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Effectiveness of sensory integration-based intervention in autistic children,
focusing on Chinese children: a systematic review and meta-analysis
#MMPMID41346641
Lyu B
; Ba Y
; Ma D
; Liu N
; Fu L
; Xue Y
Front Psychiatry
2025[]; 16
(?): 1623149
PMID41346641
show ga
OBJECTIVE: In recent years, the prevalence of autism spectrum disorder (ASD) has
been increasing year by year, bringing huge economic and mental burdens to
society and families. Ayres Sensory Integration Intervention (ASI) is a widely
used approach in the treatment of ASD. A more common sensory integration approach
in China is called sensory integration-based intervention (SIBI), which is
developed based on ASI. This study systematically analyzes the effects of SIBI on
the sensory integration abilities and autism-related behaviors of autistic
children. METHODS: We searched PubMed, Cochrane Library, Web of Science, EBSCO,
and CNKI databases from inception to February 2025. Randomized controlled trials
(RCTs) using SIBI to improve autistic children were included. After selection,
data were extracted on author, year, country, sample size, age, intervention type
and duration, and outcome indicators. Quality assessment and data extraction were
conducted independently by two researchers. Statistical analyses were performed
in Stata 17, including forest plots, funnel plots with Egger's test for
publication bias, and meta-regression for heterogeneity. RESULTS: A total of 16
studies with 1319 samples were included. The results showed that compared to the
control group, SIBI had a positive effect on the total score of sensory
integration ability scales for autistic children [mean difference (MD), 11.53;
95% confidence interval (CI) (10.53, 12.53); P<0.5]. Compared to the control
group, SIBI also positively improved the total score of the ATEC scale [MD,
-16.12; 95% CI (-22.61, -9.64); P<0.05] and the total score of the ABC scale [MD,
-16.12; 95% CI (-22.61, -9.64); P<0.05]. The results from Egger's test and the
funnel plot indicated no publication bias. Due to the high heterogeneity (IČ>50%)
in the results of SIBI intervention on the total ABC score, a meta-regression
analysis was conducted. The results of the meta-regression analysis indicated
that age was not the source of heterogeneity, while the intervention duration was
found to be the source of heterogeneity (?=-0.51, P<0.05, 95% CI [-1.01, -0.01]).
CONCLUSION: SIBI can effectively improve the sensory integration ability and
autism-related behaviors of autistic children. SYSTEMATIC REVIEW REGISTRATION:
https://www.crd.york.ac.uk/PROSPERO/, identifier CRD420250639991.
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