Effects of Sensory Integration to Manage Behavior Problems of Children with Autism Spectrum Disorder


  • Abdul Samad Dow University of Health Sciences
  • Farheen Muhammad Aslam Bedaya Rehabilitation and Training
  • Hiba Khan Ziauddin University
  • Maria Tabassum Ziauddin University


Sensory Integration Therapy, Autism, Proprioception, Vestibular, Behavior, Sensory Smart Sport


Background: Play is an occupation that promote learning and socializing among children, physical play involves different gross motor skills and stimulate sensory processing specifically proprioception and vestibular. The objective of the study is to evaluate the impact of sensory based sports on sensory pattern of children and to discover the effect of sensory smart sports on proprioception and vestibular for behavior management.

Method: 62 Children with ASD mild to moderate were enrolled in the study from different rehab institutes from Karachi such as psyche care, learning hands and exceptional mind. The participants have definite and probable score at their proprioception and vestibular processing component at sensory profile with poor emotional and behavior regulation. They were involved in sensory smart sports for six months than reassessed on the same domain of sensory profile to check the behavior management.

Results: Significant mean variance was obtained between the pre and post score range at proprioception and vestibular processing leading.

Conclusion: Sensory integration therapy is always being use as therapeutic tool as one of the most effective intervention in management of Autism. The implementation of sensory integration ideation in sports through games culturally intact can be applied to develop and sustain interest, focus and above all develop good behavior.

DOI: https://doi.org/10.59564/amrj/02.01/023

Author Biographies

Abdul Samad, Dow University of Health Sciences

Senior Occupational Therapist

Farheen Muhammad Aslam, Bedaya Rehabilitation and Training

Occupational Therapist

Hiba Khan, Ziauddin University

Lecturer, College of Occupational Therapy, Faculty of Allied Health Sciences

Maria Tabassum, Ziauddin University

Lecturer, College of Occupational Therapy, Faculty of Allied Health Sciences


Colston R. An Exploration of the Effects of Adult Play on Happiness and Well-Being (Doctoral dissertation, University of the Sunshine Coast, Queensland).

Ahmad FM. Understanding the Occupation of Play: A Middle Eastern Revelation a Preliminary Exploration into Arab Parental Values and Children’s Engagement in Play in Kuwait (Doctoral dissertation, The University of North Carolina at Chapel Hill).

Balaban EC. Oh The Places We'll Go: The Game of Children's Spaces (Master's thesis, University of Waterloo.

Brown T, Lynch H. Children's play–work occupation continuum: Play-based occupational therapy, play therapy and playwork. Canadian Journal of Occupational Therapy. 2023 Sep;90(3):249-56.

Loebach J, Cox A. Tool for observing play outdoors (Topo): A new typology for capturing children’s play behaviors in outdoor environments. International journal of environmental research and public health. 2020 Aug;17(15):5611.

Veresov N, Veraksa N. Digital games and digital play in early childhood: a cultural-historical approach. Early Years. 2023 Oct 20;43(4-5):1089-101.

Parker R, Thomsen BS, Berry A. Learning through play at school–A framework for policy and practice. InFrontiers in Education 2022 Feb 17 (Vol. 7, p. 751801). Frontiers Media SA.

Baum SH, Stevenson RA, Wallace MT. Behavioral, perceptual, and neural alterations in sensory and multisensory function in autism spectrum disorder. Progress in neurobiology. 2015 Nov 1;134:140-60.

Coulthard H, Williamson I, Palfreyman Z, Lyttle S. Evaluation of a pilot sensory play intervention to increase fruit acceptance in preschool children. Appetite. 2018 Jan 1;120:609-15

Fu L, Li C, Li Y, Cheng X, Cui X, Jiang J, Ding N, Fang H, Tang T, Ke X. Heritability of abnormalities in limbic networks of autism spectrum disorder children: Evidence from an autism spectrum disorder twin study. Autism Research. 2022 Apr;15(4):628-40.

Kilroy E, Aziz-Zadeh L, Cermak S. Ayres theories of autism and sensory integration revisited: What contemporary neuroscience has to say. Brain sciences. 2019 Mar 21;9(3):68.

Joyce C. Sensory processing difficulties-what they are and how early educators can help. Rattler (Sydney). 2020 Nov 1(132):22-5.

Wolfberg P, McCracken H, Phillips T. Play, Friendships and Autism: Co-creating a Culture of Inclusion with Peers. InLearners on the Autism Spectrum 2024 (pp. 244-261). Routledge.

Lord C,Burgha T.S Charman T,Cusack J,Dumas G, Frazier T,Jones R.M, Pickles A, State MW, and Taylor 2020 Autism spectrum disorder Nature reviews disease primers pp 1-23.

Fang Y, Luo J, Boele M, Windhorst D, van Grieken A, Raat H. Parent, child, and situational factors associated with parenting stress: A systematic review. European Child & Adolescent Psychiatry. 2022 Jul 25:1-9.

Kojovic N, Ben Hadid L, Franchini M, Schaer M. Sensory processing issues and their association with social difficulties in children with autism spectrum disorders. Journal of clinical medicine. 2019 Sep 20;8(10):1508.

Johnson, C.P and Myers S.M identification and evaluation of children with autism spectrum disorder.2007 pp Garzorz I, Deroy O. Why There Is a Vestibular Sense, or How Metacognition Individuates the Senses. Multisensory Research. 2020 Jun 25;1(aop):1-20.

Divya KY, Begum F, John SE, Francis F. DIR/Floor Time in Engaging Autism: A Systematic Review. Iranian Journal of Nursing and Midwifery Research. 2023 Mar;28(2):132.

Wang Z, Gui Y, Nie W. Sensory integration training and social sports games integrated intervention for the occupational therapy of children with autism. Occupational Therapy International. 2022 Aug 30;2022.

Ranieri A, Mennitti C, Falcone N, La Monica I, Di Iorio MR, Tripodi L, Gentile A, Vitale M, Pero R, Pastore L, D’Argenio V. Positive effects of physical activity in autism spectrum disorder: how influences behavior, metabolic disorder and gut microbiota. Frontiers in Psychiatry. 2023;14.