Anis Choudhery, Tasmi Ansari


People with autism spectrum disorder (ASD) and especially the minimally verbal, often fail to learn basic perceptual and motor skills. This deficit has been demonstrated in several studies, but the findings could have been due to the non-optimal adaptation of the paradigms. Responses to vestibular stimulation can, under well-controlled experimental conditions, provide a measure of brainstem function. Autistic children had significantly longer time constants during the primary nystagmus response and significantly fewer beats during the secondary response than normal children when stimulated with constant angular acceleration in complete darkness. These findings could not be attributed to gross differences in arousal, to developmental retardation, to associated clinical conditions, or to either the influence of vision or habituation. Rather, they are suggestive of a neurophysiologic dysfunction, perhaps involving the brain stem, and may be an expression of the process that underlies those autistic behaviors that suggest faulty modulation of sensory input and motor output. Brain-stem centers modulate both general sensory input and motor excitation and may play a role in the elaboration of the more complex adaptive and motivated behaviors that are also disturbed in autism. In this review, we have generally focused on the Autism Spectrum Disorder and their treatment by using a different techniques and therapies.


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Allum J. H. (1983). Organization of stabilizing reflex responses in tibialis and muscle following ankle flexion perturbation of standing man, Brain Res1983; 264,297,301.

Amaral D., Dawson G., Geschwind D. (2011). Autism Spectrum Disorders. Oxford University Press. USA.

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, D.C.: American Psychiatric Association.

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; Philadelphia, PA, USA: 2013. DSM-5.

Ayres, A. J. (1979). Sensory integration and the child. Los Angeles: Western Psychological Services.

Ayres A. Jean (1972). Sensory integration and Learning Disorders . 1972. WPS . Los Angeles, CA. 978-0874243031.

Ayres A. Jean (2005). Sensory integration and the child : understanding hidden sensory challenges. 2005. WPS. Los Angeles, CA. 978-087424-437-3. 25th anniversary ed., rev. and updated / by Pediatric Therapy Network.

Ayres A. Jean (1955). Proprioceptive Facilitation Elicited Through the Upper Extremities. American Journal of Occupational Therapy. 1955. 9. 1. 1–9.

Ayres A. Jean (1977). Effects of sensory integrative therapy on the coordination of children with choreoathetoid movements. American Journal of Occupational Therapy. 1977. 31. 5. 291–293.

Ayres A. Jean (1972). Improving Academic Scores Through Sensory Integration. Journal of Learning Disabilities. 1972. 5. 6. 338–343.

Ayres A. Jean Mailloux Zoe (1981). Influence of Sensory Integration procedures on Language Development. American Journal of Occupational Therapy. 1981. 35. 6. 384–390.

Ayres A. Jean (1978). Learning Disabilities and the Vestibular System . American Journal of Occupational Therapy. 1978. 11. 1. 33–40.

Ayres A. Jean Tickle Linda (1980). Over-responsivity to Touch and Vestibular Stimuli as a Predictor of Positive Response to Sensory Integration Procedures by Autistic Children . American Journal of Occupational Therapy. 1980. 34. 6. 375–381.

Ayres, A. J. & Hesket, W. M. (1972). Sensory integrative dysfunction in a young schizophrenic girl. Journal of Autism and Childhood Schizophrenia, 2, 174-181.

Baio J., Wiggins L., Christensen D. L., Maenner M. J., Daniels J., Warren Z., Kurzius-Spencer M., Zahorodny W., Rosenberg C.R., White T., et al. (2018): Prevalence of Autism Spectrum Disorder among Children Aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill. Summ. 2018;67:1–23.

Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1-11.

Bundy A., Lane S., Murray E. (2002). Sensory Integration Theory and Practice. Philadelphia: F.A. Davis, 2002, p 118.

Cesaroni, L., & Gasrber, M. (1991). Exploring the experience of autism through firsthand accounts. Journal of Autism and Developmental Disorders, 21, 303- 313.

Case-Smith J., Frolek Clark G. J., Schlabach T. L. (2013). Systematic review of interventions used in occupational therapy to promote motor performance for children ages birth-5 years. Am J Occup Ther, 2013, 67: 413–424.

DeQuiros, J. B. & Sohrager, O. L. (1978). Neuropsyahological fundamentals in learning disabilities. San Rafael, CA: Academic Therapy Publications.

DeQuiros, J. B. (1976). Diagnosis of vestibular disorders in the learning disabled. Journal of Learning Disorders, 9, 39-58.

Fisher, A. G. & Murray, E. A. (1991). Introduction to sensory integration theory. Philadelphia: Davis.

Geschwind D. H. (2009). Advances in Autism. Annu. Rev. Med. 2009;60:367–380.

Grandin, T. (1995). Thinking in Pictures: And Other Reports from My Life with Autism. Random House, Inc: New York.

Grzadzinski R., Huerta M., Lord C. (2013). DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes. Mol Autism. 4: 12.

Gutstein S. (2009). The RDI book. Forging new pathways for autism, Asperger’s and PDD with relationship development intervention program. Connections Center Publishing. Houston. USA.

Herdman S. (1994). Vestibular Rehabilitation.2 Ed. Philadelphia: F.A. Davis Company: 1994, 3-24, 27-48, 55-60,358-359,360-376,549-557.

Horak F. B., Nashner L. M. (1986). Central programming of postural movements: Adaptation to altered support surface configuration .J Neurophysiology 1986; (55): 1369-1381.

Horak F. B. Nashner L. M., Diener H. C. (1990). Postural strategies associated with somatosensory and vestibular lost .Exp Brain Res1990;( 82):167-177.

Hosseini S. A. (2007). Vestibular Stimulation on cerebral palsy designing a vestibulator [PhD dissertation]. India: School of biosciences and bioengineering IITB; 2007, 1-300.

Jasmin E., Couture M., McKinley P., Reid G., Fombonne E., Gisel E. (2009). Sensori-Motor and Daily Living Skills of Preschool Children with Autism Spectrum Disorders. J. Autism Dev. Disord. 2009;39:231–241.

Kanner L (1943). Autistic disturbances of affective contact. Nerv Child, 2, 217–50. (1968). Reprint. Acta Paedopsychiatr, 35, 100–136.

Kawar, M. (1973). The effects of sensorimotor therapy on diohotic listening in children with learning disabilities. American Journal of Occupational Therapy, 27, 226-231.

Kinnealy, M. (1973). Aversive and non-aversive responses to sensory stimulation in mentally retarded children. American Journal of Occupational Therapy, 27, 464-471.

Knickerbocker, B. M. (1980). A holistic approach to the treatment of learning disorders. Thorofare, NJ: Charles B. Slack.

Kranowitz, C. S. (2005). The out-of-sync child: recognizing and coping with sensory integration dysfunction. Penguin.

Lemer P. (2008). Envisioning a bright future. Interventions that work for children and adults with autism spectrum disorders. OEP Foundation. USA Pg. 71-115, 290-296.

Lemer P. (2014). Outsmarting Autism. The Ultimate Guide to Management, Healing, and prevention. World Association Pub, Tarentum, Pennsylvania, USA. Pg. 6-83, 236-266, 275-289.

MacDonald M., Lord C., Ulrich D. (2013). The Relationship of Motor Skills and Adaptive Behavior Skills in Young Children with Autism Spectrum Disorders. Res. Autism Spectr. Disord. 2013;7:1383–1390.

Marco E. J., Hinkley L. B. N., Hill S. S., Nagarajan S. S. (2011). Sensory Processing in Autism: A Review of Neurophysiologic Findings. Pediatr. Res. 2011;69:48R–54R.

Masgutova S., Masgutov D. (2015). Reflex Integration Disorder as a New Treatment Paradigm for Children with Autism. In book: Reflexes: Portal to Neurodevelopment and Learning (2015) A Collective Work. SMEI. USA. Pg. 171-180.

Matsushima K., Kato T. (2013). Social Interaction and Atypical Sensory Processing in Children with Autism Spectrum Disorders. Hong Kong J. Occup. Ther. 2013;23:89–96.

Mori M. S., Takakusaki K. (1988). Integration of posture and locomotion. In Amblard B Berthoz A Clarac F Posture and gait: Development, adaptation and modulation 1988; 341-354.

Miller, L., & Cermak, S. (2000). Toward a consensus in terminology in sensory integration theory and practice. Part I: Taxonomy of neurophysiological processes. Sensory Integration Special Interest Section Quarterly, 23, 1-4.

Miller, L., Cermak, S., Lane, S., Anzalone, M., & Koomer, J. (2004). Defining SPD and its subtypes. Position statement on terminology related to sensory integration dysfunction. S.I. Focus, pp. 6–8.

Murray. Anita C., Lane. Shelly J., Murray. Elizabeth A., Sensory integration. (2001). F.A. Davis. Philadelphia. 0-8036-0545-5. 2.

Nashner, Greem (1995). Prevalence of Nonorganic Sway Patterns in Normal Subjects, Patients, and Suspected Malingerers Otolaryngology Head and Neck Surgery, August, 1995, 113: 61.

Ornitz, E. M. (1970). Childhood autism: A disorder of sensorimotor integration. In M. Rutter (Ed.), Infantile autism: Concepts, characteristics and treatment (pp.50-68). London, England: Churchill Livingstone.

Ornitz, E. M. (1974). The modulation of sensory input and motor output in autistic children. Journal of Autism and Childhood Schizophrenia, 4, 197-215.

Ornitz, E. M., Atwell, C. W., Kaplan, A. R., & Westlake, J. R. (1985). Brain-stem dysfunction in autism: Results of vestibular stimulation. Archives of General Psychiatry, 42, 1018-1025.

Ornitz, E. M. & Ritvo, E. R. (1968). Perceptual inconstancy in early infantile autism. Archives of General Psychiatry , 18, 76-98.

O’Reilly R., Morlet T., Cushing S. (2013). Manual of Pediatric Balance Disorders. San Diego. Plural Publishing Inc. USA.

Parham. D. Smith Roley. S. May-Benson. T. (2011). Development of a fidelity measure for research on effectiveness of Ayres Sensory Integration intervention. American Journal of Occupational Therapy. 2011. 65. 133–142.

Parham, D. & Mailloux, Z. (2010). Sensory Integration. In Case-Smith, J. & O’Brien, J. (Eds.), Occupational Therapy for Children (6th ed.). (pp 325-372). Maryland Heights, Missouri: Mosby Elsevier.

Pompeiano (1994). Neural mechanisms of postural control. In Taguchi K, Igarshi M, (eds).Vestibular and neural front: proceeding of the 12th International symposium on posture and gait; Amsterdam: Elsevier 1994; 423-436.

Randall P., Parker J. (1999). Supporting the families with autism. Chichester. Willey. England.

Rutter, M. (1968). Concepts of autism: A review of research. Journal of Child Psychology and Psychiatry, 9, 1-25.

Rutter M., Silberg J. (2002). Gene-environment interplay in relation to emotional and behavioral disturbance. Annual Review of Psychology 53: 463-490.

Schaaf R. C., Smith Roley S. (2006). Sensory Integration: Applying Clinical Reasoning to Practice to Diverse Populations. Austin: pro-ed, 2006, p 136.

Schopler, E. & Reiahler, R. J. (1970). Developmental therapy by parents with their own autistic child. In M. Rutter (Ed.), Infantile autism: Concepts, characteristics and treatment (pp. 206-227). London, England: Churahill Livingstone.

Simonoff E., Pickles A., Charman T., Chandler S., Loucas T., et al. (2008). Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry. 47: 921-9.

Tsang W., Fong S., Cheng Y., et al. (2014). The effect of vestibular stimulation on eye-hand coordination and postural control in elite basketball players. Am J Sports Sci, 2014, 2: 17–22.

Van Steensel F., Bögels S., Perrin S (2011). Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis. Clin Child Fam Psychol Rev. 14: 302-317.

Wing, L. (1970). Perceptual and language development in autistic children: A comparative study. In M. Rutter (Ed.), Infantile autism: Concepts, characteristics and treatment (pp. 173-195). London, England: Churchill Livingstone.

Wing, L. (Ed.) (1976): Early childhood autism. Oxford, England: Pergamon.


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