Most children have at least a little anxiety about the dentist. The bright, fluorescent lights, sharp tools, the smell/taste of oral products, touch on the face and mouth and masked strangers – the combination would have anyone on edge. For those with special needs – especially those with sensory disorders – going to the dentist can seem an overwhelming impossibility. The good news is a combination of occupational therapy to prepare a child AND the increasing availability of pediatric dentists giving special consideration to patients with disabilities makes these necessary visits not only possible, but successful.
How Dentists Are Trying to Improve Services for Patients With Special Needs
The American Dental Association reports there are a significant number of people with developmental and cognitive conditions that can make dental procedures or even routine visits very difficult. Among young children, these primarily include those with autism spectrum disorder (95 percent of whom have a sensory processing disorder), Down syndrome and spinal cord injuries. Complexity in treating this population has led to an evolution of a whole new specialty in dental care.
There are lullabies that promise pretty horses and twinkling stars and some over-the-rainbow places where dreams-come-true. But pediatric music and speech therapy researchers have learned that lullabies may hold another promise: Better health for premature babies.
Recent analysis shows a parent who sing to preemies still receiving treatment in neonatal intensive care unit (NICU) can:
- Soothe a child amid scary new sensations and hospital noises, bonding parent-to-child.
- Regulate breathing and improve oxygen absorption for those who haven’t yet developed reflexive breathing.
- Boost a baby’s nutritional intake, imperative for those with immature oral-facial muscles struggling to suck and swallow
Speech Therapy Pros: Preemies – All Babies – Need Your Voice
At our FOCUS Fort Myers speech therapy, occupational therapy and physical therapy clinic, we treat many children born prematurely, as they are at much higher risk of neurodevelopmental difficulties. The earlier we intervene the better, but encourage parents to start first. Even the simple act of talking regularly to your child from a young age can do wonders.
For a premature baby, lullabies serve much the same purpose – but with power that extends beyond just speech and language development extending to objectively improved odds at survival for babies born at 37 weeks or earlier.
A 2013 study published in Pediatrics found that a parent’s lullabies or even just humming – gentle and rhythmic – played to the backdrop of low guitar strings reduced stress levels and promoted bonding, as evidenced by:
- Regulated babies’ heartbeats;
- Promoted longer, deeper periods of sleep;
- Improved weight gain;
- Shorter hospital stays;
- Better long-term cognitive development and function.
Effective treatment of autism spectrum disorder (ASD) involves an early intervention, intensive therapy schedule that includes Applied Behavior Analysis (ABA), also known as the “gold standard” in autism treatment. In our years of offering Fort Myers ABA therapy (and the diagnostic ADOS testing for ASD), the FOCUS team is familiar with many myths and misconceptions surrounding its effectiveness.
Because a central function of our pediatric therapy services involves parent education and participation (we need all-hands-on-deck!), it’s critical that we address concerns about our Fort Myers ABA therapy services head-on. With so many conflicting information sources out there, we don’t blame parents for being confused or even hesitant. This exact phenomenon was noted as far back as a decade, with published research in the Journal of Applied Behavior Analysis noting the collective detrimental impact misrepresentations has on children.
But information is power. The truth is ABA has proven time and again – in clinical studies as well as within our own anecdotal experience – to be one of our most effective tools in securing long-term successful outcomes for these kids.
Here, we’re tackling some of the most common misunderstandings about ABA therapy. Still, we encourage parents and caregivers to reach out and discuss any and all concerns regarding the ABA process and their child’s progress.
When does picky eating become a disability? Fort Myers OT (occupational therapy) services for children may be necessary for picky eaters when severe aversions to certain foods morph into “problem feeding,” a significant hindrance to healthy growth and development.
Parents of picky eaters can easily feel consumed by mealtime battles. They aren’t alone.
An 11-year longitudinal study of 120 kids published in the journal Eating Behaviors revealed that at any given time, between 13 and 22 percent of kids were reported by parents to be “picky eaters.” (Other researchers have put the figure as high as 50 percent.) About 40 percent of picky eaters kept it up for 2 years or more. This was different from those who simply went through short-burst phases of strong dislike for one food or another.
Instead, as our Fort Myers OT providers have seen, truly picky “problem” eaters consume an extremely limited variety of foods, even requiring it to be prepared in certain ways. They tend to show much stronger dislike for most foods and throw major tantrums. Some simply refuse to eat.
“What we see is their pickiness is extremely restrictive,” said Fort Myers OT Krystle Hofstetter. “They’ll eat just two or three items – and that’s it.”
The good news is: We can help!
FOCUS Therapy Fort Myers is now offering the ADOS test for autism diagnosis.
Unlike simple developmental screenings, the ADOS test is a more rigorous medical evaluation conducted by trained clinicians. It’s considered the gold standard evidence on which pediatric neurologists diagnose autism spectrum disorder (ASD), which has a current prevalence rate of 1 in 59 children (and 1 in 38 boys).
As providers of pediatric speech, occupational, physical and ABA therapy at FOCUS, we preach the value of intensive, early intervention therapy because we KNOW it works. It’s most effective when initiated before age 5 – but almost no health insurance provider is going to cover that treatment absent a qualifying diagnosis. One of the first steps in that process is an ADOS test.
What is an ADOS Test?
ADOS stands for Autism Diagnostic Observation Schedule. It’s a semi-structured evaluation of:
- Communication (voice, speech and language skills)
- Cognitive function
- Social interaction
- Social-emotional function
- Adaptive skills
Many of our Fort Myers occupational therapists at FOCUS Fort Myers believe in a holistic approach to treating children with a wide range of delays and disorders. What that means is we focus on “the whole child,” and not just a series of symptoms or conditions – and treat with evidence-based therapeutic strategy and (hopefully, where it’s possible) avoid the need for pharmaceutical intervention. Part of this can involve essential oils, powerful plant extracts that have proven effective in a wide range of applications from boosting focus and attention to promoting relaxation and calming.
Often referred to as “aromatherapy,” (and many do smell very good), our occupational therapists wouldn’t bother to mention it if it were simply expensive potpourri. Far from a gimmick, the truth is there is real science to support the effectiveness of essential oils in numerous applications – from promoting healing in prematurely-born infants to helping a child who struggles with transitions calm and self-regulate.
Exploratory Study Promotes Essential Oils as a Benefit for Children With Autism
On analysis conducted by researchers at AirAse found that certain combinations of therapeutic grade essential oils applied topically every night for several weeks were associated with positive improvements in children’s behavioral, cognitive and emotional well-being.
Down syndrome, the most common chromosomal disorder in the world, affects 1 in every 700 children, or about 6,000 annually, a figure representing a 30 percent increase since the 1970s, according to the CDC.
Our Fort Myers speech therapists routinely treat children with Down syndrome, who frequently experience challenges to speech and language development. At minimum, speech is usually delayed, though many can be taught effective sign language to help with communication the first few years and beyond.
Most children with Down syndrome can benefit from speech therapy
Exact challenges and goals for speech therapy often vary depending the severity of certain physiological traits inherent in those with Down syndrome as well as whether they have co-occurring other conditions (to which they are prone) like hearing and vision problems, epilepsy and autism.
Social media newsfeeds everywhere will be suddenly awash today with blue light bulbs and puzzle piece art, marking World Autism Awareness Day (every April 2nd) and the beginning of National Autism Awareness Month. At FOCUS, members of our team have been providing Fort Myers therapy for children with autism (and many other conditions) for more than a decade now.
Occasionally during Autism Awareness Month, we come across questions/hear sentiments like:
- What difference do blue porch lights and profile pic frames make?
- Doesn’t everyone already know about Autism Spectrum Disorder (ASD) at this point? After all, the CDC’s newest estimate that 1 in 59 children/1 in 37 boys are diagnosed in the U.S. now annually.
- Do we really even NEED an Autism Awareness Month anymore?
Early Intervention Speech, Occupational, ABA Therapy Preparing Wave of People With Autism for Workforce
As rates of autism diagnoses climb steadily, roughly 500,000 teens with autism are poised to enter the workforce over the next decade, according to advocates at Advancing Futures for Adults with Autism. Yet the majority of those people with autism struggle to land their first job, and 4 in 10 won’t work at all in their 20s. The spectrum is incredibly broad, so each comes to the table with their own strengths and challenges, but there is no question those who receive early intervention ABA therapy, speech and language therapy and occupational therapy fare much better long-term.
Last year, the U.S. Centers for Disease Control and Prevention updated autism prevalence rates by 15 percent to 1 in 59 children. That’s more than double what the rate was in 2000. Part of this has to do with improved awareness, earlier diagnoses and improved treatment models. Research published in the journal Frontiers in Public Health indicated early diagnosis (before 24 months, as early as 12 months) leads to earlier eligibility for intervention services (like ABA therapy), and other evidence-based research has indicated clear indication early intervention is causally related to better prognoses – including success in education and employment.
The AFFA reports that while most adults with autism want to work, fewer than 60 percent can land a job. The Americans With Disabilities Act prohibits employment discrimination on the basis of disability. Yet an adult deprived of early intervention therapies as a child has missed out on a critical development window to address significant challenges associated with everyday function and independence. This isn’t to say it’s ever entirely “too late” to initiate intervention strategies, but our ABA therapy team members know it’s most effective when it starts before age 5 (and the earlier the better).