Infants at risk for autism could benefit from motor training

by Jennifer Wetzel | Posted on Friday, Sep. 9, 2011 — 3:19 PM

In a new study published in the journal Developmental Science, researchers from Vanderbilt University and the Kennedy Krieger Institute found that early motor experiences can shape infants’ preferences for objects and faces. The study findings demonstrate that providing infants with “sticky mittens” to manipulate toys increases their subsequent interest in faces, suggesting advanced social development.

This study supports a growing body of evidence that early motor development and self-produced motor experiences contribute to infants’ understanding of the social world around them. Conversely, this implies that when motor skills are delayed or impaired – as in autism – future social interactions and development could be negatively impacted.

“Our findings suggest that in early development, there are more connections among different behaviors than people may expect,” said study co-author Amy Needham, a professor of psychology and Vanderbilt Kennedy Center investigator. “Early motor development is so important for infants—in this case, beginning to grasp and move objects allows infants to control their own experiences much more directly than they could before.”

Previous research has found that infants diagnosed with autism spectrum disorders show less interest in faces and social orienting. While the current study was conducted with typically developing infants, it indicates that infants who are at risk for ASD or show signs of abnormal social development may benefit from motor training as early as 3 months of age.

“Our results provide us with a new way to think about typical, and also atypical, development,” said Klaus Libertus, the study’s lead author and a research scientist at Kennedy Krieger Institute’s Center for Autism and Related Disorders. “The mind is not independent from the body, especially during development. As motor skills advance, other domains follow suit, indicating strong connections between seemingly unrelated domains. Such connections have exciting implications, suggesting that interventions could target the motor domain to foster social development.”

In the study, the researchers divided 36 typically-developing, 3-month-old infants into two groups – one receiving active motor experiences and the other receiving passive experiences. Infants in the active group were given mittens affixed with strips of Velcro, known as “sticky mittens.” The researchers observed as infants in the active group played with the “sticky mittens” for 10 minutes each day for two weeks. While wearing the mittens, a brief swipe of the infants’ arm made toys, also covered in Velcro, “stick” as if the infant had successfully grasped the object. Parents first demonstrated this by attaching the toy to the mitten, but then the toy was removed and the infant was encouraged to independently reach for the toy again.

(Video courtesy of the Kennedy Krieger Institute)
In the passive group, infants were fitted with aesthetically similar mittens and toys, but without Velcro. Passive infants also played with the mittens and toys for 10 minutes each day for two weeks, but were only passive observers as parents provided stimulation by moving the toy and touching it to the inside of the infants’ palms.

After two weeks of daily training, the researchers tracked the infants’ eye movements while they watched images of faces and toys flash on a computer screen. Infants in the passive and active groups were compared with each other, as well as to two control groups of untrained infants comprised of non-reaching 3-month-olds and independently-reaching 5-month-olds. Researchers found the following:

• The active group showed more interest in faces rather than objects. In contrast, the passive group showed no preference.
• Infants in the active group focused on faces first, suggesting strengthening of a spontaneous preference for faces.
• When compared to the untrained control groups, the social preferences of the 3-month-old infants who experienced active training were similar to those of the untrained 5-month-olds, indicating advanced development following training.
• Finally, individual differences in motor activity observed between all 3-month-old infants in the study were predictive of their spontaneous orienting to faces. Regardless of training experiences, the more reaching attempts infants made, the stronger was their tendency to look at faces. Thus, motor experiences seem to drive social development.

“The most surprising result of our study is that we see a connection between early motor experiences and the emergence of orienting towards faces,” Libertus said. “Logically, one would predict exactly the opposite. But in the light of seeing actions as serving a social purpose, it does make sense.”

A key question researchers hope to answer next is whether these early changes will translate into future gains for these children. “Our results indicate a new direction for research on social development in infants,” said Libertus. He, along with Needham and their colleagues, will continue to observe these children to see if the social development benefits achieved during the current study are sustained one year later.

Support for this study was provided by grants from the National Institutes of Health.

Contact:
Jennifer Wetzel, (615) 322-4747
jennifer.b.wetzel@vanderbilt.edu