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Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

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Page 1: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah DobbsMSOT/S 12

Page 2: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Background Literature

•Autism Spectrum Disorders• DSM IV criteria: issues in social

interaction, communication, and repeated behaviors

• Sensory issues are NOT part of criteria • 30%-100% of children with ASD have

sensory-perceptual abnormalities of some sort

Watling, 2001

Page 3: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Sensory Issues

• Sensory Processing Disorder-sensory system does not regulate information with correct responses

• Sensory Modulation Disorder-difficulty responding to sensory input with behavior that is graded relative to the degree, nature, or intensity of the sensory information. • hyposensitivies and hypersensitivies Miller (2007)

Page 4: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Sensory relation to OT

•Sensory processing can influence developmental milestones as well as behavior. This can impact areas of ▫ADLs▫IADLs▫Work▫Leisure

Page 5: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Sensory Assessments in OT

•Sensory processing is often gathered by OT’s to initiate a baseline to help determine▫Effective sensory treatment▫Sensory appropriate goal setting▫Relations to children’s occupations based

on sensory processing information

Page 6: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Sensory Assessments: Sensory Profile

•Developed by Dunn in 1999•125 item questionnaire •Describes responses to sensory events

and potential processing problems (1-5 pt scale)

•Eight categories •Standardized•Uses Dunn’s sensory quadrants

Page 7: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Background Lit-Sensory Quadrants

Neurological ThresholdBehavioral Response/Self-Regulation

Continuum

  Passive Active

     

High Threshold (habituation) Registration Seeking

Low Threshold (sensitization)

Sensitivity Avoiding

Dunn

Page 8: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Sensory Assessments: SensOR

•Developed in 2008•Based on objective data•7 sensory domains•11 scoring options

Page 9: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Problem Statement

•A child’s sensory baseline information is gathered by a caregiver or teacher in the form of a questionnaires of current standard practice.

•The problem is they are not observational measures.

•Shift in sensory assessment towards objective data needs to occur.

Page 10: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Problem Statement

•The purpose of this study is to determine if caregiver or teacher perspectives of a child sensory system are adequate by the comparison of the Sensory Profile of a child to the same child’s score on the clinically observable SensOR Inventory Assessment.

Page 11: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Hypothesis

•Although the Sensory Profile has been ruled to be reliable and valid, for the purposes of this study I predict that there will be discrepancies between the data gathered by the Sensory Profile verses data from the SensOR.

Page 12: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

Target Population

•50 children with and without ASD•Clayton Academy•Attempt to control for age/gender

Page 13: Comparison of Sensory Profile and SensOR scores of children with and without Autism Sarah Dobbs MSOT/S 12

References • Ahn, R. R., Miller, L. J., Milberger, S., & McIntosh, D. N. (2004). Prevalence of parents’ perceptions of

sensory processing disorders among kindergarten children. American Journal of Occupational Therapy, 58, 287-293.

• Dunn, W. (2001). The sensations of everyday life: Empirical, theoretical, and pragmatic considerations, 2001 Eleanor Clarke Slagle lecture. American Journal of Occupational Therapy, 55, 608–620.

• Ermer, J. & Dunn, W. (1998). The sensory profile: A discriminant analysis of children with and without disabilities. The American Journal of Occupational Therapy, 52(4), 283-291

• Hilton, C., Graver, K., & LaVesser, P. (2007). Relationship between social competence and sensory processing in children with high functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 1, p. 164-173

• May-Benson, T. A., & Koomar, J. A. (2010). Systematic review of the research evidence examining the effectiveness of interventions using a sensory integrative approach for children. American Journal of Occupational Therapy, 64, 403–414. doi: 10.5014/ajot.2010.09071

• Mayer, M. L., White, B. P., Ward, J. D., & Barnaby, E. M. (2002). Therapists’ perceptions about making a difference in parent-child relationships in early intervention occupational therapy services. American Journal of Occupational Thearpy, 56, 411-421.

• Miller, L. J., Anzalone, M. E., Lane, S. J., Cermak, S. A., & Osten, E. T.(2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. The American Journal of Occupational Therapy, 61(2), 135-140.

• Miller, L. J., Coll, J. R., & Schoen, S. A. (2007). A randomized controlled pilot study of the effectiveness of occupational therapy for children with sensory modulation disorder. American Journal of Occupational Therapy, 61, 228-238.

• Schaaf, R. C., & Nightlinger, K. M. (2007). Occupational therapy using a sensory integrative approach: A case study of effectiveness.American Journal of Occupational Therapy, 61, 239-246.

• Schoen, S. A., Miller, L. J., & Green, K. E. (2008). Pilot study of the sensory over-responsivity scales: Assessment and inventory. The American Journal of Occupational Therapy, 62(4), 393-406.

• Tomchek, S. D., & Dunn. W. (2007) Sensory processing in children with and without autism: A comparative study using the short sensory profile. American Journal of Occupational Therapy, 61, 190-200.

• Watling, R. L., Deitz, J., & White, O. (2001). Comparison of Sensory Profile scores of young children with and without autism spectrum disorders. American Journal of Occupational Therapy, 55, 416–423.