Autism & Developmental

Trajectories of Posture Development in Infants With and Without Familial Risk for Autism Spectrum Disorder.

Leezenbaum et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Slower progression through sitting, crawling, and pulling-to-stand between 6 and 14 months signals higher autism likelihood in infant siblings.

✓ Read this if BCBAs who screen or provide early intervention to babies with an older sibling with autism.
✗ Skip if Clinicians serving only verbal school-age clients with no motor goals.

01Research in Context

01

What this study did

The team watched how babies learned to sit, crawl, and pull to stand. They tracked three groups: babies with an older sibling with autism, babies with an older sibling with language delay, and babies with typical siblings.

Visits happened from 6 to 14 months. Coders scored each video for the newest posture the baby could hold for three seconds.

02

What they found

Babies later diagnosed with autism moved through postures more slowly. They spent extra weeks in early sits and belly crawls.

Babies with only language-delay siblings were in the middle—faster than the autism group but slower than the typical group.

03

How this fits with other research

Sosnowski et al. (2022) widened the lens. They looked at fine and gross motor skills across three years and also saw slower paths in the autism group. The posture paper gives the close-up; the motor paper shows the long road.

Redquest et al. (2021) found that weak fine-motor grasp at 9–14 months predicted later autism likelihood. Both studies point to the same window—late first year—for red flags.

Demello et al. (1992) described older autistic kids swaying more while standing. The new work shows these balance differences start in infancy, before diagnosis.

04

Why it matters

You can spot risk without a blood test or eye tracker. Watch posture change between 6 and 14 months. If a baby sticks to early sits or belly crawls long after peers have moved on, flag for further screening and share the clip with the pediatrician. Early warning buys time for early action.

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Add a quick posture checklist to your 9-month intake: can the baby tripod sit, pivot on belly, and pull to knees? Note any plateau.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
85
Population
autism spectrum disorder, developmental delay, neurotypical
Finding
negative

03Original abstract

This study investigated early posture development prospectively in infants at heightened (HR) vs. low risk (Low Risk; LR) for ASD. Fourteen HR infants diagnosed with ASD (HR-ASD), 17 HR infants with language delay (HR-LD), 29 HR infants with no diagnosis (HR-ND), and 25 LR infants were videotaped at home for 25 min during everyday activities and play at 6, 8, 10, 12, and 14 months. All postures were coded and the sustainment source was identified for supported postures. Relative to LR infants, HR-ASD infants and to a lesser extent HR-LD infants exhibited distinct postural trajectories that revealed slower development of more advanced postures. In addition, subtle differences in posture sustainment differentiated HR-ASD from HR-LD infants.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04048-3