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Journals / Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi / 2026 / Cilt: 27 Sayı: 2

Effect of Vestibular-stimulation Exercises on Self-injurious Behaviors in Autism Spectrum Disorder: A Single-participant Experimental Research

Otizm Spektrum Bozukluğunda Vestibüler Uyaran Egzersizlerinin Kendine Zarar Verme Davranışları Üzerindeki Etkisi: Tek Katılımcılı Deneysel Bir Araştırma

Ekrem Akbuğa(GIRESUN UNIVERSITY)0000-0003-0242-6921
Pages
301–314
Publication Date
2025-12-26
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Comprehensive clinical studies are needed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Parents experience difficulties in identifying appropriate intervention approaches for self-injurious behaviors (SIB) commonly observed in children with autism spectrum disorder (ASD).
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Key Findings & Data:Baseline phases 1 and 2 each lasted one week, intervention phase 1 lasted one week, and intervention phase 2 lasted five weeks.
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Conclusion & Impact:Comprehensive clinical studies are needed.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Öz-zarar davranış · otizm · denge

Abstract

Introduction: Parents experience difficulties in identifying appropriate intervention approaches for self-injurious behaviors (SIB) commonly observed in children with autism spectrum disorder (ASD). This study aims to examine the therapeutic effect of vestibular stimulation exercises on SIB (face-hitting behavior-FHB) in children with ASD who have vestibular processing disorder. Method: The research employed a prospective, single-participant A-B-A-B withdrawal design. Baseline phases 1 and 2 each lasted one week, intervention phase 1 lasted one week, and intervention phase 2 lasted five weeks. The participant (Mimoza) is a 58-month-old girl with ASD who exhibits FHB. Assessment was conducted using the vestibular section of the Sensory Profile scale and the relevant section of the TEDÖ-R for SIB. A spinning disc and swing were used for vestibular stimulation. Data analysis was performed through visual analysis and calculation of effect sizes. Findings: A decrease in FHB frequency was recorded in baseline phase 1 (n = 47 - 58) and the first intervention phase (n = 33 - 43). In baseline phase 2, the intervention was withdrawn, and an increase in FHB frequency (n = 49 - 62) was detected. In intervention phase 2, the intervention program was reinstated, and FHB (n = 23 - 39) decreased again. In subsequent sub-phases, the FHB frequency rapidly decreased to 4-13, 0-4, 0-3, and 0-2, respectively. All values in the intervention phase showed statistically significant effects compared to baseline phase 1 values (p = .0017; Ta-U = -1, IRD = 1). Discussion: When the vestibular stimulation needs of children with vestibular hyposensitivity are met, a significant reduction in observed FHB occurs, and marked improvement in emotional regulation capacity is achieved. This finding indicates that dysfunction in the vestibular system is associated with behavioral symptoms. Conclusion: Vestibular stimulation plays an effective role in the relationship between vestibular sensation and SIB in children with ASD. The study's limitation is that it was conducted with a single participant. Comprehensive clinical studies are needed.

Özet

Giriş: Otizm spektrum bozukluğu (OSB) tanılı çocuklarda sık görülen kendine zarar verme davranışları (KZVD) karşısında ebeveynler uygun müdahale yaklaşımları konusunda güçlükler yaşamaktadır. Bu çalışma, vestibüler işlemleme bozukluğu olan OSB tanılı çocukta vestibüler uyaran egzersizlerinin KZVD (yüzüne vurma davranışı-YVD) üzerindeki terapötik etkisini incelemeyi amaçlamaktadır. Yöntem: Araştırma prospektif, tek katılımcılı desende A-B-A-B geri çekme tasarımını kullanmıştır. Başlama düzeyi evresi 1 ve 2 birer hafta, uygulama evresi 1 bir hafta ve uygulama evresi 2 beş hafta sürmüştür. Katılımcı (Mimoza), YVD sergileyen 58 ay yaşında OSB tanılı kız çocuğudur. Duyu Profili ölçeğinin vestibüler bölümü ve KZVD için TEDÖ-R'ün ilgili bölümü kullanılarak değerlendirilmiştir. Vestibüler uyaranlar için dönme dolap ve svava salıncak kullanılmıştır. Veri analizi görsel analiz ve etki büyüklüğü hesaplamaları ile gerçekleştirilmiştir. Bulgular: Başlama düzeyi 1'de YVD frekansı (n = 47 - 58) ve ilk müdahale evresinde YVD frekansında (n = 33 - 43) azalma kaydedilmiştir. Başlama düzeyi 2'de müdahale geri çekilmiş ve YVD frekansında (n = 49 - 62) artış tespit edilmiştir. Uygulama Evresi 2'de müdahale programı yeniden başlatılmış ve YVD (n = 23 - 39) yeniden azalmıştır. Sonraki alt evrelerde YVD frekansı sırasıyla 4-13, 0-4, 0-3 ve 0-2'ye hızlı düşüş sağlamıştır. Uygulama evresindeki tüm değerlerin başlama düzeyi 1 değerlerine kıyasla istatistiksel olarak anlamlı düzeyde etki gösterdiği tespit edilmiştir (p = .0017; Ta-U = -1, IRD = 1). Tartışma: Vestibüler hiposensitivite gösteren çocuğun vestibüler uyaran ihtiyacı karşılandığında, çocukta gözlenen YVD'de anlamlı azalma meydana gelmekte ve duygusal düzenleme kapasitesinde belirgin iyileşme sağlanmaktadır. Bu bulgu, vestibüler sistem disfonksiyonunun davranışsal belirtiler ile ilişkili olduğunu ortaya koymaktadır. Sonuç: Vestibüler uyaranlar OSB tanılı çocukta vestibüler duyu ve KZVD ilişkisinde etkili rol almaktadır. Çalışmanın tek katılımcı ile gerçekleştirilmesi araştırmanın sınırlılığıdır. Kapsamlı klinik çalışmalara ihtiyaç vardır.

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Cite This Article

Akbuğa, E. (2025). Effect of Vestibular-stimulation Exercises on Self-injurious Behaviors in Autism Spectrum Disorder: A Single-participant Experimental Research. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, Cilt: 27 Sayı: 2, 301–314. https://doi.org/10.21565/ozelegitimdergisi.1752353

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References (41)

  1. American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorder (5th ed.). APA American Psychiatric Association.
  2. Ashraf, S., Bachu, A., Srinivas, S., Tankersley, W., & Shah, K. (2023). Use of Methylphenidate to improve cognition in autism spectrum disorder (ASD). European Psychiatry, 66(S1), 202-202. https://doi.org/10.1192/j.eurpsy.2023.476
  3. Baranek, G. T. (2002). Efficacy of sensory and motor interventions for children with autism. Journal of Autism and Developmental Disorders, 32(5), 397-422. https://doi.org/10.1023/A:1020541906063
  4. Bar-Shalita, T., & Cermak, S. A. (2016). Atypical sensory modulation and psychological distress in the general population. The American Journal of Occupational Therapy, 70(4), 1-9. https://doi.org/10.5014/ajot.2016.018648
  5. Best, C., Bense, S., & Dieterich, M. (2007). Vestibular dysfunction in major depression. Neuroscience, 147(3), 865-866. https://doi.org/10.1016/j.neuroscience.2007.05.005
  6. Biaggioni, I., Costa, F., & Kaufmann, H. (1998). Vestibular influences on autonomic cardiovascular control in humans. Journal of Vestibular Research, 8(1), 35-41. https://doi.org/10.3233/VES-1998-8105
  7. Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30(3), 237-243. https://doi.org/10.1023/A:1005596502855
  8. Cai, R. Y., Richdale, A. L., Uljarević, M., Dissanayake, C., & Samson, A. C. (2018). Emotion regulation in autism spectrum disorder: Where we are and where we need to go. Autism Research, 11(7), 962-978. https://doi.org/10.1002/aur.1968
  9. Corbett, B. A., Muscatello, R. A., & Blain, S. D. (2016). Impact of sensory sensitivity on physiological stress response and novel peer interaction in children with and without autism spectrum disorder. Frontiers in Neuroscience, 10, 278. https://doi.org/10.3389/fnins.2016.00278
  10. Corbett, B. A., Schupp, C. W., Levine, S., & Mendoza, S. (2009). Comparing cortisol, stress, and sensory sensitivity in children with autism. Autism Research, 2(1), 39-49. https://doi.org/10.1002/aur.64
  11. Dieterich, M., & Brandt, T. (2024). Central vestibular networking for sensorimotor control, cognition, and emotion. Current Opinion in Neurology, 37(1), 74-82. https://doi.org/10.1097/WCO.0000000000001233
  12. Dunn, W., & Westman, K. (1997). The sensory profile: the performance of a national sample of children without disabilities. The American Journal of Occupational Therapy, 51(1), 25-34. https://doi.org/10.5014/ajot.51.1.25
  13. Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of the Theoretical and Applied Statistics, 5(1), 1-4. https://doi.org/10.11648/j.ajtas.20160501.11
  14. Evans, M. M., Kim, J., Abel, T., Nickl-Jockschat, T., & Stevens, H. E. (2024). Developmental disruptions of the dorsal striatum in autism spectrum disorder. Biological Psychiatry, 95(2), 102-111. https://doi.org/10.1016/j.biopsych.2023.08.015
  15. Harrold, A., Keating, K., Larkin, F., & Setti, A. (2024). The association between sensory processing and stress in the adult population: A systematic review. Applied Psychology: Health and Well‐Being, 16(4), 2536-2566. https://doi.org/10.1111/aphw.12554
  16. Hartman, A. G., McKendry, S., Soehner, A., Bodison, S., Akcakaya, M., DeAlmeida, D., & Bendixen, R. (2022). Characterizing sleep differences in children with and without sensory sensitivities. Frontiers in Psychology, 13, https://doi.org/10.3389/fpsyg.2022.875766
  17. James, K. A., Stromin, J. I., Steenkamp, N., & Combrinck, M. I. (2023). Understanding the relationships between physiological and psychosocial stress, cortisol and cognition. Frontiers in Endocrinology, 14, 1-20. https://doi.org/10.3389/fendo.2023.1085950
  18. Katz‐Nave, G., Adini, Y., Hetzroni, O. E., & Bonneh, Y. S. (2020). Sequence learning in minimally verbal children with ASD and the beneficial effect of vestibular stimulation. Autism Research, 13(2), 320-337. https://doi.org/10.1002/aur.2237
  19. Kern, J. K., Garver, C. R., Grannemann, B. D., Trivedi, M. H., Carmody, T., Andrews, A. A., & Mehta, J. A. (2007). Response to vestibular sensory events in autism. Research in Autism Spectrum Disorders, 1(1), 67-74. https://doi.org/10.1016/j.rasd.2006.07.006
  20. Kloth, A. D., Badura, A., Li, A., Cherskov, A., Connolly, S. G., Giovannucci, A., Bangash, M. A., Grasselli, G., Penagarikano, O., Piochon C., Tsai, P. T., Geschwind, D. T., Hansel, C., Sahin, M., Takumi, T., Worley, P.F., & Wang, S. S-H. (2015). Cerebellar associative sensory learning defects in five mouse autism models. eLife, 4, 1-26. https://doi.org/10.7554/eLife.06085
  21. Kumar, S. S., Rajagopalan, A., & Mukkadan, J. K. (2016). Vestibular stimulation for stress management in students. Journal of Clinical and Diagnostic Research: JCDR, 10(2), 27-31. https://doi.org/10.7860/JCDR/2016/17607.7299
  22. Molloy, C. A., Dietrich, K. N., & Bhattacharya, A. (2003). Postural stability in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 33(6), 643–652. https://doi.org/10.1023/B:JADD.0000006001.00667.4c
  23. Murdock, L. C., Dantzler, J. A., Walker, A. N., & Wood, L. B. (2014). The effect of a platform swing on the independent work behaviors of children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 29(1), 50-61. https://doi.org/10.1177/1088357613509838
  24. Nagaratnam, N., Ip, J., & Bou-Haidar, P. (2005). The vestibular dysfunction and anxiety disorder interface: a descriptive study with special reference to the elderly. Archives of Gerontology and Geriatrics, 40(3), 253-264. https://doi.org/10.1016/j.archger.2004.09.006
  25. Ökcün Akçamuş, M. Ç., Bakkaloğlu, H., Demir, Ş., & Bahap Kudret, Z. (2019). Otizm spektrum bozukluğunda Tekrarlayıcı Davranışlar Ölçeği-Revize Türkçe Sürümünün geçerlik ve güvenirlik çalışması. Anadolu Psikiyatri Dergisi, 20(1), 65-72. https://doi.org/10.5455/apd.42649
  26. Parker, R. I., Vannest, K. J., & Brown, L. (2009). The improvement rate difference for single-case research. Exceptional Children, 75(2), 135-150. https://doi.org/10.1177/001440290907500201
  27. Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42(2), 284-299. https://doi.org/10.1016/j.beth.2010.08.006
  28. Passarello, N., Tarantino, V., Chirico, A., Menghini, D., Costanzo, F., Sorrentino, P., Fuca., E., Gigliotta, O., Alivernini, F., Oliveri, M., Lucidi, F., Vivcari, S., Mandolesi, L., & Turriziani, P. (2022). Sensory processing disorders in children and adolescents: taking stock of assessment and novel therapeutic tools. Brain Sciences, 12(11), 1478. https://doi.org/10.3390/brainsci12111478
  29. Patil, O., & Kaple, M. (2023). Sensory processing differences in individuals with autism spectrum disorder: a narrative review of underlying mechanisms and sensory-based interventions. Cureus, 15(10). https://doi.org/10.7759/cureus.48020
  30. Pfeiffer, B. A., Koenig, K., Kinnealey, M., Sheppard, M., & Henderson, L. (2011). Effectiveness of sensory integration interventions in children with autism spectrum disorders: a pilot study. The American journal of Occupational Therapy, 65(1), 76–85. https://doi.org/10.5014/ajot.2011.09205
  31. Preuss, N., Hasler, G., & Mast, F. W. (2014). Caloric vestibular stimulation modulates affective control and mood. Brain stimulation, 7(1), 133-140. https://doi.org/10.1016/j.brs.2013.09.003
  32. Rajagopalan, A. J., Sailesh, K. S., Mishra, S., Reddy, U. K., & Mukkadan, J. K. (2017). Understanding the links between vestibular and limbic systems regulating emotions. Journal of Natural Science, Biology and Medicine, 8(1), 11-15. https://doi.org/10.4103/0976-9668.198350
  33. Rasman, B. G., Forbes, P. A., Tisserand, R., & Blouin, J. S. (2018). Sensorimotor manipulations of the balance control loop–beyond imposed external perturbations. Frontiers in Neurology, 9, 899. https://doi.org/10.3389/fneur.2018.00899
  34. Schaff, R. C., & Mailloux, Z. (2015). Clinician’s guide for implementing Ayres Sensory Integration: Promoting participation for children with autism. AOTA Press.
  35. Shani‐Adir, A., Rozenman, D., Kessel, A., & Engel‐Yeger, B. (2009). The relationship between sensory hypersensitivity and sleep quality of children with atopic dermatitis. Pediatric Dermatology, 26(2), 143-149. https://doi.org/10.1111/j.1525-1470.2009.00904.x
  36. Smith, S. A., Press, B., Koenig, K. P., & Kinnealey, M. (2005). Effects of sensory integration intervention on self-stimulating and self-injurious behaviors. The American Journal of Occupational Therapy, 59(4), 418-425. https://doi.org/10.5014/ajot.59.4.418
  37. Suzer Gamli, I., & Tahiroglu, A. Y. (2018). Six months methylphenidate treatment improves emotion dysregulation in adolescents with attention deficit/hyperactivity disorder: a prospective study. Neuropsychiatric Disease and Treatment, 14, 1329-1337. https://doi.org/10.2147/NDT.S164807
  38. Tate, R. L., Perdices, M., Rosenkoetter, U., Shadish, W., Vohra, S., Barlow, D. H., Horner, R., Kazdin, A., Kratochwill, T., McDonald, S., Sampson, M., Shamseer, L., Togher, L., Albin, R., Backman, C., Doughlas, J., Evans, J. J., Gast, D., Manolov, R., … Wilson, B. (2016). The single-case reporting guideline in behavioral interventions (SCRIBE) 2016 statement. Physical Therapy & Rehabilitation Journal, 96(7), 1-10. https://doi.org/10.2522/ptj.2016.96.7.e1
  39. Tekin-İftar, E. (2023). Eğitim ve davranış bilimlerinde tek-denekli araştırmalar [Single-case research in education and behavioral sciences] (Vol. 3). Anı
  40. Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research design. Journal of Counseling & Development, 93(4), 403-411. https://doi.org/10.1002/jcad.12038
  41. Winter, L., Kruger, T. H., Laurens, J., Engler, H., Schedlowski, M., Straumann, D., & Wollmer, M. A. (2012). Vestibular stimulation on a motion-simulator impacts on mood states. Frontiers in Psychology, 3, 499. https://doi.org/10.3389/fpsyg.2012.00499