如何使A仔改掉「玩手」行為

muimui5

亞囡兩歲9個月開始出現「玩手」行為，經常將手放在面前 “漾手指”，所以做訓練、看電視、吃東西都常分心和突然興奮，現在就快4歲學習成效也很差 。


最攞命是她在睡前也玩好耐，以往工人陪佢瞓，我聽到佢講太空話玩成個鐘先靜下來就隻眼開隻眼閉，因佢入房後我才可沖涼和打點其他嘢。近來工人放假，我自己陪佢瞓，見佢明明就快合上眼，隻手申出來郁几郁個人又醒返，真係又激氣又心痛又累，咁樣阻着自己休息，個腦点會發展得好？

我不斷同佢講依個係壞習慣，要放低手，成日借機拖住佢手或用被蓋着佢手，但佢知我不like又鬥氣要玩，有時好似戒毒咁樣掙扎；有時我未鬧佢，佢一開始玩手就Ae Ae声喊，好似我刻薄佢咁。同BB一齊瞓應該好sweet，點解我哋咁冇癮？

如果平時，就用其他活動keep佢busy，瞓覺真係要冇活動架！仲有乜方法？

LPYdad1

Dear muimui5,

Playing fingers is actually not a bad sign. It means at least she has finger sensory. It is also common for non-autistic kids. So first dont worry too much. Excessive fingering means she is seeking sensory satisfaction, she is a sensory seeker.
Remedy is also not so diffcult. Go to toy shop or wanchai or shumshui po toy street.
Bought a few squeezable toy. Size is less than her paw. One left at home, one put in her bag, one place in her schoolbag if allowed. Whenever she is in bus or in car, waiting, at home watching TV. Allowed her to hold this on hand. If she like to squeeze it, it is even better, a kind of sensory training & provide sensory satisfaction, als improves attention.
At night time, you ask her to hold a handkerchief or a tissue for her to sleep. If she dont like, you can try to grab her hand or use your fingertip to touch her finger tip. If not ok, last try to ask her to hold a small hard toy(not soft toyso as not to ivert too much her attention in squeezing) to sleep.

Hope helpful to u

conconma

不少自閉兒都有自我刺激行為, 反映著感統的失衡, 坦白講不是一個容易處理的問題, 因為當一樣行為消失, 好快可能又出現另一個行為去取替...不過都可嘗試去減輕程度, LPYdad提議的也非常好...

1. 治本...感統失衡+將刺激行為變得比較正常

跳彈床(以半小時為一個單位)也是不錯的感統運動, 可訓練語言區, 消耗多餘體力, 我個人比較喜歡手拖手跳, 一齊跳, 一齊唱, 數, 增加互動, 目光接觸

另外, 有些自我刺激喜歡fing 手, 自轉, 不停跳...將它們化為跳彈床, 都係跳, 不過看來很正常...鍾意licking人, 牆, 就lick糖 (不含庶糖, 不然會過動)
http://www.littlegianthk.com/b5_product1.php?all=y&fid=1&sid=16


2. Redirect his attention

玩手, 咁隻手得閒, 就畫下圖, 剪紙, 穿珠,砌圖, 玩練力胶, 做rdi一起摺手巾, 摺衫...在街上, 可問他問題;叫他摸摸身體部份; 一起唱歌+做動作, 分散其注意力, 仲知令佢唔專注於自我刺激...

3. 嘗試搵出及記錄引致刺激的環境及源頭及次數,會否 燈光, 某些聲音, 物件刺激到佢, 令佢很緊張, 需要自我刺激來安撫及平靜自己...我小朋友每次聽到冷氣機低沉的頻率, 便會失控, 打頭...但夏天四處都有冷氣機...在家我會播放輕音樂, 蓋過冷氣機聲...出街就讓他聽mp5...

4. 身體過敏或治療引發自我刺激

原來某些自閉兒對一些食物, 如: 旦, 牛奶有過敏, 食后好像身體內有蟻咬一樣(我小朋友這麼形容)...在街外用膳(食過味精食品), 情況非常嚴重...另外, 每次排毒期間或針炙療程過后, 自我刺激也嚴重了, 要做大量感統+按摩去平伏...因為他們表達能力比較弱, 所以可能用行為表達自己身體的不適...

[ 本帖最後由 conconma 於 11-9-10 18:04 編輯 ]

muimui5

OT話亞囡將手放在面前 “漾手指”係seek visual stimuli，牽涉腦前庭。佢當然有跳、轉、倒吊，我在家都俾佢彈fitball、搖香蕉船、同作狀跳舞拖住佢手轉。佢有啲嘢近來好咗，打筋斗少咗。但瞓覺前佢唔俾自己停下來，真係好折磨；如最果晚佢想攬音樂盒或公仔就少Ｄ「玩手」囉。佢感统方面都有排攪，已做了一年半個別。話時話，唔知係咪飲咗拉面店的豬骨湯，佢昨晚又舞咗2hrs才瞓着。

conconma

絕對有可能, 味精係a仔大敵...

conconma

有冇食番d enz化咁d...

LPYdad1

Dear muimui5,

Talking about sensory deficiency, u gals knows very welll about the sensory training in HK already, right?
Please remember if you want to remedy such deficiency, the fundamental reason should always go back to the brain itself.  It's like if you catch a cold with running nose, your sensory training is like viping up your fluid from the nose or getting u a pain killer, but the reason of the cold is your virus. If your sensory deficiency is based on the sensor problem, like touching, by then sensory training would be effective. Unfortunately, most sensory deficiency comes from the brain, not the senor itself. It means the brain could not read the data from your sensor properly. The brain did not identify you have touch a cold water or a cut in the finger. I dont mean sensory training has no use, but it is not effective to do such training without rectify the brain's problem first.
To provide a full remedy about sensory problem, the passage could be long as hell. Starting from the brain's composition & functioning, neutro matter, toxication & disease which affect sensory, by then coordination between sensor & the brain, other factors. Lastly, remedy.
Let me know in case u need to know.

conconma

yes please...

LPYdad1

Dear conconma,

Pls let me organise the material & refresh my memory and put it one by one piece.
Time is necessary

LPYdad1

Btw, I have replied a parent about attention problem from the brain, which could be some fundmental idea for brain functioning first. You might read if u are interested as below (but pls forgive my grammar since in a rush):

Obsession over numbers are common in autistic kids, my son used to have obsession over numbers & signs before, but he seems overcome it.
One key reason (but not the only reason) is that there are too short many brain nerve sensors over the right hand side of the brain which controls the logic & numberic concept. Since they are short sensors only, it would not give your kid some geneius advantage over maths, but obssession over this signal or nos. You have to signal the brain to cut off these over number (remember not size)short brain nerve sensors asap. So, when will you forget a thing easily, one is when you are mad/shock/angry/anxious, of course, you would not use this part, since they have too many negative effect. The other part is happiness with exercise. When will your kid having exercise with happines - go to playground la. Playing a side/swing/seesaw/merrygoround. He will both consciously and unconsciously forget the numeric thing sine there is no logic inplayground, right. At the same time, exercising together will speed up the cutting off unnecessary brainmemory sensors quickly. Using up energy with fun also helps to prevent hyperactivity in certain sense (where some parents always has misconcept that a child playing too much will lead to hyperactivity, the truth is theother way round). Therapist or tutors might not tell u that playing is important  since it wont help them to gain extra money.
Lack of creativity actually not the other way round, not too many short brain nerve sensor in left side of the brain lope. Please think. Creativity, in certain extent like speech, but unlike logic or numbering, requires not only the orginality/function of the left side of the brain, it also requires high function in expression (frontal lope), memory (latter/back side of the brain lope), execution/process (the lower lateral side of right& left side of the brain lope). So, creativity needs the brain having long brain nerve sensors to connect each part of the brain. You need to give extra nutrition to the brain for long brain nerve sensor to grow, by then, you should go to bio-medical treatment, cardioxxx treatment, which give extra nutrition to brain nerve sensors' growth.  Creativity will then improves My son has high creativity since I have started Bio-T since 2. A few lecturers also asked me it is so strange if an autistic kid having such creativity level. is he really having autistic problem before?(Just when I am writing to u, my son build a small house with four sofa cushions, hahaha...)
However, one thing I must warn u, gals. Extra nutrition/stimulas to brain (like bio-T, chinese needle, cadinxxx, medicien, etc) of course will help u to give extra nutrition to long brain nerve sensor, but the brain itself could not identify where the nutrition goes to. That why therapist said an autistic kid going to be more smart through training, his autistic feature will become more & more obvious. That's why in my writing before, there is always relativity of each therapy, training & treatment. That is very important, expertise is so limited in only one area. Play & laugh more definitely will help these side effects.

Godlovesus

This post really teach me a lot, thank you so much!

Capricorn2521

Usually, there are numbers and alphabets in playground. I remembered when my son was 2, he could just sit down and read the numbers for more than 20 mins if i didn't go to interrupt him.

Nevertheless, parental guidance is very important.... even though kids are playing in playground.


Btw, your posts are sooooo informative. Thanks !

[ 本帖最後由 Capricorn2521 於 11-10-4 10:04 編輯 ]

LPYdad1

Dear Capricon 2512,

To avoid obsession over particular interest in playground and method to play inplayground, I have written a little in "social activity breakthrough", let me cut it down as follow to u if it helps.

(Get u another suggestion, I seldom intrude my son's play in playground now. But beforehand, I did help him to choose what to play with. Firstly, his decision ALWAYS comes first. Say like he likes playing slide, no matter how strange he play with it, I will allow himm to play at least for 10 mins. By then, I will grab him and ask him to play with another instrument like swing. If he is ok, I will let him play up till the end. If he refuse, after try or not, I will grab him for another instrument. If still refuse, I will grab him for another one. After the 3rd try, if he still refuse, I will let him play with the only one the slide for another ten mins. After that, we shall leave the place. I dont have much troube since my kid enjoy playing with a lot of things with me. And plz remember u shll not change yr option too many times, I suggest not more than 5 times within an hr. Another skill is that after he tried a new instrument such as a spider web, I will grab him and hold him high as a kind of compliement to try new things and greet him for success. My kid always laugh at such excitment.)
Parental guidance to kid, no matter delay or not, is sometimes necessary. But please try to clear & honest to yr self. First, pls divide yr degree of intervention. From yr 100% leading, then guiding with help, guiding only, watching & observing, 100% free play. Since the passage is damn long already, talk u gals how to identify the degree of intervention next time.
2ndly, identify the reason for yr intervention, different reason will have different intervention level & method. Say like yr kid has been starving at a particular instrument for over 10 ten mins. Yr reason probably want him to get not too obsessive. Easiest way probably is to grab him away fromhis eyesight for that particular instument and play WITH HIM TOGEHTER on another instrument what probably he enjoys. Of course, 3yd is that choose the  method & decide the degree of intervention. Lastly, review & analysis.
I have a particular interesting & funny experience of my kid about play & social activity which involves my intervention to my kid's play with others yesterday. Will share w/ u gals latter, probably in "social activity breakthrough" passage, ok?

kelvin_hmlau

You surely a great daddy and I really learnt much from you. You mentioned the guide participation, celebration for success, intervention at the right time
are all key points of RDI.

Capricorn2521

Sure... thank you! Awaiting to learn from you more ..... it's so helpful !

LPYdad1

Pls dont say learn, but sharing w/ u, I should say I learn a lot from you gals