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.

Brain & Development
|September 4, 2020
PubMed

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.
Abstract

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