Abstract
A study was conducted with a 6-years-old child diagnosed with Autism Spectrum Disorder level 2, epilepsy, and Tourette's to assess the effects of Snoezelen Therapy on stress levels and sensory hypersensitivity measured in terms of seizure episodes, tics, and blood pressure. In Costa Rica, there have been studies related to this treatment from a medical, pharmacological, or occupational therapy perspective, but not specifically focusing on Snoezelen. According to the medical history, the main symptoms included paresthesias in the limbs, seizures associated with sensory overload and stress, Tourette's episodes, auditory and tactile hypersensitivity, nocturnal tremors, and language regressions. The main sensory assessment findings revealed that loud noises, strong odors, sticky textures, mushy foods, darkness, and contact with people were stimulations that the child found unpleasant, and as a hypothesis they could trigger crises. An intervention plan was developed for two sessions in a Snoezelen room and in the child's natural environment. The number of seizures, tics, and blood pressure were measured five days before and after the first session, as well as one day before and after the second session. It was observed that both seizure episodes and tics decreased, blood pressure decreased, and the patient exhibited behaviors that are more sociable. The main lessons learned were that the multidisciplinary approach involved in applying Snoezelen treatments in a dedicated room and 24/7 care can be beneficial as an alternative therapy for this case and potentially for similar cases.
References
Carballo Vélez M. La sala de estimulación multisensorial.Tabanque [Internet]. 2014; 27:155-172. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5084331
Cid Rodríguez MJ, Camps Llauradó C. Estimulación multisensorial en un espacio Snoezelen. Concepto y campos de aplicación. Siglo Cero [Internet]. 2010;41(236):22-32. Disponible en: https://sid-inico.usal.es/wp-content/uploads/2018/11/Estimulacion-multisensorial-en-un-espacio-snoezelen_-concepto-y-campos-de-aplicacion.pdf
San José Rubio A, Asensio Muñoz I. Valoración profesional de la utilidad de la estimulación multisensorial en salas Snoezelen para la atención temprana de diferentes diversidades funcionales incluida la visual. RED Visual [Internet]. 2020;76:167-189. doi: 10.53094/FGSG1562
Teodoro R, Marinheiro ML, Rodrigues A, Picado L. The Contributions of Snoezelen Therapy in Autism Spectrum Disorder. World J Adv Healthcare Res [Internet]. 2018;2(2):62-64. Disponible en: http://hdl.handle.net/10400.26/22242
Hervás A, Rueda I. Alteraciones de conducta en los trastornos del espectro autista. Rev Neurol [Internet]. 2018;66(1):S31-S38. doi: 10.33588/rn.66S01.2018031
Muñoz-Yunta JA, Palau-Baduell M, Salvadó-Salvadó B, Valls Santasusana A, Rosendo-Moreno N, Clofent-Torrentó M, et al. Autismo, epilepsia y genética. Rev Neurol [Internet]. 2008;46(1):71-77. Disponible en: https://institutoincia.es/wp-content/uploads/2008/04/Autismo-epilepsia-y-genetica-Rev-Neurol-2008.pdf
Zanardi I. CHI: G: Design and Assessment of Hoomie, a Small Multisensory Space for Autistic Children in Primary Schools. Proceedings of ACM Conference (Conference’17). Estados Unidos: ACM; 2023. Disponible en: https://src.acm.org/binaries/content/assets/src/2023/irene-zanardi.pdf
Amiet C, Gourfinkel-An I, Bouzamondo A, Tordjman S, Baulac M, Lechat P, et al. Epilepsy in autism is associated with intellectual disability and gender: evidence from a meta-analysis. Biol Psychiatry [Internet]. 2008;64(7):577-582. doi: 10.1016/j.biopsych.2008.04.030.
Cavanagh B, Haracz K, Lawry, Jame C. Receptive Arts Engagement for Health: A Holistic and Trans-Disciplinary Approach to Creating a Multisensory Environment. Sage Open [Internet]. 2020;10(4):1-14. doi: 10.1177/2158244020978420.
Carmona M, Pupo S, Ruiz T. Propuesta terapéutica de las manifestaciones orales del síndrome de Tourette. A propósito de un caso. Rev Sal Uninorte [Internet]. 2021;37(1):220–229. doi: 10.14482/sun.37.1616.83
Cornelio-Nieto JO. Neurobiología del Síndrome de Tourette. Rev Neurol [Internet]. 2008;46(1):21-23. doi: 10.33588/rn.46S01.2008014
Martín del Valle F, García A, Losada R. Trastornos del Espectro del Autismo. Protoc Diagn Ter Pediatr [Internet]. 2020;1:75-83. Disponible en: https://www.aeped.es/sites/default/files/documentos/08.pdf
Pagliano P. The Multisensory Handbook: A guide for children and adults with sensory learning disabilities. London: Routledge; 2012.
Salom Bermúdez A. Beneficios de la terapia de integración sensorial en personas con trastorno del espectro autista [Tesis de grado de Fisioterapia]. España: Universidad de las Illes Balears; 2021. Disponible en: http://hdl.handle.net/11201/157362
Cartagena Y, Cardona-Gallón DC, Isaza SP, Ladino LD. El ejercicio como estrategia terapéutica en la epilepsia: revisión bibliográfica. Rev Neurol [Internet]. 2020;71:31-37. doi: 10.33588/rn.7101.2020028
Pozo DR, Pozo AJ, Vega A, Ledón G. Epilepsia Fotosensible. Rev Cubana Pediatr [Internet]. 2011;83(3):308-315. Disponible en: http://scielo.sld.cu/pdf/ped/v83n3/ped11311.pdf
Lázaro A, Blasco S, Lagranja A. La integración sensorial en el Aula Multisensorial y Relajación: estudio de dos casos. Rev Elect Interuniv Form Prof [Internet]. 2010;13(4):321-334. Disponible en: https://www.redalyc.org/pdf/2170/217015570027.pdf
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