Direct and collateral effects of restraints and restraint fading

Wayne W. Fisher, Cathleen C. Piazza, Lynn G. Bowman, Gregory P. Hanley, John D. Adelinis

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Mechanical restraints are commonly used to reduce the risks associated with severe self-injurious behavior (SIB), but may result in movement restriction and adverse side effects (e.g., bone demineralization). Restraint fading may provide a method for decreasing SIB while increasing movement and reducing these side effects. In the current investigation, rigid arm sleeves and restraint fading (gradually reducing the rigidity of the sleeves) were used with 3 clients who engaged in hand-to-head SIB. Restraints and fading reduced the hand-to-head SIB of all clients. However, for 1 client, the addition of a water mist procedure further reduced SIB to near-zero levels. For a 2nd client, another form of SIB developed that was not prevented by the rigid sleeves. For a 3rd client, a topography of SIB that was not physically prevented by the rigid sleeves was also reduced when restraints and fading were introduced.

Original languageEnglish (US)
Pages (from-to)105-120
Number of pages16
JournalJournal of applied behavior analysis
Volume30
Issue number1
DOIs
StatePublished - 1997

Keywords

  • Developmental disabilities
  • Restraint fading
  • Self-injurious behavior
  • Stimulus control

ASJC Scopus subject areas

  • Philosophy
  • Applied Psychology
  • Sociology and Political Science

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