Syndrome is a milder condition on the autism spectrum where the individuals are
known for being highly intelligent yet have difficulty with social situations.
Often as a child they are known as "Little professors" as they are smart and may
show interest in scientific subjects such as dinosaurs or science fiction themes
such as Star Wars. These individuals tend to be able to integrate into society
fairly well as their verbal skills may be quite high and again the major
deficiency relates to social interaction and social awkwardness i.e. little
Johnny can't seem to make friends. They may have difficulty with displaying
appropriate sensitivity to others' feelings. It is difficult at times for them
to understand abstract concepts such as humor. Reading facial expressions and
maintaining eye contact may be an issue. Usually
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Hats , they show coordination difficulties and are not considered
very athletic as children i.e. the goalie on the soccer team not the star
forward.
This particular case relates to an adult with Asperger's Syndrome.
When someone with Asperger's syndrome grows up they tend to be attracted to
computer fields. Such was the case in this situation. The reason for this being
that many times these individuals are very detail oriented and intelligent while
they tend to avoid social interaction. Therefore, many computer-related jobs fit
those aspects comfortably. Many computer-related jobs can be done at home on a
computer without having to go to an official workplace on a daily basis. This
allows them to feel accomplished at work, intellectually, while avoiding social
contact with others.
The problem is that screen time, television
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T-Shirts , video games and the Internet have been shown to have
negative effects on individuals that are on the autism spectrum(attention
deficit disorder, attention deficit hyperactive disorder , Sensory Integration
Disorders, Processing Disorders, Asperger's Syndrome
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Hoodie , Tourette's syndrome , Pervasive Developmental Disorder and
Autism.) This particular patient who also has attention deficit disorder relates
to " being on the computer and then coming out of an almost trance like state
realizing 20 hours have gone by and more than 20 tabs are open." He also has
made statements such as " now that I'm aware of the issue with screen time, I
feel as if the computer screen is like kryptonite, sucking the life out of me."
In a perfect world, the best thing for this patient would be to discontinue all
screen time." The problem is he is now in his thirties and this is how he makes
a living.
In a hemispheric integration model
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Jersey , Asperger's Syndrome tends to be a right hemisphere
deficiency. This does not mean that all Asperger's Syndromes are a right
hemisphere deficient and certainly the only way to determine this is with an
appropriate functional neurological examination. In this particular case
however, he did indeed have a right-sided deficiency with the basis of his
issues localized to a left vestibular lesion. He in fact had played football in
college. He was a running back. At first, I thought this somewhat unusual as
Asperger's patients tend not to be athletic. However, upon further questioning
it was determined that the reason he was a running back was that he could not
catch a ball. This then tended to fit in well with the common associations of
balance issues and uncoordination with Asperger's patients. Apparently, he was
tough and determined but not the most coordinated. This was confirmed throughout
the physical examination process . This was addressed with appropriate
modalities relating to functional neurology and hemispheric integration therapy.
These treatments were performed at the office on a regular basis during his
therapy sessions.
The issue was that he had to go back home and go back to
work. That meant that in this imperfect world
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he would have to continue working at a job that required him to be on a computer
to earn living. This was the only way he could maintain the standard of living
that he was accustomed to. He may be able to make long-term changes into a field
that does not require so much screen time, however in the near future that was
not an option. In the hemispheric model postural muscles and proprioception are
extremely important as is the side of the lesion. He did in fact work from home.
This gave us a little bit more flexibility. Together we discussed what his
workday was like and tried to come up with some adaptations he could make to
lessen the impact of the computer screen on his condition. A treatment program
at our office always involves in office treatments and what we like to term
"homework" for the patient. We were able to come up with five adaptations which
were helpful for him.
These were as follows:
1. He was to use the mouse
with his left hand.
2. He was to do some core exercises for several minutes
every hour as they a away from the screen.
3. He was to to use a standing
desk.
4. If he was in a sitting position he was to sit on a Swiss ball.
5. He was to place the screen slightly off center to the left.
These
seemingly small and insignificant changes had a considerable effect in his
ability to concentrate and be productive at work as well as his overall
Asperger's condition. As always, this is an illustration of home modifications
that were made on a particular case. This is not to imply that all Asperger's
Syndromes are right functional hemisphere deficiencies of left vestibular origin
and should be treated and prescribed the same home modifications. These types of
changes should only be done with appropriate physician supervision.
Dr.
Nelson Mane is a chiropractic physician certified in both chiropractic
orthopedics and neurology. He has sub specialty training in childhood
neurobehavioral disorders as well as vestibular disorders and electro
diagnostics. He was one of 11 doctors out of 60,000 chosen