Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series
(1) Background: Compression garments (CGs) are an adjuvant treatment for generalized joint hypermobility (GJH), including the Ehlers–Danlos syndrome/hypermobility types. The effects of CGs are likely to be related to better proprioceptive control. We aimed to explore the use of CGs in individuals wi...
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MDPI AG
2020-07-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/7/7/77 |
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| author | Vincent Guinchat Elodie Vlamynck Lautaro Diaz Coralie Chambon Justine Pouzenc Cora Cravero Carolina Baeza-Velasco Claude Hamonet Jean Xavier David Cohen |
| author_facet | Vincent Guinchat Elodie Vlamynck Lautaro Diaz Coralie Chambon Justine Pouzenc Cora Cravero Carolina Baeza-Velasco Claude Hamonet Jean Xavier David Cohen |
| author_sort | Vincent Guinchat |
| collection | DOAJ |
| description | (1) Background: Compression garments (CGs) are an adjuvant treatment for generalized joint hypermobility (GJH), including the Ehlers–Danlos syndrome/hypermobility types. The effects of CGs are likely to be related to better proprioceptive control. We aimed to explore the use of CGs in individuals with autism and severe proprioceptive dysfunction (SPD), including individuals with GJH, to control posture and challenging behaviors. (2) Methods: We retrospectively described 14 patients with autism and SPD, including seven with comorbid GJH, who were hospitalized for major challenging behaviors with remaining behavioral symptomatology after the implementation of multidisciplinary approaches, including medication, treatment of organic comorbidities, and behavioral restructuring. Each patient received a CG to wear for at least 1 h (but most often longer) per day for six weeks. We assessed challenging behaviors in these participants with the Aberrant Behavior Checklist (ABC), sensory integration with the Dunn questionnaire, and postural sway and motor performance using a self-designed motricity path at baseline, two weeks, and six weeks. (3) Results: We observed a significant effect on most ABC rating scores at two weeks, which persisted at six weeks (total score, <i>p</i> = 0.004; irritability, <i>p</i> = 0.007; hyperactivity, <i>p</i> = 0.001; lethargy, <i>p</i> = 0.001). Postural control in dorsal and profile positions was significantly improved between before and after wearing the CGs (<i>p</i> = 0.006 and 0.007, respectively). Motor performance was also significantly improved. However, we did not observe a significant change in Dunn sensory scores. During the six-week duration, the treatment was generally well-tolerated. A comorbid GJH diagnosis was not associated with a better outcome. (4) Conclusions: CGs appear to be a promising adjuvant treatment for both behavioral and postural impairments in individuals with autism and SPD. |
| first_indexed | 2024-03-10T18:30:43Z |
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| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T18:30:43Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-8a982a0c5f3949f299508c463810bec22023-11-20T06:36:57ZengMDPI AGChildren2227-90672020-07-01777710.3390/children7070077Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case SeriesVincent Guinchat0Elodie Vlamynck1Lautaro Diaz2Coralie Chambon3Justine Pouzenc4Cora Cravero5Carolina Baeza-Velasco6Claude Hamonet7Jean Xavier8David Cohen9Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, FranceUMR-S 1075 INSERM/UNICAEN, 14000 Caen, FranceDepartment of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, FranceDepartment of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, FranceDepartment of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, FranceDepartment of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, FranceLaboratory of Psychopathology and Health Processes (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, 92100 Boulogne-Billancourt, FranceDepartment of Physical Reeducation, University Paris-Est Créteil, 94000 Créteil, FranceDepartment of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, FranceDepartment of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, France(1) Background: Compression garments (CGs) are an adjuvant treatment for generalized joint hypermobility (GJH), including the Ehlers–Danlos syndrome/hypermobility types. The effects of CGs are likely to be related to better proprioceptive control. We aimed to explore the use of CGs in individuals with autism and severe proprioceptive dysfunction (SPD), including individuals with GJH, to control posture and challenging behaviors. (2) Methods: We retrospectively described 14 patients with autism and SPD, including seven with comorbid GJH, who were hospitalized for major challenging behaviors with remaining behavioral symptomatology after the implementation of multidisciplinary approaches, including medication, treatment of organic comorbidities, and behavioral restructuring. Each patient received a CG to wear for at least 1 h (but most often longer) per day for six weeks. We assessed challenging behaviors in these participants with the Aberrant Behavior Checklist (ABC), sensory integration with the Dunn questionnaire, and postural sway and motor performance using a self-designed motricity path at baseline, two weeks, and six weeks. (3) Results: We observed a significant effect on most ABC rating scores at two weeks, which persisted at six weeks (total score, <i>p</i> = 0.004; irritability, <i>p</i> = 0.007; hyperactivity, <i>p</i> = 0.001; lethargy, <i>p</i> = 0.001). Postural control in dorsal and profile positions was significantly improved between before and after wearing the CGs (<i>p</i> = 0.006 and 0.007, respectively). Motor performance was also significantly improved. However, we did not observe a significant change in Dunn sensory scores. During the six-week duration, the treatment was generally well-tolerated. A comorbid GJH diagnosis was not associated with a better outcome. (4) Conclusions: CGs appear to be a promising adjuvant treatment for both behavioral and postural impairments in individuals with autism and SPD.https://www.mdpi.com/2227-9067/7/7/77autismintellectual disabilitychallenging behaviorsjoint hypermobilityEhlers–Danlos syndromecompression garment |
| spellingShingle | Vincent Guinchat Elodie Vlamynck Lautaro Diaz Coralie Chambon Justine Pouzenc Cora Cravero Carolina Baeza-Velasco Claude Hamonet Jean Xavier David Cohen Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series Children autism intellectual disability challenging behaviors joint hypermobility Ehlers–Danlos syndrome compression garment |
| title | Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series |
| title_full | Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series |
| title_fullStr | Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series |
| title_full_unstemmed | Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series |
| title_short | Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series |
| title_sort | compressive garments in individuals with autism and severe proprioceptive dysfunction a retrospective exploratory case series |
| topic | autism intellectual disability challenging behaviors joint hypermobility Ehlers–Danlos syndrome compression garment |
| url | https://www.mdpi.com/2227-9067/7/7/77 |
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