Longitudinal development of thalamic and internal capsule microstructure in autism spectrum disorder.
Kristine McLaughlin, Brittany G Travers, Olga I Dadalko and 14 others
PMID 29251836WHAT IT FOUND
In verbal autistic males, thalamus and posterior internal capsule brain tissue changed differently with age, but anterior internal capsule did not.
Finger-tapping speed was linked to posterior internal capsule tissue in both groups.
Key findings
01The thalamus and posterior internal capsule showed age-related group differences, but only radial diffusivity in both and fractional anisotropy in the posterior capsule remained significant after correction.
02The anterior internal capsule did not show an age-related group difference after correction.
03In a model, posterior internal capsule structure linked age to finger-tapping speed in ASD (b = 0.14, p = .03) and typical development (b = 0.20, p = .02); anterior internal capsule and thalamus did not.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
All participants were male, verbal, and without co-occurring intellectual disability, so the findings do not apply to females with ASD, minimally verbal individuals, or people with full-scale IQ less than 70. The groups were not matched on full-scale IQ, and when IQ was not controlled some age-related brain differences became weaker. A scanner hardware change occurred between the first and second time points, although analyses adjusting for it and omitting Time 1 gave similar results. Some participants with ASD were sedated at Time 1 (32 participants) and Time 2 (15 participants), although analyses without sedated scans gave similar results. The study tested 12 separate models, so only a few age-related group differences survived correction. Finger tapping was the only motor outcome, and the mediation model could not test whether the relation changes at different ages. Three-way anterior capsule effects involved few participants in the oldest age ranges.
Declared interests
The supplied text does not report author conflicts. The article is labeled as supported by NIH extramural and non-U.S. government research funding.
The easy way to misread this
Do not read the finger-tapping link as proof that therapy can change posterior internal capsule structure or motor speed. The study measured associations over time in verbal males and did not test treatment.