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Article

Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series

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Department of Child and Adolescent Psychiatry, Reference Centre for Rare Psychiatric Diseases, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Sorbonne Université, 75006 Paris, France
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Psychiatric Section of Mental Development, Psychiatric University Clinic, Lausanne University Hospital (CHUV), Prilly, 1011 Lausanne, Switzerland
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UMR-S 1075 INSERM/UNICAEN, 14000 Caen, France
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Interdepartmental Mobile Unit for Complex Situations in Autism, Elan Retrouvé Foundation, 75009 Paris, France
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Laboratory of Psychopathology and Health Processes (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, 92100 Boulogne-Billancourt, France
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INSERM U1061, Neuropsychiatry: Epidemiological and Clinical Research, Department of Emergency Psychiatry and Acute Care, CHU de Montpellier, 34295 Montpellier, France
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Department of Physical Reeducation, University Paris-Est Créteil, 94000 Créteil, France
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Department of Child and Adolescent Psychiatry, Henri Laborit Hospital Centre, 86000 Poitiers, France
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CNRS UMR 7295, Cognitive Learning Research Centre, Poitiers University, 86073 Poitiers, France
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CNRS UMR 7222, Institute for Intelligent Systems and Robotics, Sorbonne Université, 75006 Paris, France
*
Author to whom correspondence should be addressed.
Children 2020, 7(7), 77; https://doi.org/10.3390/children7070077
Received: 6 April 2020 / Revised: 3 July 2020 / Accepted: 9 July 2020 / Published: 13 July 2020
(This article belongs to the Special Issue Motor Problems in Childhood Developmental Disorders)
(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, p = 0.004; irritability, p = 0.007; hyperactivity, p = 0.001; lethargy, p = 0.001). Postural control in dorsal and profile positions was significantly improved between before and after wearing the CGs (p = 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. View Full-Text
Keywords: autism; intellectual disability; challenging behaviors; joint hypermobility; Ehlers–Danlos syndrome; compression garment; proprioceptive dysfunction; pressure therapy autism; intellectual disability; challenging behaviors; joint hypermobility; Ehlers–Danlos syndrome; compression garment; proprioceptive dysfunction; pressure therapy
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MDPI and ACS Style

Guinchat, V.; Vlamynck, E.; Diaz, L.; Chambon, C.; Pouzenc, J.; Cravero, C.; Baeza-Velasco, C.; Hamonet, C.; Xavier, J.; Cohen, D. Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series. Children 2020, 7, 77. https://doi.org/10.3390/children7070077

AMA Style

Guinchat V, Vlamynck E, Diaz L, Chambon C, Pouzenc J, Cravero C, Baeza-Velasco C, Hamonet C, Xavier J, Cohen D. Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series. Children. 2020; 7(7):77. https://doi.org/10.3390/children7070077

Chicago/Turabian Style

Guinchat, Vincent, Elodie Vlamynck, Lautaro Diaz, Coralie Chambon, Justine Pouzenc, Cora Cravero, Carolina Baeza-Velasco, Claude Hamonet, Jean Xavier, and David Cohen. 2020. "Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series" Children 7, no. 7: 77. https://doi.org/10.3390/children7070077

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