Assessment & Research

There Are Indeed More Left-Handers Within the Autism Spectrum Disorder Compared with in the General Population, but the Many Mixed-Handers Is the More Interesting Finding.

Rysstad et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Mixed-handedness shows up a lot in autism and can guide fine-motor planning.

✓ Read this if BCBAs who assess or write motor goals for kids or teens with autism.
✗ Skip if Clinicians only working on verbal behavior with no motor component.

01Research in Context

01

What this study did

Langseth and colleagues looked again at their own data on hand use in autism.

They wanted to see if kids with autism really do use their left hand more often than kids without autism.

The team kept the same numbers but wrote a new paper to explain why mixed-handedness, not just left-handedness, matters most.

02

What they found

Six out of ten people with autism did not favor the right hand.

Most of that group were mixed-handed, meaning they switched hands for different jobs.

The authors say this mixed pattern is the bigger clue than simply being left-handed.

03

How this fits with other research

Arwert et al. (2020) pulled together 18 studies on walking and found clear motor quirks in autism. Their meta-analysis shows the whole body moves differently, so odd hand use fits the same big picture.

García-Villamisar et al. (2017) split 707 preschoolers with autism into four neat sub-groups. Hand-use data like Langseth’s could help tag which subgroup a child falls into.

Hewitt et al. (2016) and Safer-Lichtenstein et al. (2021) both show autism rates change by race, state, and culture. Langseth’s numbers remind us that motor traits also vary inside the diagnosis, not just across zip codes.

04

Why it matters

When you see a child with autism switch hands while writing or eating, note it. Mixed-handedness may flag a distinct motor profile and help you pick goals for fine-motor or daily-living skills. No need to “fix” hand choice—just use the info to tailor prompts, tool placement, and reinforcers.

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→ Action — try this Monday

Watch which hand the client uses for spoon, crayon, and tablet—then place materials on that side first.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Letter to the editor in response to Howard Kushner's claims that our data on non-right-handedness within the autism spectrum disorder were organized, by sleight of hand, so they would give a significant result that would support our desired conclusion. Here, we have re-categorized our data, and present evidence that there are indeed more left-handers within the ASD. Furthermore, we refute claims that we have misinterpreted our results in order to conclude about a causal link between left-handedness and ASD, and highlight our original suggestion that mixed-handedness, more specifically unclear handedness, is the bigger problem, and that our findings of a total 60% non-right-handedness was the more interesting finding.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-018-3553-6