The purpose of the study is to assess the effectiveness of occupational therapy on the sensory integration indicators of children with autism spectrum disorders in early childhood. Materials and methods. 60 patients (from 3 to 5 years old), who received rehabilitation measures for 6 months, participated in the study. In the control group, children received a standard corrective program. Children of the main group 1 additionally went through occupational therapy sessions, which were addressed to developing self-care skills. In the main group 2, in addition to the main group 1 therapy, children received sensory integration therapy (imitation abilities, orientation in space, coordination, sensory perception, changing the sensory environment). The study used a short sensory profile. Evaluation was carried out by occupational therapists before the start of the intervention and after completion of the program. Results and discussion. Comparison of the three groups according to the initial results of the total sensory profile score did not establish statistical differences between the groups (χ²=2.594; p=0.273). The initial indicators of х̅ ± SD of the total score in the control group were 88.4 ± 4.11 points, in the main group 1 – 91.45 ± 7.12 points, and in the main group 2 – 89.7 ± 7.83 points. Comparison of the three groups according to the final results of the total sensory profile score established statistical differences (F=604.805; p<0.001). х̅ ± SD indicators in the control group were 100.5 ± 4.56 points, in the main group 1 – 158 ± 6.61 points, and in the main group 2 – 165 ± 7.73 points. A conducted posteriori test established the presence of statistical differences between the control group and other groups (p<0.001), between the main group 1 and the main group 2 (p<0.01). It should be noted that the increase in х̅ in the control group was 12.1 points, in the main group 1 – 66.55 points, and in the main group 2 – 75.3 points, which was 13.69%, 72.77% and 83.95% of the initial values, respectively in groups. Conclusion. The addition of occupational therapy sessions to a standard remedial program improved the effectiveness of the intervention on all item scores and the Short Sensory Profile total score. However, adding occupational therapy classes and sensory integration therapy to the standard correctional program had the best effect on sensory integrative indicators. The results obtained by us are a consequence of the fact that in the control group the changes were less shown than in other groups, and in the main group 2 they were the most shown. At the same time, in the main group 1 and main group 2, the comparison of the final and initial results established statistical changes in all points of the sensory profile

Keywords: rehabilitation, nervous system, recovery, independence, occupational activity

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1. May-Benson T, Koomar J. Systematic review of the research evidence examining the effectiveness of interventions using a sensory integrative approach for children. Am J Occup Ther. 2010;64(3):403-414. PMID: 20608272. doi: 10.5014/ajot.2010.09071
2. 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. Res Autism Spectrum Disorders. 2012;6(3):1004-1018. doi: 10.1016/j.rasd.2012.01.006
3. Posar A, Visconti P. Sensory abnormalities in children with autism spectrum disorder. J Pediatr (Rio J). 2018;94(4):342-350. PMID: 29112858. doi: 10.1016/j.jped.2017.08.008
4. Vitomskyi V, Lazarieva O, Vitomskа M. Dynamics of physical development of children with functional single ventricle heart disease at the individual stages of physical rehabilitation. Arch Physiother Glob Res. 2017;21(4):7-14.
5. Vitomskiy VV, Lazarіeva ОB, Imas EV, Zhovnir VA, Emets IN. Dynamic of bio-geometric profile indicators of children's with functionally one ventricle posture at stage of physical rehabilitation. Pedagogics, psychology, medical-biological problems of physical training and sports. 2017;21(3):146-151. doi: 10.15561/18189172.2017.0308
6. Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet (London, England). 2018;392(10146):508-520. doi: 10.1016/S0140-6736(18)31129-2
7. Vitomska M. Modern Approaches to Occupational Therapy of Children with Authistic Spectric Disorders. Ukr J Med Biol Sport. 2021;6(2):7-12. doi: 10.26693/jmbs06.02.007
8. Section On Complementary And Integrative Medicine; Council on Children with Disabilities; American Academy of Pediatrics, Zimmer M, Desch L. Section оn сomplementary and integrative medicine, council on сhildren with disabilities. Pediatrics. 2012 Jun;129(6):1186-9. PMID: 22641765. doi: 10.1542/peds.2012-0876
9. Case-Smith J, Bryan T. The effects of occupational therapy with sensory integration emphasis on preschool-age children with autism. Am J Occup Ther. 1999;53(5):489-497. PMID: 10500857. doi: 10.5014/ajot.53.5.489
10. Xu W, Yao J, Liu W. Intervention Effect of Sensory Integration Training on the Behaviors and Quality of Life of Children with Autism. Psychiatr Danub. 2019;31(3):340-346. PMID: 31596827. doi: 10.24869/psyd.2019.340
11. Schaaf R, Cohn E, Burke J, Dumont R, Miller A, Mailloux Z. Linking sensory factors to participation: Establishing intervention goals with parents for children with autism spectrum disorder. Am J Occup Ther. 2015;69(5):6905185005-6905185005. PMID: 26356657. doi: 10.5014/ajot.2015.018036
12. Dunn W. Sensory Profile. USA: The Psychologycal Corporation; 1999. doi: 10.1037/t15155-000
13. Kashefimehr B, Kayihan H, Huri M. The Effect of Sensory Integration Therapy on Occupational Performance in Children With Autism. OTJR (Thorofare N J). 2018;38(2):75-83. PMID: 29281930. doi: 10.1177/1539449217743456
14. Case-Smith J, Weaver L, Fristad M. A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism. 2015;19(2):133-148. PMID: 24477447. doi: 10.1177/1362361313517762
15. Parham L, Mailloux Z. Sensory integration. Occup Ther Children. 2005;5:356-409.