Autism Therapy: sensory stimulation

definition of sensory stimulation: not yet defined.

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American Journal of Mental Retardation, by Baranek, GT, Boyd BA, Poe MD, David FJ, and Watson LR, published in 2007, summarized Jul 24, 2007

Sensory integration therapy is most helpful if it slowly helps children get used to extreme sensory stimulation.

This study was designed to see if children with autism were more likely to try to avoid sensory stimulation (e.g. bright lights, loud noises, strong smells) than other children. The authors found that many children have problems with strong sensory stimuli and not just children with autism. As children got older it became easier for them to be around sensory stimulation. This was true for all children and not just children with autism. They found that about 58% of the children (autistic and non-autistic) got used to sensory stimulation as they aged. The authors suggested that therapy should be designed to help children get used to the strong sensory things they may find in their neighborhood.


EP Magazine, by Pitts, JL, published in 2005, summarized Feb 20, 2007

Children with pervasive developmental disorders (PDD) respond well to pet therapy. The benefits of pet therapy include: love, attachment, and sensory stimulation. One theory is that pet therapy allows a child with autism to first form a relationship with an animal that he can then transfer to humans. Many different animals can be effective for pet therapy including: dogs, cats, parakeets, guinea pigs, aquarium fish, domestic rats, and farm animals. Visiting pets can also help to form bonds between students with autism in the classroom setting. The author suggests that before purchasing an animal for use as pet therapy, the parents first learn more about the animal from the American Veterinary Association or Assistance Dogs of America.


Research in Developmental Disabilities, by Cannella, HI, OReilly MF, and Lancioni GE, published in 2006, summarized Nov 11, 2006

There are many effective ways to treat the stereotypic behavior of hand mouthing.

Hand mouthing occurs in 7-16% of individuals with severe to profound developmental disabilities. This literature review found that there are many different treatments for hand mouthing. These include: antecedent interventions, multicomponent interventions, pharmacological interventions, interventions that utilize reinforcement, response blocking interventions, response effort interventions, and sensory stimulation interventions. The authors found that many of the treatments are effective. The authors were not able to determine, however, which therapy would be most effective for which child.


Journal of Applied Behavior Analysis, by Roantree, CF, and Kennedy CH, published in 2006, summarized Oct 21, 2006

ABA is most effective if the behavior in question is reinforced by the environment. The authors examined a 10-year old boy and found that stereotypy can be reinforced by the environment. This is in contrast to the commonly held belief that children perform the repetitive behavior in order to get sensory stimulation. Instead, the child in this case study was using stereotypy to avoid or escape interacting with other people. Consequently, they suggested that ABA be used to prevent the reinforcement and therefore discourage the behavior.


Positive Assistance and Canine Companions for Kids (PACCK) has trained and provided several service dogs to children with autism. Asha, a white German shepherd, is the new best friend of Alexis Paquette. However, Asha is more than a friend; she has been trained to help calm Alexis, to watch out for him, and provide sensory stimulation. The Paquettes say that Alexis now sleeps through the night and is showing interest in people and situations. Mark Stolow, the president of PACCK, explains the extreme expense in training dogs like Asha, and says that PACCK will soon go into homes that already have dogs and help train them. He says, “basic training that will allow parents to make the most out of their existing pet's natural instincts and abilities.”


A Snoezelen room at the Providence Center for Medically Fragile Children in Oregon is helping children with autism and other developmental disorders with sensory issues. Snoezelen rooms were developed in the Netherlands, but are becoming more popular in the U.S. These rooms provide sensory stimulation and relaxation in the form of light, music, and textures. The "slide projectors, black lights, mirrors, disco balls, stereos, colored bubble tubes, flashing lights, aromatherapy machines" are used based on an individual's likes and dislikes - the focus is on a child's comfort. At the Providence Center where children reside, the Snoezelen room is a place where families can interact; parents can learn to operate the room and enjoy quality time with their child.

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Juli Hollenbeck, a speech and language pathologist at University Hospital's Speech and Hearing Center (Georgia), works with children who might never speak. "My goal is communication. I don't care if it's giving me a picture or it's looking at me," said Ms. Hollenbeck. She utilizes sensory integration intervention with her clients with autism. Typically, sensory integration therapy is used by occupational and physical therapists. The Speech and Hearing center where she works contains a slide, swing, and other sensory stimulation items. In addition, she uses picture books and computers with voice recorders to encourage children to communicate in their own way.

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The Canon-McMillan School District in PA is readying classrooms and teachers to assist students with autism spectrum disorder. A specific example is taking place at Cecil Intermediate School, where a sensory integration station has been set up. Students who qualify will be provided with the means for sensory stimulation. Other schools in the district are providing opportunities to learn about healthy foods, wellness activities, and "Differentiated Home Activity Kits"that involve children and their parents.

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Please comment on this autism topic.

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.


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.


If there's one thing I hate . . .

Feb 6, 2007 by dankohn

Too much noise. Too much noise. “If there’s one thing I hate, it’s the noise, noise, noise, noise!” The Grinch said that, and I’m beginning to feel like the Grinch. I’m not looking green and hairy, but that’s how I feel sometimes.

The new floors are not helping. The echo in here with the vaulted ceiling makes for double the noise and reverberation. The worst part is that Thomas thinks it’s funny when Jonathan and I get upset when he screams. Sometimes, it’s a long, pealing screech and other times, it’s several short blasts like a “man overboard” warning on a ship. Either way, it makes my brain feel like it’s going to melt and ooze out of my ears.

It’s getting to the point where I feel like something must be done. This is probably all sensory and I think that we may have to hire a private occupational therapist at least once every week to help Thomas. He gets OT at school one day per week, but I’m beginning to think that although it helps, it’s not enough. I’ll probably end up calling our EI caseworker to see if she can help locate someone. Thomas really liked his first occupational therapist and I wonder if she would be able to help us out privately.

The other thing that’s really getting on my nerves is the selective deafness. Now I don’t know if this is a four year-old thing, an autistic thing or just a “boy” thing, but I can stand there or come over to Thomas and in a very calm and cool voice say, “Please stop spitting on the floor. That’s very yucky.” All the while, looking him in the eye and (seemingly) engaging his attention. His response is usually to smile and then spit right in my eye. And then laugh like hell.

What does this mean? First of all, why is he spitting? Secondly, what enjoyment does he derive from enraging me to the point of having to stick my head in the freezer and think about Disney World? There are consequences – a time-out (while I calm down and clean up the saliva) and a stern but simple-worded speech about why we don’t spit on the floor or anywhere else. The main reason not to spit on the floor is because I hate it. I hate the sound of spitting and I hate biohazard of any kind on the floor. Maybe I need occupational therapy. I probably need some kind of therapy. For now, I’d be happy if he’d just stop spitting and screaming. Nothing turns me into Cruella DeVille faster than Thomas spewing half-digested Goldfish crackers on the floor. Just writing about it is making my heart rate rise.

All of these new and horrible things are making me think that yes, we need to call in a professional to give Thomas more of what he craves, i.e. sensory stimulation.

The only thing that’s saving me at this point is that our cruise is a mere four days away. By this time next week, I’ll be relaxing at dinner, watching the show and enjoying myself. I won’t be taking the dog out to pee in twelve-below air temperatures, grocery shopping, washing out kiddie cups and bowls, sweeping crumbs up off the floor, washing laundry, etc. I’m almost positive that nobody will spit on me, and if they do I’ll be well within my rights to toss a drink in their face. Which someone else will have to clean up. I will have ample time to make myself look pretty for dinner. I’m going to wear tank-tops, which I never do at home, because I figure that if my arm flab offends anyone, I’ll never see them again anyway. Our wedding anniversary is Valentine’s Day, and we’ll be spending it on the beach in Jamaica.

Okay, my heart rate is back to normal.

Thomas has been having a string of “okay” days. He’s been shouting a lot at school and today his teacher said that he had trouble with the routine. That can be attributed to the fact that Jonathan didn’t work today because of the freezing weather. We already know that he’s not working again tomorrow, so I’m not expecting much better from Thomas in the morning. He really didn’t want to go to school this morning because Daddy was home. I had to drag him outside but once he saw the bus, he calmed down a bit. I was able to get him to wear his mittens this morning which was a small victory, and he was wearing them when he got home, too. He was also wearing a hat that I had never seen before. I’ll send it back tomorrow.


Anti-social problems

Nov 27, 2006 by Anonymous

All in all, it was a successful Thanksgiving weekend.

When I last wrote, I was about to take Thomas to the doctor for pink-eye. We went on Wednesday morning, and he again amazed me with his composure. This time, I told him that all the doctor wanted to do was look at his eyes, but the doctor ended up giving him a complete once-over…and Thomas put up with it! I couldn’t believe it. He was very calm and still as the doctor examined him. He was diagnosed with pink-eye, and the pediatrician also wants me to take Thomas to a pediatric cardiologist to have his systolic heart murmur checked out. That’s a little scary…but the doctor doesn’t seem to be too worried about it. Also, I have no idea whether or not the cardiologist handles special-needs kids at all. I’m pretty sure that Thomas would have to be sedated for chest x-rays and any other tests they would want to perform. I’ll have to call soon and find out.

So as I predicted, we were prescribed eye drops for Thomas’ infection and they were every bit as hard to administer as I thought they would be. I almost cried when the doctor said to give them to him seven or eight times every day! I think we gave him five or six rounds before the infection was completely cleared up. The good news is that although he protested mightily, he did get over each round very quickly. He used to cry for a long time after stuff like that, but he was able to soothe himself really well after the eye drops.

He was not contagious for Thanksgiving Day at my mother-in-law’s house, so off we went on Thursday, despite Thomas’ objections. It wasn’t that strange for him to be against going somewhere like that, but he wouldn’t even get out of the car when we got there. It took a lot of coaxing to get him to come in the house, and even after he finally did come in, he wouldn’t take his coat off. It was such a beautiful day here that Thomas got to play outside with his second-cousin Grady, and Uncle Jeff’s new puppy, Brooke. Thomas also learned how to roll downhill; he loved that probably because it’s fun but also because of the sensory stimulation. The three of them were so cute playing outside. The puppy thought she was a little kid, too.

Thomas seems to be going through an anti-social phase. Every time we talk to Thomas about seeing somebody – anybody – Thomas cries, “No! I don’t want to see So-and So!” He gets really upset about it. We had Jonathan’s family over for the Bears’ game on Sunday, and Thomas didn’t like the idea of it at all. When Jonathan’s mother got here, Thomas said he didn’t want her, didn’t want to see Grandma, and of course my mother-in-law took it very personally. I tried to tell her that it’s not personal, he just doesn’t feel like seeing anybody and we should let him warm up a little. She kept asking Thomas, “Why don’t you want to see Grandma?” “Why” questions are really tough for little kids anyway, but it just exacerbated the situation. Thomas screamed and cried for quite a while after everyone showed up, but he did calm down eventually and was pleasant after. Seeing other people and going to other people’s houses used to be something that Thomas looked forward to, but it doesn’t seem like he’s into it right now. Hopefully, he’ll get better at it. We’ll just keep giving him as much warning as possible. We didn’t arrange the get-together on Sunday until late Saturday, after Thomas was in bed, so maybe the shorter warning had something to do with his behavior.

We’ve decorated the house and put up the outside lights. This was the week to do it; we’ve been having unseasonably warm weather here in Chicago. The house looks great (except for the hideous carpet) and we’re looking forward to Christmas. And Thomas didn’t miss hand-turkeys on Wednesday when he was home from school; they made them last Tuesday and his was sent home in his backpack today!



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