La estimulación multisensorial para mejorar el procesamiento sensorial en las personas con TEA
DOI:
https://doi.org/10.14198/DCN.25559Palabras clave:
Intervención sensorial, Trastorno del Espectro Autista, Desintegración sensorial, Procesamiento sensorial, Quasi-experimentoResumen
La forma de percibir los estímulos y procesarlos influye directamente en nuestras respuestas hacia el entorno y por tanto en nuestra relación con los otros. Los trastornos del neurodesarrollo como el autismo (TEA) están relacionados con deficiencias en la percepción sensorial. Una de las formas de intervención con alumnos con TEA se centra en las buenas prácticas sensoriales El objetivo de esta investigación es valorar el impacto que las intervenciones en estimulación sensorial tienen en este colectivo. Han participado 27 alumnos de entre 3 y 18 años, diagnosticados con TEA según los criterios del DSM-5 (n=7 grado 1; n=8 grado 2; n=12 grado 3). Asistieron a una intervención basada en los ambientes multisensoriales Snoezelen y se les aplicó el inventario Perfil Sensorial-2 de Dunn (2014). Los resultados muestran que la intervención mejora el procesamiento sensorial del alumnado con TEA de grado 3 y grado 1. Sin embargo, el alumnado con TEA de grado 2 no experimentan mejorías estadísticamente significativas debidas a la intervención. Se especula que estos alumnos pueden necesitar más tiempo de intervención para beneficiarse de los efectos de la intervención.
Citas
Allely CS. Pain Sensitivity and Observer Perception of Pain in Individuals with Autistic Spectrum Disorder. The Scientific World Journal. 2013;2013:1-20.
Dawson G, Watling R. Interventions to facilitate auditory, visual, and motor integration in autism: A review of the evidence. J Autism Dev Disord. 2000;30:415-21.
Vives-Vilarroig J, Ruiz-Bernardo P, García-Gómez A. Sensory integration and its importance in learning for children with autism spectrum disorder. Brazilian Journal of Occupational Therapy. 2022;30:1-16.
Fonseca Angulo R, Moreno Zuleta N, Crissien-Quiroz E, Blumtritt C. Perfil sensorial en niños con trastorno del espectro autista. Archivos Venezolanos de Farmacología y Terapéutica. 2020;39:105-11.
Ayres AJ, Robbins J. Sensory integration and the child: Understanding hidden sensory challenges. Western psychological services; 2005.
Serrano P. La integración sensorial en el desarrollo y aprendizaje infantil. Ediciones N, editor. 2019.
Ahn RR, Miller LJ, Milberger S, McIntosh DN. Prevalence of parents’ perceptions of sensory processing disorders among kindergarten children. American Journal of Occupational Therapy. 2004;58:287-93.
Ghanizadeh A. Is thermal regulation processing involved in the etiology of self injury of skin in autism? Iran J Pediatr [Internet]. 2009;19:84-5. Recuperado a partir de: https://www.sid.ir/en/journal/ViewPaper.aspx?ID=133578
Dubois A, Rattaz C, Pry R, Baghdadli A. Autisme et Douleur – Analyse Bibliographique. Pain Res Manag [Internet]. 2010;15:749275. Recuperado a partir de: https://doi.org/10.1155/2010/749275
Ismael N, Lawson LM, Hartwell J. Relationship between sensory processing and participation in daily occupations for children with autism spectrum disorder: A systematic review of studies that used Dunn’s sensory processing framework. American Journal of Occupational Therapy. 2018;72.
Sesso G, Cristofani C, Berloffa S, Cristofani P, Fantozzi P, Inguaggiato E, et al. Autism spectrum disorder and disruptive behavior disorders comorbidities delineate clinical phenotypes in attention-deficit hyperactivity disorder: Novel insights from the assessment of psychopathological and neuropsychological profiles. J Clin Med. 2020;9:3839.
Spira G, Mair E Ben, Schecter D, Botzer M. The Relationship Between Sleep Behaviors and Sensory Modulation Disorders (SMD) in Children Ages 5 to 11 Years. American Journal of Occupational Therapy. 2019;73:7311500027p1-7311500027p1.
Tzischinsky O, Meiri G, Manelis L, Bar-Sinai A, Flusser H, Michaelovski A, et al. Sleep disturbances are associated with specific sensory sensitivities in children with autism. Mol Autism. 2018;9:1-10.
Uljarević M, Baranek G, Vivanti G, Hedley D, Hudry K, Lane A. Heterogeneity of sensory features in autism spectrum disorder: Challenges and perspectives for future research. Autism Research. 2017;10:703-10.
Ben-Sasson A, Hen L, Fluss R, Cermak SA, Engel-Yeger B, Gal E. A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. J Autism Dev Disord. 2009;39:1-11.
Ben-Sasson A, Gal E, Fluss R, Katz-Zetler N, Cermak SA. Update of a Meta-analysis of Sensory Symptoms in ASD: A New Decade of Research. J Autism Dev Disord. 2019;49:4974-96.
DeBoth KK, Reynolds S. A systematic review of sensory-based autism subtypes. Res Autism Spectr Disord [Internet]. 2017;36:44-56. Recuperado a partir de: http://dx.doi.org/10.1016/j.rasd.2017.01.005
Bogdashina O. Sensory perceptual issues in autism and asperger syndrome: different sensory experiences-different perceptual worlds. Jessica Kingsley Publishers.; 2016.
Kern JK, Garver CR, Carmody T, Andrews AA, Trivedi MH, Mehta JA. Examining sensory quadrants in autism. Res Autism Spectr Disord. 2007;1:185-93.
Schaaf RC, Dumont RL, Arbesman M, May-Benson TA. Efficacy of occupational therapy using ayres sensory integration®: A systematic review. American Journal of Occupational Therapy. 2018;72.
Schoen SA, Lane SJ, Mailloux Z, May‐Benson T, Parham LD, Smith Roley S, et al. A systematic review of ayres sensory integration intervention for children with autism. Autism Research. 2019;12:6-19.
Weitlauf AS, Sathe N, McPheeters ML, Warren ZE. Interventions targeting sensory challenges in autism spectrum disorder: A systematic review. Pediatrics. 2017;139.
Kashefimehr B, Kayihan H, Huri M. The effect of sensory integration therapy on occupational performance in children with autism. OTJR (Thorofare N J). 2018;38:75-83.
Gómez-Marí I, Tárraga-Mínguez R. Efectos de la estimulación sensorial en la conducta adaptativa del alumnado con TEA: un estudio de caso. Revista Psicologia, Diversidade e Saúde. 2019;8:333.
Rozen AM. The effects of a Snoezelen environment on a seven-year-old male with severe autism. Extrait le. 2005;17.
Teodoro R, Maria Leonor M, Rodrigues A, Picado L. The contributions of snoezelen therapy in autism spectrum disorder. World Journal of Advance Healthcare Research. 2018;2:62-4.
Stadele ND, Malaney LA. The effects of a multisensory environment on negative behavior and functional performance on individuals with autism. Journal of undergraduate research University of Winsconsin-La Crosse. 2001;
McKee SA, Harris GT, Rice ME, Silk L. Effects of a Snoezelen room on the behavior of three autistic clients. Res Dev Disabil [Internet]. 2007;28:304-16. Recuperado a partir de: https://www.sciencedirect.com/science/article/pii/S0891422206000461
Bova S. Effects of Multi-sensory Environment on Adults with Autism who Experience Repetitive Patterns of Behavior. 2018;
Martin P. Effets d’une prise en charge Snoezelen sur les troubles du comportement d’adultes autistes: Effects of Snoezelen on the behavioral problems of adults with autism. Revue francophone de la déficience intellectuelle. 2003;14:151-62.
Mey SC, Cheng LM, Ching LW. The effect of a multisensory program on children with autism. Int J Child Dev Ment Health. 2015;3:36-47.
Fagny M. L’impact de la technique du" snoezelen’sur les comportements indiquant l’apaisement chez des adultes autistes. Revue francophone de la déficience intellectuelle. 2000;11:105-15.
Pfeiffer B, Coster W, Snethen G, Derstine M, Piller A, Tucker C. Caregivers’ perspectives on the sensory environment and participation in daily activities of children with autism spectrum disorder. American Journal of Occupational Therapy. 2017;71:1-9.
Novakovic N, Milovancevic MP, Dejanovic SD, Aleksic B. Effects of Snoezelen—Multisensory environment on CARS scale in adolescents and adults with autism spectrum disorder. Res Dev Disabil. 2019;89:51-8.
Unwin KL, Powell G, Jones CRG. The use of Multi-Sensory Environments with autistic children: Exploring the effect of having control of sensory changes. Autism. 2022;26:1379-94.
Dunn W. Perfil sensorial-2. Madrid: Pearson; 2014.
Dunn W. The sensations of everyday life: Empirical, theoretical, and pragmatic considerations. American Journal of Occupational Therapy. 2001;55:608-20.
Mills C, Chapparo C. Listening to teachers: Views on delivery of a classroom based sensory intervention for students with autism. Aust Occup Ther J. 2018;65:15-24.
Asociación Americana de Psiquiatría A. Guia de consulta de los Criterios Diagnósticos del DSM-V Arlington. VA: American Psychiatric publishing. 2013.
Fazlioǧlu Y, Baran G. A sensory integration therapy program on sensory problems for children with autism. Percept Mot Skills. 2008;106:415-22.
Miller LJ, Coll JR, Schoen SA. A randomized controlled pilot study of the effectiveness of occupational therapy for children with sensory modulation disorder. American Journal of Occupational Therapy. 2007;61:228-38.
Padmanabha H, Singhi P, Sahu JK, Malhi P. Home-based Sensory Interventions in Children with Autism Spectrum Disorder: A Randomized Controlled Trial. Indian J Pediatr. 2019;86:18-25.
Watling RL, Dietz J. Immediate effect of Ayres’s sensory integration–based occupational therapy intervention on children with autism spectrum disorders. American Journal of Occupational Therapy. 2007;61:574-83.
Cárcel López MD, Ferrando Prieto M. Variación del perfil sensorial de alumnos con trastorno del espectro autista escolarizados en un centro ordinario versus perfil sensorial de alumnos neurotípicos. XV Congreso Internacional Gallegoportugués de Psicopedagogía: II Congreso de la Asociación Científica Internacional de Psicopedagogía (A Coruña, 4-6 de septiembre de 2019). A Coruña: Universidade da Coruña; 2019. p. 3407-18.
Suarez MA. Sensory processing in children with autism spectrum disorders and impact on functioning. Pediatr Clin North Am [Internet]. 2012;59:203-14. Recuperado a partir de: http://dx.doi.org/10.1016/j.pcl.2011.10.012
Lang R, O’Reilly M, Healy O, Rispoli M, Lydon H, Streusand W, et al. Sensory integration therapy for autism spectrum disorders: A systematic review. Res Autism Spectr Disord [Internet]. 2012;6:1004-18. Recuperado a partir de: http://dx.doi.org/10.1016/j.rasd.2012.01.006
Chan S, Fung MY, Tong CW, Thompson D. The clinical effectiveness of a multisensory therapy on clients with developmental disability. Res Dev Disabil. 2005;26:131-42.
Lane AE, Young RL, Baker AEZ, Angley MT. Sensory processing subtypes in autism: Association with adaptive behavior. J Autism Dev Disord. 2010;40:112-22.
Unwin KL, Powell G, Jones CRG. A sequential mixed-methods approach to exploring the experiences of practitioners who have worked in multi-sensory environments with autistic children. Res Dev Disabil [Internet]. 2021;118:104061. Recuperado a partir de: https://www.sciencedirect.com/science/article/pii/S0891422221002109
Habbak ALZ, Khodeir L. Multi-sensory interactive interior design for enhancing skills in children with autism. Ain Shams Engineering Journal. 2023;14:102039.
Swathi K. Behaviour Modification Techniques Using Music, Play and Snoezelen Techniques in Autism Spectrum Disorder and Un-Cooperative Children-A Comparative Study. Rajiv Gandhi University of Health Sciences (India); 2016.
Kashefimehr B, Kayihan H, Huri M. The effect of sensory integration therapy on occupational performance in children with autism. OTJR (Thorofare N J). 2018;38:75-83.
Descargas
Estadísticas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 María Dolores Cárcel López, Mercedes Ferrando-Prieto
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.