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The current study focuses on handedness, a robust marker of cerebral specialization, which is less right\u2010biased in autism. Previous studies have typically assessed handedness via questionnaires or simple manual tasks that do not characterize the dynamic, on\u2010going nature of real\u2010life actions. To address this gap, autistic and non\u2010autistic right\u2010handed adults recreated LEGO models from blocks placed on a standardized tabletop, enabling analysis of dynamic, real\u2010world visuomotor behaviors. Autistic participants displayed a lower proportion of right\u2010hand grasps and fewer contralateral movements (i.e., crossing the body midline) with their right hand. Additionally, we observed differences in 3D space utilization, such that autistic participants exhibited a stronger preference for blocks placed closer to their hands. Finally, autistic participants were slower, and their movement trajectories were more idiosyncratic when compared with non\u2010autistic participants. These results reveal reduced hand specialization and profound visuomotor control differences in autism, highlighting potential clinical utility for early, objective autism markers.<\/jats:p>","DOI":"10.1002\/aur.70180","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T15:00:21Z","timestamp":1768834821000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reduced Hand Specialization and Idiosyncratic Visuomotor Strategies in Autism During Naturalistic Object Manipulation"],"prefix":"10.1002","volume":"19","author":[{"given":"Emily","family":"Fewster","sequence":"first","affiliation":[{"name":"Department of Psychology and the Centre for Vision Research York University  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6549-9728","authenticated-orcid":false,"given":"Bat\u2010Sheva","family":"Hadad","sequence":"additional","affiliation":[{"name":"School of Developmental Neurodiversity University of Haifa  Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3758-3855","authenticated-orcid":false,"given":"Erez","family":"Freud","sequence":"additional","affiliation":[{"name":"Department of Psychology and the Centre for Vision Research York University  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.31234\/osf.io\/6umrh_v1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1352\/1944\u20107558\u2010116.5.381"},{"key":"e_1_2_11_4_1","first-page":"84","article-title":"Lateral Preferences in Autistic Children With Severe Language Impairment","volume":"217","author":"Asenova I. 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