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IDENTIFICATION
of high risk infants, children, adolescents and adults: there are a number of low cost, noninvasive techniques for identifying autonomic dysfunction, which is an indicator of high risk for sudden death as well as of underlying disease or other conditions requiring further screening and / or treatment. An person who is identified as dysautonomic can be monitored or treated or both. Orthostatic blood pressure and heart rate variability can be measured by a nurse during a routine 15-minute visit.

The COMPASS questionnaire is designed to indicate autonomic dysfunction, although it depends on questions and answers from patients who might not recognize some of the symptoms under inquiry. One group of research reviewers wrote: “SIDS occurs at a rate of approximately 2 per 1,000 live births in the United States. For the normal newborn, the risks, disadvantages, and costs of monitoring outweigh the possible benefit of preventing SIDS.” We believe that had those two “normal newborns” been children of the reviewers, they might have found the “costs of monitoring” did not outweigh the benefit of preventing SIDS. However, the costs of initial screening for autonomic problems are minimal, as are the risks and disadvantages. Over 300,000 people die of sudden death in the US each year; had any of these been identified as dysautonomics, or with autonomic insufficiency, their deaths might have been prevented.


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STIMULATION OF AUTONOMIC NERVOUS SYSTEM [ANS]:

Bounce Chair
– adults and teens. Bounce chair sellers extol the benefits of rebound exercise. However, as NASA demonstrated, use of the bounce chair can assist in normalizing the ANS. Price ranges from $400 -$500.00. This is a physical therapy tool, and the cost can often be reimbursed if your physician prescribes it. Some providers sell optional heavy springs for 200-350 pounds, and extra heavy duty springs for 300-450 pounds. $50 -$150.00.

Individual Trampolines / Bouncers:
again, the bounce effect works on the ANS. Also, many individuals with autonomic problems are tired and out of shape. This is a good starter and a maintenance device for toning and fitness. This is important for cardiac function and health. Some providers also sell a stabilizing bar which can help with balance, etc. Price varies; some models at $200-$400.00. At least one square rebounder with adjustable angle prices out from $600.00 to almost $900.00 [including ball rack and balls].

Baby Bouncers –
there are a lot of these out there. Some are not safe; you have to carefully review the details. However, babies get the same ANS benefits, and with many of these, leg muscle development and cardiac toning can be a big plus. We are talking about bouncers in which babies have to use their legs to bounce. The bouncy loungers may be nice for elevated play time, but we are talking about bouncers that will encourage your baby to move and increase fitness. Evenflo produces stabilized saucer bouncers [$60-$100]. Johnny Jump Up is for babies 4 months and older, up to 24 pounds, and comes with a “sturdy door frame clamp.” Years ago, there was some question as to safety, and it is essential to ensure that the jump up is securely fastened to prevent injury [around $20 online]. Fisher-Price does a freestanding bouncer from about $60-$90, and Baby Einstein’s bouncer comes with music / Infant Entertainer [around $80]. E and I’s portable Bungee Baby Bouncer® “promotes baby’s coordination and balance, stimulates sensory perception, and helps create a feeling of independence and security,” is supposed to be the “safest,” and costs around $30 online. You will find a lot of resources for these items on the net.

Bounce Houses:
Own your own “home!” Most children love bounce houses, especially with colored balls, and if you follow the safety rules, the benefits can be excellent. One of the problems most dysautonomics have is low energy and inability to sustain activities. This “toy” is calculated to encourage activity, and bouncing does not take a huge amount of energy, but it does tone the body. The bounce houses range in cost from about $160 [1-2 kids under age 6] to $300 [3 kids / 300 pound max] up to about $700 [5 kids], including tax and delivery, can be used indoors or out, have high net walls and multiple safety features, according to several sites.