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  • A Simple New Tool for Autism Screening

    Diagnosis of autism is crucial in order to provide children and their families with appropriate treatment, support, and access to rights and services. Although awareness and early identification of autism have significantly increased in recent years, there are still children who may “fall between the cracks” and fail to receive the proper care and support. Long waiting lists and the heavy workload of pediatricians and allied health professionals may lead to missed signs or “red flags” associated with autism. In addition, educators working in preschools and schools are sometimes uncertain about when and how to raise concerns regarding possible communication-related red flags. It is important to emphasize that while the use of a screening tool does not confirm an autism diagnosis , it can assist community physicians, therapists, and educational staff in identifying children who should be referred for evaluation by a specialist. Therefore, there is a growing need for short and accurate screening tools that cover a wide age range and can be easily and quickly scored. A widely used screening tool is the SRS (Social Responsiveness Scale)  - a 65-item parent-report questionnaire designed for use with children aged 4–18 years. The SRS has been validated against established diagnostic instruments such as the ADI-R (Autism Diagnostic Interview-Revised). However, because the assessment can take up to 20 minutes and sometimes requires complex scoring, it may not be practical for use in busy clinical or educational settings. A recent study examined a brief 5-item version of the Social Responsiveness Scale (SRS) as a quick and simple screening tool to distinguish between children with and without autism. The study population included 1,462 pairs (2,924 children), each consisting of a child diagnosed with autism (aged 4–18 years) and a non-autistic relative. The five selected items were: Plays appropriately with children his or her age (contributed more than 95% to correct classification). Has trouble keeping up with the flow of a normal conversation. Has more difficulty than other children with change in routine. Is regarded by other children as “odd” or “weird”. Avoids eye contact or has unusual eye contact. Three of the items are taken from the Social Communication  subscale, and two from the Autistic Mannerisms  subscale.     A screenshot of the items from the article: The items can be seen in the table. Each item is rated from 0 to 3, with higher scores indicating a greater likelihood of autism. A total score of 4 out of 15 or higher suggests a recommendation for further evaluation. Main Findings Overall, the five items enabled the identification of children diagnosed with autism with very high accuracy, comparable to the original 65-item version of the scale. The diagnostic cutoff established was a score of 4 out of 15 or higher, indicating a likelihood of autism and yielding a sensitivity of 96.9% (that is, the proportion of individuals with autism correctly identified by the screening) and a specificity of 97.3% (the proportion of individuals without autism correctly identified as such). The tool’s performance was not affected by gender, age, ethnicity, or family income. Important Notes and Limitations The evaluation was conducted among children from similar family backgrounds, rather than within a random or broad clinical population. All non-autistic children in the study were relatives of children with autism and therefore may not represent children from the general population. The researchers note that it would be valuable to examine the 5iSRS in more diverse populations, including children with other developmental or behavioral disorders such as ADHD and anxiety, to determine whether the tool can effectively distinguish these groups from autism with similar accuracy. The tool was tested only in children aged 4–18 years and is not intended for use with younger children. There are other screening instruments specifically designed for toddlers. Practical Implications This is a quick, brief, and efficient tool for the initial differentiation between children with and without autism aged 4–18 years. However, further studies are needed to validate its use across diverse clinical populations and among children with various developmental and behavioral difficulties. It is important to remember that this is a screening tool only, not a diagnostic instrument. For the full article: https://link.springer.com/article/10.1007/s10803-025-07060-y#Tab2   🟢  For all updates on autism and events at our center, join our quiet WhatsApp group 🟢

  • Emotion Recognition and Autism

    The ability to recognize emotions is a central component of social interaction, and it is closely linked to emotional regulation and social functioning. Previous studies have shown that autistic individuals struggle to recognize and interpret socio-emotional cues and face challenges in identifying emotions. Emotion recognition refers to the ability to identify and understand others’ emotional states using cues from several sources: Facial expressions Vocal prosody (intonation, stress, rhythm, volume, and pitch) Body movements Two recent meta-analyses and comprehensive systematic reviews found that autistic individuals show significant and robust difficulties in recognizing emotions through facial expressions, whereas the findings regarding emotion recognition through vocal prosody were less conclusive. Although facial expressions have been the primary focus of emotion-recognition research, body movements provide essential complementary cues when facial information is ambiguous. Body movements include static postures, gestures, and dynamic bodily actions. This body language conveys rich information in real-world social interactions and helps the observer understand the emotions and intentions of the person in front of them. In the past, the contribution of body-movement cues to emotion recognition was underestimated, as facial expressions were considered the primary visual source. However, real-world social interactions involve complex information, and emotion perception occurs within broad and realistic social contexts. The simultaneous presence of emotional information from multiple channels can lead to a more complete and accurate emotional representation. Body movements can clearly express emotions; moreover, they may enhance the perception of facial expressions and, in some cases, even show an advantage in processing certain emotions, such as anger and fear, which are sometimes better identified through body movements. In sum, body movements are no less important than facial expressions as primary sources of socio-emotional information. A comprehensive study published recently aimed to deepen the understanding of emotion perception from body movements among autistic individuals and examined three main questions: Do autistic individuals show significant impairments in recognizing basic emotions conveyed through body movements compared to typically developing individuals? Does their ability to recognize emotions vary depending on the specific basic emotion? Do factors such as gender, age, and IQ influence the differences in emotion recognition from body movements? Findings: Overall, autistic children and adolescents recognized emotions from body movements less accurately than their non-autistic peers. Significant difficulties were found in identifying happiness and fear, but not in identifying neutral emotions (emotions that are not perceived as distinctly positive or negative, and do not evoke a clearly pleasant or unpleasant feeling. Examples of neutral emotions include a sense of freedom, indifference, or neutrality). The difficulty was similar in magnitude when recognizing emotions through vocal prosody or facial expressions. As age increased, the gap between the groups widened, meaning that autistic adults struggled more compared to their typically developing peers. Higher IQ reduced the differences between the groups. Gender and sampling limitations: Most studies examined children and adolescents and were predominantly male samples, making it difficult to draw firm conclusions about adults or women. Additionally, most studies focused on overall emotion recognition rather than specific emotion types beyond those mentioned. Broader, more diverse research examining additional emotion categories is needed. Bottom Line There is a significant impairment in the ability to recognize emotions from body movements among autistic individuals, similar to the difficulties found in recognizing emotions from facial expressions and vocal cues. These challenges are influenced by age and IQ level, with evidence suggesting atypical neural activity. The findings help clarify the difficulties autistic individuals face in interpreting social cues and point to potential directions for developing targeted interventions. It is recommended that social-skills interventions for autistic individuals include training in emotion recognition. starting with basic emotions such as happiness, anger, fear, sadness, and disgust. Once it is confirmed that children have mastered the recognition of basic emotions, it is advisable to progress to more complex emotions, such as guilt, embarrassment, and jealousy, which require more advanced social-cognitive abilities. References: https://link.springer.com/article/10.1007/s40489-025-00524-y https://www.sciencedirect.com/science/article/abs/pii/S0149763421005893?via%3Dihub https://journals.sagepub.com/doi/10.1177/1362361321995725 🟢  For all updates on autism and events at our center, join our   quiet WhatsApp group   🟢

  •  5 calming activities for children in the shelter and throughout the day 🧘‍♀️

    Due to the current situation, our team has created a collection of simple and calming activities for children. These activities can be done in the shelter or outside (depending on the circumstances) and are divided by areas of interest, so that each family can find what suits them best. 1. Art Activities: a. Free doodling —children can draw with eyes open or closed, and then look for shapes or images within the doodle, develop them, and color them in. This often leads to the creation of characters, and you can even make up a story around them. You can take turns doodling and explore the images together. For example: Credit for the original drawings goes to our talented team member Shoval Katzir-Sharabi.       b. Six-Part Story: Divide a sheet of paper into six sections (without cutting it). In each section, draw one part of the story. Draw the hero of the story Draw their mission Draw the obstacle they face Draw what or who helps them Draw how the hero overcomes the obstacle Draw what happens in the end Example:   2. Yoga Practice: Depending on the child’s mood, you can choose either grounding, inward-focused poses or more open poses that encourage deep breathing. Attached are several examples taken from special yoga card sets developed specifically for autistic children by our team member, Tamar Elbilia. a. b. c.   d.     3. General Physical Activity: a. A movement game to enhance listening skills  – Define three simple rules that combine specific words with physical actions. Example: When the adult says “ketchup” , the children do a squat – bending their knees and rising up, like pressing a ketchup bottle. When the adult says “ice cream” , the children raise their arms overhead, connect their palms to form a triangle shape pointing upward, and spin in place. When the adult says “Superman” , the children go into an all-fours position and lift one arm and one leg. You can add variety by asking them to lift opposite arm and leg. The adult first demonstrates what each instruction means, and then begins calling out the words in a quick, alternating sequence. The child’s goal is to complete as many correct poses as possible within one minute. Later, you can create new movements together with the children. This is an excellent exercise for increasing heart rate, sharpening attention, and improving physical fitness. b. Reaction Speed Game Place three objects around the room or yard (if safe and possible).For example: a pillow, a bottle, and a chair. The adult calls out the name of an object, and the child must run and touch it as quickly as possible. Continue switching between objects for one minute. Goal:  Touch as many objects as possible in one minute. 4. Activities Combining Music: a.  Hang a large sheet of paper on the wall and encourage free drawing with favorite stickers (such as superheroes or dinosaurs), accompanied by music and movement.This activity promotes creative expression, reduces stress, strengthens shoulder stability, and helps connect body and mind. b.  Play favorite music and let the children move freely in any way they want while the music plays. When the music stops, they freeze in place. These activities combine movement, music, and fun, helping to release energy and improve body awareness. 5. Sensory Activities: a. Surprise Box  – Hide different objects inside a shoebox or an empty cereal box and ask the children to identify the object without looking. They need to recognize the item by feeling its texture and shape. b. My Quiet Corner  – Choose a small corner in the shelter and equip it with soft blankets and pillows. You can add a calming doll, a favorite soft toy, a book, or an object with a pleasant texture. This corner can serve as a safe haven for the child when they feel overwhelmed or need a break. The familiar and cozy space helps them self-regulate and calm down. Wishing everyone continued peaceful days 🙏 🟢 For all updates on autism and our center’s events – join our quiet WhatsApp group 🟢

  • 🧬 Life expectancy of autistic individuals – Part 2: Influencing factors

    In the first post , we discussed the concerning data regarding life expectancy of autistic individuals. We saw that being autistic itself does not directly affect physical health or life expectancy. However, there are medical, mental, and social factors that are more common among autistic people and may influence their life expectancy. Key factors include: 🧠 Co-occurring medical conditions:  Epilepsy, genetic syndromes (such as Down syndrome or Fragile X), digestive and respiratory problems that require ongoing monitoring and treatment. For example, epilepsy affects up to one-third of autistic individuals, compared to 1–2% in the general population. Autistic children are nearly 8 times more likely to have digestive system issues than neurotypical children. 😴 Sensory and motor challenges:  Sleep disorders, sensory sensitivities, feeding difficulties, and sensory regulation problems can lead to physical injuries and accidents. For instance, Pica syndrome—eating non-food items—is common especially in autistic children with cognitive impairments. 💔 Mental health conditions:  Depression, anxiety, OCD, and other mood disorders are more prevalent among autistic individuals, impacting quality of life and overall health. Epidemiological studies show that up to 70% of autistic people face one or more mental health challenges. ⚠️ Accidents  are the most common cause of premature death in autistic individuals, sometimes due to fleeing overwhelming situations or lack of danger awareness. Autistic individuals have a threefold increased risk of death by accident compared to the general population. Autistic children have a 160 times higher risk of drowning compared to neurotypical children. 📉 Social isolation and functional difficulties  in adolescence and adulthood contribute to feelings of loneliness and even suicidal thoughts—studies show autistic individuals have a 6 to 7 times higher risk of suicide attempts. 🚧 Barriers to accessing appropriate healthcare:  Lack of adapted medical skills, negative sensory experiences in clinics, and sometimes missed symptoms can lead to delayed or missed diagnoses and treatments. 💡 The good news?  Increasing awareness, listening to autistic individuals, early diagnosis, personalized treatment, parental guidance, and strong family and social support systems can significantly improve quality of life and health outcomes. We will expand on this in the third post of the series. 🟢 For all updates on autism and events at our center – join our quiet WhatsApp group 🟢

  • Life Expectancy in Autistic Individuals: Part 1 – Statistical Data and Research Trends

    תוחלת חיים של אוטיסטים - דף בעברית 🟨 Understanding Life Expectancy in Autistic Individuals Research into the life expectancy of autistic individuals is a rapidly developing and highly important field. It's essential to understand that autistic people are a highly diverse group, and many factors can impact their health and lifespan. This review is based solely on academic findings 🎓 in order to present the most accurate and up-to-date picture possible. 🟨 Life Expectancy in Autistic Individuals: Key Findings 📌 Studies show that, on average, the life expectancy of autistic individuals is shorter compared to the neurotypical population. However, it's important to note that findings vary between studies and are highly dependent on co-occurring conditions and the specific characteristics of the autistic person. ☝️ A very important clarification: Autism itself does not  cause premature death — rather, the associated factors do, such as medical conditions, insufficient support, limited access to services, and challenges in diagnosis. 🟨 Swedish Study – 2016 One of the most widely cited studies in the field was published in The British Journal of Psychiatry . This large-scale study found that autistic individuals were at increased risk of premature death, with an average age at death of just 54 years. The risk was especially high among those diagnosed with autism and  intellectual disability. Common causes of death included epilepsy and co-occurring conditions such as depression 🧠. 🟨 U.S. Study – 2017 Another study analyzed over 32 million death certificates in the United States. Among the 1,367 autistic individuals who died, the average age at death was just 36.2 years 😢, compared to 72.0 years in the general population. A particularly troubling finding:About 28% of deaths among autistic individuals were caused by injuries — primarily choking and drowning. This highlights the critical importance of awareness and appropriate safety measures 🚨. 🟨 UK Study – 2024 A recent study published in The Lancet Regional Health – Europe  included nearly 10 million participants. Among autistic individuals without  intellectual disability, the risk of early death was 1.71 times higher. Among those with  intellectual disability, the risk was 2.83 times higher. 📉 Reduction in Life Expectancy by Gender: • Autistic individuals without  intellectual disability: 👨 Males – lived 6.14 years less 👩 Females – lived 6.45 years less • Autistic individuals with  intellectual disability: 👨 Males – lived 7.28 years less 👩 Females – lived 14.59 years less (!) 📍 However, the researchers themselves noted possible bias in the data — many autistic adults remain undiagnosed, and the studied group may have represented those with more intensive needs and additional health complexities. 💡 Preliminary Conclusions These findings highlight the urgent need for accessible healthcare, consistent medical monitoring, early intervention, and tailored support services. A deeper understanding of the factors impacting autistic individuals’ health is critical for developing effective interventions that can significantly improve both quality and length of life 💙. 📘 In our next post, we’ll dive deeper into the causes behind reduced life expectancy in autism — and the steps we can take to improve the situation. 📬 Follow our blog for more insights about autism: 👉 https://www.bsk.co.il/blog 📚 Further Reading from Academic Sources: 1. Hirvikoski et al. (2016), The British Journal of Psychiatry https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/prematuremortality-in-autism-spectrum-disorder/4C9260DB64DFC29AF945D32D1C15E8F2 2. Guan & Li (2017), American Journal of Public Health https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2017.303696 3. Cuadrado et al. (2024), The Lancet Regional Health – Europe https://www.thelancet.com/journals/lanepe/article/PIIS2666-7762(23)00195-3/fulltext ________________________________________ #אוטיזם #תוחלת_חיים_של_אוטיסטים #בריאות_ואוטיזם #אוטיסטים_מבוגרים #מוגבלות_שכלית #תמיכה_מותאמת #הנגשה_רפואית #בשבילהכוכב #הורים_לילדים_על_הספקטרום

  • How to Help Autistic Children Navigate the Passover Seder Smoothly 🕊️

    The Passover Seder, one of the most significant family events on the Jewish calendar, can be overwhelming for autistic children. The shift from daily routine to a festive evening—filled with noise, smells, unfamiliar foods, many guests, and social interactions—can trigger sensory overload, anxiety, or emotional distress. With the right preparation and simple adjustments, the Seder can become a positive and inclusive experience. Here’s how: 🧩 Preparation is Key 🔹 Explain what to expect  – Describe the structure of the evening, who will be there, what food will be served, and what will happen. Use pictures, cards, or videos to help illustrate the Seder process. 🔹 Create a calming environment  – Provide soft lighting, gentle music if helpful, and a quiet room nearby in case your child needs a break. 🔹 Familiar foods  – If your child is a selective eater, bring preferred dishes from home. Familiar snacks can also help reduce stress. 🔹 Flexible schedule  – Keep a clear schedule, but be ready to shorten parts of the Seder or allow rest breaks as needed. 🔹 Lower expectations  – Not every child will be able to "sit nicely" all evening—and that’s okay. Be flexible and responsive to their needs. 🔹 Quiet activities  – Coloring pages, a simple game, or a favorite book can offer a soothing break. 🍷 During the Seder – Supporting the Moment 🕯️ Include the child  – Let them participate in simple ways like setting the table, decorating, or singing. Feeling included helps promote calm. 📸 Use visual supports  – A visual schedule or written outline of the evening can reduce uncertainty. 📝 Example of a simple visual story :"At 6:00 PM we will drive to Grandma and Grandpa’s house. The uncles, aunts, and cousins will be there. First, we will read from the Haggadah, then we will eat. If I feel tired or upset, I can ask to play on the phone or take a break." 💤 Allow breaks  – Children who feel overwhelmed need space to breathe. A quiet room, balcony, or short walk can help. 👀 Watch for signs of distress  – Anxiety, repetitive movements, crying, or withdrawing from social interaction are signs that call for a sensitive response. 🙅 Don’t force full participation  – Partial participation is better than a long struggle. Respect your child’s pace. 🌟 Praise positive behavior  – Acknowledge even the small successes: “I saw you sat nicely,” “You played with your cousin!”These moments matter. 🛠️ Extra Tips for Parents: 👕 Comfortable clothing  – Let your child choose a festive outfit that feels good to wear. Comfort helps reduce stress. 👩‍👧 Sit nearby  – Your presence is grounding. You are their anchor. 🙋 Ask for help if needed  – A supportive family member or babysitter can assist during the evening. ❤️ And Most Important: Acceptance, patience, and love  are the keys to a successful evening.Every autistic child is different, and every solution must be tailored individually. There’s no one-size-fits-all formula, but with sensitivity and care, you can create a peaceful, inclusive, and meaningful Passover Seder.

  • 🌍 International Autism Awareness Day – 10 Things from Autistics

    📅 This day is an important reminder of a whole world of abilities, creativity, and human diversity. Over the years, we have made significant progress in our understanding of autism – from research-based and tailored treatment approaches to recognition and inclusion in education, work, and society as a whole. 🤝 Today, people understand the importance of listening to, involving, and consulting with autistics, recognizing the person and not autism as a syndrome or phenomenon. ✨ Here are ten interesting points from autistics: (Of course, not everything is necessarily true for everyone). 💬 Autistic is not a curse word, and there is no reason to avoid using it. 🌀 Every autistic person is different – everyone has their own personality, temperament, interests, and unique sensory experience throughout the day. 🔍 Listen to us, share your research and ways of thinking. Often, what appears as a difficulty is simply a different way of thinking than usual. 👁️‍🗨️ Autistics often have additional senses, such as a sense of identifying other autistics – Autiscope. 🗣️ Instead of saying to an autistic person, "You need to behave or speak like this," it's better to say, "Usually, in society, it's common to act like this." 🚫 Do not treat autistic adults, teenagers, and children like toddlers – it's insulting. 🙇‍♂️ Speak to the autistic person. To the individual. Not to the assistant or parent. To them. ⏳ Sometimes, processing information takes time. Keep this in mind and be patient. Processing may involve hand flapping, jumping, rocking, and more. 🌈 Instead of demanding that the autistic person adapt, try to adapt the environment to them – lighting, smell, colors, and more. 🗣️ A quote from a pair of adult twins, one autistic and the other not: The autistic twin: "Being autistic doesn't mean I should be allowed to do whatever I want." The neurotypical twin: "People often treat autistics as if they're not human. They need to be accepted for their uniqueness exactly as they are." 🎯 Our vision for the future is clear:  A world where every autistic person can fulfill their potential, integrate, and succeed in any field they choose. A world that embraces, listens, and understands. 🔍 This progress depends on all of us – parents, professionals, therapists, researchers, and everyone who believes in equal opportunities and true acceptance. 💙 On Autism Awareness Day, let's continue to enlighten, understand, and take action. Everyone deserves a fair chance to flourish. 🌼 #יום_המודעות_לאוטיזם #אוטיזם #הכלה #שוויון #תמיכה #קבלה #העצמה#בשבילהכוכב

  • ✨ A new paper by my brilliant colleague Roni Poyas Naharan, my fellow researcher at the Autism Research Lab 🧩 at Bar-Ilan University 🎓, led by Prof. Nirit Bauminger-Zviely.

    Also contributing to the study are Dr. Yael Estrugo and Dr. Shahar Bar-Yehuda. 🔬 This fascinating study examined 84 autistic children and adolescents alongside 64 neurotypical peers, investigating the connection between motor skills, socio-cognitive abilities such as Theory of Mind (ToM), and Joint Action – the ability to coordinate movements with others to achieve a shared goal 🤝. 📊 Findings revealed that autistic children and adolescents exhibited significantly greater difficulties in both motor functioning and social skills 🏃‍♂️💬 compared to their neurotypical peers, across all age groups studied (6-16). 💡 Additionally, the study found that a combination of motor skills and Theory of Mind directly impacts the ability to perform joint actions with others. This underscores the need for targeted interventions 🎯 to enhance both domains together – ultimately fostering better social interactions. 🔎 This research strengthens the understanding that motor skills and the ability to understand others 🧠 are essential components of social collaboration – offering a new approach to supporting autistic children in social development 🚀💙. 📌 Link to the full paper ⬇️ https://journals.sagepub.com/doi/full/10.1177/13623613251328437 Written by Motti Morgan. #בשבילהכוכב #טיפולמבוססמחקר #אוטיזם #טיפולבאוטיזם

  • Why Do Children on the Autism Spectrum Experience Constipation More Frequently? 🧠

    👶 Sensory Sensitivities  – Many children on the autism spectrum experience hypersensitivity or hyposensitivity in the abdominal and pelvic areas. Some may not feel the urge to empty their bowels properly 🚫, while others may struggle to sit on the toilet due to sensitivity to textures and their environment 😖. 📅 Difficulty with Changes and Transitions  – Children with autism may have trouble adopting new habits 🛑, so dietary changes, transitioning to a new class, or any environmental shift may lead to constipation 🔄. 🍽️ Limited Food Preferences  – Many autistic children tend to be picky eaters, favoring dry, low-fiber foods (such as snacks, white bread, and pasta 🍞🍕), which increases the risk of constipation. 🚽 Toilet Anxiety  – For some children, past painful bowel movements 😣 create fear of using the toilet, leading to avoidance and prolonged stool retention ⏳, which worsens constipation. 💊 Effects of Medication  – Some medications prescribed for children with autism, such as anti-anxiety drugs, antipsychotics, or iron supplements, can cause or worsen constipation 🏥. 🔬 Is There a Link Between the Gut and Neurological Function? Studies suggest a connection between gut health and the central nervous system 🧠, including the influence of gut microbiota on cognitive function and behavior. Some researchers hypothesize that an imbalance in gut bacteria in autistic children may contribute to digestive issues such as constipation, diarrhea, and bloating 🤯. 💡 What Can Be Done? ✔️ Probiotic Supplements  – May help balance gut bacteria 🦠 ✔️ Tailored Nutrition  – Identifying food sensitivities and consulting a dietitian 🍽️ ✔️ Physical Activity  – Encourages bowel movement 🏃‍♂️ It's highly recommended to consult relevant professionals. ⚠️ When Should You See a Doctor? 🔴 Unexplained weight loss 🔴 Severe abdominal pain 🔴 Blood in stool 🔴 Avoidance of eating due to digestive pain

  • Constipation and autism 💩🚽

    Functional Constipation in Children – How to Identify and What to Do? Constipation in children is a common issue, but when does it become a medical concern? 🤔 📌 Diagnosis of Functional Constipation in Children According to Rome IV Criteria 👦 For children over 4 years old  – Diagnosis requires symptoms to appear at least once a week  📅 for at least one month  ⏳. 👶 For infants and toddlers (under 4 years old)  – Criteria require symptoms to appear at least once a week  🗓️ for one month , but in addition, there must be no organic disease  (such as irritable bowel syndrome) ❌⚕️ that could explain the constipation 💩. According to Rome IV Criteria, Functional Constipation is Defined as Experiencing at Least Two of the Following Symptoms for at Least One Month: 🔹 Fewer than two bowel movements per week  📅 🔹 Withholding or intentional retention  – The child tries to avoid passing stool, for example, by crossing their legs 🚫🦵 🔹 Hard, dry, or painful stools  😖💢 🔹 Large stools that may cause toilet blockage  🚽🔄 🔹 Fecal incontinence (encopresis)  – When liquid or solid stool leaks into underwear 🩲💦 🔹 Signs of pain or fear during bowel movements  😢😨 📌 What You Should Know? ✅ Constipation can be caused by  a low-fiber and low-water diet 🥤, withholding due to pain or fear 😟, or changes in routine 🔄. ✅ If constipation is not caused by an organic disease , it is considered functional and can be treated with proper guidance 👩‍⚕️. 🚸 What Happens in Autism? 📊 A CDC national survey (2006–2010)  found that children with autism were 3.5 times more likely  to suffer from chronic constipation compared to children with typical development. 😶 Many times, constipation and digestive issues are overlooked , especially in non-verbal autistic children  who struggle to communicate discomfort and pain. 🔍 Common behaviors that may indicate gastrointestinal discomfort: 🔸 Arching the back  🤸‍♂️ 🔸 Pressing on the abdomen  🤲 🔸 Teeth grinding  😬 🔸 Increased repetitive behaviors  🔁 🔸 Irritability, aggression, and self-injury  😡🤕 💡 How Can You Help Children? 🥦 A fiber-rich diet  – Fruits 🍎, vegetables 🥕, and whole grains 🌾 💧 Adequate hydration  – Drinking water throughout the day 🚰 🚽 Regular toilet habits  – Encouraging sitting on the toilet after meals 🕒 ⚠️ Reducing foods that contribute to constipation  🥯🧀🍟 🎉 Positive reinforcement  – Encouraging success without pressure 🌟 ❗ If constipation persists or causes significant distress , consult a pediatrician, gastroenterologist 🩺, or pediatric pelvic floor physiotherapist  👨‍⚕️👩‍⚕️ for further guidance!

  • PRT Approach – Third Pivotal Skill: 🎇Responding to Multiple Cues🎇

    🌟 How Can We Help Autistic Children Be More Attentive to Their Environment? 🌟 One of the common characteristics of autistic children is over-selectivity to stimuli, meaning they tend to focus on irrelevant details while ignoring important information. For example, when shown a picture of animals, instead of recognizing and focusing on the animals themselves, they might fixate on a small wrinkle or fold in the paper, completely overlooking the central image. A similar situation occurs when someone calls their name, and they simply do not respond—not necessarily due to a lack of understanding, but because they do not perceive the stimulus as relevant. 👈 Why is this important? When children miss key stimuli, they lose valuable learning opportunities, may struggle with social communication, and can face challenges in language development. 👈 How can we help? Through focused practice, we can teach children to pay attention to multiple relevant features in their environment. For instance, asking them to "bring the green shirt" from a selection of shirts in different colors helps them learn to focus on the relevant characteristic. As their skills develop, we can increase the level of difficulty by incorporating multiple features into a single task, such as: "Take the marker, grab a sheet of paper, sit on the chair, and write the letter A." 🔹 Studies show that as children improve their ability to recognize multiple features, their responsiveness to social environments also improves—they begin applying this skill beyond the structured learning setting. 👨‍👩‍👧 How can you practice this with children? You can integrate these exercises into games at home, activities in preschool, school lessons, and everyday interactions in the community. This will help them develop broader attention and become more engaged with their surroundings. 💙✨ #אוטיזם #התפתחותהילד #טיפולבאוטיזם

  • Fine Motor Skills and Autism 🎻🤹

    In a previous post, we described the connection between fine motor skills and social communication abilities in children. For a reminder: https://shorturl.at/MfRvL 🟡 As is well known, difficulty in social communication is one of the core characteristics of autism. ✅Research has found that toddlers on the autism spectrum, aged 12 to 36 months, scored significantly lower on motor skills compared to typically developing toddlers. These gaps in both gross and fine motor skills became more pronounced with every six-month increase in chronological age. 🟡 This gap in fine motor skills persists and may even widen with age. A recent study on preadolescents and adolescents (ages 8–17) examined the relationship between fine motor skills and verbal communication in autism. ✅ The findings showed that up to 80% of autistic participants exhibited impairments in at least one fine motor skill measure, with significantly lower fine motor performance compared to their typically developing peers. Difficulties were observed in finger tapping speed in the dominant hand, bilateral fine motor dexterity, pencil motor coordination, and visual-motor integration. 🟡 Fine motor impairments in autistic individuals may be linked to and influence various verbal language abilities. ✅ For example, a recent study found that deficits in fine motor skills were associated with poorer performance on standardized verbal ability measures, including pronunciation, expressive and receptive language comprehension, vocabulary, and rapid naming. 📝 The key takeaway: When conducting a developmental assessment for a child , whether or not there is suspicion of autism, it is crucial to perform a comprehensive evaluation of all developmental domains.  Many skills influence one another, and identifying and addressing these areas can lead to significant developmental breakthroughs and progress for children. 📚 References for further reading: 🔗 Study on motor impairments in autism 🔗 Fine motor skills and language development in autistic individuals

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