Autism

Question 1

Diagnosis criteria for autism

Answer 1

1. impairment in social-emotional reciprocity
2. restricted, repetitive behaviors

Question 2

When do you screen children with the M-CHAT (modified checklist for autism in toddlers revised)

Answer 2

screening for children 16-30 months

Question 3

autism is more common in boys than girls

Answer 3

true

Question 4

autism is not related to social/economic groups
not related to parenting
not caused by the mmr vaccine

Answer 4

true

Question 5

44% have average or _____ IQ

Answer 5

above average

Question 6

Why is there an increase in diagnosis of autism

Answer 6

1. medical professionals improved/differential diagnosis
2. greater public awareness
3. actual increase 1/3
   potential causes
   -likely genetic
   -medication
   -possible air pollution exposure
   -may be higher risk with older parents babies born before 26 weeks

Question 7

Pathophysiology

Answer 7

synapses do not undergo normal pruning during childhood and adolescence

Question 8

overgrowth in mostly _____ lobe before age of 2

Answer 8

temporal

Question 9

Common co-morbities with autism

Answer 9

ADHD
DCD
OCD
mood disorder
anxiety disorder
psychosis
eating disorders and obesity
sleep problems
seizures
GI disorders
Macrocephaly
sensory processing

Question 10

what is the medical management of autism

Answer 10

no medication for autism
management related to co medical condition/symptoms

Question 11

Prognosis of autism

Answer 11

children do not outgrow autism
depends on level of support and access to supports

Question 12

Motor development differences in autism (4)

Answer 12

1. delays in gross and fine motor skills
2. deficits in gestures and motor imitation
3. decreased postural control and stability
4. decreased motor planning

Question 13

86% at risk for motor impairments only _____% receiving PT

Answer 13

31

Question 14

Intervention suggestions for children with Austism

Answer 14

meaningful activities in natural environments

short duration

measure outcomes in 3 of the components in the ICF

Structure the physical and sensory environments to accommodate a child’s sensory and motor function

Question 15

can exercise improve other areas of behavioral outcomes in children with autism

Answer 15

yes

Question 16

idiopathic toe walking

Answer 16

describes condition in which children ambulate with bilateral toe walking pattern without known etiology but common in autism

Question 17

Interventions for toe walking

Answer 17

most often use serial casting followed by a cascade jump start kangaroo orthotic

also other behavior strategies (flippers, squeakers on heels)