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Fine motor skill predicts expressive language in infant siblings of children with autism
Eve Sauer LeBarton1, Jana M Iverson
1Department of Psychology, University of Pittsburgh, USA.
Insights
Fine motor delays in high-risk infants predict later expressive language difficulties. Early assessment of fine motor skills may aid in identifying children prone to language impairments.
Area of Science:
- Developmental Psychology
- Pediatric Neurology
- Speech-Language Pathology
Background:
- Children with autism often experience language delays.
- Later-born siblings of children with autism (high-risk infants) have an increased risk for developmental delays, including language impairments.
- The relationship between fine motor skills and expressive language development in these infants is not well understood.
Purpose of the Study:
- To investigate the relationship between fine motor skills and expressive language development in high-risk infants.
- To determine if fine motor delays predict later expressive language delays in this population.
- To compare fine motor skills in high-risk infants to a normative group.
Main Methods:
- Longitudinal observation of 34 high-risk infants from 12 to 36 months.
- Assessment of fine motor skills using parent reports and standardized measures from 12 to 24 months.
- Evaluation of expressive vocabulary at 36 months.
Main Results:
- High-risk infants showed delays in fine motor skills between 12 and 24 months.
- These infants also exhibited expressive vocabulary delays at 36 months.
- Fine motor skill at earlier ages significantly predicted expressive language outcomes at 36 months.
Conclusions:
- Fine motor and expressive language skills are interconnected early in development for high-risk infants.
- High-risk infants, as a group, are susceptible to delays in both fine motor and expressive language domains.
- Considering fine motor skill is crucial for the early identification of potential language impairments in at-risk children.
Abstract:
We investigated whether fine motor and expressive language skills are related in the later-born siblings of children with autism (heightened-risk, HR infants) who are at increased risk for language delays. We observed 34 HR infants longitudinally from 12 to 36 months. We used parent report and standardized observation measures to assess fine motor skill from 12 to 24 months in HR infants (Study 1) and its relation to later expressive vocabulary at 36 months in HR infants (Study 2). In Study 1, we also included 25 infants without a family history of autism to serve as a normative comparison group for a parent-report fine motor measure. We found that HR infants exhibited fine motor delays between 12 and 24 months and expressive vocabulary delays at 36 months. Further, fine motor skill significantly predicted expressive language at 36 months. Fine motor and expressive language skills are related early in development in HR infants, who, as a group, exhibit risk for delays in both. Our findings highlight the importance of considering fine motor skill in children at risk for language impairments and may have implications for early identification of expressive language difficulties.
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