Potential Benefits of a Noninvasive Neuromodulation Protocol in Autism Spectrum Disorder with Multiple Comorbidities: A Case Report.

IF 1.4 Q3 PEDIATRICS
Clarissa Aires de Oliveira, Eugenio Luigi Iorio, Foued Salmen Espíndola
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Abstract

This case report describes a patient (male, 10 years old) with Autism Spectrum Disorder (ASD) and multiple comorbidities, including epilepsy, gastrointestinal and sleep disturbances, and obesity. Whole-exome sequencing (WES) identified two variants of uncertain significance (VUS) in the GRID2 gene. Mutations in this gene are associated with spinocerebellar ataxia type 18 (SCA18). However, this finding did not correlate with the clinical presentation of the patient. This study evaluates the effects of Radio Electric Asymmetric Conveyer (REAC) stimulation on the cognitive-behavioral dysfunctions of a child with severe ASD and multiple comorbidities. Two stimulation protocols-Neuro Postural Optimization (NPO) and Neuro Psychophysical Optimization (NPPO)-and REAC were performed sequentially. After five weeks of treatment, a 34.9% reduction in total scores on the Autism Treatment Evaluation Checklist (ATEC) and an 8.2% on the Autism Behavior Checklist (ABC) were observed. Assessment of the severity of ASD symptoms using the Childhood Autism Rating Scale (CARS) tool showed less pronounced improvement. The REAC intervention yielded a reduction in Social Relating impairment and an improvement in Sensory/Cognitive Awareness. Further research in this area should employ extended REAC protocols to replicate and amplify clinical responses among individuals with ASD.

无创神经调节治疗自闭症谱系障碍多重合并症的潜在益处:一例报告。
本病例报告描述了一名患有自闭症谱系障碍(ASD)的患者(男性,10岁),并伴有多种合并症,包括癫痫、胃肠道和睡眠障碍以及肥胖。全外显子组测序(WES)在GRID2基因中发现了两个不确定意义(VUS)变异。该基因突变与脊髓小脑性共济失调18型(SCA18)有关。然而,这一发现与患者的临床表现无关。本研究评估了无线电不对称传送带(REAC)刺激对严重ASD合并多种合并症儿童认知行为功能障碍的影响。两种刺激方案-神经姿势优化(NPO)和神经心理物理优化(NPPO)- REAC依次进行。治疗五周后,观察到自闭症治疗评估清单(ATEC)总分下降34.9%,自闭症行为清单(ABC)总分下降8.2%。使用儿童自闭症评定量表(CARS)工具对ASD症状的严重程度进行评估,结果显示改善不明显。REAC干预减少了社会关系障碍,改善了感觉/认知意识。该领域的进一步研究应采用扩展的REAC协议来复制和扩大ASD患者的临床反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Reports
Pediatric Reports PEDIATRICS-
CiteScore
2.10
自引率
0.00%
发文量
55
审稿时长
11 weeks
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