Natashja Udzella, Katherine Kovalic, Heather Hirst, J. Luiselli
{"title":"Establishing Tolerance for Orthotics Casting in a Child With Autism Spectrum Disorder and Idiopathic Toe Walking","authors":"Natashja Udzella, Katherine Kovalic, Heather Hirst, J. Luiselli","doi":"10.1177/15346501241273341","DOIUrl":null,"url":null,"abstract":"Failure to tolerate medical practices and healthcare routines can deter pediatric patients with neurodevelopmental disabilities from receiving required services. This case study evaluated behavioral intervention to establish tolerance of casting procedures in a 10-year-old boy with autism spectrum disorder (ASD) so that custom ankle-foot orthotics could be prepared as treatment for his idiopathic toe walking. At baseline, casting could not be completed because the boy displayed unsafe resistant behavior. An intervention plan combining graduated exposure, positive reinforcement, and non-contingent access to preferred objects allowed the boy to tolerate a simulated casting protocol and actual casting performed by an orthotist. Service practitioners who implemented intervention rated the plan positively.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Studies","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/15346501241273341","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Failure to tolerate medical practices and healthcare routines can deter pediatric patients with neurodevelopmental disabilities from receiving required services. This case study evaluated behavioral intervention to establish tolerance of casting procedures in a 10-year-old boy with autism spectrum disorder (ASD) so that custom ankle-foot orthotics could be prepared as treatment for his idiopathic toe walking. At baseline, casting could not be completed because the boy displayed unsafe resistant behavior. An intervention plan combining graduated exposure, positive reinforcement, and non-contingent access to preferred objects allowed the boy to tolerate a simulated casting protocol and actual casting performed by an orthotist. Service practitioners who implemented intervention rated the plan positively.
期刊介绍:
Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.