This article is missing information about how hug machine and weighted items fit in.(December 2020) |
Sensory integration therapy (SIT) was originally developed by occupational therapist A. Jean Ayres in the 1970s to help children with sensory-processing difficulties. It was specifically designed to treat Sensory Processing Disorder (sometimes called Sensory Integrative Dysfunction). [1] Sensory Integration Therapy is based on A. Jean Ayres's Sensory Integration Theory, which proposes that sensory-processing is linked to emotional regulation, learning, behavior, and participation in daily life. [2] Sensory integration is the process of organizing sensations from the body and environmental stimuli.
A. Jean Ayres' sensory integration theory describes the following:
Sensory integration theory is used to explain why individuals behave in particular ways, plan intervention to ameliorate particular difficulties, and predict how behavior will change as a result of intervention. [6] Dr. Ayres defines sensory integration as the organization of an individual's senses for use. The brain’s ability to organize sensations supports a person in moving, learning, and reacting to situations appropriately. [1]
Individuals with sensory-processing difficulties often experience delayed or impeded typical behaviors and functioning as a result of interferences in neurological processing and integration of sensory inputs. [7] Sensory dysfunction affects the neurological processing of sensory information and sensory systems which causes negative impacts on learning and development. [8] Ayres Sensory Integration (ASI) highlights the critical influence that sensory-processing has on a child's growth and development. [9] It contributes to the understanding of how sensation affects learning, social-emotional development, and neurophysiological processes, such as motor performance, attention, and arousal. [9]
ASI has been studied by different professions on diverse levels, such as by occupational therapists and researchers as a foundation for occupational performance and participation, and by psychologists on a cellular level as multi-sensory integration. [10]
As an intervention approach, it is used as "a clinical frame of reference for the assessment and treatment of people who have functional disorders in sensory processing". [8]
Individuals with sensory processing disorder or sensory integrative dysfunction experience problems with their sensory systems, also known as basic senses of touch, smell, hearing, taste, sight, body coordination, and movement against gravity. They might also experience difficulties in movement, coordination, and sensing where one's body is in a given space, also known as proprioception. [10] Each individual sensory system has specific receptors or cells within the body that deliver messages to the brain. These receptors are located in specific parts of the body - gustatory/taste (mouth), olfactory/smell (nose), visual (eye), auditory (ear), and vestibular (inner ear). Other receptors are spread throughout the body - tactile (skin) and proprioception (muscles and joints). [10] [11]
Sensory Integration Therapy, also known as sensory-based treatments or interventions, are designed to provide sensory activities or experiences to help individuals respond better to environmental stimuli (i.e., sensory input). [7] [12] The main goal and priority for the use of sensory integration therapies is to improve internal sensory processing, improve self-regulation, develop adaptive functioning skills, and to help the child successfully become participate in daily life experiences and activities. [7] [5] Sensory-based interventions or activities are structured and individualized per each child's specific individual needs. They range from passive activities (i.e., wearing a weighted vest, weighted blanket, receiving hugs, playing with shaving cream) to active activities (i.e., spinning around, jumping on a trampoline, running, climbing, walking on patterned blocks). [12] [5]
According to proponents of sensory integration therapy, sensory integrative dysfunction is a common disorder for individuals with neurological learning disabilities such as an autism spectrum disorder, [13] [5] attention deficit hyperactivity disorder, [14] and sensory modulation dysfunction. [15]
Occupational therapists are uniquely equipped to practice Ayres Sensory Integration (ASI) or Occupational Therapy Sensory Integration (OT-SI). During sessions, activities are presented to both challenge capabilities and assist and regulating a child (Parham & Mailloux, 2015). [16] Activities are often specially tailored to meet individual needs. The goal of these sessions is to assist a child in gaining competence in participating in everyday activities in settings such as school, home and extra curriculars. Active participation is emphasized in order to maxims gains and learning. Children who require more structure are given modified activities that continue to offer freedom of choice in order to foster self-direction (Parham & Mailloux,2015). [17]
While sensory-based interventions are highly advocated for, there continues to be a lack of empirical support. There is disagreement over their therapeutic worth, largely due to problems with methodology and confusion of terms and conflation with similar and related approaches. [7] [12] [18]
Ayres' theory of sensory integration is frequently critiqued. Emerging evidence with improved methodology, the development of a Fidelity Measure and increasing focus of resources on areas of practice that might not typically attract medical research funding, means that the much needed evidence for Ayres SI is now emerging. [19] [11] Since much of the effects of sensory based interventions are hard to quantify and measure, this is why it seems there is not much evidence for it.
Hume and colleagues support the use of Ayres’ Sensory Integration (ASI), making the case for why review of science and evidence should be ongoing. [20]
The current report updates and extends the work on evidence-based, focused intervention practices begun with an initial review of the literature from 1997 to 2007 (Odom et al. 2010a, b) and extended through a second report that covered the literature from 1990 to 2011 (Wong et al. 2015); extending this systematic review through 2017 added 567 articles to the review. As the intervention literature has provided more empirical information and as practices have evolved, some of the classifications required reconceptualization and revision of previous definitions. In an active research area, knowledge does not stand still, and in fact, identification of EBPs should be dynamic, reflecting the growth of knowledge across time (Biglan and Ogden 2019).
In their article they clearly state the importance of clearly defining what sensory integration therapy is and what it is not; helping to clarify and delineate the clinical practice reported in their article, from other related approaches based on Ayres’ SI theory. [20]
It is important to note that Sensory Integration refers explicitly to the classical sensory integration model developed by Jean Ayres (2005) and not to a variety of interventions that address sensory issues but have been found to be unsupported (Case-Smith et al. 2015; Watling and Hauer 2015). [19]
In the 1950s, Dr. A. Jean Ayres, an occupational therapist and psychologist, developed the theory and framework of sensory integration. Her book Sensory Integration and the Child, first published in the 1970s, was a means of helping families, therapists, and educators of children with sensory-processing difficulties and sensory processing disorders to better organize and improve self-regulation of body and environmental sensory inputs. [1] [2]
Ayres' approach has proliferated among therapy and educational professionals over the past several decades. It has been met with some resistance within the occupational therapy profession and in other disciplines. [8]
Occupational therapists (OTs) are health care professionals specializing in occupational therapy and occupational science. OTs and occupational therapy assistants (OTAs) use scientific bases and a holistic perspective to promote a person's ability to fulfill their daily routines and roles. OTs have training in the physical, psychological, and social aspects of human functioning deriving from an education grounded in anatomical and physiological concepts, and psychological perspectives. They enable individuals across the lifespan by optimizing their abilities to perform activities that are meaningful to them ("occupations"). Human occupations include activities of daily living, work/vocation, play, education, leisure, rest and sleep, and social participation.
Occupational therapy (OT) is a healthcare profession that involves the use of assessment, intervention, consultation, and coaching to develop, recover, or maintain meaningful occupations of individuals, groups, or communities. The field of OT consists of health care practitioners trained and educated to support mental health and physical performance. Occupational therapists specialize in teaching, educating, and supporting participation in activities that occupy an individual's time. It is an independent health profession sometimes categorized as an allied health profession and consists of occupational therapists (OTs) and occupational therapy assistants (OTAs). OTs and OTAs have different roles, with OTs licensed to complete comprehensive occupational therapy evaluations. Both professionals work with people who want to improve their ability to participate in meaningful occupations.
Developmental disorders comprise a group of psychiatric conditions originating in childhood that involve serious impairment in different areas. There are several ways of using this term. The most narrow concept is used in the category "Specific Disorders of Psychological Development" in the ICD-10. These disorders comprise developmental language disorder, learning disorders, developmental coordination disorders, and autism spectrum disorders (ASD). In broader definitions, attention deficit hyperactivity disorder (ADHD) is included, and the term used is neurodevelopmental disorders. Yet others include antisocial behavior and schizophrenia that begins in childhood and continues through life. However, these two latter conditions are not as stable as the other developmental disorders, and there is not the same evidence of a shared genetic liability.
High-functioning autism (HFA) was historically an autism classification to describe a person who exhibited no intellectual disability but otherwise showed autistic traits, such as difficulty in social interaction and communication, as well as repetitive, restricted patterns of behavior. However, many in medical and autistic communities have called to stop using the term, finding it simplistic and unindicative of the difficulties some autistic people face.
Autism therapies include a wide variety of therapies that help people with autism, or their families. Such methods of therapy seek to aid autistic people in dealing with difficulties and increase their functional independence.
Animal-assisted therapy (AAT) is an alternative or complementary type of therapy that includes the use of animals in a treatment. The goal of this animal-assisted intervention is to improve a patient's social, emotional, or cognitive functioning. Studies have documented some positive effects of the therapy on subjective self-rating scales and on objective physiological measures such as blood pressure and hormone levels.
Occupational science is a discipline dedicated to the study of humans as "doers" or "occupational beings". As used here, the term "occupation" refers to the intentional or goal-directed activities that characterize daily human life as well as the characteristics and patterns of purposeful activity that occur over lifetimes.
Developmental coordination disorder (DCD), also known as developmental motor coordination disorder, developmental dyspraxia or simply dyspraxia, is a neurodevelopmental disorder characterized by impaired coordination of physical movements as a result of brain messages not being accurately transmitted to the body. Deficits in fine or gross motor skills movements interfere with activities of daily living. It is often described as disorder in skill acquisition, where the learning and execution of coordinated motor skills is substantially below that expected given the individual's chronological age. Difficulties may present as clumsiness, slowness and inaccuracy of performance of motor skills. It is often accompanied by difficulty with organisation and/or problems with attention, working memory and time management.
The floortime or Developmental, Individual-differences, Relationship-based (DIR) model is a developmental model for assessing and understanding any child's strengths and weaknesses. This model was developed by Stanley Greenspan and first outlined in 1979 in his book Intelligence and Adaptation.
Equine-assisted therapy (EAT) encompasses a range of treatments that involve activities with horses and other equines to promote human physical and mental health. Modern use of horses for mental health treatment dates to the 1990s. Systematic review of studies of EAT as applied to physical health date only to about 2007, and a lack of common terminology and standardization has caused problems with meta-analysis. Due to a lack of high-quality studies assessing the efficacy of equine-assisted therapies for mental health treatment, concerns have been raised that these therapies should not replace or divert resources from other evidence-based mental health therapies. The existing body of evidence does not justify the promotion and use of equine-related treatments for mental disorders.
The American Occupational Therapy Association (AOTA) is the national professional association established in 1917 to represent the interests and concerns of occupational therapy practitioners and students and improve the quality of occupational therapy services. AOTA membership is approximately 63,000 occupational therapists, occupational therapy assistants, and students.
Anna Jean Ayres was an American occupational therapist, educational psychologist and advocate for individuals with special needs. She became known for her work on sensory integration (SI) theory.
This article discusses occupational therapy (OT) in the United Kingdom.
Classic autism, also known as childhood autism, autistic disorder, (early) infantile autism, infantile psychosis, Kanner's autism, Kanner's syndrome, or (formerly) just autism, is a neurodevelopmental condition first described by Leo Kanner in 1943. It is characterized by atypical and impaired development in social interaction and communication as well as restricted, repetitive behaviors, activities, and interests. These symptoms first appear in early childhood and persist throughout life.
Doing business as STAR Institute the STAR Center Foundation is a registered 501(c)(3), nonprofit organization dedicated to treatment, research and education related to sensory integration and processing.
Vision rehabilitation is a term for a medical rehabilitation to improve vision or low vision. In other words, it is the process of restoring functional ability and improving quality of life and independence in an individual who has lost visual function through illness or injury. Most visual rehabilitation services are focused on low vision, which is a visual impairment that cannot be fully corrected by regular eyeglasses, contact lenses, medication, or surgery. Low vision interferes with the ability to perform everyday activities. Visual impairment is caused by factors including brain damage, vision loss, and others. Of the vision rehabilitation techniques available, most center on neurological and physical approaches. According to the American Academy of Ophthalmology, "Provision of, or referral to, vision rehabilitation is now the standard of care for all who experience vision loss.."
Substance use disorders (SUD) can have a significant effect on one's function in all areas of occupation. Physical and psychosocial issues due to SUD can impact occupational performance. Unfulfilled life roles and disruption in meaningful activity can result from lack of structure or routine, poor motivation, limited skills, and poor social networks. These deficits may also contribute to stress, affecting the ability to cope with challenges. While SUD can affect a client's participation in therapy and ability to follow recommendations, occupational therapists are trained to facilitate occupational participation and performance.
Sensory processing disorder is a condition in which multisensory input is not adequately processed in order to provide appropriate responses to the demands of the environment. Sensory processing disorder is present in many people with dyspraxia, autism spectrum disorder and attention deficit hyperactivity disorder (ADHD). Individuals with SPD may inadequately process visual, auditory, olfactory (smell), gustatory (taste), tactile (touch), vestibular (balance), proprioception, and interoception sensory stimuli.
Elnora M. Gilfoyle is a retired American occupational therapist, researcher, educator, and university administrator. She worked at several hospitals before accepting a professorship at Colorado State University, later serving as Dean of the College of Applied Human Sciences and Provost/Academic Vice President at that university. She is also a past president of the American Occupational Therapy Association. With research interests in child development, developmental disabilities, and child abuse, she has led studies on the state and federal levels. The co-author of two books and many articles, she was inducted into the Colorado Women's Hall of Fame in 1996.
A weighted blanket is an especially heavy blanket that is used to aid sleep and reduce anxiety. Initially, weighted blankets were most commonly used as therapeutic tools to assist individuals with autism spectrum disorders (ASD), dementia, and mental health conditions. They have subsequently become a mass-market product. Scientific evidence does not support their use as an aid for insomnia, and they can be dangerous, particularly for children.
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