Abstract
Background
Sensory integration occupational therapy (SI-OT) might be useful for autism spectrum disorders (ASD) in younger age, according to Pusponegoro. Previous studies were still limited, especially in younger age. This study evaluated the effect of SI-OT in improving positive behaviors of ASD children aged 2–5 years.
Methods
Non-randomized controlled trial of SI-OT evaluation, assessed with Vineland Adaptive Behavior Scale-II.
Results
A total of 72 subjects were studied. Following SI-OT, communication skills (expressive, receptive), socialization (coping skills), and daily living skills (personal, community) were improved significantly.
Conclusions
SI-OT with Ayres theory in 60 min, twice a week for 12 weeks improved positive behaviors.
Impact
-
To address the effectivity of sensory integration occupational therapy (SI-OT) in improving positive behaviors of autism spectrum disorders (ASD) children aged 2–5 years.
-
The first study to evaluate evidence of SI-OT in ASD younger than 3 years.
-
Non-randomized controlled trial of SI-OT evaluation of ASD in younger children aged 2–5 years with Vineland Adaptive Behavior Scale-II.
-
SI-OT of Ayres theory in 60 min, twice a week for 12 weeks improves communication domain (expressive, receptive, written) aged 2–4 years, and socialization domain (interpersonal relationship, play, and leisure time) aged 2 years of ASD children.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 13 print issues and online access
$259.00 per year
only $19.92 per issue
Rent or buy this article
Prices vary by article type
from$1.95
to$39.95
Prices may be subject to local taxes which are calculated during checkout
Data availability
Data and material are available for transparency.
Code availability
Program Software SPSS vers.25.
References
Wiggins, L. D. et al. DSM-5 criteria for autism spectrum disorder maximizes diagnostic sensitivity and specificity in preschool children. Soc. Psychiatry Psychiatr. Epidemiol. 54, 693–701 (2019).
Sanchack, K. E. & Thomas, C. A. Autism spectrum disorder: primary care principles. Am. Fam. Phys. 94, 972–980 (2016).
Christensen, D. L., Baio, J. & Braun, K. V. Prevalence and characteristics of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network, 11 sites, United States, 2014. MMWR Survaill Summ. 67, 1–28 (2018).
Zwaigenbaum, L., Bauman, M. L. & Fein, D. Early screening of autism spectrum disorder: recommendations for practice and research. Pediatrics 136, S41–S59 (2015).
American Academy of Family Physician. Clinical preventive service recommendation. Autism spectrum: children (ages 18 to 20 months). http://www.aafp.org/patient-care/clinical-recommendations/all/autism-children.html (2019).
Siu, A. L., Bibbins-Domingo, K. & Grossman, D. C. Screening for autism spectrum disorder in young children: U.S. Preventive Service Task Force recomendation statement. JAMA 315, 691–696 (2016).
Myers, S. M. & Johnson, C. P. Management of children with autism spectrum disorders. Pediatrics 120, 1162–1182 (2007).
Weitlauf, A. S., Sathe, N., McPheeters, M. L. & Warren, Z. E. Interventions targeting sensory challenges in autism spectrum disorder: a systematic review. Pediatrics 139, 1–22 (2018).
Case-Smith, J., Weaver, L. L. & Fristad, M. A. A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism 19, 133–148 (2015).
Pusponegoro, H. D. Autism: Light in the Dark (University of Indonesia, Jakarta, 2016).
Pusponegoro, H. D. & Elvira. Y. Influence of Occupational Sensory Integration Therapy in Reducing Negative Behaviours in Children 2 to 5 Years with Autism Spectrum Disorder [Unpublished thesis] (University of Indonesia, Jakarta, 2018).
Parham, L. D. et al. Development of a fidelity measure for research on the effectiveness of the Ayres sensory integration® intervention. Am. J. Occup. Ther. 65, 133–142 (2011).
Sparrow, S. S., Cicchetti, D. V. & Balla, D. A. Vineland Adaptive Behaviour Scale 2nd edn (Pearson Assessments Press, Minneapolis, 2005).
Pfeiffer, B. A., Koenig, K., Kinnealey, M., Sheppard, M. & Henderson, L. Effectiveness of sensory integration interventions in children with autism spectrum disorders: a pilot study. Am. J. Occup. Ther. 65, 76–85 (2011).
Schaff, R. C. et al. An intervention for sensory diffiulties in children with autism: a randomized trial. J. Autism Dev. Disord. 44, 1493–1506 (2014).
Iwanaga, R. et al. Pilot study: efficacy of sensory integration therapy for Japanese children with high-functioning autism spectrum disorder. Occup. Ther. Int. 21, 4–11 (2014).
Preis, J. & McKenna, M. The effect of sensory integration therapy on verbal expression and engagemnet in children with autism. Int. J. Ther. Rehabil. 21, 476–486 (2014).
Williams, D. L., Siegel, M. & Mazefsky, C. A. Problem behaviour in autism spectrum disorder: association with verbal ability and adapting/coping skill. J. Autism Dev. Disord. 1, 1–10 (2017).
Pugliese, C. E. et al. Increasing adaptive behavior skill deficits from childhood to adolescence in autism spectrum disorder: role of executive function. J. Autism Dev. Disord. 45, 1579–1587 (2015).
Kukreti, M. & Varma, P. Sensory integration therapy on social and self care skills in children with autism. Int. J. Indian Psychol. 2, 71–77 (2015).
Bal, V. H., Kim, S. H., Cheong, D. & Lord, C. Daily living skills in individuals with autism spectrum disorder from 2 to 21 years of age. Autism 19, 774–784 (2015).
Itzchak, E. B. & Zachor, D. A. Who benefits from early intervention in autism spectrum disorders? Res. Autism Spectr. Disord. 5, 345–350 (2011).
Author information
Authors and Affiliations
Contributions
All authors contributed to the study's conception and design, commented on previous versions of the manuscript, and read and approved the final manuscript and agreed to publication.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Ethics approval and consent to participate
This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by The Ethics Committee of the Faculty of Medicine Universitas of Indonesia no. KET-167/UN2.F1/ETIK/PPM.00.02/2019. Informed consent was obtained from all individual participants included in the study.
Consent for publication
Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Raditha, C., Handryastuti, S., Pusponegoro, H.D. et al. Positive behavioral effect of sensory integration intervention in young children with autism spectrum disorder. Pediatr Res 93, 1667–1671 (2023). https://doi.org/10.1038/s41390-022-02277-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41390-022-02277-4