Table 1.
Bölte et al., 2006 | Voos et al., 2013 | Ventola et al., 2015 | Murdaugh et al., 2015 | Bölte et al., 2015 | Murdaugh et al., 2016 | |
---|---|---|---|---|---|---|
Study type | Randomized cross-over trial | Case series | Uncontrolled pre-post trial | Randomized cross-over trial | Non-randomized parallel group trial | Randomized cross-over trial |
Center | Frankfurt University, Germany | Yale University, USA | Yale University, USA | University of Alabama at Birmingham, USA | Frankfurt University, Germany | University of Alabama at Birmingham, USA |
Number of ASD patients in the active group | 5 males | 2 (1 male and 1 female) | 10 (8 males) | 16 (12 males) | 16 males | 13 (11 males) |
Controls | 5 ASD males | No | 5 TD (2 males) | 15 ASD (12 males) and 22 TD (16 males) | 16 ASD (14 males) and 25 TD (21 males) | 13 ASD (10 males) and 19 TD (14 males) |
Mean age of ASD patients | 29.4 years | ~5 years | ~5 years | 10.3 years | 19.3 years | 10.9 years |
ID in ASD patients | No | No | No | No | No | No |
MRI technique | fMRI (facial affect recognition task) | fMRI (social perception task) | fMRI (social perception task) | rs-fMRI | fMRI (facial affect recognition task) | fMRI (sentence comprehension task) and rs-fMRI |
Type of treatment | Computer-based facial affect recognition training | PRT | PRT | Reading intervention | Computer-based facial affect recognition training | Reading intervention |
Duration of treatment | 2 h per week for 5 weeks | 8–10 h per week for 4 months | 7 h per week for 16 weeks | 20 h per week for 10 weeks | 1 h per week for 8 weeks | 20 h per week for 10 weeks |
Clinical outcome(s) in the active group | Improvements in facial affect recognition | Improvement on ADOS, CELF-4, and Vineland-II scores | Improvement on SRS-2 and ADOS scores | Improvement in reading comprehension, as measured by the GORT-4 Comprehension subtest | Improvements in facial affect recognition | Improvement in reading comprehension, as measured by the GORT-4 Comprehension subtest |
MRI outcome(s) in the active group | Increased activation in the R superior parietal lobule and maintained activation in the R medial occipital gyrus | Different increased activation in the two patients: L dorsolateral prefrontal cortex and L fusiform gyrus in one subject, R posterior superior temporal sulcus, L ventrolateral prefrontal cortex and bilateral fusiform gyri in the other patient | 5 ASD patients showed significant increased activation in R posterior superior temporal sulcus, ventral striatum, and putamen; 5 ASD patients showed significant decreased activation in R posterior superior temporal sulcus, thalamus, amygdala, and hippocampus | Enhanced connectivity of Broca's area with R middle frontal gyrus, R superior temporal gyrus, L supramarginal gyrus, and R caudate; reduced connectivity of Broca's area with R middle occipital gyrus and R posterior cingulate cortex | Increased activation in amygdala, fusiform gyrus, and temporal pole bilaterally, medial prefrontal cortex, and L posterior superior temporal sulcus | Increased activation in brain regions underlying language and visuospatial processing, bilateral insula, R postcentral gyrus, and compensatory recruitment of R-hemisphere and subcortical regions |
Increased functional connectivity between L middle temporal gyrus and L frontal regions | ||||||
Enhanced connectivity of Wernicke's area with R anterior cingulate, L middle orbital gyrus, bilateral inferior frontal gyrus, R middle frontal gyrus, R middle cingulate, R precentral gyrus | ||||||
Follow-up period | No | No | No | No | No | No |
ASD, Autism Spectrum Disorders; MRI, Magnetic Resonance Imaging; DTI, Diffusion Tensor Imaging; fMRI, functional Magnetic Resonance Imaging; rs-fMRI, resting-state functional Magnetic Resonance Imaging; ID, intellectual disability; TD, controls with typical developing; PRT, Pivotal Response Treatment; CELF-4, Clinical Evaluation of Language Fundamentals—Fourth Edition; ADOS, Autism Diagnostic Observation Schedule; SRS-2, Social Responsiveness Scale-Second Edition; GORT-4, Gray Oral Reading Tests-4th Edition; R, right; L, left.