Group Replication: Shipped Too Early and The Alternatives You Need

For the purposes of our research we developed a checklist of common sensory symptoms in children with autism that could be used to identify skin areas in need of massage treatment and to measure tactile and other sensory outcomes [33]. The checklist also identifies delays of early touch-stimulated self-regulation milestones, including self-soothing, attention, sleep, digestion, and behavioral self-regulation [34]. The validation study distinguished children with autism from typical and otherwise developmentally delayed groups by a multifocal tactile abnormality characterized by signs of painful withdrawal from noninjurious touch (allodynia/pain) and lack of response to injury (hypoesthesia/numbness) [33]. Ninety-three percent of the ASD group had signs of pain with touch on the face and in the mouth, 93% on the scalp, and 88% on the fingers and toes. Sixty-five percent had signs of numbness in response to injury. In addition, there was global delay of first-year self-regulation milestones. Pain and numbness are typical of the clinical presentation of small fiber neuropathy, a common disorder of small sensory fibers in the skin [35].

Group Replication: Shipped Too Early

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