SLPOtherJournal of autism and developmental disorders2017

Neural Correlates of Sensory Hyporesponsiveness in Toddlers at High Risk for Autism Spectrum Disorder.

David M Simon, Cara R Damiano, Tiffany G Woynaroski and 5 others

PMID 28597185

WHAT IT FOUND

High-risk toddlers who often ignored sounds, their name or pain had stronger left frontal brain signals and more synchronized activity.

A blunted reaction was seen with early brain differences.

Key findings

01Parent-reported low reactions to sounds, name or pain were associated with stronger left frontal theta activity.

02A pattern of relative right frontal dominance in alpha activity was associated with greater parent-reported low reactions.

03Low reactions were associated with increased low-frequency synchronization and reduced signal complexity at temporal and occipital regions.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only a small group of high-risk toddlers was analyzed, so the findings cannot be treated as a clinical marker. The study had no low-risk comparison group and used a questionnaire that does not capture sensory variability well in typical development. The design was correlational, so it cannot show that brain patterns cause low reactions or that changing them changes behavior. Multiple comparisons were handled liberally, so some spatial patterns are less reliable. Some questionnaire scores were imputed, and two toddlers were excluded for unusable EEG. The theta band associations were affected by one outlier and by the toddlers later diagnosed with autism.

Declared interests

One author reported minority stock holdings in Electrical Geodesics, Inc., the company that makes the EEG equipment; the other authors declared no conflicts of interest.

The easy way to misread this

Do not read these EEG patterns as a diagnostic test for autism or as proof that changing brain activity will change sensory behavior. The study only compared parent-reported low reactions to sounds, name or pain with resting brain activity in high-risk toddlers at one time point.

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