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Anak autis adalah anak yang mengalami gangguan perkembangan yang umumnya terjadi sebelum usia 3 tahun dan kompleks, yang berdampak pada perkembangan sosial, berkomunikasi, perilaku maupun emosi yang tidak berkembang optimal. Menurut Maimunah Hasan (2009:16) arah dari pendidikan anak usia dini itu sendiri merupakan salah satu bentuk penyelenggaraan pendidikan yang menitikberatkan pada peletakan dasar ke beberapa arah berikut: (1) Pertumbuhan dan perkembangan fisik (koordinasi motorik kasar dan halus), (2) Kecerdasan (daya pikir, daya cipta, kecerdasan emosi, kecerdasan spiritual), (3) Sosial emosional (sikap dan perilaku serta agama, bahasa, dan komunikasi yang disesuaikan dengan keunikan dan tahap-tahap perkembangan yang dilalui oleh anak usia dini. Kegiatan meronce dan bermain puzzle dapat meningkatkan perkembangan fisik anak usia dini yang lebih ke koordinasi motorik halus. Penelitian ini dilakukan di SLB Kota Bukittinggi, tepatnya di SLB Al Ikhlas, SLB Permata Bunda dan SLB Restu Ibu yang dilakukan pada bulan Maret 2022. Penelitian ini menggunakan purposive sampling dengan uji Wilcoxon signed rank test. Jenis penelitian ini adalah Quasi Eksperimen dengan pendekatan one group pre-test and post-test. Hasil penelitian menunjukkan bahwa berpengaruh latihan meronce dan terapi bermain puzzle terhadap kemampuan motorik halus pada anak autis yaitu (p-value = 0,004 < (0,05)). Dari hasil penelitian dapat disimpulkan bahwa adanya pengaruh pemberian latihan meronce dan terapi bermain puzzle terhadap kemampuan motorik halus pada anak autis di SLB Bukittinggi tahun 2022.

Autistic children are children who experience developmental disorders that generally occur before the age of 3 years and are complex, which have an impact on social development, communication, behavior and emotions that do not develop optimally. According to Maimunah Hasan (2009:16) the direction of early childhood education itself is a form of education that focuses on foundation laying in the following directions: (1) Physical growth and development (gross and fine motor coordination), (2) Intelligence (thinking power, creativity, emotional intelligence, spiritual intelligence), (3) Social-emotional (attitude and behavior as well as religion, language, and communication that are adapted to the uniqueness and stages of development that are passed by early childhood. Meronce exercises and playing puzzles can improve the physical development of early childhood which is more about fine motor coordination. This research was conducted at Extraordinary School Bukittinggi, specifically at Extraordinary School Al-Ikhlas, Extraordinary School Permata Bunda and Extraordinary School Restu Ibu, which was conducted in March 2022. This study used purposive sampling with the Wilcoxon signed rank test. This type of research is a quasi-experimental with a one group pre-test and post-test approach. The study showed that the effect of meronce training and puzzle playing therapy on fine motor skills in autistic children was (p-value = 0.004 < (0.05)). From the results of the study, it can be concluded that there is an effect of giving meronce exercises and puzzle playing therapy on fine motor skills in autistic children at Extraordinary School Bukittinggi in 2022