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A person who has autism often has trouble
communicating and interacting with other people; his or her interests,
activities, and play skills may be limited. Occupational therapy may
help people with autism develop these skills at home and in school.
What’s the role of occupational therapy (OT) in treating autism?
Occupational therapists study human growth and
development and a person’s interaction with the environment through
daily activities. They are experts in the social, emotional, and
physiological effects of illness and injury. This knowledge helps them
promote skills for independent living in people with autism and other
developmental disorders.
Occupational therapists work as part of a team that
includes parents, teachers, and other professionals. They help set
specific goals for the person with autism. These goals often involve
social interaction, behavior, and classroom performance.
Occupational therapists can help in two main ways: evaluation and therapy.
How is occupational therapy useful for evaluation of autism?
The therapist observes children to see if they can
do tasks they are expected to do at their ages -- getting dressed or
playing a game, for example. Sometimes, the therapist will have the
child videotaped during the day in order to see how the child interacts
with his or her environment in order to better assess the kind of care
the child needs. The therapist might note any of the following:
- Attention span and stamina
- Transition to new activities
- Play skills
- Need for personal space
- Responses to touch or other types of stimuli
- Motor skills such as posture, balance, or manipulation of small objects
- Aggression or other types of behaviors
- Interactions between the child and caregivers
How does occupational therapy help a person with autism?
Once an occupational therapist has gathered
information, he or she can develop a program for your child. There is no
single ideal treatment program. But early, structured, individualized
care has been shown to work best.
Occupational therapy may combine a variety of
strategies. These can help your child respond better to his or her
environment. These OT strategies include:
- Physical activities, such as stringing beads or doing puzzles, to help a child develop coordination and body awareness
- Play activities to help with interaction and communication
- Developmental activities, such as brushing teeth and combing hair
- Adaptive strategies, including coping with transitions
What are the benefits of occupational therapy for autism?
The overall goal of occupational therapy is to help
the person with autism improve his or her quality of life at home and in
school. The therapist helps introduce, maintain, and improve skills so
that people with autism can be as independent as possible.
These are some of the skills occupational therapy may foster:
- Daily living skills, such as toilet training, dressing, brushing teeth, and other grooming skills
- Fine motor skills required for holding objects while handwriting or cutting with scissors
- Gross motor skills used for walking, climbing stairs, or riding a bike
- Sitting, posture, or perceptual skills, such as telling the differences between colors, shapes, and sizes
- Awareness of his or her body and its relation to others
- Visual skills for reading and writing
- Play, coping, self-help, problem solving, communication, and social skills
By working on these skills during occupational therapy, a child with autism may be able to:
- Develop peer and adult relationships
- Learn how to focus on tasks
- Learn how to delay gratification
- Express feelings in more appropriate ways
- Engage in play with peers
- Learn how to self-regulate
What is sensory integration therapy?
You may have heard a lot about sensory integration therapy. That’s because some researchers estimate that eight out of 10 children with autism have problems processing sensory input. For example, they can’t filter out background noise. Other signs of processing issues include: - Problems with balance
- Problems with body position in space
- Oversensitivity to touch and the feel of certain types of clothing, such as socks with seams
With autism, social, behavioral, or attention problems can be partly a result of these sensory challenges.
Although more research is needed, OT can help with
sensory integration and some of the related behavioral problems.
Research suggests sensory integration therapy is less helpful in
improving academic performance.
Examples of sensory integration therapy include:
- Being brushed or deeply touched and massaged
- Compressing elbows and knees
- Swinging
- Spinning on a scooter
- Wearing a weighted vest.
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