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2012年9月8日 星期六

Autism: Its Causes, Diagnosis and Treatment


AUTISM is a puzzling phenomenon that is seen in people of otherwise normal-sometimes above normal-intelligence. However, it is often associated with other problems, and can also appear in mild and severe forms. This variability has led many people to think of it as a spectrum of symptoms rather than a single, clear-cut syndrome and that variability makes it hard to work out what causes it. Researchers say that individuals with Autism Spectrum Disorders are either disinterested in social interactions or find them unpleasant. Sadly, persons with autism spectrum disorders are often painfully aware of their limited sociability, which can lead to profound feelings of sadness and frustration.

CAUSES: Several causes have been attributed to its presence:

(1) A defective SHANK3 gene, which is a human gene on chromosome 22.This gene is a member of the Shank gene family. Shank proteins are present in the brain nerve cells and connect impulses from one nerve cell to the other. Shank proteins also play a role in synapse formation i.e.the points of contact between nerve cells. Researchers from Mount Sinai School of Medicine have found that when one copy of the SHANK3 gene in mice is missing, nerve cells do not effectively communicate and do not show cellular properties associated with normal learning.

(2) They also found altered functional and structural plasticity in nerve cells (which is a cellular measure of the flexibility that occurs during learning) and in the synapses.

(3) So, while there is evidence of genetic influence, but no clear pattern of inheritance, one suggestion that does pop up from time to time is that the process which leads to autism involves faulty mitochondria. The mitochondria are a cell's power packs. They disassemble sugar molecules and turn the energy thus liberated into a form that biochemical machinery can use. Mitochondrial faults could be caused by broken genes, by environmental effects, or by a combination of the two. If faulty mitochondria do turn out to be a cause of autism, even if not in all cases, that question will have to be investigated. Nerve cells have a huge demand for energy, so a failure of the mitochondria would certainly affect them. The question is, could it cause autism?

Mitochondria from children with autism consumed far less oxygen than those from the control group: Dr Giulivi of the University of California conducted a study on 10 autistic children versus a control group of 10 normal children. She found that mitochondria from children with autism consumed far less oxygen than those from the control group. That is a sign of lower activity. One important set of enzymes-NADH oxidases-used, on average, only a third as much oxygen in autistic children as they did in non-autists, and eight of the autistic children had significantly lower NADH-oxidase activity than is normal.

The mitochondria of the autistic children also leaked damaging oxygen-rich chemicals such as hydrogen peroxide. These are a normal by-product of mitochondrial activity, but are usually mopped up by special enzymes before they can escape and cause harm-for instance, by damaging a cell's DNA. The level of hydrogen peroxide in the cells of autistic children was twice that found in non-autists. Such high levels suggest the brains of autistic children are exposed to a lot of oxidative stress, something that would probably cause cumulative damage.

DIAGNOSIS: With a new scanning technique via MRI, means an accurate diagnosis of the condition can be made in only 10 minutes. Researchers at Harvard University have made a vital breakthrough in the early diagnosis of autism which shows how the different parts of the brain interact. Autism sufferers have weaker brain connections. The scan shows how well water molecules move along the "wiring", which links different parts of the brain. From the images, doctors will be able to measure the interaction within the areas of the brain and thus make a diagnosis.

TREATMENT:

(1) Scientists have found that some symptoms of autism can be alleviated by a nasal spray containing oxytocin, the "bonding" hormone. People with autism who inhaled the spray altered their behavior temporarily, becoming more sociable and trusting. "Under oxytocin, patients with high-functioning autism respond more strongly to others and exhibit more appropriate social behavior," wrote Elissar Andari, of the Institut des Sciences Cognitives, a French government center for neuroscience research, in a summary of a recent conference presentation.

(2) The drug baclofen, which is, in various for has in fact been shown to affect oxytocin. "We published a paper last year showing that baclofen strongly activated oxytocin in the rat brain," says Iain McGregor at the University of Sydney, Australia

(3) Researchers at the Eastern Virginia Medical School are testing an antibiotic, D-Cycloserine, suggesting it can alter the function of certain receptors in the brain known to affect sociability and help the animals be more at ease around others. EVMS' laboratory studies on mice have led investigators to hypothesize that D-Cycloserine could ease the impaired sociability of people with autism, such as avoiding eye contact and personal interaction. Those traits can severely limit the possibility of employment and independent living.

(4) Sensory Integration Therapy: Sensory Integration is the process through which the brain organizes and interprets external stimuli such as movement, touch, smell, sight and sound. Autistic children often exhibit symptoms of Sensory Integration Dysfunction (SID) making it difficult for them to process information brought in through the senses. The goal of Sensory Integration Therapy is to facilitate the development of the nervous system's ability to process sensory input in a more typical way. Through integration the brain pulls together sensory messages and forms coherent information upon which to act. SIT uses neurosensory and neuromotor exercises to improve the brain's ability to repair itself. When successful, it can improve attention, concentration, listening, comprehension, balance, coordination and impulsivity control in some children.

(5) Speech Therapy: The communications problems of autistic children vary to some degree and may depend on the intellectual and social development of the individual. Some may be completely unable to speak whereas others have well-developed vocabularies and can speak at length on topics that interest them. Any attempt at therapy must begin with an individual assessment of the child's language abilities by a trained speech and language pathologist.

(6) Occupational Therapy: Occupational Therapy can benefit a person with autism by attempting to improve the quality of life for the individual. The aim is to maintain, improve, or introduce skills that allow an individual to participate as independently as possible in meaningful life activities. Coping skills, fine motor skills, play skills, self help skills, and socialization are all targeted areas to be addressed.

(7) Healing Dynamics: Craniosacral therapy has proven effective in the treatment of Autism. Children with autism feel virtually trapped within themselves. Typically, autistic children have a very tight cranium with no "give". They often seem to have very severely compressed temporal bones bilaterally and virtually locked occipital sutures. Treatment aims at releasing these sutures and setting free the bones of the cranium. Other treatment methods incorporated in a session include: neurodevelopmental therapy and visceral manipulation.




More information is available at my website: http://www.myhealingdynamics.com

Caroline Konnoth is a Physical Therapist and Owner of Healing Dynamics Corp. Caroline offers a combination of craniosacral,visceral manipulation and lymph drainage therapies and specializes in pediatrics.
Healing Dynamics is a holistic integrative approach, that is a synthesis of several anatomically directed forms of energy healing techniques, resulting in complete physical and emotional balance and harmony. More information is available at: http://myhealingdynamics.com





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2012年9月1日 星期六

Sensory Integration Dysfunction - What Is It, Diagnosis, And Treatment


Is your child with autism over responsive to sensation which shows by withdrawing from touch, or getting upset by loud noises? Or is your child under responsive to sensations which shows by hyperactivity, unawareness of touch or pain, and likes loud sounds? Your child may have sensory integration dysfunction, which could be affecting their education and life. This article will discuss what sensory integration disorder is, and also about diagnosis.

Sensory integration refers to our ability to take in information through our senses (touch, movement, smell, taste, vision, and hearing), interpret that information, and respond to it. Sensory Integration Dysfunction (SID) is the inability of the brain, to correctly process information brought in by the senses. People with SID may misinterpret everyday sensory information such as touch, sound and movement.

Below are a few symptoms of SID:

1. Loves to spin, swing, jump-this may calm them down,

2.Complains that some clothing feels scratchy, or doesn't like tags,

3. Picky eaters-doesn't like how some foods feel in their mouth,

4.Over sensitive to smells or sounds-may sniff people or food-will frequently cover ears to sounds,

5. May have high pain tolerance,

6. Can be impulsive or distractible.

The Star Center puts out a checklist for Sensory Integration Dysfunction. The Star Center calls it Sensory Processing Disorder (SPD). Below are a few items on the checklist:

1. Difficulty eating,

2.Resists cuddling or holding,

3.Easily startled,

4.Over sensitive to stimulation,

5.Difficulty learning new motor tasks,

6.Constant movement,

7.Overreacts to touch noise or smell,

8.Appears clumsy and stumbles a lot, and

9.Avoids visually stimulating environments.

SID could be affecting your child in many different ways. There are two separate types of SID: Sensory Avoiding and Sensory Seeking. Children with sensory avoiding do not like to be touched or cuddled, they are fearful of fast movement, are cautious and unwilling to take risks or try new things, are very pick eaters and do not like to be in loud or busy environments. Children with sensory seeking can have hyperactivity, unawareness of touch or pain, take part in unsafe activities, enjoy sounds that are too loud.

Children with Sensory Integration Dysfunction may also have motor skill problems. These children may have: 1.Poor fine motor skills, 2.Poor gross motor skills, 3.Difficulty imitating movements, 4.Trouble with balance, and 5.A preference for seating activities, such as video games.

To determine if your child has SID, they should be evaluation by a SIPT qualified occupational therapist (OT). Many school districts hire occupational therapists, but may not be SIPT qualified, and therefore not qualified to test in this area. You may need to advocate for your child to have them tested by a SIPT qualified OT.

Treatment for SID is occupational therapy, by a qualified therapist. Check with your school district to see if there OT has experience with Sensory Integration Disorder. If they do not, consider getting an Independent Educational Evaluation (IEE) with a SIPT qualified OT. Make sure that the evaluator makes specific recommendations on amount of therapy needed, goals and objectives.

By understanding what Sensory Integration Dysfunction is, how it is diagnosed and treated you may help your child. SID can negatively affect your child's life, but with proper treatment you child can reach their potential.




JoAnn Collins is the mother of two adults with disabilities, and has helped families navigate the special eduation system, as an advocate, for over 15 years. She is a presenter and author of the book "Disability Deception; Lies Disability Educators Tell and How Parents Can Beat Them at Their Own Game." The book has a lot of resources and information to help parents fight for an appropriate education for their child. For a free E newsletter entitled "The Special Education Spotlight" send an E mail to: JoAnn@disabilitydeception.com For more information on the book, testimonials about the book, and a link to more articles go to: http://www.disabilitydeception.com





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2012年7月20日 星期五

ADHD Diagnosis: Are Preschool Kids Too Young?


It's normal for very young children to talk uncontrollably, have difficulty sitting still at the dinner table, and avoid tasks that require sustained mental effort. After all, many desired behaviors are more developmentally appropriate for elementary-aged children than for pre-schoolers. Are preschool kids too young for an ADHD diagnosis, especially when it is normal for them to be impulsive, hyperactive, and inattentive?

The medical diagnosis of ADHD is given to a child if he or she meets 12 out of 18 diagnostic criteria in two different settings for at least six months. These criteria include behaviors like "does not follow through on instructions," "runs as though driven by a motor," and "often fidgets with hands or feet or squirms in seat." Telling as these behaviors might be, these symptoms of ADHD do not necessarily point to an attention disorder. ADHD symptoms can be red flags for unrelated conditions such as inner ear dysfunctions, learning disorders, or sensory integration disorder. Detecting ADHD in pre-school aged children is even harder because the diagnostic criteria point to behaviors appropriate to their age.

Some experts claim to have determined two behavioral patterns that predict an ADHD diagnosis in late childhood. The first is preschool expulsion due to refusal to join in school activities, aggressive behavior, and the inability to respect classmates' boundaries or personal property. The second is peer rejection, when the child is avoided by other kids. Although ADHD might not necessarily be responsible for these problems, it's best to take your child to a doctor to find out the real cause behind these extreme cases.

But what should you do if your child is diagnosed with ADHD? Try getting a second opinion from a holistic doctor trained in functional medicine. Some psychiatrists make hasty ADHD diagnoses after checking symptoms off a list, but a holistic doctor will put your child through various tests to determine the presence of ADHD and what may have caused it. Meanwhile, making some environmental changes might reduce some of the symptoms. If your child goes to a large preschool, trying moving him or her into a smaller preschool with fewer kids, a strong routine, and less extraneous stimulation. A preschool with a small student-to-teacher ratio will make it easier for your child to socialize and receive the extra attention needed.

Behavior therapy is also very effective for very young children. A large study called the Preschool ADHD Treatment Study just discovered that behavior modification can reduce ADHD symptoms in preschool children, even if they experience severe ones. If your child does not respond to behavior modification, a diet change might be in order. Many cases of ADHD are due to food substances like artificial additives, gluten (from wheat), casein (from milk), and other intolerances. Specialized tests from a holistic doctor can determine if food intolerance is behind hyperactive and inattentive symptoms.

ADHD diagnoses are very useful for identifying problems that can interfere with your child's development, but just remember that there are ways to treat hyperactivity and inattention without subjecting your child to stimulant medications.




Dr. Yannick Pauli is an expert on natural approaches to ADHD and the author of the popular self-help home-program The Unritalin Solution. He is Director of the Centre Neurofit in Lausanne, Switzerland and has a passion taking care of children with ADHD. Click on the link for more great information about what is adhd.





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2012年7月16日 星期一

How Long Does an ADHD Diagnosis Take?


To the untrained eye, the diagnosis process for attention deficit hyperactive disorder (ADHD) seems easy. After all, the very name of the disorder suggests that one with ADHD must be inattentive, hyperactive, impulsive, or all of the above.

However, ADHD is a far more complex disorder than it seems. For one thing, the three main symptoms of ADHD are not exclusive to the disorder. Hyperactivity, inattention, and impulsivity are also the symptoms of unrelated conditions like sensory integration disorder, autism, and nutritional deficiencies, to name a few. Your child's symptoms will not disappear if he or she is diagnosed and treated for the wrong disorder.

So how long should the ADHD diagnosis take? Should you be suspicious of a doctor who diagnoses your child too quickly? What sort of tests can you expect from an ADHD diagnosis?

If a doctor scribbles a prescription for ADHD medications after only fifteen minutes of talking to your child, you need to get a second opinion. A proper ADHD diagnosis - or evaluation, as I prefer to call it - is a lengthy process that involves various steps. The ADHD diagnosis involves putting a label to a set of behavioral and neurological problems. On the other hand, an ADHD evaluation involves obtaining the whole picture of your child's health and uncovering the causes of the disease in the process. ADHD has many possible causes beyond genetics, and it is important to discover these if your child is to recover from the disorder for good. Depending on what we find, ADHD testing can take anywhere from a few days to several weeks.

The first step is obtaining a thorough medical history from the child's parents, teacher, and the child himself. During the interview stage, expect to get asked a lot of questions about child's health, symptoms, and home environment. Even questions about the child's birth may be asked. The interview stage is very critical because the answers you give will determine the next part of the evaluation process. Sometimes, the answers from the interview can even reveal the potential causes of the disorder.

The next step involves making an objective measurement of your child's problems. This is done through behavioral scales and tests designed to measure IQ, screen for co-morbid disorders, or evaluate the severity of ADHD symptoms. After this, your child will need to go through a physical and neurological exam - just to make sure that other diseases are not masquerading as ADHD symptoms. This exam also allows the doctor to do a complete evaluation of your child's nervous system. If needed, complex imaging tests like Quantitative EEG and SPECT may be used to examine the subtle neurological differences in your child's brain.

Other tests that are used in the ADHD evaluation are lab tests and functional tests - tests that screen for allergic reactions, the presence of toxins in the body, or digestive problems, to name a few. Not all children will have to take all the tests mentioned here, though. Sometimes, the problems and their potential causes are isolated during the neurological exam. Other kids may have to go through advanced functional testing before we determine the causes of the disorder. The most important part is that the ADHD evaluation process covers as many bases as possible. Be wary of doctors that make the ADHD diagnosis hastily and prescribe medication in mere minutes.




Dr. Yannick Pauli is an expert on natural approaches to ADHD and the author of the popular self-help home-program The Unritalin Solution. He is Director of the Centre Neurofit in Lausanne, Switzerland and has a passion taking care of children with ADHD. Click on the link for more great information about what is ADHD.





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2012年7月10日 星期二

ADHD Diagnosis: When to See a New Doctor


Part of the initial interview involves asking a new patient about how they got their ADHD diagnosis (if they were already given one), what treatments they took, and its effects (or lack thereof). This gives me a better idea of what new treatments to try. Their experiences have also helped me determine a few "warning signs" that suggest that it's time to see a new doctor, therapist, or health care specialist for ADHD. Here are some of them.

Advocates only one treatment

If the doctor says that the only way to treat ADHD is with drugs, or if the only educational material he gives you are drug company brochures or pharmaceutical pamphlets, consider seeking help somewhere else. Additionally, walk out of the office if the doctor says that behavioral training, a team approach, or a holistic approach is not necessary for your child's recovery. Also be wary of doctors who push only one treatment without exploring other options.

Veterinary medicine

This is when a doctor only talks to you and ignores the child - the actual patient. A doctor cannot help a child recover from a neurologic condition without knowing what goes on in that child's head, and the only way to find out is to let the child speak.

Does not believe in ADHD

Your child won't get the help he or she needs from a doctor, therapist, or counselor who says that his ADHD symptoms are just "growing pains" or indicators of poor discipline, stubbornness, or laziness.

The diagnosis is made too quickly

Be wary of doctors who do not bother to find the causes of your child's symptoms, especially when starting a new treatment or drug. A nutritional deficiency, sensory integration disorder, and anxiety are just some of the many health conditions that mimic ADHD, and many of them cannot be treated with medication. For this reason, diagnosing ADHD is a complicated process that should involve several steps and tests; only by uncovering the roots of the symptoms can a treatment yield desired results.

Does not listen to input from others

Consider seeking a different doctor if he or she downplays the input and observations from teachers, other family members, friends, or siblings.

Does not paint a realistic picture of your child's condition

We want to give our patients hope and assure them that everything is going to be fine, but a good doctor should also provide you with a realistic picture of your child's condition and treatment. ADHD is not a disorder that will magically go away; it is a lifelong condition that your child must learn to manage for the rest of his or her life. When treating ADHD, there are no guarantees that everything will get better once a treatment kicks in; new situations and certain conditions may cause symptoms to flare up unexpectedly. Additionally, a child's treatment plan should encourage him or her to take a proactive role, if you hope for long-term results.




Dr. Yannick Pauli is an expert on natural approaches to ADHD and the author of the popular self-help home-program The Unritalin Solution. He is Director of the Centre Neurofit in Lausanne, Switzerland and has a passion taking care of children with ADHD. Click on the link for more great information about what is adhd.





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ADHD Diagnosis: Five Common Mistakes


The ADHD diagnosis is an important first step to helping children recover from severe inattention or hyperactivity. Unfortunately, the world of office medicine is very rushed, and it's easy for doctors to make the ADHD diagnosis without proper evaluation. Here are five common mistakes by doctors that lead to an ADHD misdiagnosis.

Failing to consider the context of the symptoms

It's not uncommon for children to get diagnosed and medicated for ADHD based solely on a parent's complaint or teachers report. However, true ADHD shows its symptoms in two different settings - not just one. I once treated a child who has tried three different kinds of stimulants; his mother was concerned because he was rapidly losing weight, and his symptoms weren't improving. He got diagnosed and treated for ADHD when she showed their doctor a letter from a teacher saying that he could never sit still or concentrate in class. When I asked her how he behaves at home, she immediately replied with, "He's perfectly fine at home. He doesn't seem to have a problem." Asking feedback from the rest of his family, his parents' friends, and Sunday school teachers confirmed his mother's observations - the child is not hyperactive or unfocused outside the school environment.

In addition, most doctors only get feedback about the child's behavior from one parent. To get a better picture of the child's problems, it's best to obtain a history from both parents, a teacher, a grandparent, and a relative or close friend who does not live with the family.

Assuming that a previous ADHD diagnosis is correct

Children hop from one stimulant to another because many doctors take the previous diagnosis at face value and assume it is correct. Do not assume that your doctor made the right diagnosis; when in doubt, seek a second opinion.

Failing to screen other disorders

Many parents don't realize that inattention, hyperactivity, and impulsivity are not unique to ADHD; they are symptoms that point to a variety of problems, from autism to sensory integration disorder. Stimulant medications may suppress the symptoms temporarily, but they do nothing to address the real underlying problem.

Failing to interview the child

Most doctors skip interviewing the child and go straight to writing a prescription. It's important to hear about the symptoms from the child experiencing; this will give you a better picture of what's really going on. ADHD behaviors can be caused by many things - a bully at school, problems at home, or a boring curriculum.

Taking history from a non-parent

You'd be surprised at the number of kids who get taken to doctors' offices for an ADHD evaluation - an uncle, babysitter, or someone other than a parent. It's difficult to obtain a clear picture of the problem without a parent around.




Dr. Yannick Pauli is an expert on natural approaches to ADHD and the author of the popular self-help home-program The Unritalin Solution. He is Director of the Centre Neurofit in Lausanne, Switzerland and has a passion taking care of children with ADHD. Click on the link for more great information about what is ADHD.





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2012年6月22日 星期五

Autism Spectrum Disorder - Better Diagnosis Or Growing Epidemic?


Current incidence of Autism Spectrum Disorder, or ASD is unbelievably 1 out of every 95 children. As compared with the number of children diagnosed with this disorder in 1980, the percentage of ASD has quadrupled. In 1980, autism was considered a rare disorder, with an estimated 2-5 per 10,000 people.

Autism is generally diagnosed during a child's first 3 years of life, however new research is now identifies diagnostic indicators as early as 6 months. One may wonder what is happening to cause such a dramatic increase in this relatively new disability. Autistic children display difficulties in Sensory Integration Disorder (SID), comprehension problems, expressive language disorders, and a variety of social/pragmatic difficulties. A review of medical, professional, and research literature will result in an array of various explanations. An extensive review of the medical, professional, and autism interest group literature results in a wide diversity of opinion and explanation to the apparent escalating rise of autism. Some believe that autism has no cure, while others claim that there is a complete and definite cure.

During the 1970's, research data began to be reported which showed strong evidence in the role of genetics in the causation of autism. The theory of environmental influence in the causation of autism has only recently taken a more prominent stance amongst the professional and medical communities. In his book Changing the Course of Autism, Dr. Bryan Jepson states that even though finding the gene that triggers autism could lead to developing a medication for treatment, "understanding the role of the environment and studying the biochemistry of autistic children seems much more likely to lead to effective treatment immediately, and in fact would pinpoint which genes should be targeted...understanding the genetic factors requires understanding the impact of the environment on the genetic code." Most proponents of this theory do believe that there is a genetic predisposition to autism, however that changes in the environment and in the practice of modern day medicine are "activating", you might say, the genetic flaw.

As a Speech/Language Pathologist of 25 years, I have noted an unprecedented increase in the diagnosis of autism or one of the various diagnostic labels that fall within the autism spectrum of disorders among the pediatric client population I work. The "picture" of the typical autistic child has made dramatic and wide range changes in the years since beginning in the field of speech and language therapy. The profile of a regular classroom has been transformed in the past 20 years. School nurses are inundated with various medications from those for ADD/ADHD to Bipolar Disorder to ASD. So, are we experiencing an epidemic of Autism Spectrum Disorders or are we just getting better in diagnosing it? Regardless of the causation, children with autism can be helped! New technology, learning therapies, and integrative techniques are available to assist in better brain learning and networking. These new methods can increase the overall abilities for the autistic child so that he or she can learn to understand his or her world.




Lucy Gross-Barlow: As a Speech/Language Pathologist of over 26 years and having practiced in a wide variety of therapeutic settings, Lucy brings to her clients a diversity of patient care knowledge. For the past 12 years, she has specialized her practice in the area of processing disorders and remediation of learning impairments, and she has a passion in seeing her clients succeed in their communicative and learning skills. Lucy now desires to extend the knowledge she has gained in processing and learning remediation to as many children as possible to enable them to reach their full learning and communicative potential in life. Lucy is a founding partner of The Therapy Group, an association of Speech-Language Pathologists, Occupational Therapists, learning specialists, Speech-Language Pathology Aides, parent teachers, administrators and advocates pioneering an industry in web-based consulting for parents who seek to help their children with learning challenges or those learning with disabilities in achieving academic and social success. Providing parents with resources, learning therapies, proprietary products and programs worldwide.





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2012年6月9日 星期六

Sensory Integration Dysfunction - What Is It, Diagnosis, And Treatment


Is your child with autism over responsive to sensation which shows by withdrawing from touch, or getting upset by loud noises? Or is your child under responsive to sensations which shows by hyperactivity, unawareness of touch or pain, and likes loud sounds? Your child may have sensory integration dysfunction, which could be affecting their education and life. This article will discuss what sensory integration disorder is, and also about diagnosis.

Sensory integration refers to our ability to take in information through our senses (touch, movement, smell, taste, vision, and hearing), interpret that information, and respond to it. Sensory Integration Dysfunction (SID) is the inability of the brain, to correctly process information brought in by the senses. People with SID may misinterpret everyday sensory information such as touch, sound and movement.

Below are a few symptoms of SID:

1. Loves to spin, swing, jump-this may calm them down,

2.Complains that some clothing feels scratchy, or doesn't like tags,

3. Picky eaters-doesn't like how some foods feel in their mouth,

4.Over sensitive to smells or sounds-may sniff people or food-will frequently cover ears to sounds,

5. May have high pain tolerance,

6. Can be impulsive or distractible.

The Star Center puts out a checklist for Sensory Integration Dysfunction. The Star Center calls it Sensory Processing Disorder (SPD). Below are a few items on the checklist:

1. Difficulty eating,

2.Resists cuddling or holding,

3.Easily startled,

4.Over sensitive to stimulation,

5.Difficulty learning new motor tasks,

6.Constant movement,

7.Overreacts to touch noise or smell,

8.Appears clumsy and stumbles a lot, and

9.Avoids visually stimulating environments.

SID could be affecting your child in many different ways. There are two separate types of SID: Sensory Avoiding and Sensory Seeking. Children with sensory avoiding do not like to be touched or cuddled, they are fearful of fast movement, are cautious and unwilling to take risks or try new things, are very pick eaters and do not like to be in loud or busy environments. Children with sensory seeking can have hyperactivity, unawareness of touch or pain, take part in unsafe activities, enjoy sounds that are too loud.

Children with Sensory Integration Dysfunction may also have motor skill problems. These children may have: 1.Poor fine motor skills, 2.Poor gross motor skills, 3.Difficulty imitating movements, 4.Trouble with balance, and 5.A preference for seating activities, such as video games.

To determine if your child has SID, they should be evaluation by a SIPT qualified occupational therapist (OT). Many school districts hire occupational therapists, but may not be SIPT qualified, and therefore not qualified to test in this area. You may need to advocate for your child to have them tested by a SIPT qualified OT.

Treatment for SID is occupational therapy, by a qualified therapist. Check with your school district to see if there OT has experience with Sensory Integration Disorder. If they do not, consider getting an Independent Educational Evaluation (IEE) with a SIPT qualified OT. Make sure that the evaluator makes specific recommendations on amount of therapy needed, goals and objectives.

By understanding what Sensory Integration Dysfunction is, how it is diagnosed and treated you may help your child. SID can negatively affect your child's life, but with proper treatment you child can reach their potential.




JoAnn Collins is the mother of two adults with disabilities, and has helped families navigate the special eduation system, as an advocate, for over 15 years. She is a presenter and author of the book "Disability Deception; Lies Disability Educators Tell and How Parents Can Beat Them at Their Own Game." The book has a lot of resources and information to help parents fight for an appropriate education for their child. For a free E newsletter entitled "The Special Education Spotlight" send an E mail to: JoAnn@disabilitydeception.com For more information on the book, testimonials about the book, and a link to more articles go to: http://www.disabilitydeception.com





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2011年12月13日 星期二

Autism: Its Causes, Diagnosis and Treatment


AUTISM is a puzzling phenomenon that is seen in people of otherwise normal-sometimes above normal-intelligence. However, it is often associated with other problems, and can also appear in mild and severe forms. This variability has led many people to think of it as a spectrum of symptoms rather than a single, clear-cut syndrome and that variability makes it hard to work out what causes it. Researchers say that individuals with Autism Spectrum Disorders are either disinterested in social interactions or find them unpleasant. Sadly, persons with autism spectrum disorders are often painfully aware of their limited sociability, which can lead to profound feelings of sadness and frustration.

CAUSES: Several causes have been attributed to its presence:

(1) A defective SHANK3 gene, which is a human gene on chromosome 22.This gene is a member of the Shank gene family. Shank proteins are present in the brain nerve cells and connect impulses from one nerve cell to the other. Shank proteins also play a role in synapse formation i.e.the points of contact between nerve cells. Researchers from Mount Sinai School of Medicine have found that when one copy of the SHANK3 gene in mice is missing, nerve cells do not effectively communicate and do not show cellular properties associated with normal learning.

(2) They also found altered functional and structural plasticity in nerve cells (which is a cellular measure of the flexibility that occurs during learning) and in the synapses.

(3) So, while there is evidence of genetic influence, but no clear pattern of inheritance, one suggestion that does pop up from time to time is that the process which leads to autism involves faulty mitochondria. The mitochondria are a cell's power packs. They disassemble sugar molecules and turn the energy thus liberated into a form that biochemical machinery can use. Mitochondrial faults could be caused by broken genes, by environmental effects, or by a combination of the two. If faulty mitochondria do turn out to be a cause of autism, even if not in all cases, that question will have to be investigated. Nerve cells have a huge demand for energy, so a failure of the mitochondria would certainly affect them. The question is, could it cause autism?

Mitochondria from children with autism consumed far less oxygen than those from the control group: Dr Giulivi of the University of California conducted a study on 10 autistic children versus a control group of 10 normal children. She found that mitochondria from children with autism consumed far less oxygen than those from the control group. That is a sign of lower activity. One important set of enzymes-NADH oxidases-used, on average, only a third as much oxygen in autistic children as they did in non-autists, and eight of the autistic children had significantly lower NADH-oxidase activity than is normal.

The mitochondria of the autistic children also leaked damaging oxygen-rich chemicals such as hydrogen peroxide. These are a normal by-product of mitochondrial activity, but are usually mopped up by special enzymes before they can escape and cause harm-for instance, by damaging a cell's DNA. The level of hydrogen peroxide in the cells of autistic children was twice that found in non-autists. Such high levels suggest the brains of autistic children are exposed to a lot of oxidative stress, something that would probably cause cumulative damage.

DIAGNOSIS: With a new scanning technique via MRI, means an accurate diagnosis of the condition can be made in only 10 minutes. Researchers at Harvard University have made a vital breakthrough in the early diagnosis of autism which shows how the different parts of the brain interact. Autism sufferers have weaker brain connections. The scan shows how well water molecules move along the "wiring", which links different parts of the brain. From the images, doctors will be able to measure the interaction within the areas of the brain and thus make a diagnosis.

TREATMENT:

(1) Scientists have found that some symptoms of autism can be alleviated by a nasal spray containing oxytocin, the "bonding" hormone. People with autism who inhaled the spray altered their behavior temporarily, becoming more sociable and trusting. "Under oxytocin, patients with high-functioning autism respond more strongly to others and exhibit more appropriate social behavior," wrote Elissar Andari, of the Institut des Sciences Cognitives, a French government center for neuroscience research, in a summary of a recent conference presentation.

(2) The drug baclofen, which is, in various for has in fact been shown to affect oxytocin. "We published a paper last year showing that baclofen strongly activated oxytocin in the rat brain," says Iain McGregor at the University of Sydney, Australia

(3) Researchers at the Eastern Virginia Medical School are testing an antibiotic, D-Cycloserine, suggesting it can alter the function of certain receptors in the brain known to affect sociability and help the animals be more at ease around others. EVMS' laboratory studies on mice have led investigators to hypothesize that D-Cycloserine could ease the impaired sociability of people with autism, such as avoiding eye contact and personal interaction. Those traits can severely limit the possibility of employment and independent living.

(4) Sensory Integration Therapy: Sensory Integration is the process through which the brain organizes and interprets external stimuli such as movement, touch, smell, sight and sound. Autistic children often exhibit symptoms of Sensory Integration Dysfunction (SID) making it difficult for them to process information brought in through the senses. The goal of Sensory Integration Therapy is to facilitate the development of the nervous system's ability to process sensory input in a more typical way. Through integration the brain pulls together sensory messages and forms coherent information upon which to act. SIT uses neurosensory and neuromotor exercises to improve the brain's ability to repair itself. When successful, it can improve attention, concentration, listening, comprehension, balance, coordination and impulsivity control in some children.

(5) Speech Therapy: The communications problems of autistic children vary to some degree and may depend on the intellectual and social development of the individual. Some may be completely unable to speak whereas others have well-developed vocabularies and can speak at length on topics that interest them. Any attempt at therapy must begin with an individual assessment of the child's language abilities by a trained speech and language pathologist.

(6) Occupational Therapy: Occupational Therapy can benefit a person with autism by attempting to improve the quality of life for the individual. The aim is to maintain, improve, or introduce skills that allow an individual to participate as independently as possible in meaningful life activities. Coping skills, fine motor skills, play skills, self help skills, and socialization are all targeted areas to be addressed.

(7) Healing Dynamics: Craniosacral therapy has proven effective in the treatment of Autism. Children with autism feel virtually trapped within themselves. Typically, autistic children have a very tight cranium with no "give". They often seem to have very severely compressed temporal bones bilaterally and virtually locked occipital sutures. Treatment aims at releasing these sutures and setting free the bones of the cranium. Other treatment methods incorporated in a session include: neurodevelopmental therapy and visceral manipulation.




More information is available at my website: http://www.myhealingdynamics.com

Caroline Konnoth is a Physical Therapist and Owner of Healing Dynamics Corp. Caroline offers a combination of craniosacral,visceral manipulation and lymph drainage therapies and specializes in pediatrics.
Healing Dynamics is a holistic integrative approach, that is a synthesis of several anatomically directed forms of energy healing techniques, resulting in complete physical and emotional balance and harmony. More information is available at: http://myhealingdynamics.com





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2011年11月25日 星期五

Sensory Integration Dysfunction - What Is It, Diagnosis, And Treatment


Is your child with autism over responsive to sensation which shows by withdrawing from touch, or getting upset by loud noises? Or is your child under responsive to sensations which shows by hyperactivity, unawareness of touch or pain, and likes loud sounds? Your child may have sensory integration dysfunction, which could be affecting their education and life. This article will discuss what sensory integration disorder is, and also about diagnosis.

Sensory integration refers to our ability to take in information through our senses (touch, movement, smell, taste, vision, and hearing), interpret that information, and respond to it. Sensory Integration Dysfunction (SID) is the inability of the brain, to correctly process information brought in by the senses. People with SID may misinterpret everyday sensory information such as touch, sound and movement.

Below are a few symptoms of SID:

1. Loves to spin, swing, jump-this may calm them down,

2.Complains that some clothing feels scratchy, or doesn't like tags,

3. Picky eaters-doesn't like how some foods feel in their mouth,

4.Over sensitive to smells or sounds-may sniff people or food-will frequently cover ears to sounds,

5. May have high pain tolerance,

6. Can be impulsive or distractible.

The Star Center puts out a checklist for Sensory Integration Dysfunction. The Star Center calls it Sensory Processing Disorder (SPD). Below are a few items on the checklist:

1. Difficulty eating,

2.Resists cuddling or holding,

3.Easily startled,

4.Over sensitive to stimulation,

5.Difficulty learning new motor tasks,

6.Constant movement,

7.Overreacts to touch noise or smell,

8.Appears clumsy and stumbles a lot, and

9.Avoids visually stimulating environments.

SID could be affecting your child in many different ways. There are two separate types of SID: Sensory Avoiding and Sensory Seeking. Children with sensory avoiding do not like to be touched or cuddled, they are fearful of fast movement, are cautious and unwilling to take risks or try new things, are very pick eaters and do not like to be in loud or busy environments. Children with sensory seeking can have hyperactivity, unawareness of touch or pain, take part in unsafe activities, enjoy sounds that are too loud.

Children with Sensory Integration Dysfunction may also have motor skill problems. These children may have: 1.Poor fine motor skills, 2.Poor gross motor skills, 3.Difficulty imitating movements, 4.Trouble with balance, and 5.A preference for seating activities, such as video games.

To determine if your child has SID, they should be evaluation by a SIPT qualified occupational therapist (OT). Many school districts hire occupational therapists, but may not be SIPT qualified, and therefore not qualified to test in this area. You may need to advocate for your child to have them tested by a SIPT qualified OT.

Treatment for SID is occupational therapy, by a qualified therapist. Check with your school district to see if there OT has experience with Sensory Integration Disorder. If they do not, consider getting an Independent Educational Evaluation (IEE) with a SIPT qualified OT. Make sure that the evaluator makes specific recommendations on amount of therapy needed, goals and objectives.

By understanding what Sensory Integration Dysfunction is, how it is diagnosed and treated you may help your child. SID can negatively affect your child's life, but with proper treatment you child can reach their potential.




JoAnn Collins is the mother of two adults with disabilities, and has helped families navigate the special eduation system, as an advocate, for over 15 years. She is a presenter and author of the book "Disability Deception; Lies Disability Educators Tell and How Parents Can Beat Them at Their Own Game." The book has a lot of resources and information to help parents fight for an appropriate education for their child. For a free E newsletter entitled "The Special Education Spotlight" send an E mail to: JoAnn@disabilitydeception.com For more information on the book, testimonials about the book, and a link to more articles go to: http://www.disabilitydeception.com





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