Assumed name: Xiao Guang

Age: 3-year-old

Sex: Male

Diagnosis: Autism

Clinical sessions: 30 sessions

Before treatment:

By assessment, Xiaoguang performed as below：

• When he arrived at the center, his mood is very unstable, he would scream when his mother left. Almost no eye contact with people.
• Just like iPad and reject any other new things and toys. He would immediately cry when do not given iPad.
• Cognitive ability is weak and do not know the name of the simple items.Cannot comprehend simple commands.

During treatment

Evaluator gave therapy plan as following:

• Firstly, establish rules. The child’s favorite toy is iPad, so use the iPad as reinforce. Help children to complete simple tasks, such as pushing the ball, getting something in the bag. When he completed a simple task, gave him iPad immediately as reward. At the beginning, as long as the therapist took the iPad,away the child will be very distressed and not to cooperate. But the therapists repeated strengthening the rule that once completed simple task and gave him iPad immediately, the child will gradually smooth mood, and establish some rules.
• Gradually, after 4 sessions, he began to actively complete the task, because he learned that after the completion of the task he will get what he wants.
• About eye contact, the therapist sat on the low stool and keep children's eye at the same level with therapist. With IPad in front of his eyes, and said "look at me". When the child looked at therapist’s eyes, gave him iPad as reinforcement immediately. After brief eye contact is better, therapist started the training of response to name-calling. Calling his name in front of him, when he looked to therapist, gently touch his lips and led him to response "ah".
• About reinforcement, do not use iPad too long and let the children play every few seconds. When first establishing rules, children can play a little longer, but gradually shorten the time to avoid relying on the reinforcement.

After treatment:

After two months' treatment, he can follow rules very well, and he would not cry when his mother left. When having classes, he can sit well on the chair and follow simple commands and actively respond to the commands. He can also look at therapist and response when called.

Assumed name: ChenChen

Age: 3-year-old

Sex: Female

Diagnosis: MR

Clinical sessions: 30 sessions

Before treatment:

By assessment, Xiaoguang performed as below：

• Chen relied on her grandparents and do not want to interact with therapist at all. She would start crying before using chewy tube and she was extremely afraid of strangers.
• Refuse to eat other people's food.
• Unable to round lips and cannot use a straw, neither with a bottle. Not willing to chew when eating something. Like to eat some soft, fine food.
• Cognitive understanding is poor. Can only imitate some simple action and do not understand commands.

During treatment

Evaluator gave therapy plan as following:

• Conduct oral motor training to improve oral motor and feeding independently. To help her learn to drink with Straw and sip.
• Conduct cognitive sessions to improve cognitive and imitation abilities.

After treatment:

At the first session, Chenchen cried severely, so therapist used Interactive projector and bubble tube to help her establish rules. Therapist constantly tell her, if you stop crying, you can see the fish in the bubble tube. In the process of watching, told her that she can watch the fish for twenty seconds and when therapist count to 20, the tube would be turned off. By the time the class is over, she can count with me and turned off the tube by herself. In later classes, therapist added more rules to the contents of the oral motor training and articulation.

After 3 months, Chen Chen's chewing ability has been greatly improved. Her grandmother said she can eat carrots and apples that she never ate at home before. Eating speed is much faster than before. When drinking water she would run to take straw to grandma and ask grandma to help her drink water with straw.

Now, Chenchen is able to say “ Baba, MaMa, YeYe, YaYa”. She also masters gross motor imitation, point to facial features and matching.

Assume name: Zhuzhu

Age: 4-year-old

Sex: Female

Diagnosis: unable to talk, drooling, Intellectual disability

Clinical sessions: 90 sessions

Before treatment:

By assessment, Xiaoguang performed as below：

• When she just came to the center, she was timid, shy and rejected all new things.Accustomed to looking out of the window for a long time.
• When listening to music, she would unconsciously swing around.Do not want to interact with people.
• Less joint attention.
• Poor cognitive understanding. Drooling and less pronunciation.

During treatment

Evaluator gave therapy plan as following:

• First of all, to enhance the children's overall multiple sensory. The early stage was mainly based on tactile desensitization and body stimulation, to change the child's timid, defensive state.
• Enhance the interest of children through the combination of audio-visual training equipment to enhance joint attention.

After treatment:

One month later, her mother said excitedly that he would take the initiative to climb up the slide and his desire to demand was also stronger. With Zhuzhu’s improvement and stage assessment. Evaluator adjusted her therapy plan. Add oral motor training and articulation courses to enhance the ability of the oral motor and reduce drooling; Learn basic sound “ a-i-u”; Add basic cognitive activities and rapid response training to Multi-sensory and expression course. Verb comprehension, one-step instruction, two-step instruction.

After 6 months, she show not resistance to new things but curious and dare to explore. She have also been greatly improved in the understanding of commands. She can complete two-step commands without any prompt and multi-step with language prompt. Phenomenon of drooling has been significantly changed and emotional control is relatively stable; she can use some simple syllables to express; Joint attention and gross motor, like jump, has been greatly improved.

Assumed name: CongCong

Age: 8-year-old

Sex: female

Diagnosis: Integrative Sensory Dysfunction

Clinical sessions: 90 sessions

Before treatment:

By assessment, Xiaoguang performed as below：

• Just arrived center, she was timid, afraid of strangers and unfamiliar environment and suffered from separation anxiety.
• Physical develop Intellectual Disability.
• Develop Intellectual Disability of language.
• Symptoms associated with cerebral palsy and epilepsy.
• Afraid of the hands and feet to get things. Do not like new clothes; Being not willing to try new foods. Easy to lose her temper. Sleep difficulties and poor joint attention..
• Not good at taking turns and waiting. Unable to share and sometimes grab things.

During treatment

Evaluator gave therapy plan as following:

• First of all, to enhance the children's overall multiple sensory. Do tactile desensitization, proprioceptive sense of pressure, given the sense of weight at the first stage. To improve Integrative Sensory, and enhance the strength of lower limbs by sensory integration training.

After treatment:

After one month treatment, she gradually become a child who can have sessions independently. Through the systematic desensitization, she can take the initiative to do the jump ball sports and ride bicycle. She also gradually learned the basic playing skills, and the implementation of "take" and "put" and other steps.

After 3 months treatment, the phenomenon of resistance is reduced and tactile sensitivity has improved, and gradually she can learn to adapt to multiple sensory, including the taste (things), touch, etc. Try to get in touch with other kids and learn and enjoy a happy childhood. Mom said happily, she can enjoy her parents made finger exercises in her head, face and body, and establish a solid parent-child relationship.