Protective Vests and Squeezing Clothing
Weighted vests have gained popularity as a tool for providing deep pressure input, offering a gentle hug-like sensation that can help calm the central nervous system. These vests, often made from neoprene material, provide compression and gentle stretch for comfort.
Weighted vests are primarily used to support children with sensory issues, including those with special needs. They work by offering steady deep pressure across the torso, particularly around the waist and top of the shoulder, areas that support postural stability and body awareness. This deep pressure input can help a child become more aware of their body in space.
However, the efficacy of weighted vests is not universally supported by research, with inconsistent and insufficient available evidence. A systematic review found moderate evidence that weighted items can increase attention and occupational performance, and mild evidence that they can reduce maladaptive behaviors like aggression, self-injurious behaviors, or off-task behaviors. Yet, no evidence supports the use of weighted items to increase adaptive behaviors.
Proper fit and width, especially across the chest and shoulders, are crucial when choosing a weighted compression vest. It's important to note that while there are benefits for using weighted vests with individuals on the autism spectrum, discernment is necessary to ensure the specific needs of the individual are addressed.
The American Occupational Therapy Association (AOTA) and the American Journal of Occupational Therapy (AJOT) have provided guidance that weighted vests are not effective in increasing educational performance in children with ASD, and therapists should not use these approaches for children with sensory processing challenges.
Trial and error is common with sensory-based treatment strategies, and what works for one may not work for another. Therefore, it's essential to approach the use of weighted vests with an understanding that individual responses may vary.
When it comes to wearing a weighted vest, the body responds well to an on/off wearing schedule. Wearing the vest should be limited to around 15-20 minutes at a time, followed by breaks. The nervous system becomes satiated or "used to" the input after this duration.
Some models of weighted vests include built-in ventilation to increase breathability during extended wear. Weighted vests can also be designed with adjustable weight and customization options for different age ranges or teens who may need less weight.
In conclusion, while the research on the effectiveness of weighted vests is not conclusive, they can be a valuable tool for providing deep pressure input, improving focus, emotional regulation, and overall function throughout the day. Under the right supervision, weighted vests do not harm a person. However, it's crucial to consult with a healthcare professional or occupational therapist to determine if a weighted vest is appropriate for an individual's specific needs and to ensure proper usage.
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