ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 1 of 39
УЖМБС 2021, 6(2): 7–12
Medicine. Reviews

Modern Approaches to Occupational Therapy of Children with Authistic Spectric Disorders

Vitomska M. V.

The purpose of the study is to determine the current provisions on occupational therapy interventions for children with ASD, features of their practical implementation and effectiveness based on the analysis of research data. Materials and methods. This work is the result of the analysis of scientific and methodological developments on the practical implementation of occupational therapy interventions in terms of timing and scope, complexity and role of the family; comparison of research results, which are devoted to the study of the effectiveness of behavioral therapy and SI, as the main interventions of occupational therapists. Results. Early rehabilitation of a child with ASD contributes to the formation of the necessary skills in everyday life and communication. To date, the largest evidence base has been accumulated by intervention programs, which are based on the principles of improving parent-child relations and are aimed at developing social and communication skills. Occupational therapy in ASD is aimed at overcoming motor anxiety, disorders of large and fine motor skills, coordination of movements and ability to learn, speech. SI-based occupational therapy is used to improve the processing of sensory information, improve the efficiency of "registration" and modulation of the senses, as well as help in the formation of simple adaptive responses. The effectiveness of sensory and motor interventions is manifested in positive changes in the social interaction of children, purposeful play and normalization of sensitivity. Sensory interventions of occupational therapists can reduce maladaptive behavior, hyperactivity, as well as inhibit self-stimulation, stereotyped movements and improve attention. Researchers recommend that occupational therapists combine sensory interventions with functional tasks that help the child's practice in achieving the goal of the activity. Conclusions. There is a large number of approaches and techniques used in occupational therapy for children with ASD. Given the lack of evidence to determine the most effective of them, it should be noted that additional research is needed to address this issue.

Keywords: sensory integration, behavioral therapy, daily activity, productive activity

Full text: PDF (Ukr) 264K

  1. Rodger S, Braithwaite M, Keen D. Early intervention for children with autism: Parental priorities. Australian J Early Childhood. 2004; 29: 34–41.
  2. Buylova TV. Mezhdunarodnaya klassyfykatsyya funktsyonyrovanyya kak klyuch k ponymanyyu fylosofyy reabylytatsii [International classification of functioning as a key to understanding the philosophy of rehabilitation]. Reabilitatsiya. Profilakt Vosstanovit Med. 2013; 2(7): 26-31. [Russian]
  3. Shaposhnykova AF. Skriningovaya diagnostika i dinamicheskyi kontrol detey s zabolevaniyami autisticheskogo spektra s ispolzovaniem reytingovoy shkaly dlya otsenki detskogo autizma [Screening diagnostics and dynamic control of children with autistic spectrum diseases using rating scales for assessing children's autism]. Sotsialnaya i klinicheskaya psikhiatriya. 2012;22(2):63-68. [Russian]
  4. Galakh TV. Diagnostika i korektsiya ditey z rannim dytyachym autyzmom [Diagnostics and correction of children with early child autism]. Mykolaiv: Netishyn; 2016. 49 p. [Ukrainian]
  5. Jasmin E, Couture M, McKinley P, Reid G, Fombonne E, Gisel E. Sensori-motor and daily living skills of preschool children with autism spectrum disorders. J Autism Dev Disord. 2009 Feb; 39(2): 231-41. PMID: 18629623.
  6. Ayres ED. Rebenok i sensornaya integratsiya. Ponimanie skrytykh problem razvitiya [Sensory Integration and the Child. Understanding hidden sensory challenges]. Per s angl Juli Dare. M: Terevinf; 2009. 272 p. [Russian]
  7. Delany T. Razvitie osnovnykh navykov u detey s autizmom: effektivnaya metodika igrovykh zanyatyi s osobymi detmi [Development of basic skills in children with autism: an effective technique for game activities with special children]. Ekaterinburg: Izd-vo «Rama Pablyshyng»; 2014. 272 s. [Russian]
  8. Kozhyn YA. Pomoshch v sotsialnoy adaptatsii podrostkam i molodym lyudyam s rasstroystvami autisticheskogo spektra [Assistance in social adaptation to adolescents and young people with autistic spectrum disorders]. Intermediator; 2017. 20 s. [Russian]
  9. Shmonin AA. Ergoterapiya v reabilitatsyi nevrologicheskikh patsientov [Ergotherapy in the rehabilitation of neurological patients]. Consilium Medicum. 2016; 2: 59-60. [Russian]
  10. Autism and Developmental Disabilities Monitoring Network Surveillance Year 2008 Principal Investigators. Prevalence of autism spectrum disorders--Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2008. MMWR Surveill Summ. 2012 Mar 30; 61(3): 1-19.
  11. Informatsionnye byulleteni. Rasstroystva autisticheskogo spektra (RAS) [Newsletters. Autistic spectrum disorders (RAS)]. [Internet]. [Russian]. Available from:
  12. Baranek G. Efficacy of sensory and motor interventions for children with autism. J Autism Dev Disord. 2002 Oct; 32(5): 397-422.
  13. Sinha Y, Silove N, Wheeler D, Williams K. Auditory integration training and other sound therapies for autism spectrum disorders: a systematic review. Arch Dis Child. 2006; 91(12): 1018-1022.
  14. Flippin M, Reszka S, Watson L. Effectiveness of the Picture Exchange Communication System (PECS) on communication and speech for children with autism spectrum disorders: a meta-analysis. Am J Speech Lang Pathol. 2010 May; 19(2): 178-95.
  15. Kashefimehr B, Kayihan H, Huri M. The effect of sensory integration therapy on occupational performance in children with autism. OTJR (Thorofare N J). 2018 Apr; 38(2): 75-83.
  16. Frick S, Hacker C. Listening with the whole body. Vital Links; 2001. 223 p.
  17. Parham L, Mailloux Z. Sensory integration. Occupational therapy for children. 2005; 5: 356-409.
  18. Dubovyk KV, Martsenkovskyy IA. Porushennya motornogo rozvytku u ditey z rozladamy autystychnogo spektra [Motor Development Disorders in children with autistic spectrum disorders]. Ukrayinskyy visnyk psykhonevrologiyi. 2018; 26(4): 42-44. [Ukrainian]
  19. Lang R, O’Reilly M, Healy O, Rispoli M, Lydon H, Streusand W, et al. Sensory integration therapy for autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders. 2012; 6(3): 1004-1018.
  20. Mikhanovska N. Rozlady spektru autyzmu: problemy diagnostyky ta pidkhody do terapiyi [Autism spectrum disorders: diagnostic problems and therapy approaches]. Medychna psykhologiya. 2013; 8(1): 67–70. [Ukrainian]
  21. Whitaker P. Provision for youngsters with autistic spectrum disorders in mainstream schools: What parents say—and what parents want. British J Spec Educ. 2007; 34: 170–178.
  22. Goodlin-Jones BL, Tang K, Liu J, Anders TF. Sleep patterns in preschool-age children with autism, developmental delay, and typical development. J Amer Acad Child Adolescent Psychiatry. 2008;4 7: 930–938. PMID: 18596550. HTTPS://DOI.ORG/10.1097/chi.obo13e3181799f7c
  23. Gordon J, Diller A, Bausman M, Velicer W, Norman G, Cautela J. The development of a stress survey schedule for persons with autism and other developmental disabilities. J Autism Dev Dis. 2001; 31: 207–217.
  24. Spann SJ, Kohler FW, Soenksen D. Examining parent's involvement in and perceptions of special education services: An interview with families in a parent support group. Focus Autism Other Dev Dis. 2003; 18: 228–237.
  25. Greenspan S. DIR/ Floortime, vally CoPA (Community of Practice in Atism). 2008. Available from:
  26. Grynspen S. Rebenok-tiran: podkhod k detyam pyati «trudnykh» tipov [Child-tyrant: approach to children of five "difficult" types]. M: Lomonosov; 2010. 464 s. [Russian]
  27. Liao ST, Hwang YS, Chen YJ, Lee P, Chen SJ, Lin LY. Home-based DIR/Floortime™ intervention program for preschool children with autism spectrum disorders: Preliminary findings. Phys Occup Ther Pediatr. 2014 Nov; 34(4): 356-67.
  28. Rodzhers SDzh, Douson Dzh, Vysmara LA. Denverskaya model rannego vmeshatelstva dlya detey s autyzmom: Kak v protsesse povsednevnogo vzaymodeystvyya nauchyt rebenka ygrat, obshchatsya i uchitsya [Danvery model of early intervention for children with autism: how in the process of everyday cooperation to teach a child to play, communicate and learn]. Ekaterinburg: Rama Pablishyng; 2016. 416 s. [Russian]