Physiotherapy: Consistency, Repetition And Intensity are vital for success.
Phase 1: The focus here is on reinforcing pre-natal movements, to facilitate the evolution of future, more advanced movements.
1. Exercises using chairs: the child sits in a chair with the feet above the ground with the eyes closed. The therapist then slowly turns the chair 360 degrees in one direction for a minute. Then it is repeated in the other direction.
2. The child sits in a chair with the feet above the ground with eyes open. This time the chair is twirled swiftly in one direction and the other with brief pauses. If it becomes disturbing, then it can be done slowly.
3. Joint Compression
4. Log rolls: three rolls in each direction, alternating between eyes open and closed.
5. Visual Stimulation: Pleoptics- a flashlight covered to make it a little less bright is slowly flashed on open eyes and shut eyes. All other lights are shut, and in case the child gets scared the door can be left open. Demonstration on self before carrying out the exercise is better. This is supposed to give a soothing effect, and is used to stimulate the visual cortex.
6. Visual Pursuit: for two minutes, the therapist guides the child in making basic pencil movements (up, down and across).
7. Stimulation of the cranial nerves: the therapist strokes certain parts of the face for 2 to 5 minutes to stimulate the cranial nerves.
Phase 2: Now the movements are a little more advanced.
1. Marine Crawl
2. Rocking on hands and knees: 4 times forward and back, to help in adjusting near and far vision.
3. Creeping forward on hands and knees, for about five minutes. The exercise can get boring, so they need to be entertained with games and jokes.
Phase 3: Complex activities like jogging, walking, visual exercises and speech exercises (using tape recorder for feedback).
Exercises For Fitness
3. Bending the knees
4. Hurdle related exercises
1. Son Rise Program: A parent oriented program in which the parents participate in the child’s repetitive and ritualistic behavior, use the child’s own motivation and teach with interactive games.
2. Higashi Method/Daily Life Therapy: self care skills to improve self-esteem; high attention given to physical exercise; communication, behavioral and social skills taught in an encouraging environment.
3. Therapeutic Horseback Riding
4. Pet Therapy
5. Play therapy (group and individual): using objects like the Pilates ball, trampoline, ropes, elastic bands, hurdles, balls, weighted sheets, bags etc. Floor time is important as well.
6. Vision Therapy
7. Audio therapy
Interactive Metronome: the child listens to beats through headphones and repeats them with hands and feet.
9. Art Therapy
· Express themselves visually
· Abstract paintings and expressions
· 3 Dimensional Models
10. Speech Therapy
Comprehension; sound production; Sign Language; Picture Symbols; games and toys; PECs;
11. Cranio Sacral Therapy
12. Chiropractic Care
13. Massage Therapy
14. Hyperbaric Oxygen Therapy
15. Social Skills
16. Social Stories
17. Sensory Integration Therapy
Snoezelen; balls + slide; indoor swing+ tire; rock climbing + climbing ropes; trampoline; tent; bean bag; mattress;
18. Relationship Development Intervention by Dr Steven Gutstein
19. Parent Support Center
Workshops on RDI, HANEN and Son Rise Program.
20. Behavior Therapy
· Therapists give the children small rewards that are preferred by the child. The re-enforcers could be anything according to the child’s needs.
· Behavior charts and stickers
· Changes in lighting
· Visual Schedule
· Extra warning before transitions (like a change in the staff); gradual desensitizing; avoiding abrupt changes in the environment.
21. Verbal Behavior Analysis
· The therapist gives preferred items only when the child verbally demands it.