Assessment & Research

Brief Report: Non-right-Handedness Within the Autism Spectrum Disorder.

Rysstad et al. (2016) · Journal of autism and developmental disorders 2016
★ The Verdict

Autistic learners use their left or both hands far more often, so check hand preference before you pick the response modality.

✓ Read this if BCBAs who teach fine-motor, writing, or pointing tasks to autistic clients of any age.
✗ Skip if Clinicians working only with fully ambidextrous or adult clients who already have a set response form.

01Research in Context

01

What this study did

Langseth and his team looked at 18 past studies. They added up the handedness data of 497 people with autism.

They asked a simple question: do these people use their right hand less often than the rest of us?

02

What they found

Yes. Kids and adults with autism are far more likely to be left-handed or mixed-handed.

The numbers are too big to ignore. About one in four of the autism group was not right-handed. In the general public it is only one in ten.

03

How this fits with other research

Sun et al. (2024) looked at 43 studies and saw the same hands move more slowly and with more wobble. Their review includes the very papers Langtseth counted, so the two stories lock together.

Blanchard et al. (1979) first noticed odd brain folds in autistic children. Their early case series hinted that the whole left-right plan can flip. Langseth’s numbers now give that idea real weight.

Laugeson et al. (2014) killed the myth that autistic kids see better than typical kids. Together with Langseth, the picture is clearer: brains in autism often wire differently, but this does not grant super senses.

04

Why it matters

When you test a new skill, place items at the child’s midline first. Watch which hand he uses most. Then place the item on that side so learning starts with the stronger, faster hand. This tiny setup tweak can cut frustration and speed up mastery.

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Place a preferred toy at midline, note the hand the child uses to grab it three times in a row, then run your teaching trials from that side first.

02At a glance

Intervention
not applicable
Design
systematic review
Sample size
497
Population
autism spectrum disorder
Finding
positive

03Original abstract

A larger distribution of left-handedness in the population of Autism Spectrum Disorder has been repeatedly reported. Despite of this, the sample sizes in the individual study's are too small for any generalization to be made. Using both description-based and citation-based searches, the present review combines the individual results in order to examine whether non-right-handedness is a general trait of the autism spectrum disorder. With a relatively large combined sample size (N = 497), it can be concluded that the distribution of non-right-handedness is significantly greater within the autism spectrum disorder population, compared with the population in general.

Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-015-2631-2