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Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory
Vincent Guinchat1,2, Elodie Vlamynck3, Lautaro Diaz1,2
1Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, France.
Compression garments (CGs) show promise in managing challenging behaviors and improving posture in individuals with autism and severe proprioceptive dysfunction (SPD). This adjuvant therapy was well-tolerated and beneficial for both behavioral and postural control.
Area of Science:
- Neuroscience
- Developmental Psychology
- Rehabilitation Medicine
Background:
- Generalized joint hypermobility (GJH), including Ehlers-Danlos syndrome, often involves proprioceptive deficits.
- Autism Spectrum Disorder (ASD) can present with severe proprioceptive dysfunction (SPD), impacting posture and behavior.
- Compression garments (CGs) are explored for their potential to enhance proprioception and control motor function.
Purpose of the Study:
- To investigate the efficacy of compression garments (CGs) as an adjuvant therapy for individuals with autism and severe proprioceptive dysfunction (SPD).
- To assess the impact of CGs on challenging behaviors, postural control, and motor performance in this population.
- To explore potential benefits in individuals with comorbid GJH.
Main Methods:
- A retrospective study involving 14 hospitalized patients with autism and SPD, seven with comorbid GJH, who received CGs for six weeks.
- Challenging behaviors were assessed using the Aberrant Behavior Checklist (ABC).
- Postural sway, motor performance, and sensory integration were evaluated at baseline, two, and six weeks.
Main Results:
- Significant improvements were observed in most ABC scores (total, irritability, hyperactivity, lethargy) within two weeks, persisting at six weeks.
- Postural control and motor performance showed significant improvements after wearing CGs.
- No significant changes were noted in Dunn sensory integration scores; GJH comorbidity did not influence outcomes.
Conclusions:
- Compression garments (CGs) represent a promising adjuvant treatment for managing behavioral and postural impairments in individuals with autism and SPD.
- CGs offer a well-tolerated therapeutic option for improving motor control and reducing challenging behaviors.
- Further research may elucidate the specific mechanisms and optimal application of CGs in neurodevelopmental disorders.
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