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Posture Development in Infants at Heightened vs. Low Risk for Autism Spectrum Disorders
Lindsay R Nickel1, Alyssa R Thatcher, Flavio Keller
1Department of Psychology, University of Pittsburgh, Pittsburgh, PA.
Insights
Infants at heightened risk for autism spectrum disorder (ASD) showed delayed postural development. Early posture delays may impact infant learning and exploration opportunities.
Area of Science:
- Developmental psychology
- Neurodevelopmental disorders
- Movement science
Background:
- Autism spectrum disorder (ASD) is associated with postural control difficulties in children and adults.
- Previous studies suggest infants later diagnosed with ASD exhibit delayed postural development.
- Early identification of developmental differences is crucial for timely intervention.
Purpose of the Study:
- To prospectively and longitudinally investigate early posture development in infants at heightened risk for ASD.
- To compare postural development between high-risk (HR) and low-risk (LR) infants.
- To examine posture development in infants who later received an autism diagnosis (AD).
Main Methods:
- Longitudinal study of 22 HR infants and 18 LR infants.
- Home-based video recordings at 6, 9, 12, and 14 months of age.
- Coding and classification of infant-initiated postures and posture changes.
Main Results:
- HR infants demonstrated slower development of sitting and standing skills compared to LR infants.
- Infants who received an autism diagnosis (AD) showed significant delays in advanced postures and fewer initiated posture changes.
- Postural delays were more pronounced in AD infants.
Conclusions:
- Early postural development differences are observable in infants at heightened risk for ASD.
- Significant postural delays in infants later diagnosed with ASD may affect their interaction and learning opportunities.
- These findings highlight the importance of monitoring early motor development for potential indicators of ASD.
Abstract:
Evidence suggests that children and adults diagnosed with autism spectrum disorders (ASD) exhibit difficulties with postural control. Retrospective video studies of infants later diagnosed with ASD indicate that infants who eventually receive an ASD diagnosis exhibit delays in postural development. This study investigates early posture development prospectively and longitudinally in 22 infants at heightened biological risk for ASD (HR) and 18 infants with no such risk (Low Risk; LR). Four HR infants received an autism diagnosis (AD infants) at 36 months. Infants were videotaped at home at 6, 9, 12, and 14 months during everyday activities and play. All infant postures were coded and classified as to whether or not they were infant-initiated. Relative to LR infants, HR infants were slower to develop skill in sitting and standing postures. AD infants exhibited substantial delays in the emergence of more advanced postures and initiated fewer posture changes. Because posture advances create opportunities for infants to interact with objects and people in new and progressively more sophisticated ways, postural delays may have cascading effects on opportunities for infant exploration and learning. These effects may be greater for infants with ASD, for whom posture delays are more significant.
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