Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series.

Details

Serval ID
serval:BIB_D2C1807B480D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series.
Journal
Children
Author(s)
Guinchat V., Vlamynck E., Diaz L., Chambon C., Pouzenc J., Cravero C., Baeza-Velasco C., Hamonet C., Xavier J., Cohen D.
ISSN
2227-9067 (Print)
ISSN-L
2227-9067
Publication state
Published
Issued date
13/07/2020
Peer-reviewed
Oui
Volume
7
Number
7
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
(1) Background: Compression garments (CGs) are an adjuvant treatment for generalized joint hypermobility (GJH), including the Ehlers-Danlos syndrome/hypermobility types. The effects of CGs are likely to be related to better proprioceptive control. We aimed to explore the use of CGs in individuals with autism and severe proprioceptive dysfunction (SPD), including individuals with GJH, to control posture and challenging behaviors. (2) Methods: We retrospectively described 14 patients with autism and SPD, including seven with comorbid GJH, who were hospitalized for major challenging behaviors with remaining behavioral symptomatology after the implementation of multidisciplinary approaches, including medication, treatment of organic comorbidities, and behavioral restructuring. Each patient received a CG to wear for at least 1 h (but most often longer) per day for six weeks. We assessed challenging behaviors in these participants with the Aberrant Behavior Checklist (ABC), sensory integration with the Dunn questionnaire, and postural sway and motor performance using a self-designed motricity path at baseline, two weeks, and six weeks. (3) Results: We observed a significant effect on most ABC rating scores at two weeks, which persisted at six weeks (total score, p = 0.004; irritability, p = 0.007; hyperactivity, p = 0.001; lethargy, p = 0.001). Postural control in dorsal and profile positions was significantly improved between before and after wearing the CGs (p = 0.006 and 0.007, respectively). Motor performance was also significantly improved. However, we did not observe a significant change in Dunn sensory scores. During the six-week duration, the treatment was generally well-tolerated. A comorbid GJH diagnosis was not associated with a better outcome. (4) Conclusions: CGs appear to be a promising adjuvant treatment for both behavioral and postural impairments in individuals with autism and SPD.
Keywords
Ehlers–Danlos syndrome, autism, challenging behaviors, compression garment, intellectual disability, joint hypermobility, pressure therapy, proprioceptive dysfunction
Pubmed
Open Access
Yes
Create date
24/07/2020 15:23
Last modification date
26/08/2020 6:26
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