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The Relationship between Sensory Processing Abilities and Gross and Fine Motor Capabilities of Children with Cerebral Palsy

  • Park, Myoung-Ok (Dept. of Occupational Therapy, Division of Health Science, Baekseok University)
  • 투고 : 2017.03.01
  • 심사 : 2017.04.06
  • 발행 : 2017.05.31

초록

PURPOSE: The purpose of this study was to investigate the difference and relationship between sensory processing abilities, gross motor and fine motor capabilities in children with cerebral palsy. METHODS: 104 children with cerebral palsy participated in the study. Sensory processing abilities of the subjects were measured by Short Sensory Profile (SSP). Gross and fine motor abilities were each measured using the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS), respectively. RESULTS: There were significant correlations between SSP level and GMFCS (R=.72, p<.00) or MACS (R=.77, p<.00) levels. Significant differences were showed each gross motor (p=.01) and fine motor level (p=.00) among sensory processing level of children. In addition, sub-items of sensory processing as Tactile sensitivity, Movement sensitivity, Auditory filtering and Low energy/Weak were significantly were showed significant correlations gross motor and fine motor level (p=.01). Also, multiple regression result was showed that as MACS level and GMFCS level were higher, the SSP total score was higher all of participants (adjusted $R^2=.62$). CONCLUSION: Sensory processing abilities of children with cerebral palsy were related with gross motor and fine motor capabilities. Also gross motor and fine motor capabilities are as higher, the sensory processing skill was well of cerebral palsy.

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참고문헌

  1. Ahn RR, Miller LJ, Milberger S, et al. Prevalence of parents' perceptions of sensory processing disorders among kindergarten children. Am J Occup Ther. 2004;58(3):287-93. https://doi.org/10.5014/ajot.58.3.287
  2. Anttila H, Autti-Ramo I, Suoranta J, et al. Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC Pediatr. 2008;8:14. https://doi.org/10.1186/1471-2431-8-14
  3. Ayres AJ, Tickle LS. Hyper-responsivity to touch and vestibular stimuli as a predictor of positive response to sensory integration procedures by autistic children. Am J Occup Ther. 1980;34(6):375-81. https://doi.org/10.5014/ajot.34.6.375
  4. Beckung E, Hagberg. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Neurol. 2002;44(5):309-16. https://doi.org/10.1111/j.1469-8749.2002.tb00816.x
  5. Blanche EI, Botticelli TM, Hallway MK. Combining neurodevelopmental treatment and sensory integration principles: an approach to pediatric therapy. USA. Therapy Skill Builders. 1995.
  6. Bleyenheuft Y, Gordon AM. Precision grip control, sensory impairments and their interactions in children with hemiplegic cerebral palsy: a systematic review. Res Dev Disabil. 2013;34(9):3014-28. https://doi.org/10.1016/j.ridd.2013.05.047
  7. Campbell SK. Pediatric neurologic physical therapy (5th ed). USA. Churchill Livingstone. 1984.
  8. Carlberg EB, Hadders-Algra M. Postural dysfunction in children with cerebral palsy: some implications for therapeutic guidance. Neural Plast. 2005;12(2-3):221-8. https://doi.org/10.1155/NP.2005.221
  9. Choi YC, Park SJ, Lee MH, et al. The effects of trunk muscle strengthening exercise on balance performance of sitting posture and upper extremity function of children with diplegic cerebral palsy. J Korean Soc Phys Med. 2013;8(1):117-25. https://doi.org/10.13066/kspm.2013.8.1.117
  10. Cooper J, Majnemer A, Rosenblatt B, et al. The determination of sensory deficits in children with hemiplegic cerebral palsy. J Child Neurol. 1995;10(4):300-9. https://doi.org/10.1177/088307389501000412
  11. Dunn W. Sensory Profile: User's Manual. USA, TX: Psychological Corporation. 1999.
  12. Gordon AM, Duff SV. Relation between clinical measures and fine manipulative control in children with hemiplegic cerebral palsy. Dev Med Child Neurol. 1999;41(9):586-91. https://doi.org/10.1017/S0012162299001231
  13. Gunel MK, Mutlu A, Tarsuslu T, et al. Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy. Eur J Pediatr. 2009;168(4):477-85. https://doi.org/10.1007/s00431-008-0775-1
  14. Hosseini SA, Ghoochani BZ, Talebian S, et al. Investigating the effects of vestibular stimulation on balance performance in children with cerebral palsy-A Randomized Clinical Trial study. JRSR. 2015;2(2):41-6.
  15. Hutton JL, Pharoah PO. Life expectancy in severe cerebral palsy. Arch Dis Child. 2006;91:254-8. https://doi.org/10.1136/adc.2005.075002
  16. Ko MS, Chung JH, Jeon HS. Correlation between pediatric balance scale (PBS) and gross motor function measurement (GMFM) scores in children with cerebral palsy. J Korean Soc Phys Med. 2010;5(2):281-8.
  17. Lee EJ, Song JM. Change in the gross motor function, self-esteem and social ability of children with spastic diplegia from group exercise: case study. J Korean Soc Phys Med. 2010;5(4):645-54.
  18. Lesny I, StehliAk A, TomasCek J, et al. Sensory disorders in cerebral palsy: two-point discrimination. Dev Med Child Neurol. 1993;35:402-5.
  19. Levitt S. Treatment of cerebral palsy and motor delay. USA. John Wiley & Sons. 2013.
  20. McIntosh D, Miller L, Shyu V, et al. Overview of the short sensory profile (SSP). The sensory profile: Examiner's manual. 1999.
  21. Morris C, Bartlett D. Gross motor function classification system: impact and utility. Dev Med Child Neurol. 2004;46(1):60-5. https://doi.org/10.1111/j.1469-8749.2004.tb00436.x
  22. Nashner L, Shumway-Cook A, Marin O. Stance posture control in select groups of children with cerebral palsy: deficits in sensory organization and muscular coordination. Exp Brain Res. 1983;49(3):393-409.
  23. Ohrvall A. Manual Ability Classification System (MACS): development, evaluation and applicability. Sweden, Karolinska institutet. 2011.
  24. Ostensjo S, Carlberg EB, Vollestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol. 2004;46(9):580-9. https://doi.org/10.1111/j.1469-8749.2004.tb01021.x
  25. Papavasiliou AS. Management of motor problems in cerebral palsy: a critical update for the clinician. Eur J Paediatr Neurol. 2009;13(5):387-96. https://doi.org/10.1016/j.ejpn.2008.07.009
  26. Parkes J, Dolk H, Hill N, et al. Cerebral palsy in Northern Ireland: 1981-93. Paediatr Perinat Epidemiol. 2001;15(3):278-86. https://doi.org/10.1046/j.1365-3016.2001.00349.x
  27. Polatajko HJ, Law M, Miller J, et al. The effect of a sensory integration program on academic achievement, motor performance, and self-esteem in children identified as learning disabled: Results of a clinical trial. OTJR. 1991;11(3):155-76.
  28. Wingert JR, Burton H, Sinclair RJ, et al. Tactile sensory abilities in cerebral palsy: deficits in roughness and object discrimination. Dev Med Child Neurol. 2008;50(11):832-8. https://doi.org/10.1111/j.1469-8749.2008.03105.x

피인용 문헌

  1. The Effects of Physical Function Level and Intensity of Treatment for Rehabilitation on Improvement of Physical Function in Children with Cerebral Palsy: Follow-up Study for 6 Months vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.27
  2. Association between sensory processing and activity performance in children with cerebral palsy levels I-II on the gross motor function classification system vol.25, pp.2, 2021, https://doi.org/10.1016/j.bjpt.2020.05.007
  3. Sensory systems processing in children with spastic cerebral palsy: a pilot study vol.26, pp.1, 2021, https://doi.org/10.1186/s43161-021-00044-w