Boya
Aggression

Rehabilitation for Aggression at Boya Clinic

The child hits, bites, throws things, melts down over a trifle, or eats inedible objects. Boya Hospital in Yuncheng works with such behavior within pediatric neurological rehabilitation: first the team works out what the behavior does for the child, then gives another way to achieve the same thing — through sensory integration, occupational therapy, and speech therapy. Sessions run 6 days a week, the course is 2–3 months, with payment on site.

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About the condition

What is Aggression and Impulsivity?

Aggression and impulsivity are not a separate illness but a group of manifestations sharing one mechanism: the behavior solves a problem the child cannot solve any other way. It covers hitting, biting, throwing objects, screaming, acting without a pause to think, as well as pica (eating inedible objects) and wandering off from home or kindergarten. Most often this is seen in children with Autism Spectrum Disorder, developmental delay, and pronounced sensory differences — that is, where there is not enough speech to say "it hurts", "it is too loud", "I do not understand what comes next". So the first step is always the same: work out what the behavior is about, rather than how to shut it down faster.

At Boya Hospital (Yuncheng, Shanxi Province) such children are worked with inside the general pediatric neurological rehabilitation program. Sensory integration reduces the overload that most often forms the background of a meltdown: the child gets the movement and tactile input they need in an acceptable form. Occupational therapy provides clear everyday actions with a beginning and an end — tension is lower in a predictable situation. The speech therapist works on giving the child an available way to signal a need: a word, a gesture, a card. Exercise therapy and apparatus-based physiotherapy give accumulated tension an outlet. Relaxing Traditional Chinese Medicine procedures — pediatric Tui Na massage, herbal compresses, moxotherapy — make the day easier to get through; acupuncture and scalp acupuncture are prescribed by the doctor when indicated. Sessions run 6 days a week.

Behavior as a way of speaking

An outburst almost never comes out of nowhere. It has a backstory: a noisy room, a cancelled walk, uncomfortable clothes, poor sleep, a stomach ache or an earache. A child with no speech, or very little of it, reports this the only way available. That is why, during a course, specialists first look at what precedes a meltdown and what follows it, and only then assemble the program. Parents are asked to keep short notes — what came before, how long it lasted, what helped: these observations are more useful than any general wording and speed up finding the pattern.

What changes over a course

A realistic goal is not "the child will never hit again" but fewer and milder outbursts, plus another way for the child to get what they need. Signs of movement: meltdowns become rarer and shorter, the child calms down faster, shows or says what they want more often, and copes with changes in the schedule more calmly. The observations are recorded during the course and used to adjust the program. The recommended length is 2–3 months. The document-based consultation is free, and there is no prepayment: you pay on site and only for what your child has actually received.

Causes

Such behavior most often appears in children who have no words available: with Autism Spectrum Disorder, developmental delay, or sensory differences. The trigger is usually overload from noise and crowds, an unexplained change of plans, tiredness, hunger, or pain the child cannot report any other way.

Symptoms

Hitting, biting, pushing, throwing objects, screaming; acting without a pause to think — running into the road, grabbing what belongs to others. The same group includes pica (the child eats chalk, paper, soil) and wandering off from home or kindergarten without a sense of danger.

Diagnostics

The point of the assessment is not to label the behavior but to understand what job it does: avoiding something unpleasant, getting an adult's attention, obtaining a needed sensation. To do that, specialists observe the child in different situations and question the parents in detail about what precedes an outburst. With pica, blood test values are checked as well.

Prognosis and rehabilitation approach

Bans and punishment on their own do not work: if the need remains, the behavior returns in another form. Lasting results come from the chain reduce overload — provide another way to signal the need — make the day predictable. The clearer the setting is to the child, the rarer the meltdowns.

Our approach

How rehabilitation works

01

Diagnostics

Comprehensive examination and patient assessment by an international team of specialists

02

Rehabilitation plan

Development of an individual rehabilitation program considering diagnosis specifics

03

Therapy

Intensive course of procedures: physical therapy, massage, physiotherapy, acupuncture and other methods

04

Results

Progress evaluation, home recommendations and maintenance therapy plan

Rehabilitation methods

Rehabilitation procedures: Aggression and Impulsivity

A traditional Chinese medicine doctor inserting fine needles into points on a child's back at Boya Hospital

Acupuncture

Acupuncture is a core traditional Chinese medicine method within the centre's programme. Very fine needles are placed at active points on the head, back, body and abdomen; in children's rehabilitation it complements physical therapy, occupational therapy and speech therapy.

Electro. 15–20 min, others — 30–40 min
20 sessions
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A boy stacking wooden blocks during an occupational therapy session at Boya Hospital

Occupational Therapy

Occupational therapy (OT) works on upper limb function and fine motor skills. Sessions are built around everyday actions — dressing, washing, eating, holding a pencil — so that the child becomes more independent.

30 min
12 weeks
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Warmed herbal pouches prepared for a compress procedure at Boya Hospital

Herbal Compresses

Herbal compresses are a TCM method: a pouch filled with a special blend of medicinal herbs is warmed and applied to areas of tension or acupuncture points. The heat and active herbal components help relax the muscles, improve local circulation and ease discomfort.

20–30 min
20 days
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A child practising stair climbing supported by two specialists in the physical therapy hall of Boya Hospital's children's rehabilitation centre

Physical Therapy & Rehabilitation

Physical therapy (PT) is the foundation of the centre's programme: restoring motor function, correcting abnormal postures and stimulating normal development. Bobath, Vojta and CME methods; every programme is built individually around the child's condition and abilities.

50 min
12 weeks
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A tuina specialist working with a child's arm in a ward at Boya Hospital

Tuina Massage

Tuina (推拿) is an ancient form of Chinese therapeutic massage: pressing, rubbing, stretching and kneading of points linked to the meridians. In children's rehabilitation it helps release spastic muscles, improve circulation and reduce anxiety.

50 min
10 sessions
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A Boya Hospital TCM doctor warming a child's acupuncture points with smouldering moxa

Moxibustion

Moxibustion is a TCM method: acupuncture points are warmed with smouldering cigars or balls of pressed mugwort (moxa). The gentle heat stimulates biologically active points and is often used as a complement to acupuncture, reinforcing its effect.

20–30 min
20 sessions
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A boy during an apparatus physiotherapy session at Boya Hospital — electrodes held in place by a soft cap

Apparatus Physiotherapy

Apparatus physiotherapy complements physical and occupational therapy: currents of different frequencies, cerebellar stimulation and UHF help work with muscle tone, support weakened muscles and improve local circulation. The set of procedures and their settings are chosen by a doctor.

20 min
20 days
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A TCM doctor working with needles placed in the scalp zones of a child during a scalp acupuncture session at Boya Hospital

Gung's Scalp Acupuncture

Gung's Brain Acupuncture is a scalp acupuncture technique: needles are placed in defined zones of the scalp. The aim is to gently influence how the nervous system works and to support the child's motor, speech and cognitive development.

Set by the doctor
15 sessions
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A teenager holding his balance on balance cones with a specialist standing by

Sensory Integration

Sensory integration is the neurological process by which the brain organises and interprets signals from the senses. Training helps a child process that information more accurately: sessions run through play — on swings, trampolines, balance equipment and with tactile materials.

30 min
12 weeks
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A speech therapist performing oral stimulation with a special tool at Boya Hospital

Speech Therapy

Speech therapy (ST) works on pronunciation, voice and comprehension. The programme covers speech breathing, the muscles of the mouth and the articulatory organs, plus practising speech in real situations.

30 min
12 weeks
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FAQ

Frequently asked questions: Aggression and Impulsivity

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