HTHRHSC 7718
Sensory Integration Therapy
Introduction
Children with autism spectrum disorder (ASD) typically demonstrate co-occurring sensory processing problems secondary to the typical diagnostic criteria according to the DSM-5. Due to these findings and numerous studies concerned with the apparent impairment in sensory modulation across multiple sensory systems, hyperactivity or hyporeactivity to sensory input have been included as a diagnostic criterion for ASD (Case-Smith et.al, 2015). According to Case-Smith et. al, “sensory processing problems in ASD are believed to be an underlying factor related to behavioral and/or functional performance problems (2015).” In response, practitioners have turned to sensory interventions …show more content…
This is due largely to the lack of strict adherence to the principles of theory and treatment as laid out by Jean Ayres when she introduced SIT, as well as the use of outcome measures that are not “occupation” based. In an effort to evaluate the effectiveness of SIT intervention, this case study allows the researcher to intently analyze the outcomes and changes in behavior in response to the intervention applied. While it does not allow generalization, a case study informs clinical practice by clarifying problems and providing useful solutions. Over a 10-month period, the client received direct sensory integration therapy interventions once per week aimed at remediating sensory hypersensitivities. The results of this case study suggest that a child’s behavior, development, and participation, are adversely affected by poor sensory processing, and prolonged exposure to theory-based clinical reasoning exemplifying the use of sensory integration therapy illustrate best practice and positive effects in occupational …show more content…
The article is a means to evaluate the efficacy of SIT interventions following a manualized protocol. Secondary to this need for an evaluation of intervention efficacy, is a need to evaluate the impact of this approach on the child’s adapted sensory behaviors and functional skills. This study reports consistent findings, stating that children with ASD who participated in an occupational therapy program using SIT had significantly greater gains in their individualized goal attainment, and decreased need for caregiver assistance on self-care and social activities. Explicitly stated in the article, “the data provides preliminary support for the efficacy of a manualized intervention designed to address difficulties processing and integrating sensory information for children with ASD (Schaaf et. al, 2014),” and reports a positive impact of a sensory integration approach on a child’s adapted sensory behaviors and functional skills.
Compare/Contrast
This article provides further evidence, based on a randomized-controlled trial study of SIT for children with ASD. Prior to this research, few articles provided the same level of rigor and fidelity, leading to greater confidence in the data collected and evidence obtained.
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