Assessment & Research

Brief Report: Gestures in Children at Risk for Autism Spectrum Disorders.

Gordon et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Counting gestures at 12-15 months flags babies likely to meet ADOS autism criteria and predicts language gains.

✓ Read this if BCBAs who screen infants with an older sibling with autism in clinic or early-intervention intake.
✗ Skip if Practitioners serving only school-age clients or adults.

01Research in Context

01

What this study did

Gordon et al. (2015) watched babies who had an older sibling with autism. These babies are at high risk.

The team counted every gesture the babies made at 13-15 months. They checked who later met autism criteria on the ADOS at 20-24 months.

They also looked at whether early gesture totals forecast later language scores.

02

What they found

Babies who went on to meet ADOS autism criteria had shown more gesture disruption at 13-15 months.

Total gesture count at that age predicted both receptive and expressive language scores months later.

03

How this fits with other research

Veness et al. (2012) got the same signal a little earlier. Their community sample showed gesture deficits on the CDI at 12 months already separate ASD from other delays.

Lyall et al. (2014) seems to disagree. They found school-age kids with ASD gestured less than peers. The twist: age matters. Gupta looks before diagnosis; Kristen looks after. The two pictures fit together like a timeline.

McGarty et al. (2018) stretched the timeline backward. They showed the slowest gesture and language growth curves start diverging at 6 months, giving us an even earlier heads-up.

04

Why it matters

You can add a 30-second gesture tally to any 12-15 month screening visit. Fewer gestures red-flag autism risk and forecast language delays. Share the count with families and early-intervention teams so therapy can start sooner.

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→ Action — try this Monday

During your next infant intake, count every point, show, and give for five minutes—low totals trigger referral.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
42
Population
autism spectrum disorder
Finding
positive

03Original abstract

Retrospective video analyses indicate that disruptions in gesture use occur as early as 9-12 months of age in infants later diagnosed with autism spectrum disorders (ASD). We report a prospective study of gesture use in 42 children identified as at-risk for ASD using a general population screening. At age 13-15 months, gesture were more disrupted in infants who, at 20-24 months, met cutoffs for "autism" on the ADOS than for those who met cutoffs for "autism spectrum" or those who did not meet cutoffs for either, whereas these latter two groups displayed similar patterns of gesture use. Total gestures predicted later receptive and expressive language outcomes; therefore, gesture use may help identify infants who can benefit from early communication interventions.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2390-0