In order to understand typical and atypical developmental trajectories it is important to
assess how strengths or weaknesses in one domain may be affecting performance in other
domains. This study examined longitudinal relations between early fine motor
functioning, visuospatial cognition, exploration, and language development in preschool
children with ASD and children with other developmental delays/disorders. The ASD
group included 63 children at T1 (Mage = 27.10 months, SD = 8.71) and 46 children at T2
(Mage = 45.85 months, SD = 7.16). The DD group consisted of 269 children at T1
(Mage = 17.99 months, SD = 5.59), and 121 children at T2 (Mage = 43.51 months,
SD = 3.81). A subgroup nested within the total sample was randomly selected and studied
in-depth on exploratory behavior. This group consisted of 50 children, 21 children with
ASD (Mage = 27.57, SD = 7.09) and 29 children with DD (Mage = 24.03 months, SD = 6.42).
Fine motor functioning predicted language in both groups. Fine motor functioning was
related to visuospatial cognition in both groups and related to object exploration, spatial
exploration, and social orientation during exploration only in the ASD group. Visuospatial
cognition and all exploration measures were related to both receptive and expressive
language in both groups. The findings are in line with the embodied cognition theory,
which suggests that cognition emerges from and is grounded in the bodily interactions of
an agent with the environment. This study emphasizes the need for researchers and
clinicians to consider cognition as emergent from multiple interacting systems.