Therapeutic body wraps

• Published in: PloS one Vol. 13; no. 6; p. e0198726
• Main Authors: Delion, Pierre, Labreuche, Julien, Deplanque, Dominique, Cohen, David, Duhamel, Alain, Lallié, Céline, Ravary, Maud, Goeb, Jean-Louis, Medjkane, François, Xavier, Jean
• Format: Journal Article
• Language: English
• Published: Public Library of Science 29.06.2018
• Subjects: Care and treatment; Childhood aggressiveness; Childhood mental disorders; Complications and side effects; Health aspects; Heat/cold application; Methods; Pervasive developmental disorders; Psychological aspects; Self injurious behavior
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0198726

The use of therapeutic body wraps (TBW) has been reported in small series or case reports, but has become controversial. This is a feasibility, multicentre, randomized, controlled, open-label trial with blinded outcome assessment (PROBE design). Children with autism and severe-injurious behaviours (SIB) were enrolled from 13 specialized clinics. Dry-sheet TBW (DRY group) vs. wet-sheet TBW (WET group). From January 2008 to January 2015, we recruited 48 children (age range: 5.9 to 9.9 years, 78.1% male). Seven patients (4 in the DRY group, 3 in the WET group) were dropped from the study early and were excluded from PP analysis. At endpoint, ABC-irritability significantly improved in both groups (means (standard deviation) = -11.15 (8.05) in the DRY group and -10.57 (9.29) in the WET group), as did the other ABC scores and the Children Autism Rating scale score. However, there was no significant difference between groups. All but 5 patients were rated as much or very much improved. A repeated-measures analysis confirmed the significant improvement in ABC-irritability scores according to time (p < .0001), with no significant difference between the two groups (group effect: p = .55; interaction time x group: p = .27). Pooling both groups together, the mean 3-month change from baseline in ABC-irritability score was -10.90 (effect size = 1.59, p < .0001). We found that feasibility was overall satisfactory with a slow recruitment rate and a rather good attrition rate. TBW was a safe complementary therapy in this population. There was no difference between wet and dry TBW at 3 months, and ABC-irritability significantly decreased with both wet and dry sheet TBW. To assess whether TBW may constitute an alternative to medication or behavioural intervention for treating SIB in ASD patients, a larger randomized comparative trial (e.g. TBW vs. antipsychotics) is warranted.