Autism & Developmental

Stereotyped motor behaviors associated with autism in high-risk infants: a pilot videotape analysis of a sibling sample.

Loh et al. (2007) · Journal of autism and developmental disorders 2007
★ The Verdict

Extra arm waving at 12 months and hands-to-ears at 18 months may signal autism risk in infant siblings.

✓ Read this if BCBAs who screen or coach babies with an older autistic sibling.
✗ Skip if Clinicians only serving verbal school-age clients.

01Research in Context

01

What this study did

Researchers watched home videos of baby siblings. Some babies later got an autism diagnosis. Others did not.

The team counted how often each baby flapped arms or put hands to ears at 12 and 18 months.

02

What they found

Babies who later had autism waved their arms more at both ages. They also pressed hands to ears more at 18 months.

Typical babies did these things too, just less often. The actions overlapped, so no single move meant autism.

03

How this fits with other research

Ozonoff et al. (2008) saw the same age-12 warning sign, but with spinning toys instead of arm moves. Together the papers say, "Watch for any odd repeated motion at one year."

Melo et al. (2023) looked at older autistic kids and found over half still had body stereotypies. The new work shows the seeds of those same motions appear before the first birthday.

Harrop (2015) notes most parent programs ignore these early quirks. Alvin’s pilot gives coaches a reason to target arm flaps and ear pressing in baby sessions.

04

Why it matters

You can spot possible autism risk during ordinary play. Note extra arm waving at one year and hands-to-ears at one-and-a-half. Share these clips with families and doctors. Early cues mean earlier support, even before words emerge.

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Count arm waves during a five-minute floor-play probe and log the number.

02At a glance

Intervention
not applicable
Design
case control
Sample size
32
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
small

03Original abstract

This study examined motor behaviors in a longitudinal cohort of infant siblings of children with autism. Stereotypic movements and postures occurring during standardized observational assessments at 12 and 18 months were coded from videotapes. Participants included eight infant siblings later diagnosed with autism spectrum disorder (ASD), a random sample of nine non-diagnosed siblings, and 15 controls. Videos were coded blind to diagnostic group. At 12 and 18 months the ASD group "arm waved" more frequently and at 18 months, one posture ("hands to ears") was more frequently observed in the ASD and non-diagnosed group compared to the controls. Overall, the siblings subsequently diagnosed with ASD and the comparison groups had considerable overlap in their repertoires of stereotyped behaviors.

Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0333-5