Odu%20 clinical%20science%20iii%20pdd%202011[1]

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Odu%20 clinical%20science%20iii%20pdd%202011[1]

  1. 1. Pervasive Developmental Disorders <ul><li>Clinical Science III </li></ul><ul><li>Karen R. Voogt, DPT </li></ul><ul><li>Fall 2011 </li></ul>
  2. 2. Pervasive Developmental Disorders <ul><li>Class of disorders </li></ul><ul><li>Common Characteristics: Impairments in social interaction, imaginative activity, verbal and nonverbal communication skills and a limited number of interests and activities that tend to be repetitive. </li></ul>
  3. 3. PDD <ul><li>DSM-IV-TR 2000 </li></ul><ul><li>Five disorders: </li></ul><ul><ul><li>Autistic Disorder </li></ul></ul><ul><ul><li>Rett’s Disorder </li></ul></ul><ul><ul><li>Childhood Disintegrative Disorder </li></ul></ul><ul><ul><li>Asperger’s Disorder </li></ul></ul><ul><ul><li>PDDNOS (not otherwise specified) </li></ul></ul>
  4. 5. PDD <ul><li>In general, these children have difficulty in talking, playing with other children, relating to others, including the family. </li></ul><ul><li>Severe and pervasive impairment in several areas of development: </li></ul><ul><li>Social interaction skills </li></ul><ul><li>Communication skills </li></ul><ul><li>The presence of stereotyped behavior, interests and activities </li></ul>
  5. 6. Autistic Disorder <ul><li>4 times more common in boys than girls. </li></ul><ul><li>Moderate to severe range of communication, socialization, and behavior problems. Many are mentally retarded. </li></ul>
  6. 7. Rett’s Disorder <ul><li>Primarily in females. </li></ul><ul><li>Development proceeds apparently normal from first 6 to 18 months. </li></ul><ul><li>Noted change in behavior, regression or loss of abilities (walking, moving) Followed by speech, reasoning and hand use. </li></ul><ul><li>Repetitive, meaningless gestures-hand wringing, washing. </li></ul>
  7. 8. Rett’s Syndrome
  8. 9. Childhood Disintegrative Disorder <ul><li>Extremely rare. </li></ul><ul><li>Clear regression in functioning-mobility, bowel and bladder control, social and language skills FOLLOWING at least 2 years of NORMAL development. </li></ul><ul><li>Onset of decline prior to age 10. </li></ul>
  9. 10. Asperger’s Disorder <ul><li>Lack of social skills, difficulty with social relationships, poor coordination, poor concentration, restricted range of interests but normal or above normal intelligence, adequate language skills in vocabulary and grammar. </li></ul>
  10. 11. Pervasive Developmental Disorder Not Otherwise Specified PDDNOS <ul><li>Do not fully meet criteria of symptoms to diagnose other 4 specific types of PDD; and/or do not have the degree of impairment described in the other 4 disorders. </li></ul><ul><li>Not schizophrenia or avoidant personality disorder. </li></ul>
  11. 12. Diagnosing PDD <ul><li>Medical assessment (can include chromosome study, EEG, MRI) </li></ul><ul><li>Interview with parents, teacher, child </li></ul><ul><li>Behavior rating scales </li></ul><ul><li>Direct behavior observations </li></ul><ul><li>Psychological assessment </li></ul><ul><li>Educational assessment </li></ul><ul><li>Communication and occupational therapy assessments </li></ul>
  12. 13. Treatment of PDD <ul><li>Behavioral treatment ABA-Applied Behavioral Analysis </li></ul><ul><li>Appropriate educational setting </li></ul><ul><li>Facilitated communication </li></ul><ul><li>Sensory integration therapy </li></ul><ul><li>Auditory integration therapy </li></ul><ul><li>Vitamin/nutrition therapy </li></ul>
  13. 14. Source: NICHCY National Center for Children with Disabilities <ul><li>Briefing paper 1998, updated 2005 </li></ul><ul><li>www.nichcy.org </li></ul>

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