Ignite Creation Date:
2024-05-05 @ 4:48 PM
Last Modification Date:
2024-10-26 @ 9:24 AM
Study NCT ID:
NCT00319722
Status:
UNKNOWN
Last Update Posted:
2010-05-04
First Post:
2006-04-27
Brief Title:
EEG Studies of Sensory Processing in Autistic Children
Sponsor:
Massachusetts General Hospital
Organization:
Massachusetts General Hospital
Study Overview
Official Title:
Electrophysiologic Indicators of Gating and Timing Abnormalities in Autism
Status:
UNKNOWN
Status Verified Date:
2010-05
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study uses EEG to study brain waves at rest and in response to specific auditory and visual sensory stimuli in autistic children We hypothesize that compared to same age peers autistics will show abnormalities in their electrophysiologic processing of sounds tones and phonemesand visual stimuli flashes of lightand that these abnormalities will be able to separate autistics not only from typical children but also into clinical subgroups with specific biologicalelectrophysiological characteristics We hope to find biological measures which will prove diagnostic of autism in very young children and which can be used in the measurement of treatment outcome in future intervention trials
Detailed Description:
Specific Aims
Aim 1 To recruit 75 children with autism and 75 age- and sex-matched controls ages 6 to 8 years old for an electrophysiological study and to characterize the subjects using appropriate instruments for autism diagnosis language functioning and behaviorsensory profile and to measure head circumferences Aim 2 To acquire and analyze event-related potential ERP data in the auditory and visual modality
ERP Hypothesis Increased amplitude altered morphology impaired temporal discrimination and delayed responsiveness will be found early in the processing hierarchy and the severity of these abnormalities will be associated with the severity of dysfunction at higher levels of cortical processing
Aim 3 To acquire EEG data and to analyze it quantitatively Quantitative EEG Hypothesis Both interhemispheric and intrahemispheric coherence measures of the EEG will be significantly deviant from those in the normal sample and predicted by abnormalities of ERPs In addition EEG background alpha activity will show post mature ie higher frequencies Hz than would be expected for age and focal epileptiform activity and slowing ie paroxysmal theta will predict dysfunction on the ERPs
Rationale
The goal of this grant is to use electrophysiological measures to characterize abnormalities in gating and timing in the autistic brain The motivation for this research project derives from findings and models in autism of increased excitationinhibition ratios increased brain and white matter volume and altered connectivity These changes alone and in combination have the potential to alter the intensity timing and integration of signaling at multiple stages of processing These signaling problems can potentially lead to the autistic behavioral phenotype through cognitive processing abnormalities including the hyperspecificityoverselectivity of autism as well as to such features of autism as sensory processing abnormalities seizures and anxiety We believe that characterizing abnormalities related to gating and timing phenomena may lead to the development of an electrophysiological battery that can be utilized for early diagnosis prognosis and subtyping of autism as well as the tracking of treatment efficacy
Subjects
Subjects will be recruited from the general population the Ladders Clinic at MGHSpaulding Hospital where the PI Dr Martien is employed as a clinician as well as from the clinical practice of Dr Herbert at the MGH-Institute of Health Professions preschool clinic Flyers will be placed on available bulletin boards at the two clinics and throughout the greater Boston area particularly at all Partners Harvard MIT hospital clinic research and educational settings
The study will seek to enroll eighty 75 6 to 8 year olds with autism and 75 age and sex matched controls Children will be considered for inclusion in the autism group if
English is the primary language in the home
Experimental group Child meets criteria for autism on the ADI-R and ADOS evaluation scales this inclusion criteria will be explained during the consent process
They meet non of the Exclusionary criteria which include
Known genetic disorder
Hearing or gross sensorimotor deficits
Clinical evidence of progressive encephalopathy
Asphyxia at birth or any other time
Frequent seizures or use of anticonvulsant drugs or psychotropic medication
Known presence of focal brain lesions brain atrophy or ventriculomegaly Children will be considered for the control group if the child meets all of the above criteria except they do not meet the criteria for autism or close to it on the ADOS and ADI-R evaluation scales
Methods
The child will be seated in a comfortable chair and the physiological assessment will begin after a head circumference is obtained with a tape measure an EEG cap is placed on the childs head and gel is applied to each electrode in the cap The tasks include 5 minutes of baseline EEG recording while the child is looking at a design on a monitor placed 2 meters in front of the chair We then will proceed with a series of auditory and visual stimuli presented by computer through two speakers placed 1 meter in front of the child auditory and strobe visual at 50 cm The paradigms will include a presentation of pairs of tones with variable interstimulus intervals presented in random order at 65 dB SPL a paradigm with either 1000 Hz or 800 Hz at 65 dB and a final auditory paradigm with two different phonemes presented at 65 dB The visual tasks will involve the presentation of flashes of light which vary in frequency and luminance both reflected off a white board one meter from the child and directly at the childs visual field In each series there will be a 1 minute break between two blocks of 100 trials each for a total of 200 trials The experimenter will show the child an interesting toy and talk to the child during the break
The parent will be asked to complete the Vineland Adaptive Behavior Scales the Communication and Symbolic Behavior Scales CSBS and the MacArthur Communicative Development Inventory In the case that the subjects are recruited from the Ladders infant sib study we will use the existing ADI-R and ADOS data because Ladders has authorized the release of this information
The total time for the laboratory session will be approximately 1 hour The full battery of tasks will be performed on compliant children For those children whose attention cannot be maintained for the full battery the examiner will stop and give breaks as needed The examiner will go on to the next task or terminate the session if the subject or parent of the subject chooses to do so
Aim 1 To recruit 75 children with autism and 75 age- and sex-matched controls ages 6 to 8 years old for an electrophysiological study and to characterize the subjects using appropriate instruments for autism diagnosis language functioning and behaviorsensory profile and to measure head circumferences Aim 2 To acquire and analyze event-related potential ERP data in the auditory and visual modality
ERP Hypothesis Increased amplitude altered morphology impaired temporal discrimination and delayed responsiveness will be found early in the processing hierarchy and the severity of these abnormalities will be associated with the severity of dysfunction at higher levels of cortical processing
Aim 3 To acquire EEG data and to analyze it quantitatively Quantitative EEG Hypothesis Both interhemispheric and intrahemispheric coherence measures of the EEG will be significantly deviant from those in the normal sample and predicted by abnormalities of ERPs In addition EEG background alpha activity will show post mature ie higher frequencies Hz than would be expected for age and focal epileptiform activity and slowing ie paroxysmal theta will predict dysfunction on the ERPs
Rationale
The goal of this grant is to use electrophysiological measures to characterize abnormalities in gating and timing in the autistic brain The motivation for this research project derives from findings and models in autism of increased excitationinhibition ratios increased brain and white matter volume and altered connectivity These changes alone and in combination have the potential to alter the intensity timing and integration of signaling at multiple stages of processing These signaling problems can potentially lead to the autistic behavioral phenotype through cognitive processing abnormalities including the hyperspecificityoverselectivity of autism as well as to such features of autism as sensory processing abnormalities seizures and anxiety We believe that characterizing abnormalities related to gating and timing phenomena may lead to the development of an electrophysiological battery that can be utilized for early diagnosis prognosis and subtyping of autism as well as the tracking of treatment efficacy
Subjects
Subjects will be recruited from the general population the Ladders Clinic at MGHSpaulding Hospital where the PI Dr Martien is employed as a clinician as well as from the clinical practice of Dr Herbert at the MGH-Institute of Health Professions preschool clinic Flyers will be placed on available bulletin boards at the two clinics and throughout the greater Boston area particularly at all Partners Harvard MIT hospital clinic research and educational settings
The study will seek to enroll eighty 75 6 to 8 year olds with autism and 75 age and sex matched controls Children will be considered for inclusion in the autism group if
English is the primary language in the home
Experimental group Child meets criteria for autism on the ADI-R and ADOS evaluation scales this inclusion criteria will be explained during the consent process
They meet non of the Exclusionary criteria which include
Known genetic disorder
Hearing or gross sensorimotor deficits
Clinical evidence of progressive encephalopathy
Asphyxia at birth or any other time
Frequent seizures or use of anticonvulsant drugs or psychotropic medication
Known presence of focal brain lesions brain atrophy or ventriculomegaly Children will be considered for the control group if the child meets all of the above criteria except they do not meet the criteria for autism or close to it on the ADOS and ADI-R evaluation scales
Methods
The child will be seated in a comfortable chair and the physiological assessment will begin after a head circumference is obtained with a tape measure an EEG cap is placed on the childs head and gel is applied to each electrode in the cap The tasks include 5 minutes of baseline EEG recording while the child is looking at a design on a monitor placed 2 meters in front of the chair We then will proceed with a series of auditory and visual stimuli presented by computer through two speakers placed 1 meter in front of the child auditory and strobe visual at 50 cm The paradigms will include a presentation of pairs of tones with variable interstimulus intervals presented in random order at 65 dB SPL a paradigm with either 1000 Hz or 800 Hz at 65 dB and a final auditory paradigm with two different phonemes presented at 65 dB The visual tasks will involve the presentation of flashes of light which vary in frequency and luminance both reflected off a white board one meter from the child and directly at the childs visual field In each series there will be a 1 minute break between two blocks of 100 trials each for a total of 200 trials The experimenter will show the child an interesting toy and talk to the child during the break
The parent will be asked to complete the Vineland Adaptive Behavior Scales the Communication and Symbolic Behavior Scales CSBS and the MacArthur Communicative Development Inventory In the case that the subjects are recruited from the Ladders infant sib study we will use the existing ADI-R and ADOS data because Ladders has authorized the release of this information
The total time for the laboratory session will be approximately 1 hour The full battery of tasks will be performed on compliant children For those children whose attention cannot be maintained for the full battery the examiner will stop and give breaks as needed The examiner will go on to the next task or terminate the session if the subject or parent of the subject chooses to do so
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None