Addressing Sensory Challenges in Athletes With Autism Spectrum Disorder: A Clinical Commentary

Athletes with autism spectrum disorder (ASD) experience lesser care for injuries, and athletic trainers (ATs) report feeling unprepared to provide care competently for this population. Provision of sports-related care can be impacted by sensory differences associated with ASD, such as hyperreactivity to sensation or poor integration of sensory information. An in-depth review of the literature using the Strength of Recommendation Taxonomy guidelines was used to identify articles that address the sensory features of autism for ATs with the purpose of informing ATs about the sensory features of ASD and to present the most current evidence-based recommendations for providing care to athletes with ASD and other neurodivergent individuals who present with sensory differences. Relevant articles were reviewed by 4 independent researchers and organized by theme. Key themes included use of sensory-friendly or sensory-adapted environments, sensory kits, and informed communication strategies that acknowledge sensory differences. Providing individualized care for athletes with ASD and sensory features can improve the quality of and participation in sports for persons with autism.