De Domenico Carmela, Di Cara Marcella, Piccolo Adriana, Settimo Carmela, Leonardi Simona, Giuffrè Grazia, De Cola Maria Cristina, Cucinotta Fabio, Tripodi Emanuela, Impallomeni Caterina, Quartarone Angelo, Cucinotta Francesca
IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy.
Istituto Superiore G. Minutoli, 98100 Messina, Italy.
J Clin Med. 2024 Jul 16;13(14):4162. doi: 10.3390/jcm13144162.
: Autism spectrum disorder (ASD) is a complex neurological development with social and communication deficits and sensory abnormalities. Sensory problems have a significant impact on daily life. Multisensory environments (MSEs), such as Snoezelen rooms, offer controlled sensory stimulation. This study aims to evaluate the effect of MSE intervention with self-controlled sensory interactions on adaptive developmental skills and sensory responses in preschool ASD children. This pilot study was single-blind, randomized, controlled, and adhered to the CONSORT guidelines. Twenty participants were recruited and randomized into two groups: the control group (CG) underwent treatment as usual (TAU) with individual rehabilitation sessions of psychomotor therapy. The experimental group (EG) underwent TAU integrated with the use of an MSE. Developmental abilities and severity levels were assessed, pre-post, with the Psychoeducational Profile, Third Edition (PEP-3) and the Second Edition Childhood Autism Rating Scale (CARS-2). A significant difference in taste, smell, and tactile behaviors according to the CARS-2, as well as in gross motor skills according to the PEP-3, was observed in the EG. This pilot study suggests that MSE-integrated intervention may be a valid strategy to improve self-management of the sensory profile in autistic individuals. Further studies are needed to better identify the intervention methodology and effectiveness.
自闭症谱系障碍(ASD)是一种复杂的神经发育障碍,伴有社交和沟通缺陷以及感觉异常。感觉问题对日常生活有重大影响。多感官环境(MSEs),如斯诺泽伦室,提供可控的感觉刺激。本研究旨在评估自我控制感觉互动的MSE干预对学龄前ASD儿童适应性发展技能和感觉反应的影响。这项初步研究是单盲、随机、对照的,并遵循CONSORT指南。招募了20名参与者并随机分为两组:对照组(CG)接受常规治疗(TAU),进行个体康复运动疗法治疗。实验组(EG)接受TAU并结合使用MSE。使用第三版心理教育档案(PEP - 3)和第二版儿童自闭症评定量表(CARS - 2)在干预前后评估发育能力和严重程度水平。在EG组中,根据CARS - 2观察到味觉、嗅觉和触觉行为有显著差异,根据PEP - 3观察到粗大运动技能有显著差异。这项初步研究表明,整合MSE的干预可能是改善自闭症个体感觉特征自我管理的有效策略。需要进一步研究以更好地确定干预方法和有效性。