{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:37:31Z","timestamp":1787027851614,"version":"build-2736575974"},"reference-count":47,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001823","name":"Ministry of Education Youth and Sports","doi-asserted-by":"publisher","award":["DSGC-2021-0145"],"award-info":[{"award-number":["DSGC-2021-0145"]}],"id":[{"id":"10.13039\/501100001823","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>The theory of Ayres Sensory Integration\u00ae was formulated in the 1960s, and is also known as sensory integration (SI). It has been used in people with cerebral palsy (CP), though the research evidence for its effects in this population is contradictory and inconclusive. To fill in this knowledge gap, we conducted a scoping review of the body of literature on the topic, including any type of quantitative or qualitative research of SI in people with CP without any restrictions of age, language, geography, professionals involved, etc. In September 2020, we searched Scopus, ProQuest Central, MEDLINE (via PubMed), CINAHL Plus and the Academic Search Ultimate and Web of Science, as well as the grey literature sources OpenGrey and MedNar. Two reviewers independently screened the texts and the references lists of the included papers. We finally included seven relevant papers (four randomized controlled trials, two quasi-experimental studies and one case series), though not all fidelity measures required for Ayres SI were reported in the papers. The age of participants ranged from 3 months to 15 years; no studies were identified on adults. There is some evidence that SI or related sensory-based interventions (SBI) may be useful for movement development and other outcomes (attention span, therapy of sensory processing disorders, body perception and therapy of strabismus), but there is only scarce and low-quality evidence comparing interventions. We recommend to conduct well-designed randomized controlled trials (RCTs) with an optimal sample size on the effectiveness of formal Ayres SI for the motor development or other outcomes (as attention span or self-care abilities) using standardized measurement tools.<\/jats:p>","DOI":"10.3390\/children9040483","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T21:22:39Z","timestamp":1648848159000},"page":"483","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["The Effects of Ayres Sensory Integration and Related Sensory Based Interventions in Children with Cerebral Palsy: A Scoping Review"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6016-3408","authenticated-orcid":false,"given":"Ji\u0159\u00ed","family":"Kantor","sequence":"first","affiliation":[{"name":"Center of Evidence-Based Education & Arts Therapies: A JBI-Affiliated Group, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucie","family":"Hlav\u00e1\u010dkov\u00e1","sequence":"additional","affiliation":[{"name":"Institute of Special Education Studies, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3293-3329","authenticated-orcid":false,"given":"Jian","family":"Du","sequence":"additional","affiliation":[{"name":"Center of Evidence-Based Education & Arts Therapies: A JBI-Affiliated Group, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"},{"name":"Institute of Special Education Studies, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Dvo\u0159\u00e1kov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, General University Hospital in Prague, 128 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5368-0471","authenticated-orcid":false,"given":"Zuzana","family":"Svobodov\u00e1","sequence":"additional","affiliation":[{"name":"Center of Evidence-Based Education & Arts Therapies: A JBI-Affiliated Group, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"},{"name":"Faculty of Health Sciences, Palack\u00fd University, 775 15 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krist\u00fdna","family":"Karasov\u00e1","sequence":"additional","affiliation":[{"name":"Institute of Special Education Studies, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1990-1290","authenticated-orcid":false,"given":"Lucia","family":"Kantorov\u00e1","sequence":"additional","affiliation":[{"name":"Center of Evidence-Based Education & Arts Therapies: A JBI-Affiliated Group, Faculty of Education, Palack\u00fd University, 779 00 Olomouc, Czech Republic"},{"name":"The Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech CEBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Kamenice 753\/5, 625 00 Brno, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"135","DOI":"10.5014\/ajot.61.2.135","article-title":"Concept evolution in sensory integration: A proposed nosology for diagnosis","volume":"61","author":"Miller","year":"2007","journal-title":"Am. J. Occup. Ther."},{"key":"ref_2","unstructured":"Ayres, A. (1972). Sensory Integration and Learning Disorders, Western Psychological Services."},{"key":"ref_3","first-page":"6","article-title":"Sensory Integration: A Review of the Current State of the Evidence","volume":"11","author":"Pollock","year":"2009","journal-title":"Occup. Ther. Now"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1111\/j.1440-1630.2012.01032.x","article-title":"Sensory Interventions for Children: Where Does Our Profession Stand?","volume":"59","author":"Rodger","year":"2012","journal-title":"Aust. Occup. Ther. J."},{"key":"ref_5","first-page":"CE-1","article-title":"Understanding Ayres Sensory Integration\u00ae","volume":"12","author":"Roley","year":"2007","journal-title":"OT Pract."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.5014\/ajot.2011.000745","article-title":"Development of a Fidelity Measure for Research on the Effectiveness of the Ayres Sensory Integration Intervention\u00ae","volume":"65","author":"Parham","year":"2011","journal-title":"Am. J. Occup. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1002\/aur.2046","article-title":"A Systematic Review of Ayres Sensory Integration Intervention for Children with Autism","volume":"12","author":"Schoen","year":"2019","journal-title":"Autism Res."},{"key":"ref_8","unstructured":"Schaaf, R.C., and Mailloux, Z. (2015). Clinician\u2019s Guide for Implementing Ayres Sensory Integration: Promoting Participation for Children with Autism, AOTA Press. [1st ed.]."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Schaaf, R.C., Dumont, R.L., Arbesman, M., and May-Benson, T.A. (2018). Efficacy of Occupational Therapy Using Ayres Sensory Integration\u00ae: A Systematic Review. Am. J. Occup. Ther., 72.","DOI":"10.5014\/ajot.2018.028431"},{"key":"ref_10","first-page":"81","article-title":"Effectiveness of Sensory Integration Therapy for Challenging Behaviour in Individuals with a Learning Disability: A Systematic Review...RCOT (Royal College of Occupational Therapist) Annual Conference 2017","volume":"80","author":"Podris","year":"2017","journal-title":"Br. J. Occup. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s10882-014-9408-y","article-title":"Meta-Analysis of Research on Sensory Integration Therapy for Individuals with Developmental and Learning Disabilities","volume":"27","author":"Leong","year":"2015","journal-title":"J. Dev. Phys. Disabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"403","DOI":"10.5014\/ajot.2010.09071","article-title":"Systematic Review of the Research Evidence Examining the Effectiveness of Interventions Using a Sensory Integrative Approach for Children","volume":"64","author":"Koomar","year":"2010","journal-title":"Am. J. Occup. Ther."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"571","DOI":"10.5014\/ajot.36.9.571","article-title":"Sensory Integration Therapy: Affect or Effect","volume":"36","author":"Ottenbacher","year":"1982","journal-title":"Am. J. Occup. Ther."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"189","DOI":"10.5014\/ajot.53.2.189","article-title":"A Meta-Analysis of Research on Sensory Integration Treatment","volume":"53","author":"Vargas","year":"1999","journal-title":"Am. J. Occup. Ther."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1111\/j.1469-8749.2012.04332.x","article-title":"New Insights into the Pathology of White Matter Tracts in Cerebral Palsy from Diffusion Magnetic Resonance Imaging: A Systematic Review","volume":"54","author":"Scheck","year":"2012","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1111\/j.1469-8749.2009.03306.x","article-title":"Sensory and Motor Deficits in Children with Cerebral Palsy Born Preterm Correlate with Diffusion Tensor Imaging Abnormalities in Thalamocortical Pathways","volume":"51","author":"Hoon","year":"2009","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3014","DOI":"10.1016\/j.ridd.2013.05.047","article-title":"Precision Grip Control, Sensory Impairments and Their Interactions in Children with Hemiplegic Cerebral Palsy: A Systematic Review","volume":"34","author":"Bleyenheuft","year":"2013","journal-title":"Res. Dev. Disabil."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.infbeh.2016.10.007","article-title":"Sensory Processing Disorders in Children with Cerebral Palsy","volume":"46","author":"Rocha","year":"2017","journal-title":"Infant Behav. Dev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1080\/09638280010008843","article-title":"Effectiveness of Two Different Sensory-Integration Programmes for Children with Spastic Diplegic Cerebral Palsy","volume":"23","author":"Bumin","year":"2001","journal-title":"Disabil. Rehabil."},{"key":"ref_20","first-page":"29","article-title":"Effect of Sensory Integration on Attention Span among Children with Infantile Hemiplegia","volume":"13","author":"Kashoo","year":"2019","journal-title":"Int. J. Health Sci."},{"key":"ref_21","first-page":"20","article-title":"A study examining the prevalence of sensory modulation patterns","volume":"56","author":"Daly","year":"2020","journal-title":"SensorNet Sens. Integr. Educ. News"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s11910-020-1022-z","article-title":"State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy","volume":"20","author":"Novak","year":"2020","journal-title":"Curr. Neurol. Neurosci. Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/09638280600947542","article-title":"Intervention and the Role of Theory, Empiricism and Experience in Children with Motor Impairment","volume":"29","author":"Sugden","year":"2007","journal-title":"Disabil. Rehabil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1177\/030802268905200907","article-title":"The Application of Contemporary Treatment Approaches in Occupational Therapy for Children with Cerebral Palsy","volume":"52","author":"Chu","year":"1989","journal-title":"Br. J. Occup. Ther."},{"key":"ref_25","first-page":"221","article-title":"Comparison of Sensory Integrative Therapy and Motor Programming","volume":"88","author":"Jenkins","year":"1983","journal-title":"Am. J. Ment. Defic."},{"key":"ref_26","first-page":"43","article-title":"Effect of Sensory Integration Therapy on Gross Motor Function in Children with Cerebral Palsy","volume":"3","author":"Shams","year":"2009","journal-title":"Iran. J. Child Neurol."},{"key":"ref_27","first-page":"110","article-title":"Application of Sensory Integration in Central Coordination Disorder","volume":"9","author":"Zhao","year":"2005","journal-title":"Zhongguo Linchuang Kangfu"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"396","DOI":"10.2340\/16501977-0984","article-title":"The Evidence-Base for Conceptual Approaches and Additional Therapies Targeting Lower Limb Function in Children with Cerebral Palsy: A Systematic Review Using the International Classification of Functioning, Disability and Health as a Framework","volume":"44","author":"Molenaers","year":"2012","journal-title":"J. Rehabil. Med."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Munn, Z., Peters, M.D.J., Stern, C., Tufanaru, C., McArthur, A., and Aromataris, E. (2018). Systematic Review or Scoping Review? Guidance for Authors When Choosing between a Systematic or Scoping Review Approach. BMC Med. Res. Methodol., 18.","DOI":"10.1186\/s12874-018-0611-x"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.11124\/JBIES-20-00167","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"18","author":"Peters","year":"2020","journal-title":"JBI Evid. Synth."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"Bmj"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/XEB.0000000000000277","article-title":"Updated Methodological Guidance for the Conduct of Scoping Reviews","volume":"19","author":"Peters","year":"2021","journal-title":"JBI Evid. Implement."},{"key":"ref_34","first-page":"546","article-title":"Effects of Different Patterns of Sensory Integration Training on Balance of Children with Cerebral Palsy","volume":"35","author":"Chen","year":"2020","journal-title":"Chin. J. Rehabil. Med."},{"key":"ref_35","first-page":"1896","article-title":"The Study of Strabismus Treated by Sensory Integration Curing in Children with Cerebral Palsy","volume":"6","author":"Zhou","year":"2002","journal-title":"Mod. Rehabil."},{"key":"ref_36","first-page":"31","article-title":"Comparison between the Effect of Neurodevelopmental Treatment and Sensory Integration Therapy on Gross Motor Function in Children with Cerebral Palsy","volume":"4","author":"Shamsoddini","year":"2010","journal-title":"Iran. J. Child Neurol."},{"key":"ref_37","unstructured":"World Health Organization (2007). International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY, World Health Organization."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"3291","DOI":"10.1080\/09638288.2020.1742802","article-title":"A Systematic Review of Vestibular Stimulation in Cerebral Palsy","volume":"43","author":"Topley","year":"2021","journal-title":"Disabil. Rehabil."},{"key":"ref_39","first-page":"452","article-title":"Effects of Vestibular Stimulation Techniques on Gross Motor Function of Children with Cerebral Palsy\u2013A Systematic Review","volume":"7","author":"Ankna","year":"2018","journal-title":"Int. J. Sci. Res. Rev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/j.rasd.2012.01.006","article-title":"Sensory Integration Therapy for Autism Spectrum Disorders: A Systematic Review","volume":"6","author":"Lang","year":"2012","journal-title":"Res. Autism Spectr. Disord."},{"key":"ref_41","first-page":"20","article-title":"Sensory modulation patterns in children with different types of cerebral palsy","volume":"56","author":"Louwrens","year":"2020","journal-title":"SensorNet"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"75","DOI":"10.5014\/ajot.55.1.75","article-title":"The Adult Sensory Profile: Measuring Patterns of Sensory Processing","volume":"55","author":"Brown","year":"2001","journal-title":"Am. J. Occup. Ther."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3389\/fnint.2019.00022","article-title":"A Path from Childhood Sensory Processing Disorder to Anxiety Disorders: The Mediating Role of Emotion Dysregulation and Adult Sensory Processing Disorder Symptoms","volume":"13","author":"McMahon","year":"2019","journal-title":"Front. Integr. Neurosci."},{"key":"ref_44","unstructured":"STAR Institute (2021, December 20). SPD in Adults. Available online: https:\/\/www.spdstar.org\/basic\/spd-adults."},{"key":"ref_45","unstructured":"Schunemann, H. (2022, January 02). GRADE Handbook for Grading Quality of Evidence and Strength of Recommendation. Version 3.2. Available online: http:\/\/www.cc-ims.net\/gradepro."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.jclinepi.2021.11.009","article-title":"Visual Transformation for Guidelines Presentation of the Strength of Recommendations and the Certainty of Evidence","volume":"143","author":"Klugar","year":"2022","journal-title":"J. Clin. Epidemiol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/0269215508101742","article-title":"Goal Attainment Scaling (GAS) in Rehabilitation: A Practical Guide","volume":"23","year":"2009","journal-title":"Clin. Rehabil."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/4\/483\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:48:03Z","timestamp":1760136483000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/4\/483"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":47,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["children9040483"],"URL":"https:\/\/doi.org\/10.3390\/children9040483","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,1]]}}}