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What is Thumb to Wrist Autism?

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Summary

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Thumb to wrist autism is a way some kids with autism move their hands. They might repeatedly touch their thumb to their wrist or twist their hands in unusual ways. This helps them explore their world and shows what they’re feeling or trying to say.

Frequently Asked Question

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What does thumb to wrist posturing look like in autism?

Thumb to wrist posturing involves repeatedly touching the thumb to the wrist or twisting the hands in unusual positions. It’s a common repetitive behavior seen in many children with autism spectrum disorder.

Why do some kids with autism touch their thumb to their wrist?

Thumb to wrist movements may serve sensory, emotional, or communicative functions for children with autism. The repetitive motions can provide sensory input, self-soothing, or a way to express feelings.

Should I stop my child from doing thumb to wrist posturing?

In general, it’s best not to forcibly stop the behavior, as it may be meeting a need for your child. Consult with an occupational therapist or behavior specialist for guidance on positive ways to address it.

Can thumb to wrist posturing be treated?

While there’s no single “treatment,” therapy and supports can help reduce thumb to wrist posturing over time. Occupational therapy, behavioral interventions, communication aids, and sensory tools are common approaches.

Scientific Definition

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Thumb to wrist posturing is a repetitive hand movement commonly observed in individuals with autism spectrum disorder (ASD). This behavior involves repeatedly touching the thumb to the wrist or twisting the wrists and hands in atypical positions. Hand posturing behaviors like thumb to wrist movements are thought to serve sensory, emotional, and communicative functions for people with ASD. Studies suggest that up to 77% of children with autism exhibit some form of repetitive hand and finger mannerisms.

 

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Treatment for Thumb to Wrist Autism

There are several approaches to addressing thumb to wrist posturing in kids with autism:

  • Occupational therapy can help improve fine motor skills and provide alternative sensory experiences.
  • Behavioral interventions like reinforcing other behaviors can reduce reliance on repetitive hand movements.
  • Communication supports such as visual aids or sign language may provide other ways to express needs.
  • Sensory tools like stress balls or putty can keep hands occupied in more functional ways.

With the right supports, many kids decrease thumb to wrist behaviors over time. Consult with your child’s doctor and therapy team to find the best approach.

Conditions Associated with Thumb to Wrist Autism

Thumb to wrist posturing is most commonly associated with autism spectrum disorder. However, similar repetitive hand movements may occur with some other neurodevelopmental differences as well.

Condition Relation to Thumb to Wrist Posturing
Autism Spectrum Disorder Very common repetitive behavior
Intellectual Disability Sometimes co-occurs with autism
Stereotypic Movement Disorder Repetitive hand/body movements without autism diagnosis

If you notice your child frequently touching their thumb to wrist or twisting their hands, consult with your pediatrician. They can screen for autism and other conditions, and refer you to appropriate specialists if needed.