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Updated: Apr 14, 2026

Quantitative Assessment of Cortical Auditory-tactile Processing in Children with Disabilities
Published on: January 29, 2014
Early Intervention with a Parent-Delivered Massage Protocol Directed at Tactile Abnormalities Decreases Severity of
Louisa M T Silva1, Mark Schalock1, Kristen R Gabrielsen1
1Teaching Research Institute, Western Oregon University, 345 N. Monmouth Avenue, Monmouth, OR 97361, USA.
Insights
Daily massage therapy significantly improves autism symptoms in young children. This research-based protocol addresses tactile abnormalities, enhancing communication, behavior, and sensory issues in children with autism.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Tactile abnormalities are a core, universal feature in preschool children diagnosed with autism spectrum disorder (ASD).
- Existing models suggest that tactile impairments can impede overall child development and learning.
- Previous studies indicated positive outcomes from a five-month massage intervention for sensory and behavioral issues in autism.
Purpose of the Study:
- To replicate and extend findings on a daily massage protocol for tactile abnormalities in preschool children with autism.
- To evaluate the efficacy of a two-year, parent- and staff-administered intervention program.
- To assess impacts on language, behavior, sensory symptoms, and parent-child interactions.
Main Methods:
- A two-year replication study involving 103 preschool children with autism.
- Daily administration of a specific tactile sensory (QST) massage protocol by parents.
- Weekly treatment and support provided by trained staff.
Main Results:
- Significant improvements observed in receptive language (18%), autistic behavior (32%), and overall sensory abnormalities (38%).
- Marked reduction in tactile abnormalities (49%) and overall autism severity (medium to large effect size).
- Parents reported enhanced child-to-parent interactions, bonding, and a 44% decrease in parenting stress.
Conclusions:
- The daily massage protocol is a research-based, effective intervention for young children with autism, addressing core sensory and behavioral challenges.
- The program offers a viable, evidence-based method for early childhood special education programs and parents to manage sensory abnormalities.
- Early intervention using this protocol shows promise in improving developmental trajectories and family well-being in autism.
Abstract:
Tactile abnormalities are severe and universal in preschool children with autism. They respond well to treatment with a daily massage protocol directed at tactile abnormalities (QST massage for autism). Treatment is based on a model for autism proposing that tactile impairment poses a barrier to development. Two previous randomized controlled trials evaluating five months of massage treatment reported improvement of behavior, social/communication skills, and tactile and other sensory symptoms. This is the first report from a two-year replication study evaluating the protocol in 103 preschool children with autism. Parents gave daily treatment; trained staff gave weekly treatment and parent support. Five-month outcomes replicated earlier studies and showed normalization of receptive language (18%, P = .03), autistic behavior (32%, P = .006), total sensory abnormalities (38%, P = .0000005), tactile abnormalities (49%, P = .0002), and decreased autism severity (medium to large effect size, P = .008). In addition, parents reported improved child-to-parent interactions, bonding, and decreased parenting stress (44%, P = .00008). Early childhood special education programs are tasked with addressing sensory abnormalities and engaging parents in effective home programs. Until now, they have lacked research-based methods to do so. This program fulfills the need. It is recommended to parents and ECSE programs (ages 3-5) at autism diagnosis.
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