Abstract
This study investigated early posture development prospectively in infants at heightened (HR) vs. low risk (Low Risk; LR) for ASD. Fourteen HR infants diagnosed with ASD (HR-ASD), 17 HR infants with language delay (HR-LD), 29 HR infants with no diagnosis (HR-ND), and 25 LR infants were videotaped at home for 25 min during everyday activities and play at 6, 8, 10, 12, and 14 months. All postures were coded and the sustainment source was identified for supported postures. Relative to LR infants, HR-ASD infants and to a lesser extent HR-LD infants exhibited distinct postural trajectories that revealed slower development of more advanced postures. In addition, subtle differences in posture sustainment differentiated HR-ASD from HR-LD infants.
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Notes
Although the MSEL is not specifically a tool for assessing posture development, the Gross Motor subscale includes items such as the ability to sit, stand, and squat.
One HR-ND infant demonstrated nonspecific developmental delays (“other delay”) as indicated by MSEL standard scores at or below 1.5 SD from the mean on the non-language subscales of the Mullen (i.e., Visual Reception, Fine Motor) at 36 months. This infant’s parents did not report any concerns about her development, and she never received early intervention services. Further, visual inspection of the data suggested that posture development for this infant was not substantially different from other HR-ND infants; thus, the decision was made to retain this infant in this category.
Before conducting analyses all percentage data were arcsine transformed (2 × arcsin[sqrt(x)]) to correct for nonnormality that typically results from percentage data (Cohen et al., 2013). Models were run with both the arcsine transformed and non-transformed data. In all cases, normality improved with the arcsine transformation but results remained unchanged (although significance values may have attenuated or strengthened). Thus, for ease of interpretation, descriptive data (e.g., mean percentages) as well as the coefficients and standard errors for the HLM models reported below are those for the untransformed percentages.
There were 15 missing sessions at 6 months (14 HR, 1 LR); 10 missing sessions at 8 months (9 HR, 1 LR); 3 missing sessions at 10 months (2 HR, 1 LR); 2 missing sessions at 12 months (1 HR, 1 LR); and 2 missing sessions at 14 months (both HR).
Sex was included as a grand-mean centered covariate at Level 2 in light of evidence that boys may show a slight advantage over girls in gross motor performance (Thomas and French 1985).
Although the HR-ND group exhibited a pattern of sitting development that was similar to the other HR groups, they did not differ significantly from the LR group on any growth parameters.
While motor development can be an agent of change for the developing language and communication system, the acquisition of language draws on a complex array of multiple skills from multiple domains. In addition, there are likely alternative pathways for accessing similar language learning contexts that, in normative development, are provided by gains in motor skills (Iverson 2010).
References
Adolph, K. E., & Berger, S. E. (2005). Physical and motor development. Developmental Science: An Advanced Textbook, 5, 223–281.
Adolph, K. E., Cole, W. G., Komati, M., Garciaguirre, J. S., Badaly, D., Lingeman, J. M., … Sotsky, R. B. (2012). How do you learn to walk? Thousands of steps and dozens of falls per day. Psychological science, 23(11), 1387–1394.
Adolph, K. E., Robinson, S. R., Young, J. W., & Gill-Alvarez, F. (2008). What is the shape of developmental change? Psychological Review, 115(3), 527–543.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Arlington, VA: American Psychiatric Publishing.
Baio, J. (2018). Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. Retrieved September 05, 2018, from http://www.cdc.gov/ncbddd/autism/data.html.
Bakeman, R., & Adamson, L. B. (1984). Coordinating attention to people and objects in mother–infant and peer–infant interaction. Child Development, 55(4), 1278–1289.
Bhat, A. N., Landa, R. J., & Galloway, J. C. C. (2011). Current perspectives on motor functioning in infants, children, and adults with autism spectrum disorders. Physical Therapy, 91(7), 1116–1129.
Bradshaw, J., Klaiman, C., Gillespie, S., Brane, N., Lewis, M., & Saulnier, C. (2018). Walking Ability is Associated with Social Communication Skills in Infants at High Risk for Autism Spectrum Disorder. Infancy, 23(5), 674–691.
Bradshaw, J., Steiner, A. M., Gengoux, G., & Koegel, L. K. (2015). Feasibility and effectiveness of very early intervention for infants at-risk for autism spectrum disorder: A systematic review. Journal of Autism and Developmental Disorders, 45(3), 778–794.
Campos, J. J., Anderson, D. I., Barbu-Roth, M. A., Hubbard, E. M., Hertenstein, M. J., & Witherington, D. (2000). Travel broadens the mind. Infancy, 1(2), 149–219.
Capute, A. J., Shapiro, B. K., Palmer, F. B., Ross, A., & Wachtel, R. C. (1985). Normal gross motor development: The influences of race, sex, and socio-economic status. Developmental Medicine and Child Neurology, 27, 635–643.
Carvalho, R. P., Tudella, E., Caljou, S. R., & Savelsbergh, G. J. P. (2008). Early control of reaching: Effects of experience and body orientation. Infant Behavior & Development, 31, 23–33.
Carvalho, R. P., Tudella, E., & Savelsbergh, G. J. P. (2007). Spatio-temporal parameters in infant’s reaching movements are influenced by body orientation. Infant Behavior & Development, 30, 26–35.
Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2013). Applied multiple regression/correlation analysis for the behavioral sciences. New York: Routledge.
Dawson, G., Rogers, S. J., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The early start Denver model. Pediatrics, 125, 17–23.
Dusing, S. C., & Harbourne, R. T. (2010). Variability in postural control during infancy: implications for development, assessment, and intervention. Physical Therapy, 90(12), 1838–1849.
Dusing, S. C., Kyvelidou, A., Mercer, V. S., & Stergiou, N. (2009). Infants born preterm exhibit different patterns of center-of-pressure movement than infants born at full term. Physical Therapy, 89(12), 1354–1362.
Esposito, G., & Venuti, P. (2009). Symmetry in infancy: Analysis of motor development in Autism Spectrum Disorders. Symmetry, 1, 215–225.
Estes, A., Zwaigenbaum, L., Gu, H., John, T. S., Paterson, S., Elison, J. T., … IBIS Network. (2015). Behavioral, cognitive, and adaptive development in infants with autism spectrum disorder in the first 2 years of life. Journal of Neurodevelopmental Disorders, 7(1), 1–10.
Fenson, L., Dale, P. S., Reznick, J. S., Thal, D. J., Bates, E., Hartung, J., … Reilly, J. (2002). MacArthur-Bates Communicative Development Inventories. Baltimore, MD: Paul Brookes Publishing Co.
Flanagan, J. E., Landa, R., Bhat, A., & Bauman, M. (2012). Head lag in infants at risk for autism: A preliminary study. American Journal of Occupational Therapy, 66(5), 577–585.
Fogel, A. (1990). Sensorimotor factors in communicative development. In Sensory-motor organizations and development in infancy and early childhood (pp. 75–88). New York: Kluwer Academic/Plenum Publishers.
Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 40(10), 1227–1240.
Freedland, R. L., & Bertenthal, B. I. (1994). Developmental changes in interlimb coordination: Transition to hands-and-knees crawling. Psychological Science, 5(1), 26–32.
Gershkoff-Stowe, L., Thal, D. J., Smith, L. B., & Namy, L. L. (1997). Categorization and its developmental relation to early language. Child Development, 68(5), 843–859.
Hazlett, H. C., Gu, H., Munsell, B. C., Kim, S. H., Styner, M., Wolff, J. J., … Collins, D. L. (2017). Early brain development in infants at high risk for autism spectrum disorder. Nature, 542, 348–351.
Heilmann, J., Weismer, S. E., Evans, J., & Hollar, C. (2005). Utility of the MacArthur-Bates communicative development inventory in identifying language abilities of late-talking and typically developing toddlers. American Journal of Speech-Language Pathology, 14(1), 40–51.
Huttenlocher, J., Haight, W., Bryk, A., Seltzer, M., & Lyons, T. (1991). Early vocabulary growth: Relation to language input and gender. Developmental Psychology, 27(2), 236.
Iverson, J. M. (2010). Developing language in a developing body: The relationship between motor development and language development. Journal of Child Language, 37(2), 229–261.
Iverson, J. M., Hall, A. J., Nickel, L., & Wozniak, R. H. (2007). The relationship between reduplicated babble onset and laterality biases in infant rhythmic arm movements. Brain and Language, 101(3), 198–207.
Iverson, J. M., Northrup, J. B., Leezenbaum, N. B., Parladé, M. V., Koterba, E. A., & West, K. L. (2018). Early gesture and vocabulary development in infant siblings of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(1), 55–71.
Iverson, J. M., & Thelen, E. (1999). Hand, mouth and brain. The dynamic emergence of speech and gesture. Journal of Consciousness Studies, 6, 11–12.
Joh, A. S., & Adolph, K. E. (2006). Learning from falling. Child Development, 77(1), 89–102.
Karasik, L. B., Tamis-LeMonda, C. S., & Adolph, K. E. (2011). Transition from crawling to walking and infants’ actions with objects and people. Child Development, 82(4), 1199–1209.
Landa, R. J., & Garrett-Mayer, E. (2006). Development in infants with autism spectrum disorders: A prospective study. Journal of Child Psychology and Psychiatry, 47(6), 629–638.
Leonard, H. C., Elsabbagh, M., Hill, E. L., & The BASIS Team. (2013). Early and persistent motor difficulties in infants at-risk of developing autism spectrum disorder: A prospective study. European Journal of Developmental Psychology, 11, 18–35.
Lord, C., Risi, S., Lambrecht, L., Cook Jr, E. H., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The Autism Diagnostic Observation Schedule—Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.
Messinger, D., Young, G. S., Ozonoff, S., Dobkins, K., Carter, A., … Sigman, M. (2013). Beyond ASD: A BSRC study of high-risk children at three years of age. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 300–308.
Minshew, N. J., Sung, K., Jones, B. L., & Furman, J. M. (2004). Underdevelopment of the postural control system in autism. Neurology, 63(11), 2056–2061.
Mullen, E. M. (1995). Mullen scales of early learning. Circle Pines, MN: American Guidance Service Inc.
Nakao, K., & Treas, J. (1994). Updating occupational prestige and socioeconomic scores: How the new measures measure up. Sociological Methodology, 24, 1–72.
Nickel, L. R., Thatcher, A. R., Keller, F., Wozniak, R. H., & Iverson, J. M. (2013). Posture development in infants at heightened versus low risk for Autism Spectrum Disorders. Infancy, 18(5), 639–661.
Noldus Information Technology. (2000). The Observer XT [Computer Software]. Wageningen: Noldus Information Technology.
Out, L., van Soest, A. J., Savelsbergh, G. J. P., & Hopkins, B. (1998). The effect of posture on early reaching movements. Journal of Motor Behavior, 30, 260–272.
Ozonoff, S., Iosif, A.-M., Baguio, F., Cook, I. C., Hill, M. M., Hutman, T., … Sigman, M. (2010). A prospective study of the emergence of early behavioral signs of autism. Journal of the American Academy of Child & Adolescent Psychiatry, 49(3), 256–266.e252.
Ozonoff, S., Young, G. S., Carter, A., Messinger, D., Yirmiya, N., Zwaigenbaum, L., … Stone, W. L. (2011). Recurrence Risk for Autism Spectrum Disorders: A Baby Siblings Research Consortium Study. Pediatrics, 128(3), e488–e495.
Ozonoff, S., Young, G. S., Goldring, S., Greiss-Hess, L., Herrera, A. M., Steele, J., … Rogers, S. J. (2008). Gross motor development, movement abnormalities, and early identification of autism. Journal of Autism and Developmental Disorders, 38(4), 644–656.
Parladé, M. V., & Iverson, J. M. (2015). The development of coordinated communication in infants at heightened risk for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2218–2234.
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage.
Raudenbush, S. W., Bryk, A., & Congdon, R. (2010). HLM 7: Hierarchical linear and nonlinear modeling. Lincolnwood, IL: Scientific Software International.
Robertson, S. B., & Weismer, S. E. (1999). Effects of treatment on linguistic and social skills in toddlers with delayed language development. Journal of Speech, Language, and Hearing Research, 42(5), 1234.
Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144.
Rochat, P., & Goubet, N. (1995). Development of sitting and reaching in 5-to 6-month-old infants. Infant Behavior and Development, 18(1), 53–68.
Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.
Soska, K. C., Adolph, K. E., & Johnson, S. P. (2010). Systems in development: Motor skill acquisition facilitates three-dimensional object completion. Developmental Psychology, 46(1), 129.
Surkar, S. M., Edelbrock, C., Stergiou, N., Berger, S., & Harbourne, R. (2015). Sitting postural control affects the development of focused attention in children with cerebral palsy. Pediatric Physical Therapy, 27(1), 16–22.
Teitelbaum, P., Teitelbaum, O., Nye, J., Fryman, J., & Maurer, R. G. (1998). Movement analysis in infancy may be useful for early diagnosis of autism. Proceedings of the National Academy of Science of the United States, 95, 13982–13987.
Thelen, E. (2004). The central role of action in typical and atypical development: A dynamic systems perspective. In I. J. Stockman (Ed.), Movement and action in learning and development: Clinical implications for pervasive developmental disorders (pp. 49–73). San Diego, CA: Elsevier Academic Press.
Thelen, E., & Smith, L. (1994). A dynamic systems approach to the development of cognition and action. Cambridge, MA: MIT Press.
Tomasello, M., & Farrar, M. J. (1986). Joint attention and early language. Child Development, 57(6), 1454–1463.
Trauner, D., Wulfeck, B., Tallal, P., & Hesselink, J. (2000). Neurological and MRI profiles of children with developmental language impairment. Developmental Medicine and Child Neurology, 42, 470–475.
Ungerer, J. A., & Sigman, M. (1983). Developmental lags in preterm infants from one to three years of age. Child Development, 54(5), 1217–1228.
Van Haastert, I., De Vries, L., Helders, P., & Jongmans, M. (2006). Early gross motor development of preterm infants according to the Alberta Infant Motor Scale. The Journal of pediatrics, 149(5), 617–622.
Viholainen, H., Ahonen, T., Cantell, M., Lyytinen, P., & Lyytinen, H. (2002). Development of early motor skills and language in children at risk for familial dyslexia. Developmental Medicine and Child Neurology, 44, 761–769.
Walle, E. A., & Campos, J. J. (2014). Infant language development is related to the acquisition of walking. Developmental Psychology, 50(2), 336–348.
Weismer, S. E., & Evans, J. L. (2002). The role of processing limitations in early identification of specific language impairment. Topics in Language Disorders, 22(3), 15–29.
West, K. L. (2018). Infant motor development in autism spectrum disorder: A synthesis and meta-analysis. Child Development. https://doi.org/10.1111/cdev.13086.
West, K. L., Leezenbaum, N. B., Northrup, J. B., & Iverson, J. M. (2017). The relation between walking and language in infant siblings of children with autism spectrum disorder. Child Development. https://doi.org/10.1111/cdev.12980.
Willett, J. B., Singer, J. D., & Martin, N. C. (1998). The design and analysis of longitudinal studies of development and psychopathology in context: Statistical models and methodological recommendations. Development and Psychopathology, 10(02), 395–426.
Yingling, J. (1981). Temporal features of infants speech: A description of babbling patterns circumscribed by postural achievement. Unpublished Doctoral Dissertation, University of Denver.
Acknowledgments
This article is based on a dissertation submitted to the University of Pittsburgh in partial fulfillment of the requirements for the degree of Doctor of Philosophy by the first author Nina B. Leezenbaum. The research was supported by Autism Speaks and the National Institutes of Health (R01 HD41607 and R01 HD54979 to JMI) and an Autism Science Foundation Predoctoral Fellowship to NBL. Additional support was provided by NIH HD35469 and HD055748 to N. Minshew. We thank members of the Infant Communication Lab at the University of Pittsburgh for assistance with data collection and coding, Dr. Elizabeth Votruba-Drzal for statistical advice, and Drs. Nancy Minshew, Diane Williams, and Susan B. Campbell, Celia Brownell, and Michael Pogue-Geile for valuable contributions at various stages of the project. A special thanks to the families and infants who participated in the research.
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This study was funded by Autism Speaks and the National Institutes of Health (R01 HD41607 and R01 HD54979) with additional support form an Autism Science Foundation Predoctoral Fellowship.
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NBL jointly conceived of and designed the study, participated in data collection, conducted analyses and interpretation of data, and drafted the manuscript; JMI jointly conceived of and designed the study, coordinated data collection, assisted in interpretation of the data, and provided extensive revisions and feedback of the manuscript. All authors read and approved the final manuscript.
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Leezenbaum, N.B., Iverson, J.M. Trajectories of Posture Development in Infants With and Without Familial Risk for Autism Spectrum Disorder. J Autism Dev Disord 49, 3257–3277 (2019). https://doi.org/10.1007/s10803-019-04048-3
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DOI: https://doi.org/10.1007/s10803-019-04048-3