The Pull-to-Sit Task: Examining Infant Postural Development in Autism Spectrum Disorder - 15/03/23
, Dexin Shi, PhD 1, Alexis Federico 1, Cheryl Klaiman, PhD 2, 3, Celine Saulnier, PhD 2, 4Abstract |
Objective |
To evaluate the predictive relationship between early trajectories of postural and head control during a pull-to-sit task and later autism diagnostic and developmental outcomes.
Study design |
Using a prospective longitudinal design, postural skills of 100 infants at elevated and low familial likelihood of autism spectrum disorder (ASD) were evaluated using a pull-to-sit task monthly from age 1 month to 6 months. At age 24 months, infants were seen for a developmental and diagnostic evaluation completed by examiners masked to participant group. Latent growth curve models were used to compare early trajectories of pull-to-sit performance in infants later diagnosed with ASD and typically developing infants and to predict developmental outcomes.
Results |
Pull-to-sit trajectories did not differ in infants with an elevated likelihood of ASD or infants with ASD compared with low-likelihood and typically developing infants, but infants with ASD were more likely to exhibit a head lag by age 4 months. In addition, pull-to-sit trajectories were predictive of social and speech skills 2 years later.
Conclusions |
These findings highlight the link between very early pull-to-sit skills and later social and language outcomes. Atypical postural development and persistent presence of head lag may be important early indicators of social and language vulnerabilities, including ASD.
Le texte complet de cet article est disponible en PDF.Keywords : infant development, social communication, motor assessment, posture, sitting, NICU Network Neurobehavioral Scale
Abbreviations : ADOS-2, ASD, CBE, CSBS DP, DSM-5, MSEL, NNNS, Vineland-II
Plan
| Supported by the National Institute of Mental Health (Grants P50MH100029 and K23MH120476), the National Institute of Deafness and Communication Disorders (Grant R21DC071252), the Office of the Vice President for Research at the University of South Carolina, the Marcus Foundation, the Joseph B. Whitehead Foundation, and the Georgia Research Alliance. C.S. receives royalties from Pearson Assessment for her authorship on the Vineland Adaptive Behavior Scales, Third Edition. The other authors declare no conflicts of interest. |
Vol 253
P. 225 - février 2023 Retour au numéro
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