In terms of goals, what should be prioritized when addressing sensory modulation in a child with ASD?

• A. Functional regulation to support participation in daily activities and routines.
• B. Maximize sensory discrimination in a lab setting.
• C. Eliminate all sensory input before school.
• D. Increase therapy hours regardless of outcome.

Answer: (A)

The main idea is that goals for sensory modulation in ASD should center on functional self-regulation that enables participation in daily activities and routines. When a child can effectively regulate arousal and sensory input in real-life settings, they’re better able to engage with morning routines, classroom tasks, play, and social interactions, which are the meaningful outcomes OT aims for. This approach uses practical strategies within the child’s daily environment—like sensory supports, environmental adjustments, and task adaptations—and measures progress by how it improves participation and independence, not by isolated sensory skills alone.

Why the other options don’t fit as well: maximizing sensory discrimination in a lab setting focuses on a controlled, non-real-world skill that doesn’t directly translate to everyday functioning. Eliminating all sensory input before school is not realistic or developmentally appropriate and would deprive the child of necessary sensory information. Increasing therapy hours without considering whether the work improves participation ignores whether the goals are actually helping the child function better in daily life.