Examine the effectiveness 5 weeks of training sensory integration on gross motor disorders in children with spastic cerebral palsy

Document Type : Research Paper

Authors

Abstract

Background and aim: The aim of this study was to investigate of effects of sensory integration therapy (SIT) on gross motor disorders in children with spastic cerebral palsy. Material and Methods: In this semi experimental study, 18 children with spastic cerebral palsy aged 5‒10 years were selected through convenient sampling. They were then randomly divided into two groups of control and experimental. Firstly, they were pretested with gross motor function measurement test (GMFM-88). Then the Ayres Sensory Integration trainings was executed for 15 sessions, 45 minutes each session for 5 weeks. During the execution of the program, the control group performed their usual activities. After the end of the program, both groups were post-tested. Data analysis was performed using multivariate variance and ANOVA. Results: The results of this study showed the sensory integration therapy program made significant changes in gross motor disorders in spastic cerebral palsy children
n in experiment group but not in control group; (p<0/01).
Conclusion: According to the results of this research, it is suggested that the selected sensory integration therapy program (SIT) can improve gross motor disorders in children with spastic cerebral palsy.

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Agarwal, A., & Verma, I. (2012). Cerebral palsy in children: An overview. Journal of clinical orthopaedics and trauma, 3(2), 77-81.
Akbari, H., Abdoli, B., Shafizadeh, M., Khalaji, H., Hajihosseini, S., & Ziaee, V. (2010). The effect of traditional games in fundamental motor skill development in 7-9 year-old boys. [Persian]
Arnould, C, Pentam, thonnard Jh, (2006). Hand functioning in children with cerebral palsy. these presenteeen delobtention grade Docteuren Kinesi therapio Readaptation orientation: Sciences de la motricite catholic university of London.
Ayres, J. A (1989). Sensory integration and praxis test. Los Angeles, CA: Western Psychological Services.
Ayres, J. A. (1980). Southern California sensory integration tests. Western psychological services.
Barry, M. J. (1996). Physical therapy interventions for patients with movement disorders due to cerebral palsy. Journal of child neurology, 11(1 suppl), S51-S 60.
Bax, M., Goldstein, M., Rosenbaum, P., Leviton, A., Paneth, N., Dan, B., ... & Damiano, D. (2005). Proposed definition and classification of cerebral palsy, April 2005. Developmental Medicine & Child Neurology, 47(08), 571-576.
Bumin. G & Kayhan. H (2002). effectiveness of two different sensory integration programmers for children with spastic dip logic cerebral palsy. Disability and Rehabilitation. Vol 23 (9). p: 394- 399.
Carlsen, P. N. (1975). Comparison of two occupational therapy approaches for treating the young cerebral-palsied child. American Journal of Occupational Therapy.
Dalvand, H., Dehghan, L., Hadian, M. R., Feizy, A., & Hosseini, S. A. (2012). Relationship between gross motor and intellectual function in children with cerebral palsy: a cross-sectional study. Archives of physical medicine and rehabilitation, 93(3), 480-484. [Persian]
Dalvand, H., Rassafiani, M., & Hosseini, S. A. (2013). Handling in the Children with Cerebral Palsy: A Review of Ideas and Practices (A Literature Review). Journal of Rehabilitation, 13(5), 8-17. [Persian]
Dehghan L, abdolvahab M, bagheri H, dalvand H, (2011). Evaluate reliability between testers in use of Persian version cross Motor Function classification System Expanded & Revised Journal of the Medical University of Shahed., (91), 37-40 [Persian]
Ebrahimi Etri, A., & Asghari, L. (2012). Comparison of Two Exercise Methods on Motor Performance and Balance in Children with Spastic Cerebral Palsy. Journal of Rehabilitation, 13(1), 79-87. [Persian]
Fazlioğlu, Y., & Baran, G. (2008). A sensory integration therapy program on sensory problems for children with autism. Perceptual and Motor Skills, 106(2), 415-422.
Gallahue, D. O. J., & Ozmun, J. (2006) Understanding motor development: infants, children, adolescents, adults., 6th Edition, 4 (1), 109-130
Gordon, A. M., & Friel, K. M. (2009). Intensive training of upper extremity function in children with cerebral palsy. Sensorimotor control of grasping: Physiology and pathophysiology, 438-457.
Haywood, K., & Getchell, N. (2014). Life Span Motor Development 6th Edition. Human kinetics. 3 (2), 34-68
Kayihan, G. B. H. (2001). Effectiveness of two different sensory-integration programmes for children with spastic diplegic cerebral palsy. Disability and rehabilitation, 23(9), 394-399.
Ketelaar, M., Vermeer, A., Hart, H. T., van Petegem-van Beek, E., & Helders, P. J. (2001). Effects of a functional therapy program on motor abilities of children with cerebral palsy. Physical Therapy, 81(9), 1534-1545.
Khodabakhshi, M. K., Malekpour, M., & Abedi, A. (2013). The effect of sensory integration therapy on social interactions and sensory and motor performance in children with autism. Iranian Journal Of Cognition And Education, 1(1), 39-53.
Krigger W. K, (2006). Cerebral palsy: An overview. American family physician journal volume. 73(1), 91-100.
Noori, J, Naraghi, S, M, Ashyeri, H, (2010). The effect of sensory integration intervention on improving gross motor skills and fine-finger hand 8 to 12-year-old children with cerebral palsy. Iranian Journal Of Exceptional education and training, (105), 21-31. [Persian]
Noriandehnow, S. (2013). The effect of 10 weeks of training strength - balance and combination of static and dynamic balance with spastic diplegia cerebral palsy children 7-15 years old. [Thesis]. Karaj (PA): University of kharazmi, [Persian]
O’Shea, T. M. (2008). Diagnosis, treatment, and prevention of cerebral palsy in near-term/term infants. Clinical obstetrics and gynecology, 51(4), 816.
Pakula, A. T., Braun, K. V. N., & Yeargin-Allsopp, M. (2009). Cerebral palsy: classification and epidemiology. Physical medicine and rehabilitation clinics of North America, 20(3), 425-452.
Paneth, N. (2008). Establishing the diagnosis of cerebral palsy. Clinical obstetrics and gynecology, 51(4), 742-748.
Parham, L. D., Mailloux, Z., & Case-Smith, J. (2001). Sensory integration. Occupational therapy for children, 5, 356-409.
Payne, V. G., & Isaacs, L. D. (2012). Human motor development: A lifespan approach. McGraw-Hill.  16, 498-520.
Reid, G., & Collier, D. (2002). Motor behavior and the autism spectrum disorders -Introduction. PALAESTRA- MACOMB ILLINOIS-, 18(4), 20-27.
Russell, D. J., Rosenbaum, P. L., Avery, L. M., & Lane, M. (2002). Gross motor function measure (GMFM-66 and GMFM-88) user's manual (No. 159). Cambridge University Press.
Sabet, S. H. (2010). The efficacy of combination sensory integration therapy and the neural-developing approach on subtle skills of children with spastic diplegia cerebral palsy. Social Welfare & Rehabilitation Sciences University, Tehran, Iran. [Persian]
Schaaf, R. C., & Miller, L. J. (2005). Occupational therapy using a sensory integrative approach for children with developmental disabilities. Mental retardation and developmental disabilities research reviews, 11(2), 143-148.
Scherzer A.L, (1982). Early diagnosis and therapy in cerebral palsy. 5th Ed. New York: Marcel Dekker; pp: 47-55.
Shamsoddini, A. R., & Hollisaz, M. T. (2009). Effect of sensory integration therapy on gross motor function in children with cerebral palsy. Iranian Journal of Child Neurology, 3(1), 43-48.
Shevell, M. I., Dagenais, L., Hall, N., & REPACQ Consortium. (2009). Comorbidities in cerebral palsy and their relationship to neurologic subtype and GMFCS level. Neurology, 72(24), 2090-2096.
Watling, R. L., & Dietz, J. (2007). Immediate effect of Ayres’s sensory integration–based occupational therapy intervention on children with autism spectrum disorders. American Journal of Occupational Therapy, 61(5), 574-583.
Weis, R. (2004). Gross Motor Function Measure (GMFM-66 and GMFM-88) User's Manual: Dianne J. Russell, Peter L. Rosenbaum, Mary Lane, Lisa M Avery (Eds.); Cambridge University Press on behalf of Mac Keith Press, Cambridge, UK, 2002, hardback, 234 pages,(£ 55.00), ISBN 1-898-68329-8.
Wilbarger, P. (1995). The sensory diet: Activity programs based on sensory processing theory. Sensory Integration Special Interest Section Newsletter, 18(2), 1-4.
Wood, E., & Rosenbaum, P. (2000). The gross motor function classification system for cerebral palsy: a study of reliability and stability over time. Developmental Medicine & Child Neurology, 42(05), 292-296.
Zimmer, M., Desch, L., Rosen, L. D., Bailey, M. L., Becker, D., Culbert, T. P., & Adams, R. C. (2012). Sensory integration therapies for children with developmental and behavioral disorders. Pediatrics, 129(6), 1186-1189.