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感觉统合干预对皮质视觉障碍和脑瘫婴儿运动及感觉功能的有效性:一项单盲随机对照试验

The Effectiveness of Sensory Integration Interventions on Motor and Sensory Functions in Infants with Cortical Vision Impairment and Cerebral Palsy: A Single Blind Randomized Controlled Trial.

作者信息

Cemali Mustafa, Pekçetin Serkan, Akı Esra

机构信息

Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara 06050, Turkey.

Department of Occupational Therapy, Faculty of Gülhane Health Sciences, University of Health Sciences Turkey, Ankara 06018, Turkey.

出版信息

Children (Basel). 2022 Jul 27;9(8):1123. doi: 10.3390/children9081123.

Abstract

Cortical vision impairment (CVI) and Cerebral Palsy (CP) lead to decrement in sensory and motor functions of infants. The current study examined the effectiveness of sensory integration interventions on sensory, motor, and oculomotor skills in infants with cortical vision impairment. Thirty-four infants with and CP aged 12−18 months were enrolled to the study. The infants were randomly divided into two groups as the control and intervention groups. The intervention group took sensory integration intervention 2 days a week for 8 weeks in addition to conventional physiotherapy 2 days a week for 8 weeks. The control group only received the conventional physiotherapy program 2 days a week for 8 weeks. The duration of the treatment sessions were 45 min for both interventions. Before and after the intervention, sensory processing functions were evaluated with the Test of Sensory Functions in Infants (TSFI), and motor functions were evaluated with the Alberta Infant Motor Scale (AIMS). There was a statistically significant difference between the pre- and post-test mean TSFI total and AIMS scores in the intervention group and control group (p < 0.001). The intervention group mean TSFI scores were more statistically significant than the those of the control group. Mean post-intervention AIMS scores did not differ between groups. Sensory integration intervention delivered with the conventional physiotherapy program was more effective than the conventional physiotherapy program in increasing sensory processing skills in one measure in infants with CVI and CP.

摘要

皮质视觉障碍(CVI)和脑瘫(CP)会导致婴儿的感觉和运动功能减退。本研究考察了感觉统合干预对患有皮质视觉障碍婴儿的感觉、运动和动眼技能的有效性。34名年龄在12至18个月的患有CVI和CP的婴儿被纳入该研究。这些婴儿被随机分为两组,即对照组和干预组。干预组除了每周2天、为期8周的常规物理治疗外,还接受每周2天、为期8周的感觉统合干预。对照组仅接受每周2天、为期8周的常规物理治疗方案。两种干预的治疗时长均为45分钟。在干预前后,使用婴儿感觉功能测试(TSFI)评估感觉加工功能,使用艾伯塔婴儿运动量表(AIMS)评估运动功能。干预组和对照组的TSFI总分及AIMS测试前后均值之间存在统计学显著差异(p < 0.001)。干预组的TSFI平均得分在统计学上比对照组更显著。干预后两组的AIMS平均得分没有差异。在CVI和CP婴儿中,与常规物理治疗方案相结合的感觉统合干预在提高一项感觉加工技能方面比常规物理治疗方案更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d77/9406788/832538ab7a59/children-09-01123-g001.jpg

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