Nancy Bagatell, Gina Mirigliani, Chrissa Patterson, Yadira Reyes, Lisa Test; Effectiveness of Therapy Ball Chairs on Classroom Participation in Children With Autism Spectrum Disorders. Am J Occup Ther 2010;64(6):895-903. doi: 10.5014/ajot.2010.09149.
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A single-subject design was used to assess the effectiveness of therapy ball chairs on classroom participation in 6 boys with autism spectrum disorder (ASD). The sensory processing pattern of each participant was assessed using the Sensory Processing Measure. Data on in-seat behavior and engagement were collected using digital video recordings during Circle Time. During baseline, participants sat on chairs. During intervention, participants sat on therapy ball chairs. Social validity was assessed by means of a questionnaire completed by the teacher. Each child demonstrated a unique response. The ball chair appeared to have a positive effect on in-seat behavior for the child who had the most extreme vestibular–proprioceptive-seeking behaviors. Children with poor postural stability were less engaged when sitting on the therapy ball chair. The results illuminate the complex nature of children with ASD and the importance of using sound clinical reasoning skills when recommending sensory strategies for the classroom.
What effect do therapy ball chairs have on in-seat behavior?
What effect do therapy ball chairs have on engagement?
What are teachers’ perceptions of the use of the therapy ball chair?
What do children with ASD prefer to use as a seating device?
Which children (with which types of sensory processing patterns) respond best to the use of the therapy ball chair?
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