The Effect of Sensory Integration Therapy on Occupational Performance in Children With Autism

Kashefimehr, Babak; Kayıhan, Hülya; Huri, Meral

doi:10.1177/1539449217743456

Cited by 42 publications

(32 citation statements)

References 31 publications

(45 reference statements)

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“…NDT and SI approaches were found to be beneficial for the child in gaining motor skills in our study. This is consistent with observations in previous studies on other neurodevelopmental disorders [9,10]. The use of SPIO helped in improving posture, which is the basis of movement [11].…”

Section: Discussionsupporting

confidence: 92%

Xia-Gibbs Syndrome: A Rare Case Report of a Male Child and Insight into Physiotherapy Management

Goyal

Naqvi

Sahu

2020

Cureus

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Xia-Gibbs syndrome (XGS) is a recently discovered genetic disorder. It is characterized by global developmental delay, intellectual impairment, hypotonia, and sleep abnormalities. While the current literature emphasizes on the genotype and phenotype of this rare condition, it does not provide any description of the physiotherapy management of patients with XGS. We report a case of a 27-month-old Indian male diagnosed with XGS, who presented with difficulty in sitting without support. He had dysmorphic facies, hypotonia, hyperextensible joints, mild kyphoscoliosis, and global developmental delay. His parents and an elder female sibling were clinically asymptomatic. The physiotherapy intervention was based on the principles of neurodevelopmental treatment (NDT) and sensory integration (SI). The management included facilitation of transitions, weight-bearing exercises, wheelbarrow walking, joint compressions, rib cage mobilization, multidirectional reaching, and pushing-pulling activities along with the use of equipment like Swiss ball, balance board, stability disc, trampoline, swing system, walker (rollator), and walking harness. Also, stabilizing pressure input orthosis (SPIO) for the trunk and ankle-foot orthosis (AFO) followed by supramalleolar orthosis (SMO) were used for support. Thereafter, the child was able to stand and walk without support at the age of 36 months, and walk on uneven terrain at the age of 42 months. In addition, he could negotiate stairs using handrails with mild assistance. His gross motor function measure-88 (GMFM-88) total score improved from 21% at the presentation to 66.6% following the treatment. It was observed that the NDT and SI approaches along with the use of appropriate orthoses accelerated the achievement of motor milestones in this case. To the best of our knowledge, this is the first case report of a child with XGS that emphasizes on the course of physiotherapy management for the associated motor delay.

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Section: Discussionsupporting

confidence: 92%

Xia-Gibbs Syndrome: A Rare Case Report of a Male Child and Insight into Physiotherapy Management

Goyal

Naqvi

Sahu

2020

Cureus

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“…Since completion of this review, one additional study of “sensory integration” was published [Kashefimehr, Kayihan, & Huri, ]. This study was not included in the current review because it was published after the inclusion criteria date range.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of ayres sensory integration intervention for children with autism

et al. 2018

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Sensory integration is one of the most highly utilized interventions in autism, however, a lack of consensus exists regarding its evidence base. An increasing number of studies are investigating the effectiveness of this approach. This study used the Council for Exceptional Children (CEC) Standards for Evidence‐based Practices in Special Education to evaluate the effectiveness research from 2006 to 2017 on Ayres Sensory Integration (ASI) intervention for children with autism. A systematic review was conducted in three stages. Stage 1 involved an extensive database search for relevant studies using search terms related to sensory integration and autism, interventions suggesting a sensory integration approach, and high‐quality study designs. Searches yielded 19 studies that were evaluated in Stage 2. Six of these met inclusion criteria of being peer‐reviewed, written in English, description of intervention this is consistent with ASI intervention, and comparison group design or single subject method employed. Prior to analysis using CEC standards, three articles were excluded because intervention details were not consistent with the core principles of ASI, or because of major methodological flaws. In Stage 3, the remaining three studies were rated using the CEC quality indicators and standards for an evidence‐based practice. Two randomized controlled trials respectively met 100% and 85% of the CEC criteria items. One additional study met more than 50% of the criteria. Based on CEC criteria, ASI can be considered an evidence‐based practice for children with autism ages 4–12 years old. Autism Research 2019, 12: 6–19. © 2018 The Authors. Autism Research published by International Society for Autism Research and Wiley Periodicals, Inc. Lay Summary Ayres Sensory Integration intervention is one of the most frequently requested and highly utilized interventions in autism. This intervention has specific requirements for therapist qualifications and the process of therapy. This systematic review of studies providing Ayres Sensory Integration therapy to children with autism indicates that it is an evidence‐based practice according to the criteria of the Council for Exceptional Children.

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“…By forging this partnership sensory based activities may then be utilized more effectively to support the individual's regulation, outside of therapy sessions. As occupational therapy practitioners, we know that sensory-based interventions can facilitate occupational performance (Kashefimehr, et al, 2018). Using relatable examples and language free of professional jargon will support the collaborative efforts that are necessary to apply sensory regulation concepts to everyday life.…”

Section: Resultsmentioning

confidence: 99%

Untitled

2020

SJOT

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This article is licensed under the Creative Commons Attribution, Non-Commercial, No Derivatives license (CC-BY-NC-ND-4.0). You are free to copy and distribute the work under the following terms: You must give appropriate credit and include a link to the original work. This title page or a standard citation including the DOI link will meet this term. You must also include the link to the CC-BY-NC-ND license. You may not use the material for commercial purposes. If you remix, transform, or build upon the work, you may not distribute that material.

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The Effect of Sensory Integration Therapy on Occupational Performance in Children With Autism

Cited by 42 publications

References 31 publications

Xia-Gibbs Syndrome: A Rare Case Report of a Male Child and Insight into Physiotherapy Management

Xia-Gibbs Syndrome: A Rare Case Report of a Male Child and Insight into Physiotherapy Management

A systematic review of ayres sensory integration intervention for children with autism

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