Introduction
Every child with autism carries a whole different world within them- and parents play a vital role in supporting that world.
Autism spectrum disorder (ASD) comprises neurodevelopmental conditions that affect a child’s developmental condition. Indeed, the autistic mind is not compromised, but it’s just different from standard social norms. Being a parent of an autistic child can be overwhelming, but know that you are not alone in the journey. It is very important to understand Early Signs of Autism to gain timely assistance. Explore the details about autism and the best available treatment globally and in India.
Understanding Autism Spectrum Disorder (ASD)
ASD is a neurodevelopmental condition where a child’s brain works differently. The disorder begins in childhood and, with time, can cause functional disability. As per DSM-5-TR, ASD leads to differences in brain processing and affects skills like communication, social interactions, eye contact, and body language.
Some critical aspects about ASD:
- ASD isn’t a Disease: For an autistic child, the care must focus on strengthening the child’s problem that the child faces
- Autism is a Spectrum: Autistic children might lack social or communication disabilities, but might excel in other skills. It is essential to detect their strengths and support them.
- Autism is Neurodivergent: Autistic children have a wide range of personality traits. This means there’s no one-size-fits-all approach to support the child.
- Autism Myths: Autism has been subjected to several myths. However, at present, the therapies know how to support the skills of autistic children and mold their personalities.
Early Signs of Autism
Children with ASD majorly fall under two major categories. The Early Signs of Autism includes:
Difficulties with Social Communication & Interactions
- No response to name, ignorant of calls
- Prefer playing alone, don’t want to be cuddled or held
- Maintain poor eye contact or lack of facial expression
- Difficulty in beginning a conversation
- Speak in an unusual tone, often repeat words, don’t show emotion
- Shows passive-aggressive and disruptive behaviour
Behaviour Patterns
- Repetitive behaviour like rocking, hand-flapping, etc.
- Activities like head-banging or biting that cause injury to themselves
- Follows specific routines, becomes upsets with more minor changes
- Poor coordination, clumsy and moves in unusual patterns
- Sensitive to light, loud sound or touch
- Show the problem with eating
Causes of Autism
The exact cause is unknown. The complexity lies between:
- Genetic Causes: There are several genes involved in autism. Children develop the problem due to any of the causes. E.g., Rett syndrome, X syndrome, and genetic mutation
- Environmental Causes: Factors like medications, viral infection, pregnancy complications, certain air pollutants or allergens
Risk Factors of Developing Autism
- Children’s sex, boys are four times more likely to develop autism
- Family history
- Medical conditions or specific genetic diseases
- Early birth or complication during pregnancy
Goals of Autism Treatment: Beyond Symptom Control
Treatment for Autism Spectrum Disorder involves facilitating core management. This involves:
- Improving communication, social skills, behavior, and daily functioning of the child
- Enhancing independence and quality of life
- Developing family-centered and personalized care plans
Most Effective Autism Treatment: Evidence-Based Therapies
Behavioral Interventions 
- Programs focus on reducing behavioral problems
- Teach new skills
- Teach how to act in social situations or communicate effectively
Educational Interventions
- Better response to well-structured educational modules
- Involves a specialist to improve skills, e.g., communication, social skills, behaviour
- Facilitating individualized behaviour treatment
Speech and Language Therapy
- Improve communication skills
- Focus on verbal and non-verbal communication skills
- Visual supports, social stories, and focus on augmentative and alternative communication (AAC) skills
Occupational and Sensory Integration Therapy
- Learn processing sensory information (movement, touch, sound)
- Structured play manages sensitivities
- Simple play improves fine and gross motor functioning
Medications
- Not recommended, no specific medication
- Prescribed to control specific symptoms (hyperactivity, antipsychotics, antidepressants)
*NOTE: The current treatment regime focuses on symptom management and strengths child’s skills. None of the treatment provide permanent solution
Stem Cell Transplant for Autism: Emerging Evidence-Based Research
Stem cell transplant for autism focuses on a regenerative approach. The idea is to regenerate damaged functional neural cells. The research supports evidence of reducing inflammation and immunomodulation.
What Does Current Research Say?
Joanne Kurtzberg, Duke University:
- Undertook more than 100 cord blood transplantations
- Improvement in the cognitive function of children
- Multiple clinical trials are ongoing [NCT04089579, NCT04294290, NCT03327467], with significant improvement in the cognitive function of the children in comparison with the control group
Treating autism with mesenchymal stem cells (MSCs):
- Umbilical cord-derived MSCs reduced inflammation
- Modulates immune function
- Excellent safety records
Steps Involved in a Stem Cell Transplant for Autism
Currently, there are no established guidelines for Stem Cell Transplant for Autism. This means the steps can vary across the clinics. The treatment steps involve:
- Patient’s Assessment: Before the therapy patient is thoroughly assessed, consider medical history. The test includes blood tests, physical checkups, etc.
- Harvesting, Isolation, and Culture: the source of stem cells is determined and isolated. Stem cells are cultured in controlled laboratory conditions for a few weeks.
- Administration: Stem cells are administered in the vein or spinal canal. Local anesthesia is given to avoid the sensation of pain.
- Follow-ups: Patient’s condition improvement is tracked. Clinician follow-ups in due time to check the improvement.
Current Limitations
- Lack of strong evidence based on long-term clinical trials
- Lack of standardized protocol
- Maintaining the quality of the stem cells in every batch
- Ethical concerns involved in commercialization includes source of isolation
- High cost and complexity in the process
- Determination of long-term safety profile
Best Treatment for Autism in India: Current Care Pathways
India holds a recognizable position in delivering adequate autism care. This involves the presence of:
- Advanced diagnostic centers and therapy services
- Multidisciplinary team in autism care centers
- India is the topmost global choice for stem cell therapy in autism
- Presence of world-class infrastructure, patient support and experienced clinicians to administer stem cell transplantation for autism
- Popular choice for medical tourism
- Provide a competitive cost
*Advancells, India is among the well-recognised laboratories working on stem-cell research for autism. The quality of the stem cells used are of superior quality. The source of isolation, isolation procedure and culture conditions are well maintained.
Conclusion
The future of autism is moving towards more personalized treatment options and personalized models of care. ASD is not curable in neuroscience. The advances in regenerative technologies are paving new ways and combating key challenges. Emerging research with regenerative technology modulates the immune system, neural connectivity and regeneration of neural cells. In the future, large-scale evidence for clinical trials is required to establish its long-term safety.
FAQ’s
Q- Can Autism Be Cured? What are the Early Signs of Autism?
Currently, there is no cure for autism. This is a lifelong neurodevelopmental condition. Early diagnosis and optimal treatment support can help children improve skills, manage their symptoms, and develop strength. Early Signs of Autism involves difficulty in developmental process; e.g. motor function, speech, problem with social interaction, communication
Q- How Early Should Treatment Begin for Autism?
Parents must opt for early treatment for their autistic child. Opting for treatment in the first few months (18-24 months) significantly improves a child’s communication and social skills.
Q- Are Emerging Stem Cell Therapies for Autism Safe?
There is no known significant adversity reported with stem cell transplantation for autism. The study has proven the safety of using MSCs in the stem cell therapy of autism. However, long-term clinical trials to determine the safety profile are evident.
Q- How to Choose the Right Treatment Approach for Autism?
The key is to understand autism and the special behaviour of your child. Consult experienced clinicians and develop open communication related to the treatment, expectations, and cost involved. Parents must discuss the possible side effects of the treatment.
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