Autism Spectrum Disorder (ASD)

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well child visit timeline

- 9 months - 18 months - 30 months

intervention approaches

- applied behavioral analysis (ABA) - exercise

ASD 4 diagnoses

- autism - childhood disintegrative disorder - pervasive developmental disorder - asperger syndrome

impairments

- cognitive - language - executive functioning - atypical visual and auditory perception

sensory modulation disorder (SPD)

- difficulty recognizing and organizing - under or over responsive

ASD causes

- environmental - genetic - biologic

related genetic/chromosomal conditions

- fragile x - tuberculosis sclerosis - down syndrome

PT goals

- improve participation - new motor skills - coordination - improve reciprocal play skills - motor imitation skills - increase fitness and stamina

Rett disorder

- in females - grey matter developmental disorder

common motor issues

- low tone - delayed skills - incoordination - poor stability - planning difficulties

ASD prevalence

- most common pediatric diagnosis - 1/36 kids - increasing

brain changes

- overgrowth period - over and under connectivity - slower basal ganglia unctioning

diagnosis criteria

- persistent deficits in multiple contexts - restricted, repetitive patterns - early developmental period - significant impairment

ASD risk factors

- sibling with ASD - genetic or chromosomal conditions - birth complications - born to older parents

common signs at 6 months

- social - communication - fine motor skills

additional challenges

- tend to wander or bolt - often bullied - self-injurious behaviors

ASD associated features

- unusual gait - clumsiness - toe-walking - anxiety/depression

repetitive behaviors

- words/phrases - plays same way - obsessive interests - routines

ASD screenings

18 and 24 months

gross motoor impairment prevalence

about 35% of those with ASD

when most children are diagnosed

after 4 years

ASD onset

before age of 3

engagement with peers

children with ASD are less engaged and les able to imitate others

ASD definition

developmental disability that can cause significant social, communication, and behavioral challenges

qualifying for early intervention

do not need an ASD diagnosis

ASD leading cause of death

drowning

change and ASD

even minor changes can be upsetting

underconnectivity occurs in

long range neuronal fibers

ASD is most common in

males

ASD screening and diagnosis

no specific test

M-CHART-R

parental tool for screening ASD

ASD diagnosis

reliable, calid, adn stable at age 2

motor stereotypes

repetitive rocking, flapping, jumping, or bouncing

common sign

restricted or repetitive behaviors or interests

sensory integration therpay

sensory stimulation techniques to promote positive bahaviors, reduce stereotypes, and modulate arousal

overconnectivity occurs in

short range neuronal fibers

childhood disintegrative disorder

typical development with regression

communication

use pictures, simple instructions, and demonstrations

common signs at 1 year

vision and hearing abnormalities

developmental screenings occur at

well child visits


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