Children with ASD exhibit a high prevalence (80% to 90%) of motor impairments. There have been recent advancements in understanding the specific motor impairments present. When individuals with ASD practice a motor task, variability in movement decreases, and reaction times become similar to those of peers without ASD. ASD is an inclusive term for a neuro developmental disorder sharing similar impairments in social communication and restricted behaviors. When learning to perform movements individuals with ASD build strong associations between intrinsic proprioceptive input and their motor commands.Although individuals with ASD experience these sensorimotor challenges, there is consistent evidence that motor learning is intact and that flexibility exists.The CO-OP approach is a “client-centered, performance-based, problem-solving approach that enables skill acquisition through a process of cognitive strategies. The CO-OP focuses on improving performance through the use of cognition, in particular cognitive strategies. One occupational therapy intervention that has been implemented to encourage children with ASD to use newly acquired skills and strategies in everyday life is the Cognitive Orientation to daily Occupational Performance (CO-OP). The CO-OP was originally developed as an alternative to the relatively ineffective and time-consuming traditional approaches that focused on remediation of a child’s motor impairments. In cognitive strategies the child is taught to do GOAL-PLAN-DO-CHECK. The cognitive strategies include :

• Gathering information
• Putting actions together
• Practice and feedback
• Use of visual cues