title: Zen shiatsu: a longitudinal case study measuring stress reduction in a child with autism spectrum disorder.
abstract: BACKGROUND
  Autism Spectrum Disorder (ASD) is a developmental disability that manifests as impairments in social interaction, communication, and behavior.
  
  
  OBJECTIVE
  The objective of this study is to determine if Zen Shiatsu can reduce short- and long-term stress levels in a child with ASD.
  
  
  METHODS
  This is a longitudinal case study of a seven-year-old male with a diagnosis of autism who was given 20-min Zen Shiatsu sessions weekly for six consecutive weeks. Using a five-point stress scale designed for children with autism, the client indicated his stress level before and after each session. In addition, the parent was given the PEDS QL 4.0 Young Child Questionnaire to determine the child's HRQoL (Health Related Quality of Life) prior to Zen Shiatsu treatment to establish a baseline. The parent completed the same questionnaire after six weeks of sessions to compare results.
  
  
  RESULTS
  Based on the five-point pictorial stress scale, data collected before and after each Zen Shiatsu session indicated a decrease in stress levels after treatment. The PEDS QL 4.0 showed higher HRQoL scores in all domains, indicating that the child's overall quality of life improved within the six weeks of receiving Zen Shiatsu.
  
  
  CONCLUSIONS
  Zen Shiatsu, a Japanese modality based on traditional Chinese medicine, provided meaningful and positive benefits for a child with autism. This case study offers preliminary evidence for the possibility of Zen Shiatsu providing a viable complementary therapy for alleviating stress in children with Autism Spectrum Disorder, thereby potentially improving the overall health-related quality of life.
authors.affiliation: Sunshower Healing Arts, Boulder, CO, USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Burke
keywords: Incredible 5-Point Scale; PedsQL; autistic; complementary therapies; health-related quality of life; massage; traditional Chinese medicine