Bodison Stefanie C, Parham L Diane
Stefanie C. Bodison, OTD, OTR/L, is Assistant Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles;
L. Diane Parham, PhD, OTR/L, FAOTA, is Professor, Occupational Therapy Graduate Program, School of Medicine, University of New Mexico, Albuquerque.
Am J Occup Ther. 2018 Jan/Feb;72(1):7201190040p1-7201190040p11. doi: 10.5014/ajot.2018.029413.
This systematic review examined the effectiveness of specific sensory techniques and sensory environmental modifications to improve participation of children with sensory integration (SI) difficulties. Abstracts of 11,436 articles published between January 2007 and May 2015 were examined. Studies were included if designs reflected high levels of evidence, participants demonstrated SI difficulties, and outcome measures addressed function or participation. Eight studies met inclusion criteria. Seven studies evaluated effects of specific sensory techniques for children with autism spectrum disorder (ASD) or attention deficit hyperactivity disorder: Qigong massage, weighted vests, slow swinging, and incorporation of multisensory activities into preschool routines. One study of sensory environmental modifications examined adaptations to a dental clinic for children with ASD. Strong evidence supported Qigong massage, moderate evidence supported sensory modifications to the dental care environment, and limited evidence supported weighted vests. The evidence is insufficient to draw conclusions regarding slow linear swinging and incorporation of multisensory activities into preschool settings.
本系统评价研究了特定感觉技术和感觉环境调整对改善有感觉统合（SI）障碍儿童参与度的有效性。检索了2007年1月至2015年5月发表的11436篇文章的摘要。如果研究设计反映出高水平的证据、参与者表现出SI障碍且结局指标涉及功能或参与度，则纳入研究。八项研究符合纳入标准。七项研究评估了特定感觉技术对自闭症谱系障碍（ASD）或注意力缺陷多动障碍儿童的影响：气功按摩、加重背心、缓慢摆动以及将多感官活动纳入学前日常活动。一项感觉环境调整研究考察了对ASD儿童牙科诊所的适应性改造。有力证据支持气功按摩，中等证据支持对牙科护理环境进行感觉调整，有限证据支持加重背心。关于缓慢直线摆动以及将多感官活动纳入学前环境，证据不足以得出结论。
