Balikci Aymen, May-Benson Teresa A, Aracikul Balikci Ayse Firdevs, Tarakci Ela, Ikbal Dogan Zeynep, Ilbay Gul
Faculty of Health Sciences, Department of Occupational Therapy, Fenerbahçe University, İstanbul, Turkey.
TMB Educational Enterprises, LLC, Norristown, PA, USA.
Clin Med Insights Case Rep. 2023 Feb 1;16:11795476221148866. doi: 10.1177/11795476221148866. eCollection 2023.
The Rubinstein-Taybi Syndrome (RSTS) literature is limited about sensory integration, which is a foundational neurological function of the central nervous system that may affect the development of cognitive, social, and motor skills. The aim of this case report was to investigate the effects of Ayres Sensory Integration (ASI) intervention on processing and integrating sensations, motor functions and parental goals of 3-year-old child with RSTS. Analysis of assessment data reviewed before and after treatment. Assessment collected by interview, Sensory Profile (SP), Sensory Processing Measure-Preschool (SPM-P) Home, Peabody Developmental Motor Scales-2 (PDMS-2), Gross Motor Function Measurement-88 (GMFM-88), and Gross Motor Function Classification System (GMFCS). Progress toward goals and objectives was measured with Goal Attainment Scale (GAS). ASI intervention was implemented 3 times per week for 8 weeks. At pre-intervention, SP and SPM-P Home revealed prominent sensory processing and integration difficulties in this case. PDMS-2 scores indicated the child was far behind his peers in fine and gross motor areas. In addition, systematic observations determined that the child's GMFCS level was III. After 8 weeks of ASI intervention significant improvements were found in parent reports of sensory processing in the areas of vestibular, tactile, and oral functioning on the Sensory Profile. Gains in functional motor skills were found on the GMFM-88 and the GMFCS. Consistent with these results, significant gains at or above expected levels of performance were found on GAS goals which reflected the family's main concerns for social participation, feeding, play, and movement. There are limited studies on sensory processing and integration in children with RSTS. This case report identified sensory processing and integration difficulties for the first time in a child with RSTS. Results also provide preliminary support for the positive effects of ASI intervention on sensory processing, functional motor skills, and parental goals of a child with RSTS.
关于鲁宾斯坦-泰比综合征（RSTS）的文献中，关于感觉统合的内容有限。感觉统合是中枢神经系统的一项基础神经功能，可能会影响认知、社交和运动技能的发展。本病例报告的目的是研究艾尔斯感觉统合（ASI）干预对一名患有RSTS的3岁儿童的感觉处理与整合、运动功能以及家长目标的影响。对治疗前后的评估数据进行了分析。评估通过访谈、感觉概况量表（SP）、学前感觉处理量表-家庭版（SPM-P Home）、皮博迪发展运动量表-第2版（PDMS-2）、粗大运动功能测量-88项（GMFM-88）以及粗大运动功能分类系统（GMFCS）进行收集。使用目标达成量表（GAS）来衡量朝着目标和目的所取得的进展。ASI干预每周实施3次，共8周。在干预前，SP和SPM-P Home显示该病例存在明显的感觉处理和整合困难。PDMS-2评分表明该儿童在精细和粗大运动领域远远落后于同龄人。此外，系统观察确定该儿童的GMFCS水平为III级。经过8周的ASI干预，家长报告显示，在感觉概况量表的前庭、触觉和口腔功能等感觉处理领域有显著改善。在GMFM-88和GMFCS上发现了功能性运动技能的提高。与这些结果一致，在GAS目标上发现了达到或高于预期表现水平的显著进步，这些目标反映了家庭对社交参与、进食、玩耍和移动的主要关注。关于RSTS儿童感觉处理和整合的研究有限。本病例报告首次确定了一名RSTS儿童存在感觉处理和整合困难。结果还为ASI干预对RSTS儿童的感觉处理、功能性运动技能和家长目标的积极影响提供了初步支持。
