Autism & Developmental

Brief Report: Differential Persistence of Primary Reflexes for Children with Autism Spectrum Disorder: A Systematic Replication.

Healy et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Quick lip-light test can flag retained baby reflexes that hang on longer in kids with autism.

✓ Read this if BCBAs doing early autism assessments in clinic or school.
✗ Skip if Practitioners who only serve adults or focus on verbal behavior alone.

01Research in Context

01

What this study did

Healy et al. (2024) looked at simple baby reflexes that usually vanish by one year.

They checked three groups: kids with autism, kids with general delays, and typical kids.

The team wanted to know if the snout or visual rooting reflex sticks around longer in autism.

02

What they found

Children with autism kept the snout and visual rooting reflexes more often than the other two groups.

The finding was the same when the study was run a second time, so it looks reliable.

03

How this fits with other research

Chinello et al. (2018) first saw that held-over baby reflexes in 12-month-olds forecast poor motor skills and family traits of autism.

Olive’s 2024 work now shows the same reflexes are still present in diagnosed children, backing up the earlier clue.

La Malfa et al. (2004) review says kids with autism struggle with imitation because their sensory-motor maps are off.

Persistent reflexes may be one visible sign of those messy maps, tying the two lines of study together.

04

Why it matters

You can add a 30-second reflex check to your intake. Touch the upper lip and move a light side-to-side.

If the snout or visual rooting reflex pops up, note it. It may explain clumsy fine-motor skills and gives you one more low-cost marker to support an autism referral or adjust motor goals.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

During your next child intake, stroke the upper lip and shine a pen-light side-to-side; record any snout or visual rooting reflex as present or absent.

02At a glance

Intervention
not applicable
Design
other
Sample size
95
Population
autism spectrum disorder, developmental delay, neurotypical
Finding
positive

03Original abstract

Primary reflexes are highly stereotypical, automatic movements comprising much of the motor repertoire of newborns. The current study examined rates of presence of five primary reflexes (snout, visual rooting, sucking, tactile rooting, and grasp) and variables predictive of their persistence for children with ASD (n = 35), developmental disability (n = 30), and typically developing children matched to participants with ASD on chronological age (n = 30). There was a higher prevalence of snout and visual rooting reflex among children with ASD. These data suggest that the persistence of primary reflexes holds promise as a biomarker for autism spectrum disorder (ASD).

Journal of autism and developmental disorders, 2024 · doi:10.1038/srep19164