Therapeutic Interventions and Their Benefits in the Autism Spectrum Disorder Their Benefits in the Autism Spectrum

analyzed twenty-one clinical trials that address different kind of therapies (used in many therapeutic method forms, such as Applied Behavioral analysis-ABA or Denver model) for the improvement of social skills for the autistic children. From that, these therapies were cataloged in five (5) categories: therapies using informational technologies; with family participation; with animal interaction; in autistic groups; and behavior-cognitive or non-specified therapies. Then, these interventions are fundamental for the developmental of general life skills for the autistic people, whereas they have shorter life quality than neurotypics [4]. Use of informational technologies are considered complementary to the major therapy, as ABA (Applied Behavior Analysis) or Standard However, besides these therapies are complementary, they collaborate to the improvement of the following in the spectrum: Autism Spectrum Disorder (ASD) is defined as a complex disorder of the neurolog ical system, characterized for social behavior and communication impairment. This re view analyzed twenty-one clinical trials that address different kind of therapies. Inter ventional therapies for children with ASD are multiple, and achieve diverse behavioral, psychosomatic aspects and general improvement skills. However, the therapy effective ness is substantially related to the family engagement, and mainly to the connection that the individual with ASD has with it.

facial engagement; recognition of facial expressions; social responsiveness; cognitive aspects; personal well-being; social skills; imitation skills; receptive language; planning skills and selfconfidence [4][5][6][7][8][9]. Two clinical trials using the mobile app TOBY (Therapy Outcomes by You) have shown that the app can improve mainly the aspect of language receptiveness, however, it was noticed that it depends on the family engagement and adherence of the children with ASD [5,6].

Therapies With Family Participation
The significance of the family training for the full monitoring of their autistic children has been a concern in last few years.  [12] have shown that Therapist-Assisted Telehealth Parent-Mediated Intervention could be a good model to use to diminish these difficulties, they reported that stress is decreased in comparison to the presential therapy and language and social skills are increased.

Therapies With Animal Interaction
In a Hungarian clinical trial [13] which had the purpose of a medical explanation in the infant gait cycle and in the development of mental skills in children with ASD, the therapeutic horse riding was applied as a therapeutic method. In this study the two (2) formed groups had both pedagogical education sessions, but only one (1) received sessions of therapeutic horse riding during thirty minutes per week. Thus, the therapeutic horse riding showed improvement in mental skills and motor coordination. Although, this kind of intervention is characterized as an alternative therapy, or a kind of rehabilitation, in cases that other types of intervention are not effective [13].

Group Therapy for ASD
The therapies based in interventions in group therapy evidenced improvement in each following areas: social interaction for both autistic teenagers and children; communication skills; development of social motivation; progress in self-awareness and others; increase of the capacity of problem resolution; selfconfidence; comprehension of the performed therapy; and increase of group engagement to the therapy. Although, this type of intervention showed effectiveness, to achieve these benefits, it must be a long-term therapy [14,15]. The study of Begeer et al.

Behavioral-Cognitive or Non-Specified Therapies
The interventions catalogued in this type are multiple kinds, and aim diverse improvements, however, not all kinds have the behaviorist psychological orientation, which is the case of the somatosensory therapy. This type of intervention looks for the decrease of pain sensitivity and abnormal tactile stimuli responses.
They conclude that the decrease of such dysfunctions is related to the decrease of self-injuring actions, reduced sleeps and increase of integration [16]. Bieleninik et al. (2017) [17] compared in nine countries the methods of improvisational music therapy and enhanced standard care (which is defined as multiple interventions available in each location, in addiction to parent orientation). It was concluded that between the two forms of interventions, there is no significant difference in the improvement of the autistic characteristics based in the domain of social affection scales.
Although, these two forms of intervention are proved to be effective [17]. Interventions related to environmental enrichment had been used to apply diverse exercises to promote the development olfactory, tactile, thermal, auditory, visual senses and engine systems in children with ASD.
These exercises had been showed statistically significant improvement in the QI scores, a decrease in atypical sensorial responses, and development of receptive language [18]. Other behavioral-cognitive therapy has been showed improvement of the anxiety in children with ASD. Van Steensel et al. (2016) [19] showed that the conquered earnings during the interventions were kept even after the end of the research, besides that this same intervention used in ASD was used as therapy in cases of anxiety disorders. On the other hand, the Vroland-Norstrand et al. (2017) [20] study have noticed that children with ASD are capable of contribute with a personal prospect about what is or not important for them, with that, objectives are reached as they achieve goals together with colleagues. The intervention was performed in the presence of occupational therapists and parents. The conclusion was an evolution in the integration with colleagues in leisure activities and in the school [21,22].

Conclusion
Therefore, the interventional therapies for children with ASD are multiple, and achieve diverse behavioral, psychosomatic aspects and general improvement skills. However, the therapy effectiveness is substantially related to the family engagement, and, mainly, to the connection that the individual with ASD has with it. Then, it is extremely necessary an increase in research that investigate the efficacy and effectiveness of the improvement of life skills to the children with ASD, and besides that, these researches should explore the interrelation between different therapies, highlighting its benefits.