<unk>  Integration Therapy The vestibular system is stimulated through hanging equipment such as tire swings. Typically offered as part of occupational therapy, ASI that places a child in a room specifically designed to stimulate and challenge all of the senses to elicit functional adaptive responses. Although Ayres initially developed her assessment tools and intervention methods to support children with<unk>  integration and<unk>  challenges, the theory is relevant beyond childhood.<unk>  integration therapy is driven by four main principles: * Just right challenge (the child must be able to successfully meet the challenges that are presented through playful activities) * Adaptive response (the child adapts his behavior with new and useful strategies in response to the challenges presented) * Active engagement (the child will want to participate because the activities are fun) * Child directed (the child's preferences are used to initiate therapeutic experiences within the session)<unk><unk>  therapy This therapy retains all of the above-mentioned four principles and adds: * Intensity (person attends therapy daily for a prolonged period of time) * Developmental approach (therapist adapts to the developmental age of the person, against actual age) * Test-retest systematic evaluation (all clients are evaluated before and after) * Process driven vs. activity driven (therapist focuses on the "just right" emotional connection and the process that reinforces the relationship) * Parent education (parent education sessions are scheduled into the therapy process) * "Joie de vivre" (happiness of life is therapy's main goal, attained through social participation, self-regulation, and self-esteem) * Combination of best practice interventions (is often accompanied by integrated listening system therapy, floor time, and electronic media such as Xbox Kinect, Nintendo Wii, Makoto II machine training and others) While occupational therapists using a<unk>  integration frame of reference work on increasing a child's ability to adequately process<unk>  input, other OTs may focus on environmental accommodations that parents and school staff can use to enhance the child's function at home, school, and in the community. These may include selecting soft, tag-free clothing, avoiding fluorescent lighting, and providing ear plugs for "emergency" use (such as for fire drills). Evaluation of treatment effectiveness A 2019 review found<unk>  integration therapy to be effective for autism spectrum disorder. Another study from 2018 backs up the intervention for children with special needs, Additionally, the American Occupational Therapy Association supports the intervention. In its overall review of the treatment effectiveness literature, Aetna concluded that "The effectiveness of these therapies is unproven", while the American Academy of Pediatrics concluded that "parents should be informed that the amount of research regarding the effectiveness of<unk>  integration therapy is limited and inconclusive." A 2015 review concluded that SIT techniques exist "outside the bounds of established evidence-based practice" and that SIT is "quite possibly a misuse of limited resources."
Sensory processing disorder
Somatosensory disorder
Motor disorder
Cognitive reserve
Communication disorder
Catastrophic illness
Stroke recovery
Pollutant-induced abnormal behaviour