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:

• 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

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