Efficacy of Occupational Therapy Using Ayres Sensory Integration®: A Systematic Review

• Published in: The American journal of occupational therapy Vol. 72; no. 1; pp. 7201190010 - 7201190010p10
• Main Authors: Schaaf, Roseann C., Dumont, Rachel L., Arbesman, Marian, May-Benson, Teresa A.
• Format: Journal Article
• Language: English
• Published: United States American Occupational Therapy Association 01.01.2018; American Occupational Therapy Association, Inc
• Subjects: Autism; Autism Spectrum Disorder - rehabilitation; Caregivers; Child; Child Health Services; Clinical medicine; Clinical trials; Efficacy; Evidence-based medicine; Health aspects; Humans; Intervention; Language Skills; Methods; Occupational therapy; Occupational Therapy - methods; Participation; Patient outcomes; Principles; Psychomotor Performance; Randomized Controlled Trials as Topic; Sensorimotor integration; Sensory integration; Sensory perception; Systematic review
• ISSN: 0272-9490; 1943-7676
• DOI: 10.5014/ajot.2018.028431

This systematic review addresses the question “What is the efficacy of occupational therapy using Ayres Sensory Integration® (ASI) to support functioning and participation as defined by the International Classification of Functioning, Disability and Health for persons with challenges in processing and integrating sensory information that interfere with everyday life participation?” Three randomized controlled trials, 1 retroactive analysis, and 1 single-subject ABA design published from 2007 to 2015, all of which happened to study children with autism, met inclusion criteria. The evidence is strong that ASI intervention demonstrates positive outcomes for improving individually generated goals of functioning and participation as measured by Goal Attainment Scaling for children with autism. Moderate evidence supported improvements in impairment-level outcomes of improvement in autistic behaviors and skills-based outcomes of reduction in caregiver assistance with self-care activities. Child outcomes in play, sensory–motor, and language skills and reduced caregiver assistance with social skills had emerging but insufficient evidence.