Brief Report: Gestures in Children at Risk for Autism Spectrum Disorders.
Counting gestures at 12-15 months flags babies likely to meet ADOS autism criteria and predicts language gains.
01Research in Context
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.
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.
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.
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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02At a glance
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