Do Alternative Therapies Have a Role in Autism?

Interventions considered to be branches of Complementary & Alternative Medicine (CAM) for autism are on the rise. Many new treatments have emerged & traditional beliefs of Ayurveda, Yoga, Behavioral therapy, Speech therapy and Homoeopathy have gained popularity and advocacy among parents. It is imperative that data supporting new treatments should be scrutinized for scientific study design, clinical safety, and scientific validity, before embarking on them as modes of therapy. Practitioners take care in explaining the rationale behind the various approaches that they practice, it is important to indicate possible limitations too during the initial clinical examination and interactive session. Clinicians must remember that parents may have different beliefs regarding the effectiveness of treatment since their information is derived more from the ‘hear-say’ route when they compare benefits/effects of CAM therapies on other children and often underestimate differential tolerance for treatment risks. It is thus significant that practitioners do not assume a "don't ask, don't tell" posture. The scientific validation and support for many interventions is incomplete and very different from the recommendations of the American Academy of Pediatrics Policy Statement. In this article, we discuss the various modes of CAM and their utilities and limitations in relation to autism

From early markers to neuro-developmental mechanisms of autism

A fast growing field, the study of infants at risk because of having an older sibling with autism (i.e. infant sibs) aims to identify the earliest signs of this disorder, which would allow for earlier diagnosis and intervention. More importantly, we argue, these studies offer the opportunity to validate existing neuro-developmental models of autism against experimental evidence. Although autism is mainly seen as a disorder of social interaction and communication, emerging early markers do not exclusively reflect impairments of the “social brain”. Evidence for atypical development of sensory and attentional systems highlight the need to move away from localized deficits to models suggesting brain-wide involvement in autism pathology. We discuss the implications infant sibs findings have for future work into the biology of autism and the development of interventions

Rawan Atari - The Influence of Multi-Sensory Environment on Physiological Response in Children with Autism Spectrum Disorders and Children with Special Health Care Needs

A research study based on the sensory integration theory was conducted to examine the effects of multi-sensory environment (MSE) on physiological arousal in children with autism spectrum disorder (ASD) and special health care needs. Adapted environments may serve as a mechanism to treat anxiety levels in a population of children who experience more severe generalized anxiety symptoms than typically developing children. The sample consisted of children with community-based diagnoses of ASD and children with special health care needs, primarily children diagnosed with cerebral palsy (CP) from the Milwaukee Center for Independence (MCFI). Treatment for the autism sample was carried out by a trained MCFI staff member and treatment for children with special health care needs was carried out by a trained physical therapist. Electrodermal response was used as a measure to detect the “fight or flight” response of the sympathetic nervous system. The measurement of electrodermal activity was recorded by a wireless bracelet device that recorded the skin conductance level of the participant prior to entering the sensory room, during treatment in the sensory room, and after exiting the sensory room. Results indicated increased arousal in children with CP, as sensory stimulation was the main goal of physical therapists. Results for the autism sample varied by participant and indicated that treatment needs to be individualized for optimal benefits. Findings support the use of MSE as an alternative technique to improve therapeutic opportunities for children with cerebral palsy by stimulating sensations that are otherwise generally dormant.https://epublications.marquette.edu/mcnair_2014/1000/thumbnail.jp

Visual illusions: An interesting tool to investigate developmental dyslexia and autism spectrum disorder

A visual illusion refers to a percept that is different in some aspect from the physical stimulus. Illusions are a powerful non-invasive tool for understanding the neurobiology of vision, telling us, indirectly, how the brain processes visual stimuli. There are some neurodevelopmental disorders characterized by visual deficits. Surprisingly, just a few studies investigated illusory perception in clinical populations. Our aim is to review the literature supporting a possible role for visual illusions in helping us understand the visual deficits in developmental dyslexia and autism spectrum disorder. Future studies could develop new tools – based on visual illusions – to identify an early risk for neurodevelopmental disorders

Development of neural responses to hearing their own name in infants at low and high risk for autism spectrum disorder

The own name is a salient stimulus, used by others to initiate social interaction. Typically developing infants orient towards the sound of their own name and exhibit enhanced event-related potentials (ERP) at 5 months. The lack of orientation to the own name is considered to be one of the earliest signs of autism spectrum disorder (ASD). In this study, we investigated ERPs to hearing the own name in infants at high and low risk for ASD, at 10 and 14 months. We hypothesized that low-risk infants would exhibit enhanced frontal ERP responses to their own name compared to an unfamiliar name, while high-risk infants were expected to show attenuation or absence of this difference in their ERP responses. In contrast to expectations, we did not find enhanced ERPs to own name in the low-risk group. However, the high-risk group exhibited attenuated frontal positive-going activity to their own name compared to an unfamiliar name and compared to the low-risk group, at the age of 14 months. These results suggest that infants at high risk for ASD start to process their own name differently shortly after one year of age, a period when frontal brain development is happening at a fast rate

Reduced neural sensitivity to social stimuli in infants at risk for autism

In the hope of discovering early markers of autism, attention has recently turned to the study of infants at risk owing to being the younger siblings of children with autism. Because the condition is highly heritable, later-born siblings of diagnosed children are at substantially higher risk for developing autism or the broader autism phenotype than the general population. Currently, there are no strong predictors of autism in early infancy and diagnosis is not reliable until around 3 years of age. Because indicators of brain functioning may be sensitive predictors, and atypical social interactions are characteristic of the syndrome, we examined whether temporal lobe specialization for processing visual and auditory social stimuli during infancy differs in infants at risk. In a functional near-infrared spectroscopy study, infants aged 4–6 months at risk for autism showed less selective neural responses to social stimuli (auditory and visual) than low-risk controls. These group differences could not be attributed to overall levels of attention, developmental stage or chronological age. Our results provide the first demonstration of specific differences in localizable brain function within the first 6 months of life in a group of infants at risk for autism. Further, these differences closely resemble known patterns of neural atypicality in children and adults with autism. Future work will determine whether these differences in infant neural responses to social stimuli predict either later autism or the broader autism phenotype frequently seen in unaffected family members

Learning Environments for Children with Autism - End of Year Report, July 07

The aim of the Learning Environments research project is to develop an environment which provides optimal support towards meeting the needs of children with profound autistic spectrum disorder in order to assist them in engaging as effective learners. The project began in October 2006, and is intended to run for 3 years. To date, the small amount of research surrounding the idea of providing optimum environments for those with profound autistic spectrum disorder (ASD) has focused on living environments (Whitehurst, 2006; Beaver, 2003 and 2006; Humphreys, 2005; Plimley, 2004), rather than learning environments. An initial review of this literature has indicated that there are three main avenues to focus on when developing optimal learning environments for children with profound ASD. These are the physical environment, the pedagogy and related resources utilised to teach lessons and structure classroom activities, and the teaching staff

Voice and speech perception in autism : a systematic review

Autism spectrum disorders (ASD) are characterized by persistent impairments in social communication and interaction, restricted and repetitive behavior. In the original description of autism by Kanner (1943) the presence of emotional impairments was already emphasized (self-absorbed, emotionally cold, distanced, and retracted). However, little research has been conducted focusing on auditory perception of vocal emotional cues, being the audio-visual comprehension most commonly explored instead. Similarly to faces, voices play an important role in social interaction contexts in which individuals with ASD show impairments. The aim of the current systematic review was to integrate evidence from behavioral and neurobiological studies for a more comprehensive understanding of voice processing abnormalities in ASD. Among different types of information that the human voice may provide, we hypothesize particular deficits with vocal affect information processing by individuals with ASD. The relationship between vocal stimuli impairments and disrupted Theory of Mind in Autism is discussed. Moreover, because ASD are characterized by deficits in social reciprocity, further discussion of the abnormal oxytocin system in individuals with ASD is performed as a possible biological marker for abnormal vocal affect information processing and social interaction skills in ASD population