• 제목/요약/키워드: 감각 통합

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The Effects of Sensory Integrative Intervention on the Self-regulation Capacities of Children With Cerebral Palsy: Single-Subject Research Design (감각통합치료가 뇌성마비 아동의 자기조절 행동에 미치는 효과)

  • Ju, Jin-Ok;Lee, Hye-Rim;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.9 no.2
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    • pp.15-28
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    • 2011
  • Objective : The purpose of the study was to investigate effects of sensory integration therapy on self-regulation capacities of children with cerebral palsy. Methods : Subjects of this study were four years old girl and six years old boy, living in P city. Both were diagnosed as diplegia. Research design used in this study is ABA' design for a single-subject research. The experimental period was 12 weeks with 22 sessions of treatment. It was divided into three phase: 6 sessions for baseline phase (A), 14 sessions for treatment phase (B), 2 sessions for baseline phase (A'). There was no treatment on the baseline phases, and sensory integration therapy focused vestibular and proprioceptive stimuli was conducted on the treatment phase. At each session, subjects' behaviors has been recorded with a Digital Camera for 10 minutes and then the occurrence frequency of problematic behavior was identified based on the operational definition of it. Results : In comparison with the baseline phase (A), the occurrence frequency was reduced during the treatment phase for three types of problematic behavior associated with the self-regulatory capacities. The tendency of reducement was maintained during baseline phase (A'). Conclusion : Based on the result, it was implied that sensory integration therapy has a positive effect on the self-regulation capacities in children with cerebral palsy.

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The effectiveness of Sensory Integration : Systematic Review (감각통합 중재 효과에 대한 체계적 고찰)

  • Park, Eom-Ji;Shin, Joong-Il
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.144-153
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    • 2016
  • This study examined the recent study trends through a systematic review of the effect of sensory integration intervention and the objective reason to show the areas where sensory integration intervention is effective. The databases, Medline and EMBASE, were searched for "Occupational therapy", "Sensory integration therapy", "Sensory processing", "Weighted vest", and "Wilbarger protocol". For the analysis studies, 14 studies on the effects of sensory integration intervention from 2010 to 2015 were analyzed and organized according to the principle of PICO. According to the result, there were 4 studies each of evidence levels I and e V, which was the largest number of studies (28.6%). The result from frequency analysis of the measurement used for measuring the effects of intervention showed that GAS and VABS-II were used in the 4 studies (11.8%). 71.4% of children with autism spectrum were the major subject group in the analysis studies and sensory integration intervention had an effect on the motor performance, sensory processing, behavior, learning-related education, and occupation performance area. This study result will be useful for establishing sensory integration as an interventional program in occupational therapy practice. In further studies, it will be important to verify the intervention effect of sensory integration in another rehabilitation area.

Sensory Integration Therapy Camp(the Challenging Children) Report (대한 감각통합치료학회 주최 제1회 감각통합치료캠프(도전하는 아이들) 보고)

  • Ji, Seok-Yeon;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.1 no.1
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    • pp.81-86
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    • 2003
  • To make up extended and intensive sensory integration program, Korean Society of Sensory Integration Therapist(KSSIT) planned and practiced sensory integration camp. Camp were held during 5 days and 7 children with sensory integrative dysfunction were participated in the camp. COPM, Sensory profile, STEP-SI and interview were used for deciding the therapy goals. For preparing the camp, therapists did seminars, discussion and get advices form specialists in US and Japan. Through the camp, as the theme, not only children and parents got the chance of challenging but also therapists challenged by themselves. For this camp KSSIT expected to build up more effective sensory integrative program and research.

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Temporal and Spatial Characteristics of Visual and Somatosensory Integration in Normal Adult Brain (정상성인의 시각 및 촉각 통합 작용 시 뇌신경세포의 전기생리적활동의 시간 및 공간적 특성: 예비실험)

  • Ju, Yu-Mi;Kim, Ji-Hyun
    • The Journal of Korean Academy of Sensory Integration
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    • v.8 no.1
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    • pp.41-49
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    • 2010
  • Objective : Multisensory integration (MSI) is the essential process to use diverse sensory information for cognitive task or execution of motor action. Especially, visual and somatosensory integration is critical for motor behavior and coordination. This study was designed to explain spatial and temporal characteristics of visual and somatosensory integration by neurophysiological research method that identifies the time course and brain location of the SI process. Methods : Electroencephalography (EEG) and event-related potential (ERP) is used in this study in order to observe neural activities when integrating visual and tactile input. We calculate the linear summation (SUM) of visual-related potentials (VEPs) and somatosensory-related potentials (SEPs), and compared the SUM with simultaneously presented visual-tactile ERPs(SIM) Results : There were significant differences between the SIM and SUM in later time epochs (about 200-300ms) at contralateral somatosensory areas (C4) and occipital cortices (O1&O2). The amplitude of the SIM was mathematically larger than the summed signals, implying that the integration made some extra neural activities. Conclusion : This study provides some empirical neural evidence of that multisensory integration is more powerful than just combing two unisensory inputs in the brain and ERP data reveals neural signature relating to multisensory integrative process. Since this study is preliminary pilot study, larger population and criteria are needed for level of the significance. Further study is recommended to consider issues including effect of internally-driven attention and laterality of interaction to make the evidence by this study solid.

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Effects of Vestibule-Oriented Sensory Integration Treatment on the Nystagmus, Visual Perception and Balancing Ability of Children with Developmental Disability (전정 중심의 감각통합치료가 발달장애아동의 안구진탕, 시지각, 균형능력에 미치는 영향)

  • Kim, Hyun-Ho;HwangBo, Gak;Yoo, Byung-Kook;Kim, Meung-Kwon
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.290-302
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    • 2011
  • The purpose of this research was to investigate the effects of vestibule-oriented sensory integration treatment on the nystagmus, visual perception and balancing ability of children with developmental disability. Twenty three children with developmental disability were participated in this experiment. Subjects were received the vestibule-oriented sensory integration treatment based on Ayres' sensory integration theory for 12 weeks. The effects of the treatment were evaluated by Southern California Postrotary Nystagmus Test (SCPNT), Developmental Test of Visual Perception-2 (DTVP-2), Pediatric-Clinical Test of Sensory Integration Balance (P-CTSIB), South California Sensory Integration Test (SCSIT) and the selected item in Bruininks-Oeretsky Test of motor proficiency (BOT). The collected data were analyzed by using Wilcoxon test. The result of this study was as follows that the data of the Nystagmus shown statical significant. The data of the Visual Perception and Balancing ability shown statical significant. The proposed vestibule-oriented sensory integration treatment was effective to improvement of nystagmus, the visual perception and the balancing ability in children with Developmenantal Disability.

Sensory Integration Clinical Adaptation of Novice Occupational Therapists Working at a Child Private Clinic Center (아동 발달센터에서 근무하는 신입 작업치료사의 감각통합 임상 적응과정)

  • Hong, Hyeon-Taek;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.1
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    • pp.39-54
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    • 2022
  • Objective : The purpose of this study was to identify the experiences of novice occupational therapists working at a child private clinic center in the clinical experience process of sensory integration therapy and to understand the adaptation process in child private clinic center. Methods : The participants were four occupational therapists with less than 1 year of clinical experience. Data collection was conducted through in-depth interviews, and the recorded interview responses were transcribed and analyzed. The analysis of the data was made by phenomenological analytic method suggested by Giorgi. Results : As a result of analyzing the adaptation process of novice occupational therapists working at the child private clinic center, 3 categories, 6 themes, and 16 main meanings were derived. Novice occupational therapists experienced difficulties arising from clinical, obstacles from the working environment, positive factors inside the center, support from outside the center, self-effort, and changes through adaptation experience. Conclusion : Along with changes to the social system and pediatric rehabilitation institution, one's own effort are also required so that novice child occupational therapists working at child private clinic centers can adapt and perform at their roles.

The Effect of Sensory Integrative Intervention on Postural Control and Occupational Performance (Play) of the Preschool Child With Postural Disorder: Case Study Using Goal Attainment Scale (GAS) (감각통합 중재가 취학 전 자세조절장애 아동의 자세조절과 작업수행(놀이)에 미치는 영향: 목표성취척도(Goal Attainment Scale)를 사용한 사례보고)

  • Ryu, Sung-Un;Kim, In-Sun;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.2
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    • pp.1-11
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    • 2013
  • Objective : The purpose of this study is to verify the effect of sensory integrative intervention on postural control and occupational performance (play) of the preschool child with postural disorder. Methods : Subject of this study was a 5 years and 8 month old boy. The subject underwent a sensory integration (SI) treatment which was part of the SI clinic course administered by the Korean Sensory Integration Society, in 2012. The treatment goal and treatment plan had established based on the evaluation results. Treatment was done with 11 sessions, the treatment activities and the adaptive responses of the subject were measured as outcome of the SI treatment. The goal of sessions were measured as Goal Attainment Scale, and re-evaluation was done on December in 2012. Results : During SI treatment, the subject was improved the stability of proximal body parts so that maintained Supine-Flexion Posture more than 20 seconds. He also showed increased attention span continuously about 1 activity on physical play. Conclusion : According to the results of this study, it was verified that sensory integrative intervention has positive effective on postural control and occupational performance (play) of the preschooler with postural disorder.

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The Effect of Group Sensory Integration Therapy on Motor Skill and Social Function of Children With Developmental Disorder (그룹 감각통합치료가 발달장애 아동의 운동기능 및 사회성 증진에 미치는 영향)

  • Han, Mi-Yea;Chang, Ki-Yeon;Kim, Ji-Youn;Han, Su-Yeon
    • The Journal of Korean Academy of Sensory Integration
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    • v.7 no.2
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    • pp.23-35
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    • 2009
  • Objective : The purpose of this study is to understand whether group Sensory Integration(SI) therapy has the effect on improvement of motor skill and social function for children with developmental disorder. Method : The subjects were recruited among children received sensory integration therapy at a Children's Development Institute in Dae-Jeon, experimental group is total 5 participating in group sensory integration therapy and control group is also 5 participating in individual sensory integration therapy. The program was constructed for 90 minutes and all children either in the experimental or in the control group went through intervention for 20 weeks. Bruininks-Oseretsky test of Motor Proficiency II, Korean-Scales of Independent Behavior-Revised and Social Maturity Scale were used in order to evaluate the degree of improvement in motor skill and social function. Results : Most children in the experimental group showed improvement in overall aspects of motor skill and the social function comparing pre-intervention with post-intervention, but they did not show any statistically significant differences. However, comparing experimental group with control group, children in the experimental group showed improvement in motor skill and social function. Furthermore, there is statistically significant improvement especially in manual coordination, manual dexterity, and social age and social quotient in Behavior-Revised and Social Maturity Scale. Conclusions : It is found that a group Sensory Integration therapy program has effect on motor skill and social function for children with developmental disorder in this study. In the future study, group SI therapy should be applied for children with diverse diagnosis in order to generalize the effectiveness of therapy.

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Occupation-based Occupational Therapy for an Youth With Sensory Integrative Dysfunction - A Single Case Study (감각통합기능장애를 가진 청소년의 작업수행에 초점을 맞춘 작업치료 사례)

  • Ji, Seok-Yeon;Lee, Kyoung-Min;Kim, Mi-Sun
    • The Journal of Korean Academy of Sensory Integration
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    • v.6 no.1
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    • pp.47-62
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    • 2008
  • Introduction : Sensory Integration(SI) theory, science it is developed by an occupational therapist A. Jean Ayres, is the one of the most popular frames of reference used in occupational therapy(OT) intervention. It has been proved as a scientific theory especially in neuroscience discipline through abundant research and practice. Occupational therapists apply the SI therapy with strong clinical reasoning to improve adaptive behaviors of their clients and try to link the adaptive behaviors with occupational performance in the clients' everyday life. One of the manners regarding clinical reasoning is Top-down approach. In occupational therapy discipline, Top-down approach is well-reflected within two evaluation tools; Canadian Occupational Performance Measure(COPM) and Assessment of Motor and Process Skills(AMPS) and two models of practice; Canadian Model of Occupational Performance(CMOP) and Occupational therapy intervention process model(OTIPM). Objective : The purpose of this paper demonstrates how SI therapy can be employed within OTIPM and how the OT process (evaluation-intervention-outcome) can be structuralized based on the Top-down approach. This single-case study recognizes the impact of a SI therapy for a male adolescent on his occupational performance. Intervention Examined : "P" was 16 years old male adolescent with no diagnosis and junior of the high school when he was referred. P was always with mouth opened, showed difficulties in gathering things need to be prepared and managing and paying money for shopping, and his colleges dislike getting close to him because he can't was his body well. AMPS was administrated in initial evaluation and reevaluation of P's occupation performance, Bruininks-Oserestky Test of Motor Proficiency-2(BOT-2) was carried out to assess motor functions and perception skills related in sensory integration, and occupational therapist performed clinical observation in order to complement the evaluation quantitatively and quantitatively. Based on the evaluation, it is concluded that the SI therapy is primary means to improve P's occupational performance, and three therapeutic approaches were constructed; restorative, acquired and compensatory approach. P showed improved motor and process skills in occupational performance after undergone the occupational therapy. Conclusions : The sensory integration therapy was practical enough to build the bridge between the occupational performance(Top) and the underlying component problems (Bottom). The OTIPM was helpful to identify meaningful occupation for P and P's family within P's contexts, and the AMPS was valuable to analyze and clarify the cause of difficulties in the chosen occupational performance.

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Job Satisfaction of Occupational Therapists Working in Sensory Integration Treatment Setting (감각통합치료 세팅에서 일하는 작업치료사의 직무만족도에 관한 연구)

  • Chang, Moon-Young;Lee, Mi-Hee;Jung, Hye-Young;Jung, Nam-Hae
    • The Journal of Korean Academy of Sensory Integration
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    • v.10 no.1
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    • pp.33-44
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    • 2012
  • Objective : The aim of the study was to investigate the job satisfaction of occupational therapists(OTs) who work in sensory integration treatment setting, and to analysis for factors influencing the satisfaction. Methods : Data were obtained from 62 OTs who had registered Korean Academy of sensory integration through a survey. Results 1 : Job satisfaction according to general characters: OTs who were above 35 years old and take the treatment course for sensory integration felt the highest total job satisfaction. OTs who are above 35 years old and have clinical experience under 12 month felt the highest salary satisfaction. OTs who are under 25 years old felt the highest promotion satisfaction. Female OTs felt higher colleagues relationship satisfaction than male OTs. 2. Job satisfaction according to work environment: OTs who work with 5 to 10 colleagues and work at private clinic felt the highest total job satisfaction. OTs who spend time treating patients more than 45 hours per week and work at private clinic. OTs who work with 5 to 10 colleagues felt the highest promotion and institute satisfaction. OTs who work at the disabled children care center considered change their job more than others. Conclusions : To improve job satisfaction of OTs, we need to consider size of organization, type of institutes. And we have to define role and specialty of OTs who work in various sensory integration treatment setting.

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