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综合感觉统合疗法联合神经发育疗法(NT)与单纯神经发育疗法(NT)对唐氏综合征患儿运动和注意力的影响:一项随机对照试验

Combined sensory integration therapy plus neurodevelopmental therapy (NT) versus NT alone for motor and attention in children with Down syndrome: a randomized controlled trial.

作者信息

Yana Metehan, Kavlak Erdoğan, Güneş Musa

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karabuk University, Karabuk, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Pamukkale University, Denizli, Turkey.

出版信息

Int J Dev Disabil. 2022 Dec 5;70(5):849-856. doi: 10.1080/20473869.2022.2152166. eCollection 2024.

Abstract

In this study, we aimed to analyze the incremental effects of sensory integration therapy (SIT) plus neurodevelopmental therapy (NT) versus NT alone on the attention and motor skills in children with Down syndrome (DS). We randomly assigned into experimental (i.e. SIT + NT;  = 21) and control (i.e. NT alone;  = 21) groups. While NT was applied to both groups for six weeks, SIT was applied simultaneously to the experimental group for six weeks. Participants' motor functions (Bruininks-Oseretsky Test of Motor Proficiency-Short form (BOT-2 SF)) and attention skills (Stroop TBAG (Turkish Scientific and Technological Research Association) Form) were evaluated before and after treatment (6 weeks later). Stroop TBAG and BOT-2 SF scores of the groups were similar at the baseline ( > 0.05). Significant improvement from baseline was observed in both BOT-2 SF, and Stroop TBAG results in both groups ( < 0.05). In addition, the improvement in both BOT-2 SF and Stroop TBAG results was found to be greater in the experimental group compared to the control group ( < 0.01). There were clear advantages to adding SIT to NT alone when seeking to improve motor and attention skills in children with DS.

摘要

在本研究中,我们旨在分析感觉统合疗法(SIT)联合神经发育疗法(NT)相较于单纯神经发育疗法对唐氏综合征(DS)患儿注意力和运动技能的增量效应。我们将患儿随机分为实验组(即SIT + NT;n = 21)和对照组(即单纯NT;n = 21)。两组均接受为期六周的NT治疗,同时实验组还接受为期六周的SIT治疗。在治疗前(基线)和治疗后(6周后)评估参与者的运动功能(布吕尼inks - 奥塞列茨基运动能力测试简表(BOT - 2 SF))和注意力技能(斯特鲁普TBAG(土耳其科学技术研究协会)量表)。两组的斯特鲁普TBAG和BOT - 2 SF评分在基线时相似(P > 0.05)。两组的BOT - 2 SF和斯特鲁普TBAG结果均较基线有显著改善(P < 0.05)。此外,发现实验组的BOT - 2 SF和斯特鲁普TBAG结果的改善程度均大于对照组(P < 0.01)。在改善DS患儿的运动和注意力技能方面,在单纯NT基础上加用SIT具有明显优势。

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