SLPCohortAutism research : official journal of the International Society for Autism Research2017

Neural correlates of language variability in preschool-aged boys with autism spectrum disorder.

Letitia R Naigles, Ryan Johnson, Ann Mastergeorge and 4 others

PMID 28301102

WHAT IT FOUND

Preschool boys with autism and more developed language had different white matter wiring in major brain pathways, and the strongest links were to language scores rather than autism severity.

Key findings

01Boys with autism who had beginning language, a small object vocabulary, or a larger vocabulary with some grammar showed different white matter measures in four major tracts.

02In the left inferior longitudinal fasciculus, a white matter measure was related to expressive and receptive language scores, but it was not related to autism severity.

03The left tract language relationship held after controlling for nonverbal cognitive scores, while the right tract expressive language relationship became much weaker.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only boys were included, so the findings may not apply to girls with autism. The study did not include a language-matched typically developing group or a group with language impairment without autism, so it cannot say whether the brain-language links are specific to autism. The available typically developing controls were much more advanced in language, so they were not used, and conclusions are restricted to children with autism. Scans were acquired during sleep and some children were excluded for motion artifact; an MRI system upgrade also occurred, though it was controlled in the analysis. Language groups were assigned using raw language scores and some children with uneven receptive and expressive scores were placed in the Middle group, so group differences may partly reflect classification rules.

The easy way to misread this

Do not read these brain-pathway differences as a reason to use MRI for language assessment or as proof that a treatment can change the pathway. The study compared boys with autism who already had different language levels and did not test therapy.

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