Why the Exhaustion Model Fails in Therapy—More So in Children with Autism and ADHD:Stop the concept of wasting energy by exerting the child to teach sitting.- Dr Kondekar
Why the Exhaustion Model Fails in Therapy—More So in Children with Autism and ADHD: An IMRAD Analysis Integrating Receptivity Framework, Clinical Evidence, and Critical Review of Practice Traditions Author: Dr Santosh Kondekar MD DNB PGDDN , FELLOWSHIPS IN pediatric neurolgy and epilepsy and Diploma inDevelopmental neurology, FAIMER fellow, Addl Prof Pediatrics at TN Medical college Mumbai India Abstract The “exhaustion model” in pediatric neurodevelopmental therapy assumes that physically tiring a child improves sitting, attention, and behavioral regulation. This approach is widely practiced in children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD), where hyperactivity and sensory-seeking behaviors are often misinterpreted as excess energy. However, contemporary neuroscience and clinical observations challenge this assumption. This paper integrates Kondekar’s “receptivity deficit” framework with existing literature on sensory integration and e...