Autism Therapy: swing

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Research in Autism Spectrum Disorders, by Van-Rie, GL, and Heflin LJ, published in 2009, summarized Sep 9, 2009

Sensory-based activities may help some children with autism stay focused on a task.

Children with autism may have sensory integration problems that make it hard to focus on school work and come up with the right answer. Some therapists use sensory activities that may help children with these problems. For example, children may swing slowly on a swing or bounce quickly on an exercise ball. Usually the children enjoy the sensory activities very much. The researchers wanted to find out if a reward system would motivate children to give correct answers to some questions. Three children (ages 6-7) were offered a choice of sensory activities to do before a session. That activity would then be their reward for answering 12 correct answers. The session started when the therapist asked the child to open their workbook. As their task, children were then asked to identify pictures of community helpers and safety. The children earned a token for every correct answer. They needed to earn 12 tokens in order to get the reward of going on the swing or the exercise ball. The researchers added an interspersal procedure by mixing questions that the child clearly knew the answer to with others that they might need to learn the answer to. The sensory activities as rewards helped two of the three children give correct answers when asked to identify what was in the picture. The interspersal procedure also helped motivate children to give the correct answers.


European Child and Adolescent Psychiatry, by Wachtel, LE, Contrucci_Kuhn SA, Griffin M., Thompson A., Dhossche DM, and Reti IM, published in 2009, summarized Jul 15, 2009

Electroconvulsive therapy reduced severe self-injury behavior in a boy with autism, allowing him to attend school.

This case study reported electroconvulsive therapy (ECT) for an 8-year-old boy with autism, mental retardation, mood swings, and extreme self-injury behavior. He was trying to hurt himself an average of 109 times per hour. Applied behavior analysis (ABA) therapy and drug therapy did not work. He had to stay in the hospital. He wore arm restraints with metal strips to limit where his arms could reach. And he wore full-body protective padding so he wouldn’t hurt himself. He was treated with ECT 3 times per week for 5 weeks. ECT therapy is a medical procedure that uses a brief electric current to the brain in a closely-monitored medical setting under full anesthesia. Doctors also use neuromuscular blockade (temporary full relaxation of muscles) during the procedure. After 5 weeks of ECT, he no longer needed restraints and protective padding. This child was able to return home after 2 years in a hospital, attend school and learn for the first time, and also participate in meaningful family life. The authors said this was the first report of successful ECT for self-injury behavior. They recommended that doctors consider ECT when other therapies don’t work.


Lyndsey Stevenato is an occupational therapist in Barrie, Ontario. Her clinic, Children’s Therapy Services, provides therapy for children with autism and other disabilities, as well as training for their parents. The clinic is full of therapy tools, but also resembles a playground with swings, colors, boards, and toys. Stevenato has worked with kids for over 23 years and says, “The kids know I understand them. I'm able to figure out their triggers and break tasks down." She works with children individually based on their needs; a child may need feeding therapy, help with hygiene, or academics.

Read original article: Therapy Through Play


The Jefferson School at Finan recently opened an autism therapy center. This Maryland facility is an offshoot of the Sheppard Pratt Health System. The center serves children from kindergarten through high school, although the current students range in age from 10 to 15. Children with severe autism are introduced to the facility one at a time so that individual therapy can be provided. The center has classrooms, library, computer room, and an “independent living area” where students are taught domestic skills. Therapies include occupational therapy and sensory integration therapy; the sensory room has a trampoline and swing. The goal of the program is for children to eventually be able to attend school.

Read original article: Autism Center Clicks for Students, Staff


Pleasant Grove Elementary School in Indianapolis, Indiana now has a sensory integration room that offers opportunities for children with autism to play in ways that can help them function better in the regular classroom. "A Little Wiggle Room" offers equipment used during occupational therapy (OT) with children, including children with autism. There is a specially-designed trampoline, a platform swing, tubes to crawl in, and bins with different substances for children to touch and feel (sand, water, pebbles, and other things). Johnson County Special Services occupational therapist Cindy Webb said the room gives educators a chance to prevent outbursts that some children with autism struggle with." Sensory rooms are becoming more popular at elementary schools.

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Snell's Pre-Kindergarten in California is home to the Sunshine Room, a place where sensory integration is the goal. Donna Johnson, school director, explains that the room provides therapy for children with autism - those who are super-sensitive as well as those who need pressure touch. The Sunshine Room has active equipment like monkey bars and a ball pit. It also has quiet spots with swings. The room also allows children to interact with their Pre-K peers so that social communication is improved.

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This Week...

Jul 12, 2009 by Anonymous

The past week has been an emotional rollercoaster for Joshua and in turn for me. My oldest had come home for a visit, as he resides in another state. While this visit was much anticipated it also brought a level of anxiety in not knowing how Joshua would deal with his inevitable departure. So it was a week of walking on emotional egg shells, waiting for a meltdown to happen. Joshua typically does not have on the spot meltdowns, they usually come days or even weeks later, but like a storm brewing I have learned to watch for the clouds rolling in. It could come in the form of sleeplessness, unexpected and inconsolable crying or severe mood swings with seemingly no precipitators. Days before my son’s return flight I began to try to prep Joshua by telling him Anthony would be leaving in four days, and again the next day and so on. Every day he replied in the same anxiety ridden fashion, “he can’t leave…I need him” to which I would reassure him that his brother would always be there for him and would stay in touch with phone calls and emails, that we would all miss him but we would be together soon. The day of Anthony’s returning home Joshua came downstairs into my office and gave me a big hug. He asked, “Mom are you sad because Anthony is leaving…you gonna miss him?” I smiled and nodded to which he put his hand on my shoulder in trying to comfort me. “It’s ok if you miss him mom, I’ll miss him to…but I’ll take care of you until he comes back” Those are the moments that you live for!!

On a brighter note please see E-Bays Authors for Autism Speaks silent auction, and vote on a set of my signed children’s books. A worthy cause!! Hoping that everyones week is pleasant and blessed!!!

http://www.facebook.com/ext/share.php?sid=118817106413&h=_9HOp&u=EaNg4


Middle of the road

Oct 14, 2008 by dankohn

            Again, I’ve fallen off the weekly-writing bandwagon.  Tina’s wedding was this weekend and between fielding phone calls from her (at least twice every day for the past two weeks) and getting last-minute stuff done in addition to my normal chores, there was time for nothing else.  She left for her Cancun honeymoon this morning, though, and I know I’ll miss her like crazy until she gets home.

            The wedding:  a complete and total success!  Everything was so beautiful and we all had the greatest time.  The wedding party (my sisters and the groom’s friends and brothers) all got along like old friends and I can’t imagine any group of mutual friends meeting for the first time getting along better than we all did.  Jonathan and I had a great time – really wonderful.  My sister was radiant and we all looked like a million bucks.

            Oh, yeah, this blog is supposed to be about Thomas.  He and Hayley spent most of Friday, Saturday, Sunday and Monday morning with their grandma.  I was a little concerned that it was going to be too long for them, but what could I do?  And the promise of a three-day weekend for Grandma to enjoy with the kiddies was too much for her to resist.  We could have picked them up on Sunday afternoon, but she said they were fine and were expecting to stay through to Monday.  Jonathan and I certainly needed a day to rest and recuperate.  I was dancing non-stop from 8 p.m. to 1 a.m. Saturday, the after-effects of which reminded me that I’m getting older.  My friend Pegs told me to just do what she does:  “Dance, dance, dance, and then don’t move for two days.”  She doesn’t have kids.

            I e-mailed Thomas’ teacher last week and told her that Thomas would be with his grandmother all this weekend and warned her that after one of those over-night trips, Thomas has a hard time getting back into the swing of things.  However, I was at school today to help out and witness his reluctance first-hand.  I was right that he would have a hard time.  He just seemed really tired in the morning, and he started to have a really tough time just as school was ending.  He actually cried a little.  The thing is that when I’m at school with Thomas, he tends to want me to do things for him, even though I know he can do them himself.  He just expects me to do it, like at home, I guess.  I have to remember that the switch from Grandma’s house back to home and school is hard for him.  He actually did better than I expected.  Hayley was a little difficult too.  We’re slowly returning to normal, and if anyone needs a brown bridesmaid dress, please let me know.

            Halloween is approaching and Thomas wants to be “nothing, never, EVER.”  Again with the drama!  He has forgotten that candy is involved, I think.  Hayley wavers between wanting to be Belle from Beauty and the Beast, Sleeping Beauty and Cinderella.  Who was the genius at Disney that came up with the whole Disney Princess thing?  It gets old, though, and I have to keep reminding her that she’s not a princess after all, since Mommy is definitely no queen and Daddy is not a prince.

            So how do we get Thomas to settle on a costume?  I’m not sure…we might have to just keep suggesting ideas to him when he’s in an agreeable mood.  We still have a few weeks, however.  Hopefully, they’ll be talking about it at school and he’ll get used to the idea.  I hope we can go trick-or-treating with my sister-in-law and her daughter again this year.  It was fun last year, but more importantly, short and sweet.

            I can’t believe how fast the holidays are approaching.  After Halloween, it’s a straight shot to Christmas and another year passes away.  Does time go faster as you get older?  Thomas will be six right before Christmas, which I cannot believe.  He’s looking more and more like a big kid…well, he is a big kid, after all.  He’s been potty-trained for over two years, but it seems like yesterday we were working on it.  It seems like yesterday that I was working on breast-feeding, come to think of it.  They’re just growing up fast and I wish that time could stop for a while.  On a good day, anyway.

            Report cards come out soon, I heard the teacher say.  Today, I was doing assessments on kids in Thomas’ class, mostly identifying and writing numbers.  The teacher is going to do Thomas’ assessment, which I told her was good because I might be inclined to help him more than I should.  I wonder where he falls in terms of abilities as compared to his classmates.  I thought he could do better than some of the kids I worked with, but not as good as others.  This one boy in his class is a pistol; always giving the teacher trouble and not listening, but he’s smart as a whip.  I wonder if he’s bored with the curriculum.  Either way, I think Thomas falls in the middle somewhere.  Middle is good – great, even.  I’ll take middle-of-the-road any day.  Isn’t that just another way of saying “average?”  There were times that we never could have hoped for average, so I’m thrilled.


Tennis, anyone?

Apr 15, 2008 by Anonymous

Finally, the weather is improving! We’ve been spending a lot more time outside playing in the yard and walking to the park. Last year, it seemed like no matter how old Thomas got, I’d still be strapping him into a stroller or making him sit in the wagon to take him to the park. It’s really amazing how much things can change in what seems like no time at all.

Thomas loves to ride his little pedal car to the park. The only problem is that riding the pedal car is all he wants to do when we get there. Hayley wants to play on the slides or the swings but Thomas wants to keep on truckin’. So we go on to the next park and the next (there are three nearby that are all connected by paths) and by then Hayley has seen a flying bug and it’s all over; we have to go home immediately. We saw a very sluggish and sleepy bee on the ground at the park yesterday and Hayley flipped out. (I was rather surprised to see a live bee this time of year too, as a matter of fact.) She is suddenly quite imprisoned by her intense and irrational fear of bugs and it’s worrying me for the coming summer. I’ve tried explaining to her that bugs are important to trees and plants and that bugs live outside and we have to get along with them when we’re outside too. Not much of that is sinking in. I hope she can get over it before summer really gets going. Our family vacation will be one very long week if she doesn’t.

So Thomas pedals to the park, being careful not to get too far away from me – and I can trust him to not run away! (Or pedal away, as the case may be.) Tomorrow it’s supposed to be even warmer and I suggested tonight during baths that we go to a different park. I’ve seen some other neat-looking parks on my jogs and I hope we can try some of them. Thomas is ill-disposed, however. He said that we shouldn’t go to different playgrounds; “that wouldn’t be too much fun.”

Tomorrow is Spring Picture Day at school and I can’t wait to see the kind of picture Thomas brings home. He’s been very into having his picture taken lately. I’ve been selling a lot of old clothes on eBay as I lose weight, and every time I get the camera out to take snaps of these items, Thomas insists that I take a picture of him and then show it to him. It hit me that Thomas and Hayley will never know a time before digital cameras! They’ll never fool around with film and flashcubes (I’m only just barely old enough to remember flash cubes, I swear!) and waiting four days for film to be developed only to find out that Aunt Maude had her eyes closed in every single picture of her at Uncle Joe’s retirement party.

Which brings me to another aspect of life that our children will never remember in its original form: We located and purchased a Nintendo Wii this weekend. Jonathan and I really wanted one (Happy Mother’s Day to me; Happy Father’s day to him) not just for us but for the whole family. I like it better than the average game system because most of the time, you’re standing up making wild, gesticulating motions as you pretend to punch with fists, poke with an epee, display a blazing backhand or perfect a breaststroke. We were playing yesterday and I remember wondering what an alien would think if they were to watch us through our windows as we had what looked like severe seizures in front of the TV. Anyway, the point is that there is more physical activity and coordination required to play this Wii system. You would not believe how much my biceps hurt yesterday from that tennis game! I think those are biceps…anyway, Thomas loves it, too! He is actually really good at the tennis game and Hayley likes to play golf. Thomas laughs so hard when his little character waves the tennis racquet and admittedly, he’s only really able to volley the ball because he’s always moving and therefore his character is always swinging, but he likes it and that’s what’s important. There’s a little “Mii” section of this system where you can create the characters you play with, from the height and body type to face shape, hair color and pretty much every aspect of someone’s appearance. So we made characters for our whole family, plus the kids’ aunts, uncles, cousins and grandparents. I showed Thomas and Hayley and now they like to see who’s in the stands for tennis, who’s watching at the bowling alley and who’s on their baseball team. It’s very cute! I’m hoping that as they grow, they’ll get better-coordinated with the Wii. We bought a couple games we thought the kids would be better at, but even those were too advanced. I’m going to try to find some games that are rated “EC” for “early childhood.” Those would almost certainly be more appropriate, educational, and easy-to-play. One thing’s for sure: They’ll never remember Atari cartridges and joysticks.

Thursday or Friday, I have to go to kindergarten orientation and I feel rather unprepared. I’m not sure if they’re going to have childcare available – and I don’t know if our home school is even the one Thomas will be attending next year. If our grade school doesn’t offer an MLP class, he’s going to be bussed somewhere else. I’m going to have to call his school or our elementary school tomorrow to find out what I’m supposed to do. We’re not going to decide on Thomas’ placement until May 6, and even then we could change our minds over the summer.

We’re going to the cottage this weekend to put the pier in the water. After we were there two weeks ago, I really don’t dread it. The kids are so good up there now that this is finally the year that things get better! We’ve been waiting for it and now it’s here. Undoubtedly, God will jar me out of my reverie somehow – like I’ll get pregnant or something. (I’m not pregnant, mom. That was a joke.)


Cottage breeze

Apr 7, 2008 by Anonymous

            The summer season has officially begun.  I know it’s only April and snow is not completely out of the question yet, but we just got back from my mother-in-law’s cottage yesterday for the first time this season, so here we go.  Things have really changed with Thomas since last year.  All of a sudden – well, not really “sudden” because there’s been a whole winter since we were there last – Thomas is much easier to take care of in Wisconsin.  He doesn’t stay in the driveway obsessing about car doors anymore.  He doesn’t get close to the road anymore or disappear the minute we look away.  Jonathan and I were thinking about last spring, when one of us had to be camped out in the driveway and the other had to be by the shore just making sure that the kids (but especially Thomas) didn’t throw themselves into the lake or the road.

            Thomas loves to ride this very old big-wheel that we have for him at the cottage.  We told him that he couldn’t ride it into the driveway except to go in the garage to turn around and he followed that rule all weekend!  The thing that really shocked me was when he decided several times during the day on Saturday that he wanted to go inside and take a break.  This is the kid who would run outside when nobody was looking last year, and not come in until we dragged him at supper time, kicking and screaming.  He plays so nicely in the sandbox or on the neighbor’s swing set, too.  Yesterday, he was doing that when I called him to come in for lunch.  He stopped what he was doing, got up and came inside without one word of protest!  Of course, I stopped him on the way for high-fives and big hugs for being such a good boy.  But that wasn’t even the first time he did that all weekend!  He was really good the whole time!  And Hayley is easy up there!  

            It’s happening…it’s finally happening!  Every time we’ve been at the cottage during the past few years, we’d get in the car to come home and we were completely exhausted, mentally and physically.  Our brains were tired from the constant tag-team parenting we had to engage in, having to bring the kids inside just because one of us needed to use the toilet.  Tired from girding ourselves and preparing for Thomas’ inevitable meltdowns when it was transition time.  Physically tired, too, from chasing the kids around all weekend and trying to get Thomas to go to sleep at night.  We came home yesterday feeling much better.  We kept telling ourselves every time last year, “It’ll be better next summer.  It’s going to be better next year, when they’re a little older.”  It’s finally next year!  Next year is now!  We still can’t sit around and sun ourselves all day, but we can watch the kids from a little further away, hopefully where other adults are congregating and chatting about interesting stuff.

            Speaking of other adults, we have the most wonderful neighbors in Wisconsin.  They have a little swing set and sandbox that they are very generous in letting our children use anytime we’re there.  The folks who actually own that cottage are my mother-in-law’s age, but they have kids my age who have kids too.  They brought one of those little motorized cars for one of their kids this weekend and they were so nice to let Thomas have several turns.  I can’t believe how great Thomas is when it comes to taking turns lately.  He really listens when I tell him to stop and let someone else have a turn and I know how hard it was for him to get off that little car.  As some of you might remember, Santa debated long and hard about whether or not to bring one of those cars for Thomas this past Christmas.  Santa was right; Thomas would have loved it.  But he was very good about that car with the boy next door, and the boy next door was so nice, too.

            Last week we went to a kindergarten workshop at a nearby school.  They offered childcare so we dropped Thomas and Hayley off in a classroom and went to this little seminar.  We didn’t get much out of it, but it was nice to see some familiar faces from Thomas’ school and get to know the kindergarten transition facilitators for our district.  Apparently, the transition from preschool to kindergarten can wreak emotional havoc on the minds of some parents.  The director of the workshop kept bringing that up; that the kids will feed off of our misgivings and insecurities about the transition and that we should never let them see how concerned and scared we are.  Jonathan and I kept looking at each other like, “Huh?”  We had no idea that we were to be riddled with conflicting emotions and the constant urge to weep openly about our little baby growing up.  I suppose that if Thomas had never been to school before, we would be a little more hesitant.  He’s been in preschool for two and a half years now, and we both (well, all three of us really) feel like saying, “Yeah!  Bring it on!”  We’ve been talking to Thomas about it and he said that he’s excited to go to a new school.  He asked, “If I go to a new school, will I get to make new friends?”  Who says this boy isn’t social?  He’s excited about making new friends, and there are plenty of neuro-typical kids – even neuro-typical adults – who are apprehensive about meeting new people.  Since Thomas is excited and Jonathan and I are not grief-stricken, I’d say we’ll all be just fine.

            We got a note home from one of the staff at Thomas’ school last week about a playgroup in Naperville this summer for five year-old boys who are high-functioning autistic/Aspberger’s.  Exactly Thomas’ description!  There’s a center for autism in Naperville that wants to do this playgroup with these boys to work on social skills.  I read on that the group would consist of only four boys, and if we were accepted, a check for $300.00 would be due before the first meeting.  I laughed and I laughed!  Did I mention that this group would be meeting for five one-hour sessions only?   Ha!  We’d miss one of the sessions because of our family vacation in June, too.  So for us, it would only be four sessions!  Gee, I sure do wonder why many families with autism don’t have more access to great programs like this.  (That last bit was meant to be sarcastic, in case anyone missed it.)  Three hundred dollars would pay for half of Hayley’s preschool next year which we MUST do, whether or not Thomas’ bus schedule conflicts with it.  I don’t know what we’ll do if it doesn’t work out, but I’ve got to come up with some way of getting Hayley to class.  She shouldn’t miss out again next year and be behind all of her peers because of Thomas’ schedule; it isn’t fair.  I’m hoping that it all works out.



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