ASD. It evaluates fine and gross motor tasks across three domains: Manual Dexterity, Aiming & Catching, and Balance. These tasks are categorized into three age bands: 3-6, 7-10, and 11-16. Virtual Reality (VR) has emerged as a promising intervention in the ASD realm. This study aimed to investigate the potential of VR to assist children with ASD in performing the gross motor skills (i.e., ball skills and balance) in the MABC-2. The children who participated in the study were attendees of a local Autism Summer Camp. Our research focused on adapting motor tasks for ages 7-10 (i.e., Age Band 2) to VR, as most campers fell in this age range. Within the VR environment, children could observe avatar demonstrations and practice motor skills in a highly immersive setting. The VR environment featured avatars demonstrating ball skills and balancing tasks. Developed with the Unity game engine, 3D software Blender, C# scripting, and mixed reality toolkits, this environment was tested on the Meta Quest 2 Oculus. The children's gross motor skill performance was scored before and after VR interactions. The test standard scores were categorized through a traffic-light scoring system comprising red, amber, and green zones. A standard score ≤4 is classified in the red zone, indicating a significant movement difficulty; a standard score >4 and ≤7 is classified in the amber zone, indicating a risk for movement difficulty; and a standard score >7 is classified in the green zone, indicating no movement difficulty detected. Following the VR intervention, we observed a notable improvement in the balance score (p < 0.05). Furthermore, using the Random Forest machine learning model, we analyzed a combined dataset of MABC-2 scores from 250 children across all age bands from the Autism Summer Camp in previous years and the MABC-2 scores from the 18 children in the present study. Our analysis revealed that Balance was crucial in classifying children with ASD with motor delays, with an importance score of 0.195, nearly double that of Manual Dexterity and Aiming & Catching. When the model was exclusively applied to the Balance component score, it achieved an impressive accuracy rate of 91% in identifying children with ASD. In summary, our findings underscore the promise of VR in enhancing balance among children with ASD. The Random Forest analysis reaffirmed the significant role of balance in identifying children with ASD. Given its precision in detecting children with ASD based on their balance performance, we anticipate the potential of future machine learning advancements in this field. Our research validates the effectiveness of a VR-based approach and emphasizes the significance of collaborative research in providing valuable support to the underserved ASD population.
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An Objective System for Quantifying the Effect of Cognitive Load on Movement in Individuals with Autism Spectrum Disorder
For someone with Autism Spectrum Disorder, performance on tasks that require coordinated motor and cognitive activities, such as walking while talking (or texting) on our phones, can take substantially more effort to accomplish. While it is more common to isolate and examine motor and cognitive skill in separate experiments, we propose a dual task experiment to allow us to examine performance in people with autism more realistically. We designed a system composed of three task types and accompanying hardware to simultaneously quantify balance, fine motor skill, and cognitive ability. We hypothesized that the additional demands of the balance and speeded finger-tapping tasks would degrade motor performance in the simultaneous conditions, but not impact cognitive (N-Back task) performance. Movement data were evaluated by comparing the change of each group across 3 levels of cognitive load (0-, 1-, and 2-back). We tested the task on a small sample of young adults with autism spectrum disorder (ASD; n=4) and matched controls (n=4). We observed a trend largely consistent with our hypotheses. The system's temporal precision and modular design also allow for the incorporation of other sensors as needed, like EEG or heart rate variability. We propose that a version of this system be tested as a putative outcome measure for interventions involving attention, cognitive load or certain types of motor skill training.
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- Award ID(s):
- 1640909
- PAR ID:
- 10114046
- Date Published:
- Journal Name:
- IEEE/EMBS Conference on Neural Engineering
- Page Range / eLocation ID:
- 1042 to 1045
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Conference Paper:
- https://doi.org/10.1109/NER.2019.8717022
