Doctor insights on:
What Is The Best Treatment For Hand Flapping
Self-stim: "hand-flapping" is a prominent form of self-stimulation. It is not clear why it is common in autism, but may have to do with anxiety, an inability to "connect" meaningfully outside of oneself (which seems to be what autistics have in common with blind or deaf persons, who also hand-flap and "stim" a lot), and/or difficulty with effective communication (like retarded persons, who often also "stim"). ...Read moreSee 1 more doctor answer
Yes: Hand flapping can occur with a variey of conditions, including trisomy 21 and many forms of intellectual disability. It typically occurs as "overflow, " when the child is excited or frustrated. It is not dangerous, per se; if it occurs so persistently that it interferes with more desirable activities, antipsychotics sometimes are used to diminish the frequency; behavioral approaches may work too. ...Read more
Just flapping: Not all children with "stereotypies, "repetitive motor movements that seem to have no function, have autism. A two-year old who hand-flaps when excited, but has normal social communication and no other signs of autism. May be developing typically. Less commonly, stereotypies persist into school-age. Tics and compulsions can look like stereotypies. Video it for your pediatrician to check it out. ...Read moreSee 1 more doctor answer
It certainly can: Hand flapping sometime fades over time, but it is not at all uncommon for it to continue throughout the life of an autistic individual. It is not harmful, per se; but, when excessive, it can interfere with other more productive behaviors. When severe, it sometimes is treated with antipsychotics, which typically reduce both frequency and duration of the hand flapping. ...Read more
It depends: on the rest of the picture. In an otherwise healthy infant with normal development and muscle tone, hand flapping is likely a transient expression of excitement. Abnormal hand movements that persist for months, worse, occur during sleep or are associated with other developmental problems is always a cause for concern until proven otherwise. ...Read more
They can work with a: Behavioral therapist to substitute à more social-acceptable, less noticeable movement. Depending on their intellectual ability, they may also learn self-calming techniques. Very low doses of anti-anxiety medication prescribed by a psychiatrist or a developmental/behavioral pediatrician can help even those who have intellectual disability, as may a reminder to have " quiet hands.". ...Read more
Needs eye exam: Your question has very little information. Nevertheless, crossing of the eyes is not normal. It is more worrisome in a child since their brain is developing so i suggest a pediatric ophthalmologist exam. Arm flapping is non-specific so i suggest a neurologist exam. ...Read more
Sometimes: This movement can be common, can be present all the time or can only be there a little bit, or sometimes not at all. Each individual with autism is an individual. If it is present, i consider it significant. If it is absent it doesn't mean autism is not present. ...Read moreSee 2 more doctor answers
Movements: these repetitive hand movements seen both in autistic and Rett syndrome is at times considered " self stimulating" if, it also involve increase masturbation. No particular specific medication helpful, however worth mentioning would be Beta Blockers( Inderal) Another med Tegretol may help (Temporal lobe connection). Paxil, SSRI may decrease the obsessive intensity. small dose Haldol (haloperidol) ...Read more
No: Hand flapping is not an expected behavior in children with adhd. When excited, they may briefly jump up and down and possibly flap their hands, but extended hand flapping is suggestinve of some other condition, among them, autism spectrum disorder and stereotypic movement disorder. Persistent hand flapping is not an expected normal behavior at any age. ...Read moreSee 1 more doctor answer
Not necessarily.: Trisomies are generally severe genetic syndromes comprising many effects from the nervous and psychiatric sphere. What you describe may be seen in trisomy 18, but is not sensitive nor specific for trisomies. ...Read more
No: Hand flapping is not an expected behavior in children with adhd. When excited, they may briefly jump up and down and possibly flap their hands, but extended hand flapping is suggestinve of some other condition, among them, autism spectrum disorder and stereotypic movement disorder. Persistent hand flapping is not an expected normal behavior at any age. ...Read moreSee 2 more doctor answers
My almost 4 yr old son does strange spasms and noises when excited. Grunting - hand flapping - tensing up and all of a sudden shouting/grunting. Why?
Hard to say?: This could be normal behavior, would be helpful to see a video and understand the context of the rest of his developmental history. Does he have speech delay? Is he smiling? What is his face doing? Do you have other concerns about his development? Was his birth history uneventful? Is there a family history of delay, autism, or seizure disorder? See a pediatrician for advice! ...Read more
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