Document Type : Original Articles
University of Social Welfare and Rehabilitation Sciences.Tehran, Iran
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
University of Ulster, UK
Background: Classroom behaviors are disturbed in autistic students because of their repetitive, restlessness, and disruptive behaviors. This study aimed to examine the impacts of sitting on a ball, cushion, and/or common chair on classroom behavior of four students with Autism Spectrum Disorder (ASD).Methods: Four children with Autism participated in this single-subject study. Students’ behaviors were video recorded in three phases: Sitting on their common chairs during phase A, air-sit cushioned in phase B, and ball chairs in phase C. Sitting times and on-task/off-task behaviors were quantified by momentary time sampling (every 10 seconds) and compared during different phases for important changes. Social validity was taken by the teacher at the end of the research as well.Results: The findings demonstrated increases in on-task and in-seat behaviors in four students when seated on air sit cushioned chairs. Despite rises of on-task behaviors for all students, only two of the students showed enhanced in-seat behaviors when seated on therapy balls. Social validity findings indicated that the teacher preferred the use of the balls and air-cushioned chairs for her students.Conclusion: Therapy balls/cushioned chairs for students with ASD may facilitate in-seat and on-task behavior.
- Koegel L, Matos-Fredeen R, Lang R, Koegel R. Interventions for children with autism spectrum disorders in inclusive school settings. Cognitive and Behavioral Practice;. 2012. 19: p 401â412
- Samadi, S.A., A. Mahmoodizadeh, and R. McConkey, A national study of the prevalence of autism among five-year-old children in Iran. Autism, 2012. 16(1): p. 5-14.
- Schilling DL, Schwartz IS. Alternative seating for young children with autism spectrum disorder: Effects on classroom behavior. Journal of autism and developmental disorders 2004;34(4):423-32.
- Dunn WW. Habit: What's the Brain Got T1o Do with It? Occupational Therapy Journal of Research 2000;20(1):6S-20S.
- Ayres A. Sensory integration and learning disabilities. Los Ãngeles: WPS. 1972:474-89.
- Greenspan SI, Wieder S. Developmental patterns and outcomes in infants and children with disorders in relating and communicating: A chart review of 200 cases of children with autistic spectrum diagnoses. Journal of Developmental and Learning Disorders 1997;1:87-142.
- Horgen KM, Kathryn M. Utilization of an Exercise Ball in the Classroom:
- Its Effect on Off-task Behavior of a Student with ADHD [thesis]: University of Wisconsin; 2009.
- Wu W-L, Wang C-C, Chen C-h, Lai C-L. Influence of Therapy Ball Seats on Attentional Ability in Children with Attention Deficit/Hyperactivity Disorder; J. Phys. Ther. Sci. 2012; 24: 1172-1182.
- Watling RL, Dietz J. Immediate effect of Ayresâs sensory integrationâbased occupational therapy intervention on children with autism spectrum disorders. The American Journal of Occupational Therapy 2007;61(5):574-83.
- Tunstall H.R. Effects of Alternative Seating on the Academic Engagement of Children With Autism 2010. [thesis]
- Lang R, OâReilly M, Healy O, Rispoli M, Lydon H, Streusand W, et al. Sensory integration therapy for autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders 2012;6(3):1004-18.
- Ivory DM. The Impact of Dynamic Furniture on Classroom Performance: A Pilot Study 2011. [thesis]
- Schilling DL. Alternative seating devices for children with ADHD: Effects on classroom behavior. Pediatric Physical Therapy 2006;18(1):81.
- Pfeiffer B, Henry A, Miller S, Witherell S. Effectiveness of disc âoâsit cushions on attention to task in second-grade students with attention difficulties. The American Journal of Occupational Therapy 2008;62(3):274-81.
- Hodgetts S, Hodgetts W. Somatosensory stimulation interventions for children with autism: Literature review and clinical considerations. Canadian Journal of Occupational Therapy 2007;74(5):393-400.
- Kuhn D, Lewis S. The Effect of Dynamic Seating on Classroom Behavior for Students in a General Education Classroom; 2013[thesis].
- Winkler, Charlotte A. The Graduate School Univel'sity of Wisconsin-Stout Menomonie, WI: [thesis] University of Wisconsin; 2010.
- Schilling DL, Washington K, Billingsley FF, Deitz J. Classroom seating for children with attention deficit hyperactivity disorder: Therapy balls versus chairs. The American Journal of Occupational Therapy 2003;57(5):534-41.