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Updated: Dec 10, 2025

Eye Tracking Young Children with Autism
Published on: March 27, 2012
Shuffling babies and autism spectrum disorder
Yu Okai1, Tomohiko Nakata2, Kiyokuni Miura3
1Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan; Toyota Municipal Child Development Center, Toyota, Japan.
Insights
Some infants who bottom shuffle, a precursor to walking, may develop autism spectrum disorder (ASD). Early attention to social and cognitive development in these infants is crucial for timely diagnosis and intervention.
Area of Science:
- Developmental Pediatrics
- Neurodevelopmental Disorders
- Infant Locomotion
Background:
- Bottom shuffling is an infant locomotion method preceding independent walking.
- Shuffling infants typically exhibit favorable developmental outcomes.
- This study investigates the clinical and neurodevelopmental profiles of shuffling infants.
Purpose of the Study:
- To identify clinical features of infants who bottom shuffle.
- To determine neurodevelopmental outcomes in shuffling infants.
- To explore the association between bottom shuffling and autism spectrum disorder (ASD).
Main Methods:
- Retrospective chart review of 48 shuffling infants at a child development center (2007-2015).
- Exclusion of infants with cerebral palsy, Down syndrome, or congenital disorders.
- Analysis of family history, neurological findings, and developmental outcomes, including ASD diagnosis.
Main Results:
- 42% of shuffling infants were diagnosed with ASD during follow-up.
- No significant differences in gross motor development were observed between infants with and without ASD.
- Infants with ASD showed higher rates of poor eye contact and delayed first word speech.
- Family history of bottom shuffling was less common in infants later diagnosed with ASD.
Conclusions:
- A subset of infants who bottom shuffle may later be diagnosed with ASD.
- Early identification of social and cognitive delays is vital for shuffling infants.
- This highlights the importance of monitoring neurodevelopmental trajectories in shuffling populations.
Background And Purpose:
Bottom shuffling is a locomotion strategy that precedes independent walking in some infants. Shuffling babies are generally considered to have favorable outcomes. The aim of the present study was to reveal clinical features and neurodevelopmental outcomes of shuffling babies who visited a child developmental center.
Methods:
We studied 48 shuffling babies who visited Toyota Municipal Child Development Center from April 2007 to March 2015. We excluded patients with cerebral palsy, Down syndrome, or congenital disorders. In 2018, we retrospectively reviewed the clinical charts of the enrolled children. We investigated family history, neurological findings, and the developmental outcome during the follow-up period.
Results:
During the follow-up period, 20 children (42%) were diagnosed with ASD. Gross motor development in infancy was not different between infants with and without ASD. The rate of poor eye contact at the first visit and a delay in the first word speech were significantly higher in infants with ASD than in infants without ASD. A family history of bottom shuffling was significantly less frequent in infants with ASD (10%) than in those without (39%).
Conclusion:
Some of bottom shufflers may represent ASD during follow-up. Paying attention to social and cognitive functions in shuffling babies is important.
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