The Effect of Implicit and Explicit Learning of Bimanual Coordination on Debilitating Behaviours in Autism

Document Type : Original Articles

Authors

1 PhD Student, Department of Sport Behavioral and Cognitive Sciences, School of Sport Sciences and Health, Shahid Beheshti University, Tehran, Iran

2 Associate Professor, Department of Sport Behavioral and Cognitive Sciences, School of Sport Sciences and Health, Shahid Beheshti University, Tehran, Iran

3 General Practitioner, Gonbad Kavus Health Center, Gonbad Kavus, Iran

10.22122/jrrs.v14i6.3376

Abstract

Introduction: Disabling behaviors of autism are a prominent factor in differences with normal individuals. Therefore, the purpose of this study was to investigate the effect of implicit and explicit learning of bimanual coordination on disabling social, communicative, and motor behaviors in autism.Materials and Methods: This was semi-experimental research. 24 patients with autism and with an average age of 10 ± 3 years were divided into three equal groups of implicit learning, explicit learning, and control, with the help of pretest Autism Spectrum Screening Questionnaire (SSRQ). The training groups performed bimanual coordination exercises for six days; the implicit learning group performed low-error learning and the explicit learning group performed full-error learning. Then, all of the subjects were re-measured using SSRQ. On the sixth day, the test was taken into account. The data were analyzed using one-way analysis of variance (ANOVA).Results: One-way ANOVA showed a significant difference between the implicit learning group with the explicit learning and control groups (P = 0.014). This was significant for social interaction index (P = 0.019) and behavioral disorders (P = 0.002), too. However, there was no significant difference in speech disorder index (P = 0.910).Conclusion: It is suggested that error-less learning be used to educate people with high-performance autism. In addition to benefiting from implicit learning features, we can improve behavioral and social performance.

Keywords

  1. Chen Z, Kuo LJ. Language and literacy development among children with autism spectrum disorder. J Child Dev Disord 2017, 3: 14.
  2. Schiffer RB, Rao SM, Fogel BS. Neuropsychiatry. Philadelphia, PA: Lippincott Williams and Wilkins; 2003.
  3. Chmielewski WX, Beste C. Action control processes in autism spectrum disorder--insights from a neurobiological and neuroanatomical perspective. Prog Neurobiol 2015; 124: 49-83.
  4. Bo J, Lee CM, Colbert A, Shen B. Do children with autism spectrum disorders have motor learning difficulties? Res Autism Spectr Disord 2016; 23: 50-62.
  5. Liu T, Fedak A, Hamilton M. Effect of physical activity on the stereotypic behaviors of children with autism spectrum disorder. Int J School Health 2016; 3(1): e28674.
  6. Zwart FS, Vissers CTWM, Kessels RPC, Maes JHR. Implicit learning seems to come naturally for children with autism, but not for children with specific language impairment: Evidence from behavioral and ERP data. Autism Res 2018; 11(7): 1050-61.
  7. Boucher J, Anns S. Memory, learning and language in autism spectrum disorder. Autism and Developmental Language Impairments 2018; 3: 2396941517742078.
  8. Dawson M, Mottron L, Gernsbacher MA. Learning in autism. In: Byrne JH, editor. Learning and memory: A comprehensive reference. Oxford, UK: Academic Press; 2008. p. 759-72.
  9. Bond KM, Taylor JA. Flexible explicit but rigid implicit learning in a visuomotor adaptation task. J Neurophysiol 2015; 113(10): 3836-49.
  10. Ramezanzade H, Doraneh Kord M. The effect of attention focus in errorless and errorful practice conditions on performance and learning of dart throwing skill. Journal of Motor Learning and Movement 2018; 10(1): 121-38. [In Persian].
  11. Pan CY. Objectively measured physical activity between children with autism spectrum disorders and children without disabilities during inclusive recess settings in Taiwan. J Autism Dev Disord 2008; 38(7): 1292-301.
  12. Gernsbacher MA, Sauer EA, Geye HM, Schweigert EK, Hill GH. Infant and toddler oral- and manual-motor skills predict later speech fluency in autism. J Child Psychol Psychiatry 2008; 49(1): 43-50.
  13. Delaherche E, Chetouani M, Bigouret F, Xavier J, Plaza M, Cohen D. Assessment of the communicative and coordination skills of children with Autism Spectrum Disorders and typically developing children using social signal processing. Res Autism Spectr Disord 2013; 7(6): 741-56.
  14. Bagherzadeh F, Sheikh M, Shahbazi M, Tahmasebi S. Motor control and learning: Theories and concepts. Tehran, Iran: Bamdad Ketab Publications; 2007. p. 121-30. [In Persian].
  15. Wegrzyn AK. Motor learning in children with an autism spectrum disorder [MSc Thesis]. Columbia, MO: University of Missouri-Columbia; 2013.
  16. Isenhower RW, Marsh KL, Richardson MJ, Helt M, Schmidt RC, Fein D. Rhythmic bimanual coordination is impaired in young children with autism spectrum disorder. Res Autism Spectr Disord 2012; 6(1): 25-31.
  17. Meh J, Hadi B, Vahid N. Comparing diagnostic ability of basic emotional states in children with high performance autism disorder with normal peers. Zahedan J Res Med Sci 2012; 14(2): 39.
  18. Abedanzadeh R, Abdoli B, Farsi A. The effect of sensory feedback on the transition of the relative phase in bimanual coordination task in old adults. J Res Rehabil Sci 2015; 11(1): 61. [In Persian].
  19. Pascualvaca DM, Fantie BD, Papageorgiou M, Mirsky AF. Attentional capacities in children with autism: Is there a general deficit in shifting focus? J Autism Dev Disord 1998; 28(6): 467-78.
  20. Mortimer R, Privopoulos M, Kumar S. The effectiveness of hydrotherapy in the treatment of social and behavioral aspects of children with autism spectrum disorders: A systematic review. J Multidiscip Healthc 2014; 7: 93-104.
  21. Abbasi T, Sepehri Z, Yazdi S. Evaluation of the effectiveness of a DIR Floor time therapy approach to increasing social acceptance and Improve behavioral inhibition in children with behavioral disorder syndrome. Proceedings of the 2nd International Conference on Psychology, Educational Sciences and Life Style; 2016 Feb 18; Torbat Heydarieh, Iran. [In Persian].
  22. Piek JP, Bradbury GS, Elsley SC, Tate L. Motor coordination and socialemotional behaviour in preschoolaged children. Int J Disabil Hum Dev 2008; 55(2): 143-51.
  23. Harvey SP, Lambourne K, Greene JL, Gibson CA, Lee J, Donnelly JE. The effects of physical activity on learning behaviors in elementary school children: a randomized controlled trial. Contemp Sch Psycho 2018; 22(3): 303-12.
  24. Lang R, Koegel LK, Ashbaugh K, Regester A, Ence W, Smith W. Physical exercise and individuals with autism spectrum disorders: A systematic review. Res Autism Spectr Disord 2010; 4(4): 565-76.
  25. Duffy L, Baluch B, Welland S, Raman E. Effects of physical activity on debilitating behaviours in 13- to 20-year-old males with severe autism spectrum disorder. J Exerc Rehabil 2017; 13(3): 340-7.
  26. Wolstencroft J, Robinson L, Srinivasan R, Kerry E, Mandy W, Skuse D. A Systematic review of group social skills interventions, and meta-analysis of outcomes, for children with high functioning ASD. J Autism Dev Disord 2018; 48(7): 2293-307.
  27. Lara J, Bowers K, Shore SM. Autism movement therapy (R) method: Waking up the brain! London, UK: Jessica Kingsley Publishers; 2015. p. 32-50.
  28. Tenenbaum EJ, Amso D, Abar B, Sheinkopf SJ. Attention and word learning in autistic, language delayed and typically developing children. Front Psychol 2014; 5: 490.
  29. Barnes KA, Howard JH, Jr., Howard DV, Gilotty L, Kenworthy L, Gaillard WD, et al. Intact implicit learning of spatial context and temporal sequences in childhood autism spectrum disorder. Neuropsychology 2008; 22(5): 563-70.
  30. Krakowiak P, Goodlin-Jones B, Hertz-Picciotto I, Croen LA, Hansen RL. Sleep problems in children with autism spectrum disorders, developmental delays, and typical development: a population-based study. J Sleep Res 2008; 17(2): 197-206.