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Occupational Therapy Interventions Using Ayres Sensory Integration® for Children and Youth (2015-2024): A Systematic
Aimee Piller1, Tara J Glennon2, Lauren Andelin3
1Aimee Piller, PhD, OTR/L, BCP, FAOTA, is Director, Piller Child Development, LLC, Phoenix, AZ; Aimee.piller@pillerchilddevelopment.com.
Summary
Ayres Sensory Integration® (ASI) effectively supports children with sensory processing challenges. Evidence shows ASI improves goal attainment, occupational performance, and daily living skills for enhanced participation.
Area of Science:
- Pediatric Occupational Therapy
- Neuroscience
- Developmental Psychology
Background:
- Sensory integration and processing challenges significantly impact children's occupational participation.
- Ayres Sensory Integration® (ASI) is a widely used intervention in pediatric occupational therapy.
- Evidence-based practice necessitates current reviews on ASI's effectiveness.
Purpose of the Study:
- To synthesize and evaluate the current evidence on the effectiveness of Ayres Sensory Integration® (ASI).
- To inform pediatric occupational therapy practitioners about ASI's efficacy in addressing sensory processing challenges.
Main Methods:
- Systematic literature search across multiple databases (MEDLINE, CINAHL, PsycINFO, etc.).
- Inclusion of studies published May 2015-January 2024, focusing on children (0-21 years) with sensory processing challenges.
- Adherence to PRISMA guidelines, including only Level I and II evidence with occupation- or participation-based outcomes.
Main Results:
- Twelve studies (RCTs, nonrandomized, single-subject designs) met inclusion criteria.
- Strong evidence supports ASI for individual goal attainment and occupational performance.
- Moderate evidence indicates ASI improves daily living, self-care, social, communication, and play skills.
Conclusions:
- Occupational therapy practitioners can effectively utilize ASI for children with sensory integration and processing challenges.
- ASI demonstrates positive outcomes in improving occupational participation and daily functioning.
- The findings support ASI as a valuable intervention for enhancing children's engagement in meaningful activities.
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