DOI QR코드

DOI QR Code

Effects of Sensory Integration Therapy and Home-Based Sensory Integration on Visual Attention in Children with Down Syndrome

감각통합치료와 가정프로그램 중재병행이 다운증후군 아동의 시각적 주의력에 미치는 효과: 단일사례연구

  • Son, Ji-Won (Dept. of Rehabilitation Sciences, Graduate School of Rehabilitation Sciences, Daegu University ) ;
  • Lee, Hye-Rim (Dept. of Occupational Therapy, College of Rehabilitation Sciences, Daegu University)
  • 손지원 (대구대학교 재활과학대학원 재활과학과) ;
  • 이혜림 (대구대학교 재활과학대학 작업치료학과)
  • Received : 2023.07.31
  • Accepted : 2023.09.20
  • Published : 2023.09.30

Abstract

Objective : The purpose of this study was to investigate the effect of sensory integration therapy and home program intervention on the visual attention of children with Down syndrome. Methods : This study used a single subject design for one child with Down syndrome, Sensory integrated treatment intervention was conducted once a week for 16 weeks, and home programs were conducted four times a week for 16 weeks. Changes in visual attention were measured after intervention in the target child. Results : After the intervention, the average values of object gaze, object horizontal pursuit, and object vertical pursuit time increased compared with the baseline period. In object gaze, object horizontal pursuit, and object vertical pursuit, a section higher than the ±2 standard deviation of the baseline period was observed during the intervention period. Conclusion : This study confirmed that the combination of sensory integrated therapy and home program intervention improved visual attention and visual perception in children with Down syndrome, and it is meaningful that it presented an effective intervention method.

목적 : 감각통합치료와 가정프로그램의 중재병행이 다운증후군 아동의 시각적 주의력에 미치는 효과를 알아보고자 하였다. 연구방법 : 본 연구는 다운증후군 아동 1명의 대상으로 개별실험연구를 진행하였으며, 감각통합치료 중재는 주 1회씩 16주간, 가정프로그램은 주 4회씩 16주간 시행하였다. 대상 아동에게 중재 후 시각적 주의력의 변화를 측정하였다. 결과 : 중재 후 물체 주시, 물체 수평적 추시, 물체 수직적 추시 시간은 기초선 기간에 비해 평균값이 상승하였다. 중재 기간에 관찰된 물체 주시, 물체 수평적 추시, 물체 수직적 추시가 기초선 기간의 ±2 표준편차보다 높게 나타났다. 결론 : 본 연구를 통해 감각통합치료와 가정프로그램의 중재병행이 다운증후군 아동에게 시각적 주의력과 시지각 향상된 것을 확인하였으며, 효과적인 중재 방법을 제시하였다는 점에 의의가 있다.

Keywords

Acknowledgement

이 논문은 2023학년도 대구대학교 학문후속세대 연구과제로 수행되었음.

References

  1. Ashori, M., Zarghami, E., Ghaforian, M., & Jalil-Abkenar, S. S. (2018). The effect of sensory integration on the attention and motor skills of students with down syndrome. Iranian Rehabilitation Journal, 16(3), 317-324. doi:10.32598/ irj.16.3.317 
  2. Ayres, A. J. (2006). Sensory integration and the child. Seoul, South Korea: Koonja Publishing.
  3. Brown, T., & Peres, L. (2018). A critical review of the Motor-Free Visual Perception Test-fourth edition (MVPT-4). Journal of Occupational Therapy, Schools, & Early Intervention, 11(2), 229-244. doi:10.1080/19411243.2018.1432441 
  4. Bundy, A. C., Lane, S. J., & Murray, E. A. (2011). Sensory integration theory and practice second edition. Seoul, South Korea: Yeongmunsa. 
  5. Bundy, A. C., Lane, S. J., & Murray, E. A. (2023). Sensory integration theory and practice third edition. Seoul, South Korea: Yeongmunsa. 
  6. Colarusso, R. P., & Hammill, D. D. (2015). Motor-Free visual perception test-4 (MVPT-4) (4th ed.). Novato, CA: Academic Therapy Publications. 
  7. Crosby, K. G., & Blatt, B. (1968). Attention and mental retardation. Journal of Education, 150(3), 67-81.  https://doi.org/10.1177/002205746815000306
  8. Findlay, G. F., Hall, B. I., Musa, B. S., Oliveira, M. D., & Fear, S. C. (1998). A 10-year follow-up of the outcome of lumbar microdiscectomy. Spine, 23(10), 1168-1171. doi:10.1097/00007632-199805150-00019 
  9. Fisher, A. G., Murray, E. A., & Bundy, A. C. (1991). Sensory integration: Theory and practice. Philadelphia, United States: FA Davis Company. 
  10. Henderson, J. M., & Hollingworth, A. (1998). Eye movements during scene viewing: An overview. In G. Underwood (Ed.), Eye guidance in reading and scene perception (pp. 269-293). Oxford, UK: Elsevier Science Ltd. 
  11. Hinojosa, J., Sproat, C. T., Mankhetwit, S., & Anderson, J. (2002). Shifts in parent-therapist partnership: Twelve years of change. American Journal of Occupational Therapy, 56(5), 556-563. doi:10.5014/ajot.56.5.556 
  12. Jang, H. S. (2000). Human developmental. Seoul, South Korea: Park Youngsa. 
  13. Jiang, J., Jing, Y., Cost, G. J., Chiang, J. C., Kolpa, H. J., Cotton, A. M., & Lawrence, J. B. (2013). Translating dosage compensation to trisomy 21. Nature, 500(7462), 296-300. doi:10.1038/nature12394 
  14. Kim, B. K., Park, S. H., Bang, H. S., Chun, S. H., Han, J. H., & Jeon, B. J. (2010). The effects of sensory integration intervention on the attention capabilities of children with Autism Spectrum Disorder(ASD). Journal of Korean Society of Occupational Therapy, 18(4), 113-125. 
  15. Kim, H. H., Hwang, B. G., & Yoo, B. G. (2013). The effect of the tactile-oriented sensory integration treatment applied wilbargar protocol. Korean Journal of Visual Impairment, 26(4), 267-283. 
  16. Kim, J. Y., Kim, J. H., Lee, C. Y., & Jung, H. R. (2023). The effect of parental education on sensory integration home-program on the sensory control and social adaptation ability of children with autism spectrum disorder. Journal of Special Education & Rehabilitation Science, 62(1), 211-227. doi:10.23944/Jsers.2023.03.62.1.8 
  17. Kim, K. M., & Kim, J. M. (2007). The effects of sensory integrative intervention on the balance and attention of children with attention deficit hyperactivity disorder: Single-subject research design. Journal of Special Education & Rehabilitation Science, 46(4), 103. 
  18. Kim, Y. S., Kim, K. M., Chang, M. Y., & Hong, S. Y. (2021). The effect of family-centered coaching based on sensory integration on the performance of children with autism spectrum disorder. Journal of Korean Society of Sensory Integration Therapists, 19(2), 12-25. doi:10.18064/jkasi.2021.19.2.12 
  19. Law, M., Baptiste, S., Carswell, A., McColl, M. A., Polatajko, H., & Pollock, N. (2005). Canadian occupational performance measure (4th ed.). Toronto, Canada: CAOT Publications ACE. 
  20. Law, M., Teplicky, R., King, S., King, G., Kertoy, M., & Moning, T. (2005). Family-centred service: Moving ideas into practice. Child: Care, Health and Development, 31(6), 633-642. doi:10.1111/j.1365-2214.2005.00568.x 
  21. Lee, J. H., Bang, Y. S., Hwang, M. J., & Son, B. Y. (2017). The effects of sensory integration exercise program on postural control, balance, and attention of the child with developmental delay. Journal of the Korea Entertainment Industry Association. 11(2), 111-126. doi:10.21184/jkeia.2017.02.11.2.111 
  22. Lee, J. J., Choi, S. R., Kwon, M. H., Kim, J. R., Min, Y. J., & Jean, B. J. (2011). The effect of sensory integration intervention through EEG in preschool child with attentional problems: Single case study. Korean Journal of Neuromuscular Rehabilitation, 1(1), 5-12. 
  23. Lee, K. (1996). Denver II developmental screening test and development of Seoul children. Journal of the Korean Pediatric Society, 39, 1210-1215. 
  24. Lee, S. A., Kim, J. Y., Cho, E. H., & Park, K. Y. (2003). The effect of home-based program for children with sensory modulation disorder. Journal of Korean Society of Sensory Integration Therapists, 1(1), 25-37. 
  25. Lingerman, T. M., & Stewart, K. B. (1999). Sensory integration based occupational therapy and functional outcomes in young children with pervasive developmental disorders: A single subject study. American Journal of Occupational Therapy, 53(2), 207-213. doi:10.5014/ajot.53.2.207 
  26. Novak, I., Cusick, A., & Lannin, N. (2009). Occupational therapy home programs for cerebral palsy: Double-blind, randomized, controlled trial. Pediatrics, 124(4), e606-e614. doi:10.1542/peds.2009-0288 
  27. Oh, H. W., & Kang, B. R. (2021). Effects of sensory integration therapy and home program centered on vestibulo-proprioceptive sensory on COPM, COMPS-II, and VMI-VI of children with autism spectrum disorder. Korean Society of Medicine & Therapy Science, 13(1), 43-52. doi:10.31321/kmts.2021.13.1.43 
  28. Park, H. G., Jin, G. H., Yang, W. Y., & Kim, J. M. (2001). The ocular features and findings in children with down syndrome. Journal of Kyung Hee University, 17(2), 170. 
  29. Park, S. Y., & Kang, B. R. (2022). Effects of the connection between Ayres SI intervention and home-based SI on sensory processing, interaction and task performance in children with developmental delays. Korean Society of Medicine & Therapy Science, 14(1), 25-35. doi:10.31321/KMTS.2022.14.1.25. 
  30. Reiko, T., Taskahiro, I., & Takemi, O. (2020). Sensory integration Q & A revised second edition. Seoul, South Korea: Hakjisa Medical. 
  31. Roizen, N. J., & Patterson, D. (2003). Down's syndrome. The Lancet, 361(9365), 1281-1289. doi:10.1016/s0140-6736(03)12987-x 
  32. Sadati, F. S., & Abasi, S. (2016). The effectiveness of sensorimotor integration in improving motor skills in students with learning disabilities. Motor Behavior, 8(26), 105-118. doi:10.22089/mbj.2016.874 
  33. Shin, H. S., Han, K. J., Oh, G. S., Oh, J. J., & Ha, M. N. (2002). Korean Denver II developmental screening test: A cross cultural comparison. Journal of Korean Community Nursing, 13(1), 89-97. 
  34. Sourtji, H., Sazmand, A. H., Karbalaei, N. A., & Jadidi, H. (2008). Effect of sensory integration therapy on gross and fine motor skills of 5-7 years old children with down syndrome. Archives of Rehabilitation, 9(2), 41. 
  35. Weiss, A. H., Kelly, J. P., & Phillips, J. O. (2016). Infantile nystagmus and abnormalities of conjugate eye movements in down syndrome. Investigative Ophthalmology & Visual Science, 57(3), 1301-1309. doi:10.1167/iovs.15-18532 
  36. Winton, P., & Bailey, D. (1997). Family centered care: The revolution continues. Exceptional Parent, 27(2), 16-22.