Cited by 13Autism Spectrum Disorder ResearchBehavioral and Psychological StudiesCerebral Palsy and Movement Disorders

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

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Guinchat, Vincent, Vlamynck, Elodie, Diaz, Lautaro, Chambon, Coralie, Pouzenc, Justine, Cravero, Cora, Baeza-Velasco, Carolina, Hamonet, Claude +2 more·2020·Children

Abstract

(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.

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Authors
Guinchat, V., Vlamynck, E., Diaz, L., Chambon, C., Pouzenc, J., Cravero, C., Baeza-Velasco, C., Hamonet, C., Xavier, J., & Cohen, D.
Affiliations
  • Centre Hospitalier Universitaire Vaudois (CH)
  • Inserm (FR)
  • Sorbonne Université (FR)
  • Laboratory of Psychopathology and Health Processes (EA 4057), Université Paris Descartes, Sorbonne Paris Cité, 92100 Boulogne-Billancourt, France
  • Université Paris-Est Créteil (FR)
  • Centre National de la Recherche Scientifique (FR)
Corresponding author
Cohen, David
Venue
Children
Publisher
MDPI AG
Published
2020-07-13
Volume
7
Issue
7
Pages
77
ISSN
2227-9067 (ISSN-L)
OpenAlex
W3043730454
Cited by
13
References
88
Citations by year
2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 1
FWCI
1.07
Type
journal article
Language
en
Open access
Locations
  • Children (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • SERVAL (Université de Lausanne) (publishedVersion, cc-by)
  • HAL (submittedVersion, cc-by)
  • IRIS (submittedVersion, cc-by)
  • HAL (submittedVersion, other-oa)
  • HAL (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
CARPIJ (Not Appropriate)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
Keywords
compression garments, autism spectrum disorder, generalized joint hypermobility, Ehlers-Danlos syndrome, behavioral problems, postural control, postural sway, motor performance, sensory integration, irritability, hyperactivity, lethargy

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