Key result
Children with autism spectrum disorder exhibited a significantly blunted cortical response to a noxious cold stimulus compared to typically developing controls (interaction p < 0.001).
Why the study?
Pain self-reporting is difficult in children with ASD and pain can go untreated, making an objective method to identify discomfort valuable.
Does near-infrared spectroscopy (NIRS) detect differences in cortical responses to physical discomfort between children with autism spectrum disorder and typically developing children?
Case-Control (n=22)
Does near-infrared spectroscopy (NIRS) detect differences in cortical responses to physical discomfort between children with autism spectrum disorder and typically developing children?
NIRS can objectively detect blunted cortical responses to physical discomfort in children with ASD, highlighting its potential as an objective pain assessment tool in populations with communication challenges.
NIRS may enable objective pain detection in ASD children; hypothesis-generating and should not yet change practice.
Self-reporting of pain can be difficult in populations with communication challenges or atypical sensory processing, such as children with autism spectrum disorder (ASD). Consequently, pain can go untreated. An objective method to identify discomfort would be valuable to individuals unable to express or recognize their own bodily distress. Near-infrared spectroscopy (NIRS) is a brain-imaging modality that is suited for this application. We evaluated the potential of detecting a cortical response to discomfort in the ASD population using NIRS. Using a continuous-wave spectrometer, prefrontal and parietal measures were collected from 15 males with ASD and 7 typically developing (TD) males 10-15 years of age. Participants were exposed to a noxious cold stimulus by immersing their hands in cold water and tepid water as a baseline task. Across all participants, the magnitude and timing of the cold and tepid water-induced brain responses were significantly different (p < 0.001). The effect of the task on the brain response depended on the study group (group x task: p < 0.001), with the ASD group exhibiting a blunted response to the cold stimulus. Findings suggest that NIRS may serve as a tool for objective pain assessment and atypical sensory processing.
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Schudlo et al. (2021) conducted a case-control in Autism spectrum disorder (n=22). Autism spectrum disorder vs. Typically developing controls was evaluated on Magnitude and timing of cold and tepid water-induced brain responses measured by near-infrared spectroscopy (p=<0.001). Children with autism spectrum disorder exhibited a significantly blunted cortical response to a noxious cold stimulus compared to typically developing controls (interaction p < 0.001).
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