Assessment & Research

Motor anticipation failure in infants with autism: a retrospective analysis of feeding situations.

Brisson et al. (2012) · Autism : the international journal of research and practice 2012
★ The Verdict

Watch if 4-6-month-olds open their mouth before the spoon arrives — missing this early motor cue may signal ASD risk.

✓ Read this if BCBAs who assess babies under 1 year or consult with Early Intervention teams.
✗ Skip if BCBAs serving only school-age clients or focusing on severe behavior reduction.

01Research in Context

01

What this study did

Researchers watched old home videos of babies during spoon-feeding.

They compared 15 babies later diagnosed with ASD to 15 typical babies.

All clips were taken when babies were 4-6 months old, before any diagnosis.

They counted how often babies opened their mouth right before the spoon arrived.

02

What they found

Typical babies opened their mouth early almost every time.

Babies who later got an ASD diagnosis rarely did this.

The difference was large and easy to see on video.

03

How this fits with other research

MWFaught et al. (2021) extends this work. They show feeding issues stay common in ASD kids up to age 6. Julie et al. found the first warning sign at 4-6 months. MWG give you a quick scale to keep tracking those issues later.

Özcan et al. (2025) found another early gap. After learning to walk, ASD babies did not add new gestures or sounds like typical babies. Both studies use simple home videos to spot early motor-communication splits.

Setoh et al. (2017) ties it together in a review. They list many small motor delays in ASD babies. The mouth-opening failure Julie found is one clear example you can watch for during everyday feeding.

04

Why it matters

You can check mouth-opening anticipation in any feeding session. No extra tools needed. If a 4-6-month-old never opens early, flag for further screening. Share the clip with the pediatrician. Early motor signs like this can start the referral process months sooner.

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→ Action — try this Monday

During your next parent coaching visit, ask to see a feeding. Count how many spoon approaches the baby anticipates with an open mouth.

02At a glance

Intervention
not applicable
Design
case control
Sample size
27
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

Previous studies on autism have shown a lack of motor anticipation in children and adults with autism. As part of a programme of research into early detection of autism, we focussed on an everyday situation: spoon-feeding. We hypothesize that an anticipation deficit may be found very early on by observing whether the baby opens his or her mouth in anticipation of the spoon's approach. The study is based on a retrospective analysis from family home movies. Observation of infants later diagnosed with autism or an autism spectrum disorder (ASD) (n = 13) and infants with typical development (n = 14) between 4 and 6 months old show that the autism/ASD group has an early anticipation deficit.

Autism : the international journal of research and practice, 2012 · doi:10.1177/1362361311423385