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Sensory Integration Therapy in Autism:

A Physical Medicine & Rehabilitation Physician’s Perspective

Understanding Autism Spectrum Disorder:

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that impacts social interaction, communication, behaviour, and especially sensory processing. Many children with ASD experience oversensitivity or under sensitivity to everyday sensations such as sounds, touch, movement, textures, or lights. These sensory challenges can affect their ability to participate in daily activities and learning.

What is Sensory Integration Therapy?

Sensory Integration Therapy (SIT) is a play-based approach developed to help children with ASD process sensory input more effectively. The therapy uses movement, touch, and play to improve the way the brain responds to sensory stimulation from the surrounding environment.

As PMR physicians, the focus is on how SIT supports overall participation and functional abilities, promoting independence and quality of life in children with autism.

Targeted Sensory Systems

  • Tactile System (Touch):Activities to help children feel comfortable with different textures, improving hand use and self-care skills.
  • Vestibular System (Movement):Swinging and balance exercises to aid postural control and coordination.
  • Proprioceptive System (Body Awareness):Push/pull and jumping activities to regulate energy, help with calmness, and enhance body awareness.
  • Visual and Auditory Input:Games that encourage tracking, listening, and responding to sights and sounds for better classroom performance.

Goals of SIT in PMR Practice

  • Improve self-regulation and attention.
  • Enhance motor planning and coordination.
  • Support participation in daily routines and school activities.
  • Encourage communication, social interaction, and independence.

Benefits Noted in Clinical Practice

  • Reduces sensory overload and meltdowns often seen in ASD.
  • Improves focus and performance in class and therapy sessions.
  • Boosts coordination, balance, and physical confidence.
  • Facilitates participation in feeding, sleep, and everyday tasks.
  • Promotes independence and self-esteem.

The PMR Physician’s Role in SIT

  • Assessment:Identifying sensory challenges and functional impacts in ASD.
  • Interdisciplinary Collaboration:Working with occupational therapists, physiotherapists, and speech & language pathologists to design individualized therapy plans.
  • Family Education:Training parents to implement sensory “diets” (daily routines) at home and recognize triggers or signs of distress.
  • Goal Setting:Focusing on participation, independence, and functional skills essential for daily life.
  • Tracking Progress:Regularly measuring changes in sensory responsiveness, behaviour, and participation in activities.

Involving Parents and Caregivers

Parents are essential partners in the therapeutic journey. They help by continuing sensory exercises at home, observing triggers, and celebrating small milestones that indicate growing sensory comfort and independence. Encouraging parental involvement ensures interventions go beyond the clinic and create positive changes in daily life.

Key Takeaway

Sensory Integration Therapy does not “change” the child; it helps open up the world for them by reducing sensory barriers and enhancing participation in meaningful activities. As PMR physicians, supporting sensory integration in ASD is about improving engagement, enabling skills for independence, and boosting confidence in each child.

Multidisciplinary team consisting of Physiatrist, Physiotherapist, Occupational therapist, Speech & language pathologist collaboration with families is required to ensure every child with ASD receives personalized, evidence-based sensory interventions that meet their unique needs.

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