Assessment of the influence of speech-language intervention on perceptual-sensory integration in persons with autism spectrum disorder in the context of assessing the pragmatic level of language

Kateřina Vitásková, Lucie Kytnarová, Jana Mironova Tabachová



Autism spectrum disorder is ranked among the most serious developmental disorders, because it affects multiple areas such as communication, social interactions, establishing and maintaining contacts with the environment, reactions to visual and auditory stimuli and many others. The therapy of these individuals requires multidisciplinary cooperation; therefore, it is currently addressed by many experts. The objective of the paper is to present the possibilities of assessing the influence of speech-language intervention on perceptual-sensory integration in persons with autism spectrum disorder in the context of assessing the pragmatic level of language. This area might be a potential barrier to speech-language intervention; therefore, it should be assessed at the beginning of any intervention.

The measurement tool for the assessment of perceptual-sensory integration was a test battery of the authors’ own design called ‘Assessment of the pragmatic level of language in persons with autism spectrum disorders: potential barriers to speech-language intervention’. The use of the screening material in the context of speech-language intervention is demonstrated on a case study of a boy with suspected autism spectrum disorder diagnosis – children’s autism with a disorder of sensory perception on the body, especially in the orofacial region. The principal methods were observation, analysis of targeted work with the client and interviews with the parents. According to the case report, the speech-language therapy lasted for nine months and focused on the development of the monitored area. The results can be compared on a global scale, including improvement or stagnation in various areas. The targeted therapy resulted in improvement in all monitored areas by at least 1 point (e.g. olfactory and gustatory perception) and by a maximum of 4 points (vestibular system). After initial examination the boy’s disorder was assessed as moderate to severe disorder (effect to negative effect on the process of learning social interaction). However, based on the results of follow-up examination the boy was in the category of moderate disorder (effect on the process of learning and social interaction).


Autism spectrum disorder, perception, sensory integration, screening, speech-language therapy


Biel, L., & Peske, N. (2005). Raising a Sensory Smart Child: The Definitive Handbook for Helping Your Child with Sensory Processing Issues, Revised Edition. Penguin Books.

Brentani, H. P., de, Bordini, C. S., Rolim, D., Sato, D., Portolese, F. Pacifico, J., Clara, M., & McCracken, J. T. (2013). Autism spectrum disorders: an overview on diagnosis and treatment. Revista Brasileira de Psiquiatria, 35 (1), 62-72. Doi:

Bröring, T., Oostrom, K. J., Lafeber, H. N., Jansma, E. P., & Oosterlaan, J. (2017). Sensory modulation in preterm children: Theoretical perspective and systematic review. Plos ONE, 12(2), 1-23. doi:10.1371/journal.pone.0170828

De Giacomo, A., Craig, F., Terenzio, V., Coppola, A., Campa, M. G., & Passeri, G. (2016). Aggressive behaviors and verbal communication skills in autism spectrum disorders. Global Pediatric Health, 3, 1-5. doi:

duBois, D., Ameis, S. H., Lai, M., Casanova, M. F., & Desarkar, P. (2016). Review: Interoception in autism spectrum disorder: A review. International Journal Of Developmental Neuroscience, 52, 104-111. doi:10.1016/j.ijdevneu.2016.05.001

Fábianová, A. (2014). Orofaciálna a bazálna stimulácia [Orofacial and basal stimulation].Havlíčkův Brod: Tobiáš.

Harvey, J. P. (2013). Sensory Perception: Lessons from Synesthesia: Using Synesthesia to Inform the Understanding of Sensory Perception. The Yale Journal of Biology and Medicine, 86(2), 203–216.

Kasari, C., Brady, N., Lord, C., & Tager-Flusberg, H. (2013). Assessing the minimally verbal school-aged child with autism spectrum disorder. Autism Research, 6(6), 479–493. doi:10.1002/aur.1334

Kéïta, L., Bedoin, N., Burack, J., & Lepore, F. (2014). Switching between global and local levels: the level repetition effect and its hemispheric asymmetry. Frontiers in Psychology; 5(252), 1-9. doi: 10.3389/fpsyg.2014.00252

Kordi, R., Memari, A. H., Moshayedi, P., Panahi, N., Ranjbar, E., Shafiei, M., & Ziaee, V. (2015). Children with autism spectrum disorder and patterns of participation in daily physical and play activities. Neurology research international.

Lieberman, R. G., & Yoder, P. (2012) Play and Communication in Children with Autism Spectrum Disorder. Journal of Early Intervention, 34(2), 82 – 103. DOI: 10.1177/1053815112453766

Lyons, V. & Fitzgerald, M. (2013). Atypical sense of self in autism spectrum disorders: A neuro- cognitive perspective. In M. Fitzgerald (Ed.), Recent Advances in Autism Spectrum Disorders - Volume I. InTech, DOI: 10.5772/53680. Retrieved from:

Pátá, P. K. (2008). Mé dítě má autismus: příběh [My child has autism: a story]. Praha: Grada.

Pennington, L. M., Cullinan, D., & Southern, L. B. (2014). Defining autism: variability in state education agency definitions of and evaluations for autism spectrum disorders. Autism Research and Treatment. Article ID 327271. doi:10.1155/2014/327271

Petrina, N., Carter, M. & Stephenson, J. (2014). The nature of friendship in children with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 8(2), 111-126

Průcha, J., Walterová, E., & Mareš, J (2003). Pedagogický slovník [Pedagogical Dictionary]. Praha: Portál.

Purdy, M. (2016). Understanding Sensory Differences for the SLP. USA.

Říhová, A., & Vitásková, K. (2012). Logopedická intervence u osob s poruchami autistického spektra: odborná publikace pro logopedy [Speech therapy intervention in people with autistic spectrum disorders: expert publication for speech therapists]. Olomouc: Univerzita Palackého v Olomouci.

Stevenson, R. A., Segers, M., Ferber, S., Barense, M. D., & Wallace, M. T. (2014). The impact of multisensory integration deficits on speech perception in children with autism spectrum disorders. Frontiers in Psychology, 5, 379.

Stewart, C. R., Sanchez, S. S., Grenesko, E. L., Brown, C. M., Chen, C. P., Keehn, B., & ... Müller, R. (2016). Sensory symptoms and processing of nonverbal auditory and visual stimuli in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(5), 1590-1601. doi:10.1007/s10803-015-2367-z

Whitney, R., & Gibbs, V. (2014). Raising Kids with Sensory Processing Disorders. USA: Prufrock Press.

Woolfenden, S., Sarkozy, V., Ridle, G., & Williams, K. (2012) A systematic review of the diagnostic stability of autism spectrum disorder. Research in Autism Spectrum Disorders, 6(1), 345–354



  • There are currently no refbacks.

Copyright (c) 2017 Siauliai University

Siauliai university