Sensory Integration Therapy and Occupational Therapy for HFA Children

“What does sensory integration therapy entail? And is it effective for children with high functioning autism?”

Sensory integration therapy is often used alone or as part of a broader program of occupational therapy for kids on the autism spectrum. The goal of this particular therapy is not to teach specific skills or behaviors, but to remediate deficits in neurologic processing and integration of sensory information to allow the youngster to interact with the environment in a more adaptive way.

Unusual sensory responses are common in young people with Asperger's and High-Functioning Autism (HFA), but there’s no good evidence that these symptoms differentiate HFA from other developmental disorders. The effectiveness of sensory integration therapy has not been demonstrated objectively. “Sensory” activities may be helpful as part of an overall program that uses desired sensory experiences to reinforce a desired behavior, help with transitions between activities, and calm the HFA youngster

Occupational therapy is often provided to promote development of self-care skills (e.g., using utensils, personal hygiene, manipulating fasteners, dressing, etc.) and academic skills (e.g., writing, cutting with scissors, etc.). Occupational therapists also may assist in modifying classroom materials and routines to improve attention and organization, promoting development of play skills, and providing prevocational training. However, research regarding the effectiveness of occupational therapy in autism spectrum disorders is lacking.

The Aspergers Comprehensive Handbook

Gastrointestinal Problems in Asperger’s Children

“Is there a correlation between gastrointestinal issues and Asperger Syndrome? Our son seems to be very sensitive to certain foods, especially bread and milk (they cause him to cramp).”

The relationship between gastrointestinal problems and Asperger’s (high functioning autism) is unclear, because most studies have not examined representative groups of kids with Asperger’s compared with appropriate controls. Surveys published in the gastroenterology literature have stated that gastrointestinal problems (e.g., constipation, diarrhea) occur in 46% to 85% of Asperger’s kids. Lower rates in the range of 17% to 24% have been reported in other population-based studies. One case-control study in the United Kingdom found that only 9% of young people with Asperger’s had a history of gastrointestinal complaints. Conversely, in one cross-sectional study that used structured interviews and matched control groups, a lifetime history of gastrointestinal symptoms (e.g., abnormal stool pattern, frequent constipation, frequent vomiting, frequent abdominal pain, etc.) was found in 70% of Asperger’s kids compared with 42% of the kids with other developmental disabilities and 28% of the kids without developmental disabilities.

In young people with Asperger’s undergoing endoscopy, colitis, duodenitis, gastritis, high rates of lymphoid nodular hyperplasia, and histologically subtle esophagitis have been described. Evidence suggests that some immunohistochemical features may be unique to inflammation associated with Asperger’s.

The existing literature does not support routine specialized gastroenterological testing for asymptomatic “Aspies.” However, if a youngster on the autism spectrum presents with symptoms (e.g., chronic or recurrent abdominal pain, vomiting, diarrhea, constipation, etc.), it is reasonable to evaluate the gastrointestinal tract. Gastrointestinal discomfort also should be considered in a youngster who presents with a change in behavior (e.g., outbursts of aggression, meltdowns, self-injury, etc.). Radiographic evidence of constipation has been found to be more common in young people with Asperger’s than in controls with abdominal pain (36% vs 10%).

The Aspergers Comprehensive Handbook

Teaching Students with High-Functioning Autism

Students with High Functioning Autism (HFA) exhibit difficulty in appropriately processing in-coming information. Their brain's ability to take in, store, and use information is significantly different than other developing children. HFA students can present a challenge for the most experienced teacher. Here are some important tips that teachers with HFA students will need to be aware of:

Teaching Students with Aspergers and HFA