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Kolhe PD, Sharath HV, Thakre VM, Ankar P. Multimodal Physiotherapy Approach for Autism With Speech Impairment and Attention Deficit: A Case Report. Cureus 2023; 15:e50547. [PMID: 38222186 PMCID: PMC10787849 DOI: 10.7759/cureus.50547] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 12/14/2023] [Indexed: 01/16/2024] Open
Abstract
Autism is a disorder distinguished by significant challenges in social interaction and communication coupled with repetitive and stereotypical patterns of behavior and activities. Deficits in social interaction and language development become apparent before age three. In children, this condition is referred to as autism spectrum disorder (ASD). Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity. Individuals with ADHD may struggle with sustaining attention, organizing tasks, and completing assignments. They may exhibit hyperactive behaviors such as fidgeting, difficulty staying seated, and impulsive actions like interrupting others. ADHD can significantly impact daily functioning and is often diagnosed in childhood, with symptoms potentially persisting into adulthood. The disorder has three main subtypes: predominantly inattentive, predominantly hyperactive-impulsive, and combined presentation. Treatment typically involves a combination of behavioral interventions, psychoeducation, and, in some cases, medication, aiming to provide support and strategies for individuals to manage their symptoms effectively in various aspects of life. Cognitive impairment in ASD varies, meaning it could be at the sensory perception level of cognitive processing, learning, and memory. The goal of the training intervention was to control physiological arousal, enhance awareness, keep annoyance from getting worse, and encourage self-regulation abilities. In this case report, we discuss the approach of multimodal physiotherapy for autism with speech impairment and attention deficit. Furthermore, physiotherapy needs to find a position in the new mental health care paradigm in order to contribute to mental health care.
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Affiliation(s)
- Pradhyum D Kolhe
- Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - H V Sharath
- Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Vaishnavi M Thakre
- Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Prajyot Ankar
- Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Alshaban FA, Aldosari M, Ghazal I, Al-Shammari H, ElHag S, Thompson IR, Bruder J, Shaath H, Al-Faraj F, Tolefat M, Nasir A, Fombonne E. Consanguinity as a Risk Factor for Autism. J Autism Dev Disord 2023:10.1007/s10803-023-06137-w. [PMID: 37751099 DOI: 10.1007/s10803-023-06137-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2023] [Indexed: 09/27/2023]
Abstract
PURPOSE Genetic and environmental risk factors associated with Autism Spectrum Disorders (ASD) continue to be a focus of research worldwide. Consanguinity, the cultural practice of marrying within a family, is common in cultures and societies of the Middle East, North Africa and parts of Asia. Consanguinity has been investigated as a risk factor for ASD in a limited number of studies, with mixed results. We employed registry and survey data from Qatar to evaluate the role of consanguinity as a risk factor for ASD. METHODS Data were sourced from a national registry and a population-based survey of autism recently conducted in Qatar. We selected a sample of 891 children (mean age: 8.3 years) with (N = 361) or without (N = 530) ASD. Data on consanguinity and covariates were collected through questionnaires and interviews. RESULTS The prevalence of consanguinity in the overall sample was 41.2% with no significant difference between cases and controls (42.1% vs 41.3%; p = .836). In adjusted multiple logistic regression analyses, consanguinity was not associated with risk of ASD (aOR = 1.065; 95% CI: .751-1.509; NS). CONCLUSION Parental consanguinity was not associated with autism risk in our study. Replication in other populations with high rates of consanguineous unions is recommended.
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Affiliation(s)
- Fouad A Alshaban
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | | | - Iman Ghazal
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | - Hawraa Al-Shammari
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | - Saba ElHag
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | - I Richard Thompson
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | | | - Hibah Shaath
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | - Fatema Al-Faraj
- Qatar Biomedical Research Institute, Neurological Disorders Research Center, Hamad Bin Khalifa University, Education City, Qatar Foundation, Doha, Qatar
| | - Mohamed Tolefat
- Shafallah Center for Children with Disabilities, Doha, Qatar
| | | | - Eric Fombonne
- Oregon Health & Science University (OHSU), Portland, OR, USA.
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