The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
권호 표지
DOI QR코드

DOI QR Code

A Systematic Review of Effects on Sensory Integration Intervention Based on Vestibular-Proprioceptive System for Children in Korea

아동의 전정-고유감각 중심의 감각통합중재 효과에 대한 체계적 고찰: 국내연구를 중심으로

  • Park, Youngju (Dept. of Rehabilitation Science, Graduate School of Inje University) ;
  • Kong, In-Joo (Dept. of Rehabilitation Science, Graduate School of Inje University)
  • 박영주 (인제대학교 대학원 재활과학과) ;
  • 공인주 (인제대학교 대학원 재활과학과)
  • Received : 2015.11.16
  • Accepted : 2015.12.11
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study was to investigate the effects on sensory integration interventions for korean children which focused on vestibular - proprioceptive system. Methods : Authors systematically searched published studies in DBpia, KISS and RISS databases from August to September 2015. Key words in the search were 'sensory integration intervention', 'sensory integration therapy' and 'vestibular-proprioceptive'. By using the inclusion and exclusion criteria, we selected seven studies for further analyses examining level of evidence and methodological qualities. Information for the analyses were on study designs, participants, interventions, outcome measures and results. Results : Grade IV rated evidence was found from five studies, and Grade III and Grade V rated evidence was found from one for each study. The methodological levels of the quantitative studies were 'fair' (2) and 'poor' (5). Subjects for the studies were developmental delay (5), Asperger Syndrome (1), and not specific diagnosis (2). Single-subject design was most frequently used and motor area were most frequently evaluated. The interventions used the studies showed positive effects on outcome measures. Conclusion : This study presented the summary of sensory integration intervention based on vestibular-proprioceptive system for Korean children. More studies with high level of evidence and various study designs need to be followed.

목적 : 아동을 대상으로 국내에서 실시하는 전정-고유감각 중심의 감각통합중재의 효과를 알아보기 위해 체계적 고찰을 사용하여 근거를 제시하고자 하였다. 연구방법 : 본 연구는 2015년 8~9월 동안 한국학술정보(KISS), 학술연구정보서비스(RISS), 누리미디어(DBpia)의 데이터베이스에서 '감각통합중재', '감각통합치료', '전정-고유감각'을 키워드로 검색하여 최종적으로 7개의 연구를 선정하였다. 각 연구는 근거의 질적 수준과 방법론적 질적 수준으로 분석하였고 그 결과는 연구 설계와 대상자, 중재, 결과측정, 결과에 따라 분석하였다. 결과 : 분석에 포함된 연구의 근거수준은 수준 III이 5개, 수준 IV가 1개, 그리고 수준 V가 1개이었다. Down과 Black의 기준에 따라 대상 연구의 방법론적 질을 살펴보면, '완벽'과 '우수'는 0개, '보통'은 2개, '나쁨'은 5개이었다. 발달지연을 대상으로 한 단일대상연구가 가장 많았고 결과측정은 운동영역에 대한 평가요소 빈도가 가장 높았으며 결과는 평가영역에 대한 긍정적인 향상이나 긍정적인 감소를 보였다. 결론 : 국내 전정-고유감각 중심의 감각통합중재의 특징을 제시하여 관련 분야 전문가들이 이에 대한 정보를 활용할 수 있도록 도움을 주고자 하였다. 앞으로 감각통합 중재에 대해 높은 근거 수준과 다양한 실험설계를 바탕으로 한 연구가 필요하다.

Keywords

References

  1. American Occupational Therapy Association. (2014). Guidelines for systematic review. American Journal of Occupational Therapy.
  2. Arbesman, M., Scheeler, J., & Lieberman, D. (2008). Using AOTA's critically appraised topic (CAT) and critically appraised paper (CAP) series to link evidence to practice. OT practice, 13(5), 18-22.
  3. Ayres, A. J. (1979). Sensory integration and the child. Los Angeles: Western psychological services.
  4. Back, Y. H., Park, D. S., & Kang, S. K. (2002). The review on the evidence-based study of acupuncture. Journal of Korean Acupuncture and Moxibustion Medicine Society, 19(3), 138-155.
  5. Bennett, S., Hoffmann, T., McCluskey, A., Coghlan, N., & Tooth, L. (2013). Systematic reviews informing occupational therapy. American Journal of Occupational Therapy, 67(3), 345-354. http://dx.doi.org/10.5014/ajot.2013.005819
  6. Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomized and non-randomized studies of health care interventions. Journal of Epidemiology Community Health, 52(6), 377-384. https://doi.org/10.1136/jech.52.6.377
  7. Han, S. H., & Nam, Y. S. (2005). A review of singlesubject design research in special education. Korean Journal of Special Education, 40(2), 103-130.
  8. Hong, E. K. (2009). The effects of sensory integration intervention for postural control and visual-motor integration. Journal of Special Education & Rehabilitation Science, 48(4), 77-99.
  9. Hong, E. K., & Kim, K. M. (2007). The improvement of the postural control by sensory integration intervention: Single-subject research. Journal of Special Education & Rehabilitation Science, 46(3), 175-190.
  10. Hong, E. K., & Kim, K. M. (2013). Systematic review of assessment tools for praxis ability of sensory integrative function: Provide range of assessment tools in foreign and domestic normal children. The Journal of Korean Academy of Sensory Integration, 11(2), 41-56.
  11. Jung, H. R., Choi, Y. W., & Kim, K. M. (2013). A systemic review on sensory integration intervention in Korea: Focusing on Ayres sensory integration. The Journal of Korean Academy of Sensory Integration, 11(2), 27- 40.
  12. Jung, N. H., & Chang, M. (2015). An analytical study on research trends in Journal of Korean Academy of Sensory Integration: From 2003 to 2014. The Journal of Korean Academy of Sensory Integration, 13(1), 45-56. http://dx.doi.org/10.18064/jkasi.2015.13.1.045
  13. Jung, N. H., & Chang, M. Y. (2014). A systematic review on driving ability and measurement method of drivers after a traumatic brain injury. The Journal of Korean Society of Occupational Therapy, 22(1), 65-78. http://dx.doi.org/10.14519/jksot.2014.22.1.06
  14. Kim, E. S., & Kim, K. M. (2008). The effects of sensory integrative therapy on vestibuloproprioceptive sensory processing of children with Asperger syndrome. The Journal of Korean Academy of Sensory Integration, 6(1), 35-46.
  15. Kim, H. H., HwangBo, G., Yoo, B. K., & Kim, M. K. (2011). Effects of vestibule-oriented sensory integration treatment on the nystagmus, visual perception and balancing ability of children with developmental disability. Journal of The Korea Contents Society, 11(4), 290-302. http://dx.doi.org/10.5392/jkca.2011.11.4.290
  16. Kim, J. M., & Kim, K. M. (2007). The review of proprioceptive activities in sensory integration intervention. The Journal of Korean Academy of Sensory Integration, 5(1), 1-13.
  17. Kim, K. M. (2009). The effectiveness of sensory integrative intervention: A systematic review. The Journal of Korean Academy of Sensory Integration, 7(2), 77-90.
  18. Kim, T. Y., & Lee, M. H. (2005). Sensory introduction. Seoul: Korean Academy of Sensory Integration.
  19. Kimball, J. G. (1988). Hypothesis for production of stimulant drug effectiveness utilizing sensory integrative diagnostic methods. Journal of the American Orthopedic Association, 88(6), 757-762.
  20. Kranowitz, C. S. (1998). The out of sync child: Recognizing and coping with sensory integration dysfunction. New York: The Berkley Publishing Group.
  21. Kwag, S. W., Sim, J. M., & Roh, H. L. (2014). Study on the characteristics and quality level of single subject researches in the sensory integration therapy field of korean occupational therapy. The Journal of Korean Academy of Sensory Integration, 12(2), 25-36.
  22. Lee, N. H., & Kim, K. M. (2014). The intervention and outcome measurement tools of children with attention deficit hyperactivity disorder: A systematic review. The Journal of Korean Academy of Sensory Integration, 12(1), 39-50. https://doi.org/10.18064/JKASI.2014.12.1.039
  23. Lee, N. S., & Park, H. M. (2007). The influence of vestibular-proprioceptive sensory training on stereotypic behaviors in children with developmental disorders. Korean Journal of Physical and Multiple Disabilities, 50(1), 89-114. https://doi.org/10.20971/kcpmd.2007.50.1.89
  24. Lee, S. H., Park, E. H., & Kim, Y. T. (2000). Single subject research in educational and clinical settings. Seoul: Hakjisa.
  25. Lee, S. Y., Son, G. S., Jeon, H. J., & Lee, M. H. (2007). The effects of therapeutic exercise on the balance and gait in older adults. The Journal of Korean Society of Physical Therapy, 19(2), 1-10.
  26. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: The prisma statement. International Journal of Surgery, 8(5), 336-341. http://dx.doi.org/10.1016/j.ijsu.2010.02.007
  27. Park, H. S., Lee, N. H., Kim, K. M., & Chang, M. Y. (2013). The effects of proprioceptivevestibular based sensory integration intervention on drooling and postural control of the child with developmental delay: Single subject research design. Journal of Special Education & Rehabilitation Science, 52(1), 337-354.
  28. Park, J. H., & Kim, I. S. (2011). The effect of sensory integrative intervention focused on proprioceptive-vestibular stimuli on adaptive response of children with sensory defensiveness: Case study. The Journal of Korean Academy of Sensory Integration, 9(2), 35-46.
  29. Strong, J. G., Jutai, J. W., Elizabeth, R. M., & Evans, M. (2008). Driving and low vision: An evidence-based review of rehabilitation. Journal of Visual Impairment and Blindness, 102(7), 410-419.