Thomas Jefferson University

Schaaf, Roseann C

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Roseann C. Schaaf, PhD, OTR/L, FAOTA

Contact Dr. Schaaf

900 Walnut Street
JHN 4th floor
Philadelphia, PA 19107

(215) 503-9609
(215) 503-4358 fax

Research and Clinical Interests

Sensory Processing Disorders; Autism, Autonomic Nervous System Activity

Autism is the most common developmental disability of childhood. Approximately 90% of individual's with Autism experience sensory dysfunction (SD-such as spinning self or flicking hands in front of face) that substantially interferes with function. Parents and teachers indicate that these are some of the most challenging obstacles to participation in activities for children. Clearly, understanding SD in autism and subsequently, developing and testing new, innovative treatment approaches to ameliorate sensory dysfunction in autism is an important public health concern. Nevertheless, SD in autism is poorly characterized, its underlying mechanisms are not understood, and interventions to address it lack an adequate theoretical basis and empirical data to support their utility.

Dr. Schaaf's research represents a novel approach and a new and promising research direction on autism from which to characterize sensory dysfunction (behaviorally and physiologically), examine relations between behavioral and physiological measures of SD, and then examine their impact on adaptive behavior (defined as performance of daily activities required for personal and social sufficiency) and participation (defined as successful engagement in home, school and community activities).

The Sensory Challenge Protocol (SCP), a unique and innovative research protocol designed to measure autonomic reactivity to sensation in a controlled laboratory environment. The vagal tone index, the parasympathetic marker, and the mean number and magnitude of peaks of electrodermal activity, the sympathetic markers, are measured.

The findings from this study address a range of important and clinically relevant questions and will be used to guide "best practice" by providing data to enhance understanding of the impact of SD on behavior and participation. In addition, the findings will serve as a basis for the next phase of this program of research -development and testing interventions for SD.

Publications

Most Recent Peer-Reviewed Publications

  1. Sleep in Children with Autism Spectrum Disorder
  2. Application of Data-Driven Decision Making Using Ayres Sensory Integration(®) With a Child With Autism
  3. Application of data-driven decision making using ayres sensory integration® with a child with Autism
  4. Toward a Best-Practice Protocol for Assessment of Sensory Features in ASD
  5. Measuring change in somatosensation across the lifespan
  6. Creating Evidence for Practice Using Data-Driven Decision Making
  7. Autonomic dysregulation during sensory stimulation in children with autism spectrum disorder
  8. Creating evidence for practice using data-driven decision making
  9. Ayres sensory integration®intervention
  10. Sensory integration and praxis patterns in children with autism
  11. Linking Sensory Factors to Participation: Establishing Intervention Goals with Parents for Children with Autism Spectrum Disorder
  12. State of the science: A roadmap for research in sensory integration
  13. Measuring change in somatosensation across the lifespan
  14. Sensory interventions for children with autism
  15. Response from authors to comments on "An intervention for sensory difficulties in children with autism: A randomized trial"
  16. State of measurement in occupational therapy using sensory integration
  17. Interrater reliability and discriminative validity of the structural elements of the ayres sensory integration® fidelity measure©
  18. An intervention for sensory difficulties in children with autism: A randomized trial
  19. Occupational therapy based on ayres sensory integration in the treatment of retentive fecal incontinence in a 3-year-old boy
  20. Autonomic Dysregulation During Sensory Stimulation in Children with Autism Spectrum Disorder