Breakthroughs in autism management part 2

Breakthroughs in Autism Management -2
Nephtaly Joel Botor
 : [email_address]
: www.way2life.org
Emerging modalities in managing autism Step Ahead 2011 (Winter) AJ Group of Schools

What to expect (afternoon)
Autism fitness (activity)
Behavioural modalities
Joint attention (Walen & Schreibman, 2003)
Multifactorial metabolic causes of autism
Biomedical issues
Diet and autism
Conclusion
Step Ahead 2011 (Winter) AJ Group of Schools

Exercise Step Ahead 2011 (Winter) AJ Group of Schools

Autism & exercise David Geslak Step Ahead 2011 (Winter) AJ Group of Schools

Autism and fitness Classical components of fitness Cardiovascular fitness Muscular endurance Muscular strength Flexibility Body composition Step Ahead 2011 (Winter) AJ Group of Schools

Autism and fitness Modern components of fitness Finding one’s body in space Strength & endurance Integrate muscles to move Cardiovascular fitness Motor coordination Muscular fitness Posture Body image Concept of body parts Step Ahead 2011 (Winter) AJ Group of Schools

Autism and exercises
Body part identification
Pretzel (activate both hemispheres)
Crossover match (cross lateral drills/brain-body coord)
Calf stretch (found to improve communication)
Wall push up (with clap)
Jumpin jack
Hop exercise
Dot exercise

Autism and exercises Opportunity to find themselves in relation to space. -Dr. Stephen Shore Step Ahead 2011 (Winter) AJ Group of Schools

Reduce stress and anxiety/improve sleep (Autism Research Institute 2004)
After moderate aerobic activity, children with autism may experience increases in attention span, on-task behavior, and level of correct responding (Rosenthal-Malek & Mitchell, 1997).
A physical activity-based program is easy to implement and has been shown to be effective in controlling inappropriate behaviors associated with autism (Allison, Basile, & MacDonald, 1991; Elliott, Dobbin, Rose, & Soper, 1994).
Why autism exercise? Step Ahead 2011 (Winter) AJ Group of Schools

Brain releases dopamine, seratonin and norepinephrine, shown to be in short supply among ADHD patients . These chemicals impact focus and attention, and their increase leads to regular and consistent concentration.
Exercise diminishes mood disorders through release of endorphins, which are hormones that regulate pain, pleasure and mood.
Physical activity: productive outlet for aggressive impulses and excess energy
Exercise increases brain complexity by creating new neural pathways
Why autism exercise? Step Ahead 2011 (Winter) AJ Group of Schools

Autism and exercises “ If they’re not getting it perfectly, it’s fine. Just make them move.” – David Geslak Step Ahead 2011 (Winter) AJ Group of Schools

Behavioural Modalities Step Ahead 2011 (Winter) AJ Group of Schools

Behavioural Modality
Applied Behavioural Analysis
Skinner’s psychology
Task analysis
Reinforcements
Shaping

Research on Joint Attention
“ Joint attention training for children with autism using behavior modification procedures”
Whalen and Schreibman (2003)
Autism Spectrum Therapies
Department of Psychology, University of California,
Responding  Initiating

Phase 1: Responding to joint attention training
Level 1:Response to hand on object
Level 2: Response to object being tapped
Level 3: Response to showing of objects
Level 4: Eye contact
Level 5: Following a point
Level 6: Following a gaze

Phase 2: Initiating joint attention training
Level 1: Coordinated gaze shifting
Engage the child with a toy.
If child shift gazes in 10 seconds, reinforce.
If child did not, remove toys then present new toys.
After 2 no response, use prompt (physical and verbal “show” )
Fade out the prompt
Level 2: Photodeclarative pointing
12 five-minute sessions
Present pictures on wall
Similar protocol with Level 1, verbal prompt “point”

Findings Step Ahead 2011 (Winter) AJ Group of Schools

Biomedical approach in autism Step Ahead 2011 (Winter) AJ Group of Schools

If the child is not benefiting from educational/behavioural therapies, what could be the problem? Could it be systemic? Step Ahead 2011 (Winter) AJ Group of Schools

Metabolism and autism
Systemic – metabolic / physiopathological issues
Metabolism – process of building up of breaking down of substances to facilitate their absorption and transportation by and in the body.

Some biomedical issues Behaviour/symptoms Metabolic issues Eye poking / self injury Lack of Calcium Tip toeing Build up of oxalate crystals on the soles of the feet Visual stimming Vitamin A deficiency Curling on their stomach / lying on the floor Candida growth in the GIT Tantrums Candida growth Neurological symptoms Opiod excessive (fail to digest casein); B1-6-12 deficiency; autoimmunity (Purkinje cells-coordination) Step Ahead 2011 (Winter) AJ Group of Schools

Candida and autism Normal GIT GIT with candida Step Ahead 2011 (Winter) AJ Group of Schools

Repeated use of antibiotics
Inability to digest dissacharides and other complex sugars  low carb diet
Candida albicans: causes Step Ahead 2011 (Winter) AJ Group of Schools

Chronic fatigue
Depression
Yeast infections
Bloating
Joint or muscle pain
Genital itching
Hyperactivity
Athletes foot
Hair loss.
Candida albicans: symptoms Step Ahead 2011 (Winter) AJ Group of Schools

Testing is a must! Advise parents. Step Ahead 2011 (Winter) AJ Group of Schools

Gut-brain association: Diet & Autism
Genetics has not changed in thousands of years but environment has
Environmental factor  food
Diet is connected with a lot of diseases
Why not look at connection with autism?
Food are not as organic as our grandparents had

Common Dietary Programs Match food with genetics. Diet Effects Casein-free/glutein-free diet Lessens GI issues (candida) Specific carbohydrate diet (diet/supplement/detox) Lessens GI issues (candida) Elimination diet (no wheat, corn, sugar, mushroom, dairy) Lessens GI issues (candida) Ketogenic diet (caloric restriction) Against seizure Feingold diet Artificial color –free diet Serotonin high (banana, avocado, pineapple, papaya) Optimal mood (less depression, anxiety) Body ecology (probiotics) Increase immune support Step Ahead 2011 (Winter) AJ Group of Schools

What’s our role? Educate.

Wrap Up
Exercise is an area to look into
Behavioural modality still a standard
Biomedical issues very important aspect
Emerging practices and technologies to maximize

Parting message. Step Ahead 2011 (Winter) AJ Group of Schools

“ At the end of the day, these children we are working with…these children with autism, or ADHD or whatever deficiency they may have…are children.” -Dr. Heidi Alskary Psychology & Counselling Department AJ Group of Schools

Thank you. Have a great vacation.  Step Ahead 2011 (Winter) AJ Group of Schools

Breakthroughs in autism management part 2

by njbotor on Dec 18, 2011

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