Asperger syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]

Overview

The most common clinical signs in Asperger Syndrome (AS) are impairments in social communication and repetitive behaviors.

Physical Examination

Clinical signs in Asperger Syndrome (AS) may include:[1]

  • Problems in pretend play skills with persistent sensory-motor play stage.
  • Preference to play with common objects (string, rocks, or sticks).
  • The nature of play is usually constructive (puzzles, computer games, and blocks), ritualistic (lining objects up or sorting/matching shapes or colors) or sensory-motor (mouthing, banging, twirling).
  • Atypical behaviors such as peculiar mannerisms, unusual attachments to objects, obsessions, compulsions, self-injurious behaviors, and stereotypes.
  • Stereotypes are repetitive and atypical behaviors such as hand flapping, finger movements, rocking, or twirling, finger flicking, unusual eye gazing, habitual toe walking, and/or persistent sniffing and licking of nonfood items.
  • The have unusual attachments for hard items; for example, ballpoint pens, flashlight, keys, action figures.  
  • Mild delay in speech.
  • Atypical language development.
  • They are verbal about a certain topic.
  • They can not express feelings or recognize the feelings of others.
  • Speech is overly formal (pedantic).  
  • Abnormal social use of language (pragmatics).  
  • Problems in delivery of speech (prosody) in regard to intonation, volume, rhythm and pitch.  

References

  1. Johnson CP, Myers SM, American Academy of Pediatrics Council on Children With Disabilities (2007). "Identification and evaluation of children with autism spectrum disorders". Pediatrics. 120 (5): 1183–215. doi:10.1542/peds.2007-2361. PMID 17967920.



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