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1.3. Outline why individuals with autism may experience balance difficulties (vestibular sense).

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Individuals with autism spectrum disorder (ASD) may experience balance difficulties due to differences in how they process vestibular sensory information. The vestibular system, located in the inner ear, is crucial for maintaining balance, posture, and spatial orientation. It provides the brain with information about motion, head position, and spatial awareness. In autism, there can be atypical development or functioning of this system, leading to balance and coordination challenges.

Vestibular Processing Differences

The vestibular system in individuals with autism might function differently, leading to either hypersensitivity or hyposensitivity. Hypersensitivity in the vestibular system can result in an exaggerated response to movement, causing discomfort or disorientation with activities that involve changes in head position or motion. Conversely, hyposensitivity might mean that more intense vestibular input is required for the individual to register and respond to balance-related information. This could manifest as a preference for spinning, rocking, or other repetitive movements that stimulate the vestibular system.

Motor Coordination and Planning

Difficulties with motor coordination and planning (dyspraxia) are common in autism. These challenges are often intertwined with vestibular processing issues. Poor motor coordination can affect an individual’s ability to execute movements that require a sense of balance, such as walking on uneven surfaces, climbing stairs, or participating in sports. Furthermore, challenges in motor planning – the ability to conceive, plan, and carry out a skilled, non-habitual motor act in the correct sequence – can compound balance difficulties.

Sensory Integration Issues

Individuals with autism often have difficulty integrating sensory information from multiple sources, including vestibular, proprioceptive (sense of body position), and visual inputs, which are all crucial for maintaining balance. Difficulty in effectively combining and interpreting this sensory information can lead to a lack of coordination and balance.

Anxiety and Cognitive Factors

Anxiety, which is prevalent in individuals with autism, can also impact balance. Anxiety can heighten the body’s response to sensory stimuli, exacerbating balance issues. Cognitive factors, such as an intense focus on certain sensory inputs to the exclusion of others, can also interfere with the processing of vestibular information necessary for maintaining balance.

Neurological Differences

Research suggests that there may be neurological differences in individuals with autism that affect the vestibular system. These could include variations in the structure or function of areas of the brain involved in processing balance and movement.


In summary, balance difficulties in individuals with autism may arise from a complex interplay of factors, including differences in vestibular processing, motor coordination challenges, sensory integration issues, heightened anxiety, and potential neurological variations. Understanding and addressing these factors is key to supporting individuals with ASD in managing balance and coordination challenges.

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