The purpose of this review article were to suggest ways for practitioners to determine the presence of sensory integrative dysfunction and something about its characteristics in the absence of the Sensory Integration and Praxis Tests (SIPT) and to suggest to need the use of a top-down assessment approach in the sensory integration approach. The review constructed in two major ways: sensory modulation disorders and disorders of praxis in sensory integration dysfunctions. The methods of test for sensory modulation disorders included a interview, take a sensory history in all sensory system and informal or/and formal observation of children in general and specific environment. Tests for sensory modulation were Sensory Profile (Dunn, 1999), Touch Inventory for Elementary School Children (TIE) and Evaluation of Sensory Processing etc.. The methods of test for disorders for praxis included direct clinical observation, performance of tasks, interview, sensory history, sequencing and balance in occupational performance. The test tools were Bruininks Oseretsky Test of Motor Proficiency (BOTMP), Motor Assessment Battery for Children (MABC), DeGangi-Berk Test of Sensory Integration, Clinical Observation of Motor and Postural Skills (COMPS), Clinical Test of Sensory Interaction with Balance (CTSIB) and Clinical Observations of Neuromotor Performance etc.. This article reviewed assessments of sensory modulation disorders and disorders of praxis within the context of a top-down approach to evaluation. It also presented formal and informal assessments and proposed a mean of assessing sensory integration in the absence of the SIPT.