Walking Ability is Associated with Social Communication Skills in Infants at High Risk for Autism Spectrum Disorder

Jessica Bradshaw1, Cheryl Klaiman1, Scott Gillespie1

  • 1Marcus Autism Center, Children's Healthcare of Atlanta, Department of Pediatrics, Emory University School of Medicine.

Insights

Early walking in high-risk infants may boost social-communication skills, unlike in typically developing babies. Motor milestones can signal developmental delays and guide interventions for autism spectrum disorder (ASD).

Area of Science:

  • Developmental Psychology
  • Pediatrics
  • Neuroscience

Background:

  • Motor and social deficits are early indicators in infants later diagnosed with autism spectrum disorder (ASD).
  • Early motor milestones are crucial for developing social interaction and communication skills in infants.
  • Infant siblings of children with ASD are at heightened risk for developmental delays.

Purpose of the Study:

  • To investigate the association between motor skills (walking ability) and social-communication development in 12-month-old infants at high and low risk for ASD.
  • To compare social-communication and cognitive skills across different walking groups (walkers, standers, pre-walkers) in high-risk and low-risk infants.

Main Methods:

  • Study included 86 high-risk infants (siblings of children with ASD) and 113 low-risk, typically developing infants.
  • Infants were categorized into walkers, standers, or pre-walkers based on independent mobility.
  • Social-communication and cognitive skills were assessed using the Communication and Symbolic Behaviors Scales (CSBS) and Mullen Scales of Early Learning.

Main Results:

  • High-risk infants who could walk independently demonstrated superior social-communication skills compared to high-risk pre-walkers.
  • Cognitive skills were comparable between high-risk walkers and pre-walkers.
  • In low-risk infants, social-communication and cognitive skills were similar across walking statuses.

Conclusions:

  • Independent walking in high-risk infants may promote the development of social-communication abilities.
  • Motor milestones, such as walking, can serve as early indicators of potential social-communication delays in infants.
  • Targeting motor development may be a viable intervention strategy for improving social-communication skills in at-risk infants.

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