The Evaluation of Sensory Integration and Partial Pragmatic Communication Abilities in Children with Autism Spectrum Disorder with the Application of a New Evaluation Material. Speech-Language Therapy Approach
Abstract
Autism spectrum disorder (ASD) is associated with variable communication difficulties and disorders, mostly detected in pragmatic language abilities, sensory integration, and imitation. These components are important for a comprehensive speech-language therapy (SLT) intervention. This article describes the application of a new evaluation material for assessing imitation abilities, partial pragmatic abilities based on the recognition of graphical visual diagrams, and sensory integration in two boys with ASD (diagnosed with childhood autism in accordance with International Classification of Diseases, 10th Revision, WHO) with sensory integration difficulties, dyspraxia symptoms, and imitation skill disturbances. The main objective is to identify potential obstacles to SLT efficiency and the causes of disturbed pragmatic language abilities. The analysis of the case studies shows some progress in communication ability; however, some of the abilities related to sensory integration have been partially inhibited. In one case, we suggest the possible influence of the individual therapy based on the described detailed assessment.
Keywords
autism spectrum disorder; speech-language therapy; sensory integration; sensory processing disorder; communication disorder; special needs education
References
Alvarez S: Early Communication Development in Infants at High and Low Genetic Risk for Autism Spectrum Disorders: an Examination of Communication Spontaneity [e-book]. ProQuest LLC; 2013. Available from: ERIC, Ipswich, MA. [access: 25.05.2018].
Berenguer C., Miranda A., Roselló B., Colomer C., Baixauli I.: Contribution of Theory of Mind, Executive Functioning, and Pragmatics to Socialization Behaviors of Children with High-Functioning Autism. “Journal of Autism And Developmental Disorders” 2018, vol. 48, pp. 430‒441. Available from: 10.1007/s10803-017-3349-0. [access: 02.02.2018].
Bishop S L., Farmer C., Bal V., Robinson E., Willsey A., Werling D., Havdahl K., Sanders S., Thurm A.: Identification of Developmental and Behavioral Markers Associated With Genetic Abnormalities in Autism Spectrum Disorder, “American Journal Of Psychiatry” 2017, vol. 174(6), pp. 576. Available from: 10.1176/appi.ajp.2017.16101115 [access: 25.02.2018].
Dockrell J. E., Howell P.: Identifying the challenges and opportunities to meet the needs of children with speech, language and communication difficulties. “British Journal of Special Education” 2015, vol. 42(4), pp. 411‒428. Available from: https://doi.org/10.1111/1467-8578.12115. [access: 4.07.2018].
Farmer M., Echenne B., Bentourkia M.: Original article: Study of clinical characteristics in young subjects with Developmental coordination disorder. “Brain and Development” 2016, vol. 38(6), pp. 538‒547. Available from: https://doi.org/10.1016/j.braindev.2015.12.01. [access: 15.05.2018].
Homberg J. R., Kyzar E. J., Scattoni M. L., Norton W. H., Pittman J., Gaikwad S., Nguyen M., Poudel M. K., Ullmann J. F., Diamond D. M., Kaluyeva A. A., Parker M. O., Brown R. E., Song C., Gainetdinov R. R., Gottesman I. I., Kalueff A. V. Review: Genetic and environmental modulation of neurodevelopmental disorders: Translational insights from labs to beds. “Brain Research Bulletin 2016, vol. 125, pp. 79‒91. Available from: 10.1016/j.brainresbull. 2016.04.015. [Access: 25.02.2018].
Keen D., Meadan H., Brady N., Halle J.: Prelinguistic And Minimally Verbal Communicators On The Autism Spectrum [e-book]. New York, NY, US, Springer Science + Business Media; 2016. Available from: PsycINFO, Ipswich, MA. [access: 21.01.2018].
Larkin F., Hobson J. A., Hobson R. P., Tolmie A.: Research paper: Collaborative competence in dialogue: Pragmatic language impairment as a window onto the psychopathology of autism. “Research in Autism Spectrum Disorders” 2017, vol. 43‒44, pp. 27‒39. Available from: 10.1016/j.rasd.2017.09.004 [access: 19.03.2018].
Lindsay G., Dockrell J.: The relationship between speech, language and communication needs (SLCN) and behavioural, emotional and social difficulties (BESD), 2012. [research report Ref: DFE-RR247-BCRP6], Available from: DOI:10.13140/2.1.2540.6721 [access: 23.11.2018].
Meschi E., Micklewright J., Vignoles A., Lindsay G.: The transitions between categories of special educational needs of pupils with Speech, Language and Communication Needs (SLCN) and Autism Spectrum Disorder (ASD) as they progress through the education system. Research report. [Report number: DFE-RR247-BCRP11]. Available from: 10.13140/2.1.1754.2404 [access: 25.02.2018].
Miller M., Chukoskie L., Zinni M., Townsend J., Trauner D.: Research report: Dyspraxia, motor function and visual-motor integration in autism. “Behavioural Brain Research” 2014, vol. 269, pp. 95‒102. Avalaible from: 10.1016/j.bbr.2014.04.011 [access: 15.08.2016].
Moseley R. L., Pulvermüller F.: Special issue: Review: What can autism teach us about the role of sensorimotor systems in higher cognition? New clues from studies on language, action semantics, and abstract emotional concept processing, “Cortex“ 2018, vol. 100, pp. 149‒190. Available from: 10.1016/j.cortex.2017.11.019 [access: 2.02.2018].
Posar P., Visconti P. Sensory abnormalities in children with autism spectrum disorder. “Jornal de Pediatria” (Versão em Português), 2018, vol. 94(4), pp. 342‒350. Available from: https://doi.org/10.1016/j.jped.2017.08.008 [access: 29.11.2018].
Ruggieri V., Arberas C.: Trastornos generalizados del desarrollo: Aspectos clínicos y genéticos Pervasive developmental disorders: Clinical and genetics aspects . “Medicina” 2007, vol. 67(6), pp. 569‒585. Available from: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802007000700006&lng=es [access: 25.02.2018].
Sharer E., Crocetti D., Muschelli J., Barber A. D., Nebel M. B., Caffo B. S., Pekar J. J., … Mostofsky S. H.: Neural Correlates of Visuomotor Learning in Autism. “Journal of Child Neurology” 2015, vol. 30(14), pp. 1877‒1886. Available from: https://doi.org/10.1177/0883073815600869 [access: 6.10.2018].
Tavassoli T., Miller L. J., Schoen S.A., Brout J.J., Sullivan J., Baron-Cohen S.: Sensory reactivity, empathizing and systemizing in autism spectrum conditions and sensory processing disorder. “Developmental cognitive neuroscience” 2018, 29, pp. 72‒77. Available from: https://doi.org/10.1016/j.dcn.2017.05.005 [access: 14.04.2018].
Taylor L. J., Maybery M. T., Wray J., Ravine D., Hunt A., Whitehouse A. O.: Brief Report: Do the Nature of Communication Impairments in Autism Spectrum Disorders Relate to the Broader Autism Phenotype in Parents? “Journal of Autism & Developmental Disorders” 2013, vol. 3(12), pp. 2984‒2989. Available from:10.1007/s10803-013-1838-3 [access: 15.06.2018].
Tung L. C., Lin C. K., Hsieh C. C., Chen C.C., Huang C. T., Wang C. H.: Sensory integration dysfunction affects efficacy of speech therapy on children with functional articulation disorders. “Neuropsychiatric Disease and Treatment” 2013; vol. 9, pp. 87‒92. Available from: 10.2147/NDT.S40499 [access: 18.03.2018].
Vitásková K, Kytnarová L.: The evaluation of pragmatic level of language in children with autism spectrum disorder. Olomouc, Univerzita Palackého 2018.
Vitásková K., Kytnarová L.: The Role of Speech and Language Therapist in Autism Spectrum Disorders Intervention – An Inclusive Approach. In: Advances in Speech-language Pathology. Ed. F.D.M. Fernandes. Rijeka, InTech 2017, pp. 355‒370. Available from: 10.5772/intechopen.70235 [access: 15.06.2018].
Vitásková K., Říhová A.: Challenges Resulting from Pragmatic Language Level Difficulties and Their Recognition in Children with Autism Spectrum Disorders. In: Teilhabe und Vielfalt: Herausforderungen einer Weltgesellschaft. Eds. I. Hedderich, R. Zahnd. Bad Heilbrunn, Verlag Julius Klinkhardt 2016, pp. 222‒230. Available from: http://www.klinkhardt.de/verlagsprogramm/2059.html [access: 15.06.2018].
Vitásková K., Málková M., Hlavinková A.: Ověřování výzkumných možností diagnostiky orální stereognozie v oblasti symptomatických poruch řeči u dětí – význam pro interdisciplinární praxi. In: PhD existence 2016 Česko-slovenská psychologická konference (nejen) pro doktorandy a o doktorandech. Sborník odborných příspěvků. Olomouc, Univerzita Palackého v Olomouci 2016, pp. 124‒131. Available from: http://contexo.cz/files/other/filemanager/Files/PHD%20VI/phdexistence2016_web2.pdf.
Vitásková, K, Říhová A., Dostálová L.: The Consequences of Pragmatic Language Level Impairment and Auditory Agnosia in Individuals with Autism Spectrum Disorder. In: EDULEARN14 Proceedings, Madrid, IATED 2014, pp. 7432‒7440.
Institute of Special Education Studies, Department of Speech and Language Therapy and Communication Ability Studies, Palacký University in Olomouc Czechia
https://orcid.org/0000-0002-6607-0808
Institute of Special Education Studies, Department of Speech and Language Therapy and Communication Ability Studies, Palacký University in Olomouc Czechia
https://orcid.org/0000-0001-5322-5260
The Copyright Owners of the submitted texts grant the Reader the right to use the pdf documents under the provisions of the Creative Commons 4.0 International License: Attribution-Share-Alike (CC BY SA). The user can copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose.
1. License
The University of Silesia Press provides immediate open access to journal’s content under the Creative Commons BY-SA 4.0 license (http://creativecommons.org/licenses/by-sa/4.0/). Authors who publish with this journal retain all copyrights and agree to the terms of the above-mentioned CC BY-SA 4.0 license.
2. Author’s Warranties
The author warrants that the article is original, written by stated author/s, has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author/s.
If the article contains illustrative material (drawings, photos, graphs, maps), the author declares that the said works are of his authorship, they do not infringe the rights of the third party (including personal rights, i.a. the authorization to reproduce physical likeness) and the author holds exclusive proprietary copyrights. The author publishes the above works as part of the article under the licence "Creative Commons Attribution-ShareAlike 4.0 International".
ATTENTION! When the legal situation of the illustrative material has not been determined and the necessary consent has not been granted by the proprietary copyrights holders, the submitted material will not be accepted for editorial process. At the same time the author takes full responsibility for providing false data (this also regards covering the costs incurred by the University of Silesia Press and financial claims of the third party).
3. User Rights
Under the CC BY-SA 4.0 license, the users are free to share (copy, distribute and transmit the contribution) and adapt (remix, transform, and build upon the material) the article for any purpose, provided they attribute the contribution in the manner specified by the author or licensor.
4. Co-Authorship
If the article was prepared jointly with other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.
I hereby declare that in the event of withdrawal of the text from the publishing process or submitting it to another publisher without agreement from the editorial office, I agree to cover all costs incurred by the University of Silesia in connection with my application.