The Effectiveness of Sensory Integration Therapy for Children with Asperger's Syndrome and Pervasive Developmental Disorder-Not Otherwise Specified: A Case Control Study

M. Sahid, Andriani Pratiwi, R. D. Haryadi
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Abstract

Asperger's syndrome (AS) and Pervasive Development Disorder-NOS (PDD-NOS) challenge clinicians to seek effective interventions. This study aimed to determine if sensory integration (SI) therapy has an effect on any specific sensory motor deficits. The study used a pretest-posttest design. The intervention was SI therapy twice weekly for 10 weeks. Subjects were 9 AS and 8 PDD-NOS children. The assessment tools Sensory Profile and The Bruininks-Oseretsky Test of Motor Proficiency Second Edition (BOT-2) were performed at start, 5 weeks and after 10 weeks of intervention. Tests results were analyzed in SPSS v22 using ANOVA. Sensory seeking improved significantly (p<.05). (p<.05) on pretest-posttest and midtestposttest. Auditory processing, modulation of movement affecting activity level, modulation of visual input affecting emotional responses and activity level (p<.05) of the Sensory Profile were significant. Post hoc analysis revealed significance in auditory processing from pretest to posttest (p<.05). ANOVA analysis approached significance on fine motor and perceptual skills (p=.08), multisensory processing (p=.08) and modulation related to body position and movement (p=.08). Significant difference (p<.05) was seen on the balance subtest, the running speed and agility subtest approached significance (p=.07). This study indicates that SI therapy is effective in some specific sensory deficits AS and PDD-NOS.
感觉统合疗法对阿斯伯格综合症和广泛性发育障碍儿童的疗效——未另行说明:一项病例对照研究
阿斯伯格综合症(AS)和广泛性发育障碍- nos (PDD-NOS)挑战临床医生寻求有效的干预措施。本研究旨在确定感觉统合(SI)治疗是否对任何特定的感觉运动缺陷有影响。该研究采用了前测后测设计。干预措施为SI治疗,每周2次,持续10周。研究对象为9例AS儿童和8例PDD-NOS儿童。在干预开始、干预第5周和干预第10周后分别使用感官评估工具和bruinink - oseretsky运动能力测试第二版(BOT-2)。检验结果在SPSS v22中进行方差分析。感觉寻求显著改善(p< 0.05)。(p< 0.05)。听觉加工、运动调节影响活动水平、视觉输入调节影响情绪反应和感觉轮廓活动水平(p< 0.05)显著。事后分析显示,测试前和测试后的听觉加工有显著性差异(p< 0.05)。方差分析接近精细运动和知觉技能(p=.08)、多感觉加工(p=.08)以及与体位和运动相关的调节(p=.08)的显著性。平衡性测试差异有统计学意义(p< 0.05),跑步速度和敏捷性测试差异有统计学意义(p= 0.07)。本研究表明SI治疗在某些特殊感觉缺陷AS和PDD-NOS中是有效的。
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