Assessment & Research

A Case-Controlled Investigation of Tactile Reactivity in Young Children With and Without Global Developmental Delay.

Barney et al. (2017) · American journal on intellectual and developmental disabilities 2017
★ The Verdict

Kids with GDD are measurably more reactive to everyday touch—use the 5-minute mQST to prove it.

✓ Read this if BCBAs working with toddlers or preschoolers who have global developmental delay and sensory avoidance.
✗ Skip if Clinicians who only serve verbal adults or strictly ASD without GDD.

01Research in Context

01

What this study did

The team tested light touch, pin-prick, cool, pressure, and repeated von Frey on toddlers and preschoolers. Half had global developmental delay (GDD). Half were same-age peers without delay.

They used the 5-minute modified Quantitative Sensory Testing (mQST) kit. Every child sat on a parent's lap while an examiner touched the arm or leg with safe, graded tools.

02

What they found

Kids with GDD pulled away, grimaced, or cried more often than controls. The difference showed up on every tactile test the team tried.

In plain words, the GDD group was measurably more touch-sensitive across all five sensations.

03

How this fits with other research

Fründt et al. (2017) found no broad threshold differences in adults with ASD, only rare odd reactions. Cohrs et al. (2017) now shows clear reactivity in young children with GDD. Age and diagnosis matter.

Tavassoli et al. (2016) saw altered tactile inhibition in ASD kids using a 2-minute ratio test. The new study adds a quick mQST battery for GDD toddlers, giving clinicians two validated paths.

Aller et al. (2023) pooled DS, ASD, and other IDD groups and warned that parent report and direct tests do not always match. The mQST gives you an objective score to double-check caregiver concerns.

04

Why it matters

You now have a 5-minute, kit-based way to show parents why their child hates tags, socks, or hair-washing. Use the mQST results to write precise sensory goals, justify OT consults, or show insurance why a desensitization program is needed. If the child also has ASD traits, pair this test with the static-dynamic ratio from Tavassoli et al. (2016) to get a fuller picture.

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Try the mQST light-touch filament on the forearm; score any flinch or grimace and compare to typical peers in your clinic.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
40
Population
developmental delay
Finding
positive
Magnitude
medium

03Original abstract

Assessing tactile function among children with intellectual, motor, and communication impairments remains a clinical challenge. A case control design was used to test whether children with global developmental delays (GDD; n = 20) would be more/less reactive to a modified quantitative sensory test (mQST) compared to controls (n = 20). Reactivity was indexed by blinded behavioral coding across vocal, facial, and gross motor responses during the mQST. On average the children with GDD were significantly more reactive than controls to most tactile sensory modalities including light touch (p = .034), pin prick (p = .008), cool (p = .039), pressure (p = .037), and repeated von Frey (p = .003). The results suggest the mQST approach was feasible and highlights the GDD sample was more reactive than controls to a range of stimuli.

American journal on intellectual and developmental disabilities, 2017 · doi:10.1352/1944-7558-122.5.409