Autism Spectrum Disorder (ASD) is defined as a neurodevelopmental disorder that affects the functioning and development of social communication (DSM5 - 2013). ASD causes particularities in sensory treatments (auditory, visual), qualified as uni-modal. Added to this, there is difficulties to deal with prevailing stimuli of the environment (pluri-modal) ; parents report the discomfort of their child in this situation with "noisy" behavioral manifestations. Therapeutic social skills programs most often address the subject's lack of adjustment to their environment through understanding social rules and codes and cognitive treatment of situations.
Thus, in order to relieve the sensory modulation disorders which can be the cause of social adjustment difficulties, it's propose to exercise the sensory habituation of children with ASD thanks to virtual reality scenarios restored in 3D immersion booth (the CAVE). The child will be exposed to multimodal stimulation during immersion sessions reproducing the conditions of an ecological environment. A therapist will accompany the child in the CAVE throughout the session.
The investigators hypothesize that regular and repeated exposure to a simulated environment in the CAVE can improve multisensory treatment capacities and have a beneficial effect on the autonomy of children and adolescents with ASD in everyday situations.
Child / adolescent aged 8 to 16 years, diagnosed with ASD (DSM-5, ADOS, ADI-R criteria).
Without intellectual delay (QNV> 70, WISC-IV or V, WAIS-III or IV).
Benefiting from a treatment program at the University Center for Child Psychiatry (CHRU Bretonneau-Tours).
Schooled in the ordinary school context (primary school, middle school, high school, ULIS).
Neuromotor disorders.
Uncorrected visual disorders.
Hearing impairment.
Known epilepsy.
Parallel
virtual reality training
Behavioraltraining of multisensory processing capacities in virtual reality in addition to usual program of interventions in usual care
usual care
Behavioralusual program of interventions in usual care
Vineland Adaptive Behavior Scales II (VABS II) score
Behavioral scale VABS II is a test for assessing autonomy of child/adolescent in everyday life. From 0 to 108, higher is the score, more independent the person is in the rated field.
Measures of autistic behaviour by Autism Behavior Rating Scale (ECA2)
ECA2 provides an assessment of the current extent of the child's behavioral characteristics. Scale reportes a score from 0 to 4, 5 levels according to the current importance of these behaviors (0 :absent - 4 :very serious)
Measures of autistic behaviour by Autism Behavior Rating Scale for Parents (ECA2P)
ECA2P provides an assessment of the current extent of the child's behavioral characteristics. Scale reportes a score from 0 to 4, 5 levels according to the current importance of these behaviors (0 :absent - 4 :very serious)
Measures of autistic behaviour by Dunn sensory profile
Dunn sensory profile is completed by the parents. From 0 to 110, higher is the score more important is the comportement
Measures of autistic behaviour by Vineland Adaptive Behavior Scales II (VABS II)
VABS-II provides an assessment of problematic behaviour. From 0 to 108, higher is the score, more independent the person is in the rated field.
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