Louisa Silva, MD, MPH, Mark Schalock, BSc
Abstract
Background: Following the inclusion of sensory abnormalities in
the diagnostic criteria for autism, evidence has emerged showing that
tactile abnormalities in young children with autism are severe,
universally present, and directly related to delay of early
self-regulation milestones required for social development. Parent touch
is the most effective means of stimulating early self-regulation, yet
parents of children with autism avoid touch because their children
respond abnormally to it. This suggests that tactile abnormalities pose a
barrier to parent touch in autism, and that treatment of tactile
abnormalities may improve developmental outcomes. We have developed a
qigong massage treatment for tactile abnormalities in young children
with autism. Here we evaluate whether tactile abnormalities decrease
following treatment, and whether treatment results in improved
selfregulatory outcomes.
Methods: We retrospectively analyzed our qigong massage database for
treatment effect on tactile abnormalities, self-regulatory delay, and
parenting stress. Five-month interval data were available for 129
children with autism aged 3–6 years. Of these 129, 97 received treatment
and 32 were in the wait-list control condition. There were no
differences between treatment and control groups by age, gender, or
severity of tactile impairment.
Results: Treatment resulted in significant decreases of tactile
impairment, self-regulatory delay, and parenting stress (p < .001 on
all paired t-tests); mean decreases were 25.5%, 24.5%, and 35.8%,
respectively. Results were significant compared to controls [F(3,122) =
11.27, p < .001]. In the pretreatment data, tactile impairment was
directly related to self-regulatory delay; post-treatment, both
variables decreased proportionally.
Conclusion: Results demonstrate that tactile impairment in young
children with autism is treatable with a qigong massage protocol. The
direct relationship between tactile impairment and self-regulatory delay
pretreatment, and the proportional decrease of both following
treatment, suggest that tactile impairment is a cause of self-regulatory
delay, and that qigong massage is a promising avenue to improve
developmental outcomes in autism.
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APPENDIX A
APPENDIX B