Kantor Jiří, Hlaváčková Lucie, Du Jian, Dvořáková Petra, Svobodová Zuzana, Karasová Kristýna, Kantorová Lucia
Center of Evidence-Based Education & Arts Therapies: A JBI-Affiliated Group, Faculty of Education, Palacký University, 779 00 Olomouc, Czech Republic.
Institute of Special Education Studies, Faculty of Education, Palacký University, 779 00 Olomouc, Czech Republic.
Children (Basel). 2022 Apr 1;9(4):483. doi: 10.3390/children9040483.
The theory of Ayres Sensory Integration was formulated in the 1960s, and is also known as sensory integration (SI). It has been used in people with cerebral palsy (CP), though the research evidence for its effects in this population is contradictory and inconclusive. To fill in this knowledge gap, we conducted a scoping review of the body of literature on the topic, including any type of quantitative or qualitative research of SI in people with CP without any restrictions of age, language, geography, professionals involved, etc. In September 2020, we searched Scopus, ProQuest Central, MEDLINE (via PubMed), CINAHL Plus and the Academic Search Ultimate and Web of Science, as well as the grey literature sources OpenGrey and MedNar. Two reviewers independently screened the texts and the references lists of the included papers. We finally included seven relevant papers (four randomized controlled trials, two quasi-experimental studies and one case series), though not all fidelity measures required for Ayres SI were reported in the papers. The age of participants ranged from 3 months to 15 years; no studies were identified on adults. There is some evidence that SI or related sensory-based interventions (SBI) may be useful for movement development and other outcomes (attention span, therapy of sensory processing disorders, body perception and therapy of strabismus), but there is only scarce and low-quality evidence comparing interventions. We recommend to conduct well-designed randomized controlled trials (RCTs) with an optimal sample size on the effectiveness of formal Ayres SI for the motor development or other outcomes (as attention span or self-care abilities) using standardized measurement tools.
艾尔斯感觉统合理论形成于20世纪60年代，也被称为感觉统合（SI）。它已被应用于脑瘫（CP）患者，尽管关于其在该人群中效果的研究证据相互矛盾且尚无定论。为填补这一知识空白，我们对该主题的文献进行了范围综述，包括对CP患者进行的任何类型的关于SI的定量或定性研究，且不受年龄、语言、地理位置、参与专业人员等限制。2020年9月，我们检索了Scopus、ProQuest Central、MEDLINE（通过PubMed）、CINAHL Plus、Academic Search Ultimate和Web of Science，以及灰色文献来源OpenGrey和MedNar。两名评审员独立筛选文本及纳入论文的参考文献列表。我们最终纳入了7篇相关论文（4项随机对照试验、2项准实验研究和1个病例系列），不过论文中并未报告艾尔斯感觉统合所需的所有保真度测量指标。参与者年龄范围为3个月至15岁；未发现关于成年人的研究。有一些证据表明感觉统合或相关基于感觉的干预措施（SBI）可能对运动发育和其他结果（注意力持续时间、感觉处理障碍治疗、身体感知和斜视治疗）有用，但比较干预措施的证据稀少且质量较低。我们建议使用标准化测量工具，针对正式的艾尔斯感觉统合对运动发育或其他结果（如注意力持续时间或自我护理能力）的有效性开展设计良好、样本量合适的随机对照试验（RCT）。
