Schaaf Roseann C, Nightlinger Kathleen McKeon
Department of Occupational Therapy, Thomas Jefferson University, 130 South Ninth Street, Philadelphia, PA 19107, USA.
Am J Occup Ther. 2007 Mar-Apr;61(2):239-46. doi: 10.5014/ajot.61.2.239.
This article presents a case report of a child with poor sensory processing and describes the disorders impact on the child's occupational behavior and the changes in occupational performance during 10 months of occupational therapy using a sensory integrative approach (OT-SI).
Retrospective chart review of assessment data and analysis of parent interview data are reviewed. Progress toward goals and objectives is measured using goal attainment scaling. Themes from parent interview regarding past and present occupational challenges are presented.
Notable improvements in occupational performance are noted on goal attainment scales, and these are consistent with improvements in behavior. Parent interview data indicate noteworthy progress in the child's ability to participate in home, school, and family activities.
This case report demonstrates a model for OT-SI. The findings support the theoretical underpinnings of sensory integration theory: that improvement in the ability to process and integrate sensory input will influence adaptive behavior and occupational performance. Although these findings cannot be generalized, they provide preliminary evidence supporting the theory and the effectiveness of this approach.
本文介绍了一名感觉统合能力较差的儿童的病例报告,并描述了该障碍对儿童职业行为的影响,以及在使用感觉统合方法(OT-SI)进行10个月职业治疗期间职业表现的变化。
回顾评估数据的回顾性病历审查和家长访谈数据分析。使用目标达成量表来衡量朝着目标和目的取得的进展。呈现家长访谈中关于过去和现在职业挑战的主题。
目标达成量表显示职业表现有显著改善,且与行为改善一致。家长访谈数据表明,儿童参与家庭、学校和家庭活动的能力有显著进步。
本病例报告展示了OT-SI的一个模式。研究结果支持感觉统合理论的理论基础:即处理和整合感觉输入能力的提高将影响适应性行为和职业表现。尽管这些结果不能推广,但它们提供了支持该理论和这种方法有效性的初步证据。