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Brief report: An evaluation of TAGteach components to decrease toe-walking in a 4-year-old child with autism.

Angela Persicke1, Marianne Jackson, Amanda N Adams

  • 1California State University, Fresno, 2576 E. San Ramon Ave. M/S/ST11, Fresno, CA, 93740, USA, a.persicke@autismresearchgroup.org.

Journal of Autism and Developmental Disorders
|September 7, 2013
PubMed
Summary
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This study found that adding a sound cue to corrections effectively reduced toe-walking in a child with autism. This simple method can help parents and teachers manage this behavior.

Area of Science:

  • Behavioral science
  • Developmental psychology
  • Autism spectrum disorder research

Background:

  • Toe-walking is a common gait abnormality observed in children, particularly those with autism spectrum disorder (ASD).
  • Traditional interventions for toe-walking often involve physical therapy or behavioral strategies.
  • The need for effective, easily implementable strategies for managing toe-walking in children with ASD is significant.

Observation:

  • The study observed a 4-year-old boy diagnosed with autism spectrum disorder exhibiting toe-walking behavior.
  • Two intervention conditions were systematically applied: correction alone and correction combined with an audible conditioned reinforcing stimulus.
  • Behavioral data on toe-walking frequency and consistency were collected under both conditions.

Findings:

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  • Correction alone resulted in minor and inconsistent reductions in toe-walking.
  • The addition of an audible conditioned reinforcing stimulus to the correction procedure significantly improved the effectiveness of the intervention.
  • The modified TAGteach procedure with a conditioned reinforcer proved highly effective in decreasing toe-walking behavior.

Implications:

  • The findings suggest that a modified TAGteach procedure incorporating conditioned reinforcement is a promising intervention for reducing toe-walking in children with autism.
  • This approach offers a practical and potentially scalable method for parents, educators, and therapists to implement.
  • Further research can explore the generalizability of this intervention across a broader population of children with autism exhibiting toe-walking.