Autism Therapy: coordination

definition of coordination: not yet defined.

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International Journal of Rehabilitation Research, by Cosper, SM, Lee GP, Peters SB, and Bishop E., published in 2009, summarized May 27, 2010

Interactive Metronome training may help children with attention deficit disorder or pervasive developmental disorder who have deficits in visuomotor control and speed.

This study was designed to see if Interactive Metronome therapy can help these children move better and pay attention better. The study was designed so that each child acted as his or her own control. The authors found that Interactive Metronome seemed to help with some aspects of motor control and reaction time. They did not see improved attention in the children after therapy. The authors note that there is very little research to back up the many claims made by people who offer Interactive Metronome therapy.


Alternative Therapies in Health and Medicine, by Morris, CR, and Agin MC, published in 2009, summarized Sep 4, 2009

Combined vitamin E and omega 3 therapy may help a type of verbal apraxia (speech problems) that may be caused by food allergies and nutritional problems, and could affect children with autism.

Children with verbal apraxia have trouble saying words and may have severe speech problems. Many scientists have thought that verbal apraxia is a brain disorder. This study suggests that verbal apraxia may be a result of nutritional problems. This study tested 187 children with verbal apraxia. Many of the children also had autism. All children took 400-3,000 International Units (IU) of vitamin E daily. They also took 1-3 grams of polyunsaturated fats (including omega 3 fatty acids) per day. Almost all of the families reported that the children who received vitamin E and omega 3 therapy had better speech, imitation, coordination, and eye contact. The authors also described blood test results for 26 of the children. They reported low carnitine levels, high anti-gluten antibodies, low vitamin D levels, fat absorption problems, and other results. The authors described how nutrition and metabolism might be different in some children with autism. The authors said that two major problems with this study were that they asked parents to give their own opinion of whether or not the children were getting better, and they did not use placebo controls. Even so, they said the results are very promising.


Canadian Journal of Occupational Therapy, by Phelan, S., Steinke L., and Mandich A., published in 2009, summarized May 7, 2009

A new approach to occupational therapy may be helpful in teaching children with autism to tie their shoes, keyboard, ride a bike, and do other daily tasks.

Motor problems are common in children with autism. This case study looks at a new treatment approach to treating autism, the Cognitive Orientation to Occupational Performance (CO-OP). The CO-OP approach was first designed to help children with movement (coordination) problems. The authors found that the CO-OP approach helped the two boys in the study learn to do a better job with day-to-day tasks. The authors note that the children's ability to perform the daily tasks varied over the course of the study.


Journal of Child and Adolescent Psychopharmacology, by Aman, MG, Hollway JA, McDougle CJ, Scahill L., Tierney E., McCracken JT, Arnold LE, Vitiello B., Ritz L., Gavaletz A., et al., published in 2008, summarized Sep 1, 2008

Risperidone does not seem to have a negative effect on school performance in children with autism.

The purpose of this study was to see if risperidone therapy made it hard for children with autism to think and learn. The study had 38 children aged 5-17 years. The risperidone therapy did not seem to affect attention, eye-hand coordination, or short term memory. The children who received risperidone therapy did show better verbal learning and spatial memory than controls. Treatment with risperidone also seemed to help the children to better focus on tasks.


Kids Toolbox in Clearwater Florida supplies “tools” or toys or whatever a child with autism might want. Owners Mike and Pam LeGath have created a store that helps children be comfortable: low lights and a sensory play area. One item they stock is a game called Tricky Fish. A child might think it’s a toy, but it actually helps him develop eye/hand coordination, motor skills, and attention span. Kids Toolbox carries other special items as well as seamless clothing for children who have sensory issues. The store wants to be a community resource and is also hosting lectures on special needs once a week.

Read oringal article: Clearwater Store Stocks Tools for Helping Children with Autism, ADD, Special Needs


The Andrews decided to involve the entire family in their son’s autism therapy. The therapy they chose was Relationship Development Intervention (RDI). Chresta Ambers, a certified RDI therapist, says this therapy can be used at any age and any range of a person with autism. RDI was created by Dr. Steven Gutstein and is a parent-based treatment that incorporates six objectives: emotional referencing, social coordination, declarative language, flexible thinking, rational information processing, and foresight and hindsight. The Andrews say that RDI is a therapy they can practice 24/7 with their son.

Read original article: KidSafe - R.D.I. for Autism


The story of Justin Canha, a New Jersey artist with autism, was detailed in Sunday’s New York Times. Reporter Amy Harmon shadowed Justin as he navigated a transition program that would allow him to get a job and eventual independence. Kate Stanton-Paule, the coordinator of a “transition to adulthood” program established at Montclair High School, has been instrumental in advocating that, with the appropriate coaching, adults with autism can live a productive and independent life. The article is full of transition activities, any one of which might be useful for increased independence, but it also points out the coordination of family and therapists that enable young adults to thrive in the community.

Read original article: Autistic and Seeking a Place in the Adult World


Dr. Richard Kelly, a Bridgehampton chiropractor, has developed a therapy program to help children on the autism spectrum. Maximum Potential works to strengthen the brain so that kids might have improved social and focal behavior. The therapy focuses on sensory and cognitive exercises that combine “postural and spinal adjustments, aerobic and hand-eye coordination exercises and reflex activity.” Kelly calls Maximum Potential less a treatment, but rather a regiment, which includes nutrition and exercise in addition to the adjustments. Maximum Potential begins with an assessment and then adds an individual plan of exercises combining aerobics with eye-hand coordination.

Read original article: Bridgehampton Chriopractor's Autism Therapy Yields Success



Please comment on this autism topic.

Responding to interactive metronome

Feb 9, 2011 by Anonymous

As a certified Interactive Metronome Provider, I have experienced many positive results working with clients with Autism, ADD, ADHD, TBI, Asperger's Syndrome, Chronic Fatigue and seniors with balance/gait difficulty. There IS significant research on Interactive Metronome if one looks at the proper resources.  Increased focus/attention, better coordination, improved motor planning, improved self-confidence, better eye contact, less impulsiveness, less anxiety, better grades in school are only a few of the gains that clients I have worked with have gained as a result of IM


I have worked with close to 80 clients and have only had one client ( a 50 year old male ) with ADD who felt that IM did not help them in some way.


Ayurveda for Autism Spectrum Disorder

Jan 4, 2011 by sunethriayurved...

Hi everybody,

I am Dr.Prasad M, MD (Ay.), working with autistic kids from 2002 onwards. I went through the article mentioned. Let me share with you an unbiased information on the scope of Ayurveda, the age-old Indian system of Vedic medicine, in the treatment of ASD. This is based 100% on my personal experiences. Kindly see the following passages. Comments and criticisms are welcomed whole-heatedly. 

Scope of Ayurveda in Autism Spectrum Disorder

Trials with Ayurvedic medicines and treatments for their efficacy in ASD are going on at various centres in India and abroad.   The main advantage of ayurvedic medicine is that it has got a magazine of safe therapeutic preparations of various forms which are developed by continuous trials and rectifications over thousands of years.  There are many preparations like kwatha (decoction), churna (powder), arishta (self-fermented beverage), gudika (pill), ghrtha (medicated ghee), thyla (medicated vegetable fats) etc.  In recent times, many of the herbs used in Ayurveda are proven to have excellent detoxifying effect as well as free radical- scavenging potential.  The therapeutic preparations like kwatha are combinations of many herbs.  These combinations are originally developed on the basis of ayurvedic principles.  Till recent times these formulations were not given due consideration by the western scientists.  But now the picture has changed. More and more ayurvedic preparations are under their evaluation.  In Ayurveda, the compounds as well as single herbs are used for different purposes of health care like pacifying vitiated functional units called doshas, eliminating excessive toxic accumulations, providing targeted nutrients to tissues, tuning the mind-body coordination, sharpening the efficacy of sense-organs, and so on.  These prescriptions are based on personalised evaluation of different aspects like body constitution, doshik status, power of digestion and assimilation, status of bowel evacuation, physical strength, mental constitution, and etc which is done by experienced physicians.  Mind is an important factor in the healing of any ailment.  It is assumed that mind is like ghee which is held inside a pot called body.  If the ghee is hot the pot also gets warmed and if the pot is hot definitely the ghee also will be hot.  You cannot expect warm ghee in a cool pot and wise versa.  Similarly, food is given the supreme role in the healing process as well as in the maintenance of health.  It is a basic concept in Ayurveda that there is no use for any medicine if one stick on to pathya (wholesome) food (as it brings about health spontaneously) and there is no use for any medicine if one stick on to apathya (nasty) food (as there is no scope for functioning of the medicine).   In the context of autism, these assumptions are extremely important and seen exceptionally beneficial. 

The care of autism, as per ayurvedic principles, is based on the protocol of a three-step intervention

  1. detoxifying the body by regulating the agni
  2. Cleansing the dhatus (body tissues) by medicines and therapies
  3. Enhancing the mental abilities like comprehension, memory etc. by promoting the Agni.

Again, though the stages are generalised the execution will be personalised. 

The first stage is based on medicines almost completely.  Medicinal preparations like purgatives, specific formulations for de-worming, for enhancing the functions of the liver and pancreas, for enhancing the digestive fire (Agni), and for regulating the intestinal motility are used in this stage.  Certain preparations meant for squeezing out heavy metals from the tissues are also used.  Turmeric, garlic, curry leaves, etc are having this advantage. 

Second phase is mainly comprised of massages.  Traditional methods like abhyanga (hot-oil massages), udwarthana (dry powder massages), pindasweda of various types, thalapothichilpizhichil, etc are used here.  These manoeuvres improve the muscle tone, reduce hyperactivity, create better motor coordination, and normalize most of the obsessive repetitive movements.  Child sleeps well.  The bowels become more regular at this stage.  He/she will be more receptive to commands or suggestions.  The demand for sensory stimulation slows down considerably and the symptoms like increased sensitivity to certain sounds (hyperacusis) slowly disappear.  There will be oral medications parallel to the therapies and a few of these medications will be carried over to the next phase as well.  

Third stage is very specific and sold not be started before the proper completion of the first two.  This is an important point as there is a general tendency to mark the condition as mental retardation and to prescribe brain tonics and memory boosters to all autistic kids indiscriminately.

The major therapies in this stage are shirodhara (pouring of liquids like oils on the head), shirovasthi (holding of medicated oils on the head inside specially designed leather-rims), shiropichu (wetting the scalp with oil bandages), dhoopanam (fumigation with specific medicines) etc along with specific medications like kallyanakam kashayam, indukantham kashayam, gorochanadi gudika,balakanakapathradi kashayam, sidharthakam gudika etc.  Certain specific herbs like sahadevi, sankhapushpi, vacha, vishnukranthietc are also used.  Follow up is done with ghee preparations like mahakallyanaka, mahapaisachika, brahmighrtha, saraswathaghrtha, etc. 

Conclusion

It is seen that the classical ayurvedic treatment done systematically give promising results in kids diagnosed with ASD.  But it should be emphasised that the level of improvements is different from child to child.  Another important point is that these interventions are made in a corrective manner.   The child gets relieved of a lot of physical problems and tantrums.  But this will not make him/her a normal child.  Intensive training and special education are needed to put him on track and to catch up the peers.  This requires the dedicated involvement of parents, special educators, and skilled professional like occupational therapists.


 

Can nutrition help verbal skills in children with autism? A study reported the August 2009 issue of Alternative Therapies says yes, for some children. Combined vitamin E and omega 3 therapy may help a type of verbal apraxia (a type of speech problem) that may be linked to food allergies and nutritional problems.

 Children with verbal apraxia have trouble pronouncing words and may have severe speech problems. Many scientists have thought that verbal apraxia is a brain disorder. This study suggests that verbal apraxia may also be related to metabolism differences and nutritional problems.

 Metabolism is the process of making energy from food. Metabolism is a complex system of enzymes, proteins, fats, and carbohydrates that work together to digest food and turn it into energy that the body can use. People likely have a wide range of metabolic differences. Some of those differences can be quite large for some individuals. In this study, they suggest that some children with autism may have metabolism differences that affect how they process foods, and how their brain works.

 What did the study show? This study tested 187 children with verbal apraxia, and many of them also had autism. All of the children took 400-3,000 International Units of vitamin E daily. They also took 1-3 grams of polyunsaturated fats (including omega 3 fatty acids) per day.

 Almost all of the families (97%) reported improvements in speech, imitation, coordination, eye contact, and other skills with vitamin E and omega-3 therapy. There were few side effects reported during the length of the study.

 The authors also described blood test results for nutritional information about 26 of the children. They reported low carnitine levels, high anti-gluten antibodies (suggesting a gluten allergy), low vitamin D levels, and fat absorption problems in most of the children they tested. They described how nutrition and metabolism might be different in some children with autism.

 What do these results mean for children with verbal apraxia and autism? The results are exciting because 97% of the children showed improvements, and there were few side effects. Sounds perfect, doesn’t it? But it’s not quite as perfect as it sounds.

 There are some major limitations of this study. First of all, the researchers asked parents to give their subjective opinion of improvements. The parents knew they were in a study. Although they were given specific improvements to look for, there is a possibility of bias in favor of reporting a good result.

 Secondly, they did not use placebo controls. All of the parents and children knew they were getting the supplements. There is the possibility of the “placebo effect” which is when people taking placebo (“sugar pills”) report feeling better or actually show improvements. Many think it is the power of the mind/body connection that somehow influences how they feel or even how their body physically responds. There is scientific evidence for brain connections to the immune and endocrine systems to support these observations. It is possible that, in this study, the children and/or parents were hopeful that the supplements would work, and that influenced the outcome. There was a placebo effect observed in a recent study of citalopram and autism in children.

 Third, the supplements may be helpful for only a subset of children with verbal apraxia. The researchers chose children with verbal apraxia who also had metabolism differences….

 What is the bottom line for omega-3 and vitamin E from this study? In spite of the shortcomings of this study, the results are very promising. Children with verbal apraxia may benefit from vitamin E and omega-3 supplements, which may get their metabolism on a better track. And researchers will continue to explore the nutrition/metabolism link with brain function. Good nutrition is likely to be important for many brain functions, not just verbal apraxia.


Scope of Ayurveda in ASD by Vaidya Prasad

Nov 13, 2009 by Anonymous

Trials with Ayurvedic medicines and treatments for their efficacy in ASD are going on at various centres in India and abroad. The main advantage of ayurvedic medicine is that it has got a magazine of safe therapeutic preparations of various forms which are developed by continuous trials and rectifications over thousands of years. There are many preparations like kwatha (decoction), churna (powder), arishta (self-fermented beverage), gudika (pill), ghrtha (medicated ghee), thyla (medicated vegetable fats) etc. In recent times, many of the herbs used in Ayurveda are proven to have excellent detoxifying effect as well as free radical- scavenging potential. The therapeutic preparations like kwatha are combinations of many herbs. These combinations are originally developed on the basis of ayurvedic principles. Till recent times these formulations were not given due consideration by the western scientists. But now the picture has changed. More and more ayurvedic preparations are under their evaluation. In Ayurveda, the compounds as well as single herbs are used for different purposes of health care like pacifying vitiated functional units called doshas, eliminating excessive toxic accumulations, providing targeted nutrients to tissues, tuning the mind-body coordination, sharpening the efficacy of sense-organs, and so on. These prescriptions are based on personalised evaluation of different aspects like body constitution, doshik status, power of digestion and assimilation, status of bowel evacuation, physical strength, mental constitution, and etc, which is done by experienced physicians. Mind is an important factor in the healing of any ailment. It is assumed that mind is like ghee, which is held inside a pot called body. If the ghee is hot the pot also gets warmed and if the pot is hot definitely the ghee also will be hot. You cannot expect warm ghee in a cool pot and wise versa. Similarly, food is given the supreme role in the healing process as well as in the maintenance of health. It is a basic concept in Ayurveda that there is no use for any medicine if one stick on to pathya (wholesome) food (as it brings about health spontaneously) and there is no use for any medicine if one stick on to apathya (nasty) food (as there is no scope for functioning of the medicine). In the context of autism, these assumptions are extremely important and seen exceptionally beneficial.

The care of autism, as per ayurvedic principles, is based on the protocol of a three-step intervention.

  1. detoxifying the body
  2. balancing the mind-body interaction, and coordination  and
  3. enhancing the mental abilities like comprehension, memory etc.

Again, though the stages are generalised the execution will be personalised.

The first stage is based on medicines almost completely. Medicinal preparations like purgatives, specific formulations for de-worming, for enhancing the functions of the liver and pancreas, for enhancing the digestive fire (Agni), and for regulating the intestinal motility are used in this stage. Certain preparations meant for squeezing out heavy metals from the tissues are also used. Turmeric, garlic, curry leaves, etc are having this advantage.

Second phase is mainly comprised of massages. Traditional methods like abhyanga (hot-oil massages), udwarthana (dry powder massages), pindasweda of various types, thalapothichil, pizhichil, etc are used here. These manoeuvres improve the muscle tone, reduce hyperactivity, create better motor coordination, and normalize most of the obsessive repetitive movements. Child sleeps well. The bowels become more regular at this stage. He/she will be more receptive to commands or suggestions. The demand for sensory stimulation slows down considerably and the symptoms like increased sensitivity to certain sounds (hyperacusis) slowly disappear. There will be oral medications parallel to the therapies and a few of these medications will be carried over to the next phase as well.

Third stage is very specific and sold not be started before the proper completion of the first two. This is an important point as there is a general tendency to mark the condition as mental retardation and to prescribe brain tonics and memory boosters to all autistic kids indiscriminately.

The major therapies in this stage are shirodhara (pouring of liquids like oils on the head), shirovasthi (holding of medicated oils on the head inside specially designed leather-rims), shiropichu (wetting the scalp with oil bandages), dhoopanam (fumigation with specific medicines) etc along with specific medications like kallyanakam kashayam, indukantham kashayam, gorochanadi gudika, balakanakapathradi kashayam, sidharthakam gudika etc. Certain specific herbs like sahadevi, sankhapushpi, vacha, vishnukranthi etc are also used. Follow up is done with ghee preparations like mahakallyanaka, mahapaisachika, brahmighrtha, saraswathaghrtha, etc.

It is seen that the classical ayurvedic treatment done systematically give promising results in kids diagnosed with ASD. But it should be emphasised that the level of improvements is different from child to child. Another important point is that these interventions are made in a corrective manner. The child gets relieved of a lot of physical problems and tantrums. But this will not make him/her a normal child. Intensive training and special education are needed to put him on track and to catch up the peers. This requires the dedicated involvement of parents, special educators, and skilled professional like occupational therapists.



Please comment on coordination or other autism therapy topics.

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