Question:

How to control hand flapping behavior of an autistic 11 yr old child.?

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ive tried using different means to distract him or reinforce positive behavior or find substitute,,,, but all have temporary effct... he flaps ny object given to him. which creats alot of disturbance during work and independent sessions

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  1. tell him to stop


  2. I'm not sure what you have used before, but some strategies I have used in the classroom are squishy balls, playdough, or a sand ball to keep in his hands to control the flapping.  Sensory objects such as a sensory bottle may also help, that may distract his mind as well as his hands.  Good luck, this is a tough one!!

    Edit: Or a chair ball (a big round ball with little legs on the bottom so it doesn't roll).  The rocking motion may help.

  3. I agree with the squishy balls and such, but have you thought outside of the box.  What about a weighted vest or the seat inserts that require the kids to balance on them or they will fall off.  (The seat inserts kind of feel like those balls you'd use for ab/back training at the gym.)  Sometimes these things engage the other parts of the brain or allow the body awareness to kick into a greater degree and the kids can redirect their energy.

  4. Talk to the OT about redirecting thsi sensory seeking activity

    use a formal beahvior plan-with a timer and data (such as a DRO)

  5. You shouldn't try to stop it, it is very likely a self stimulatory exercise.  Children with autism suffer many 'sensory distortions,' one of which is an under-sensitive visual system. To counter this they sometimes flap their hands in front of their faces to try to stimulate their pupillary light reflex, and their recognition of light and dark, or their appreciation of 'outline perception.'

    In effect, in sensory terms he is telling you what is wrong!!!  Give the lad some visual stimulation and the hand flapping may well reduce or stop altogether.

    http://www.snowdrop.cc

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