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A model and treatment for autism at the convergence of Chinese medicine and Western science: First 130 cases

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Abstract

Objective

To present a model for autism showing that impairment of sensory and self-regulation is the core deficit that underlies delays in social/language skills and abnormal behavior in autism; and to demonstrate the efficacy of a treatment for autism based on Chinese medicine.

Methods

Children with autism under 6 years of age were assigned to treatment or wait-list conditions. A total of 130 children were treated and the results compared with 45 wait-list controls. Treatment is a tuina methodology directed at sensory impairment—Kai Qiao Tuina. The treatment was a five-month protocol that was implemented daily by trained parents via trained support staff. The effects of treatment on the main symptoms, autistic behavior, social/language delay, sensory and self-regulatory impairment, as well as on parenting stress, were observed and compared.

Results

The treatment had a large effect size (P<0.0001) on measures of sensory and self-regulation. The evaluations done by pre-school teachers demonstrated improvement in the measures of autism (P<0.003), and were confirmed by evaluations done by parents (P<0.0001). There was a large decrease (P<0.0001) in parenting stress.

Conclusions

Sensory and self-regulatory impairment is a main factor in the development and severity of autism. Treatment of young children with autism with Kai Qiao Tuina resulted in a decrease in sensory and self-regulatory impairment and a reduction in severity of measures of autism.

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References

  1. Silva LMT, Schalock M, Ayres R, Bunse C, Budden S. Qigong massage treatment for sensory and self-regulation problems in young children with autism: a randomized controlled trial. Am J Occup Ther 2009;63:423–432.

    PubMed  Google Scholar 

  2. Silva LMT, Schalock M, Gabrielsen K. The QST home program: RCT of a parent-delivered treatment for autism. Am J Occup Ther (in press).

  3. Porges SW. The vagus: a mediator of behavioral and visceral features associated with autism. In: Bauman ML and Kemper TL, eds. The neurobiology of autism. Baltimore, MD: Johns Hopkins University Press; 2004:65–78.

    Google Scholar 

  4. Silva LMT, Cignolini A, Warren R, Skowron-Gooch A, Budden S. Improvement in sensory impairment and social development in young children with autism following an original qigong massage methodology. Am J Chin Med 2007;35:393–406.

    Article  PubMed  Google Scholar 

  5. Silva LMT, Ayres R, Schalock M. Outcomes of a pilot training program in a qigong massage intervention for young children with autism. Am J Occup Ther 2008;62:530–538.

    Google Scholar 

  6. Sparrow S, Cicchetti D, Balla D. Vineland adaptive behavior scales (interview edition). Circle Pines, MN: American Guidance Service, 2005.

    Google Scholar 

  7. Krug D, Arick J, Almond P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. J Child Psychol Psychiatry 1980;2:221–229.

    Article  Google Scholar 

  8. Krug D, Arick J, Almond P. Autism screening instrument for educational planning. Austin, TX: Pro-Ed, 1993:56–64.

    Google Scholar 

  9. Dunn W. Sensory profile user’s manual. San Antonio, TX: Psychological Corporation; 1999.

    Google Scholar 

  10. Cohen IL, Sudhalter V. PDD behavior inventory. Lutz, FL: Psychological Assessment Resources; 2005.

    Google Scholar 

  11. Porges S, Bohrer, R, eds. The analysis of periodic processes in psychophysiological research. In: Cacioppo J, Tassinary I, eds. Principles of psychophysiology: physical, social, and inferential elements. New York: Cambridge University Press; 1990:708–753.

  12. Silva LMT, Schalock M. Sensory and Self-Regulation Checklist: initial psychometric evidence and findings. Am J Occup Ther (in press).

  13. Haase RF. Classical and partial eta square in multifactor ANOVA designs. Educ Psychol Meas 1983;43:35–39.

    Article  Google Scholar 

  14. Hedges LV. Statistical methodology in meta-analysis. Princeton, NJ: Educational Testing Service; 1982:251–265.

  15. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum; 1988:345–387.

    Google Scholar 

  16. Schuirmann D. On hypothesis testing to determine if the mean of the normal distribution is contained in a known interval. Biometrics 1981;37:617.

    Google Scholar 

  17. Schuirmann D. A comparison of the two one-sided procedure and the power approach for assessing the equivalence of average bioavailability. J Pharmacokinet Biopharm 1987;15:657–680.

    Article  PubMed  CAS  Google Scholar 

  18. Kline RB. Beyond significance testing: reforming data analysis methods in behavioral research. Washington, D.C.: American Psychological Association; 2004:264–288.

    Book  Google Scholar 

  19. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association; 1994:69–70.

    Google Scholar 

  20. Leekam SR, Libby SJ, Wing L, Gould J. Describing the sensory abnormalities of children and adults with autism. J Autism Dev Disord 2007;37:894–910.

    Article  PubMed  Google Scholar 

  21. Levy SE, Mandell DS, Schultz RT. Autism. Lancet 2009;374:1627–1638.

    Article  PubMed  Google Scholar 

  22. Killackey HP, Rhoades RW, Bennett-Clarke CA. The formation of a cortical somatotopic map. Trends Neurosci 1995;18:402–407.

    Article  PubMed  CAS  Google Scholar 

  23. Killackey HP, Ivy GO, Cunningham TJ. Anomalous organization of the SMI somatotopic map consequent to vibrissae removal in the newborn rat. Brain Res 1978;155:136–140.

    Article  PubMed  CAS  Google Scholar 

  24. Longo MR, Azanon E, Haggard P. More than skin deep: body representation beyond primary somatosensory cortex. Neuropsychologia 2010;48:655–668.

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Louisa M. T. Silva.

Additional information

Supported by the Curry Stone Foundation, Spririt Moutain Community Fund, and Northwest Health Foundation

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Silva, L.M.T., Schalock, M. & Ayres, R. A model and treatment for autism at the convergence of Chinese medicine and Western science: First 130 cases. Chin. J. Integr. Med. 17, 421–429 (2011). https://doi.org/10.1007/s11655-011-0635-0

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  • DOI: https://doi.org/10.1007/s11655-011-0635-0

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