• Therapeutic Science for Rehabilitation
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• v.4 no.1
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• pp.63-73
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• 2015

Objective : The purpose of this study was to investigate the effects of sensory diet home program for children with autism spectrum disorder who have sensory defensiveness and explore how this intervention affect to sensory modulation and social interaction ability. Methods : The subject of this case study was a 12-year-old girl with autism spectrum disorder who was struggling with her sensory modulation problem. Parent interview and evaluations were conducted and subject-tailored sensory diet home program was made by the therapist. Parent education for the home program was provided to parents and everyday, 3 times, 30minutes of home program activities were conducted to the child for 23 days. Adolescent/Adult Sensory Profile and Social Maturity Scale were measured at pre and post intervention and parent wrote daily observation record about child during the intervention. Results : After the intervention, Low Registration, Sensory Sensitivity, Sensation Avoiding area of Adolescent/Adult Sensory Profile included to the normal range and the scores of the Social Maturity Scale improved. Conclusions : Child's sensory defensiveness was relieved and sensory modulation and controling emotion ability were improved. While there was significant improvement for sensory modulation and social interaction ability, this was a case study and there was only one subject. So we need to study with larger sample size to generalize this intervention's effectiveness.

• The Journal of Korean Academy of Sensory Integration
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• v.12 no.2
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• pp.13-24
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• 2014

Objective : The purpose of this research is to choose scissoring, handling chopsticks, wearing a jacket with buttons as a significant subject in order to understand relations between writing ability of a preschool child and functional achievement ability. Methods : The subjects are 66 preschool children under the age of 5. The research has conducted for 1 week by using writing test, scissoring, handling chopsticks, wearing a jacket with buttons as an indicator of valuation. We collected statistics by using program called SPSS WIN 14.0 for the process of analysis. Results : The score of writing ability which is one of the common characteristic of subject has a significant difference in terms of statistics according to the gender. the score of girls are higher($13.33{\pm}2.55$) than boys($11.92{\pm}2.52$). Writing ability has a significant relativity with the achievement ability of scissoring(r=0.244, p=0.048),handling chopsticks(r=0.403, p=0.001), achievement ability in terms of statistics. Conclusion : A significant difference between writing ability according common characteristics of children is showed based on the gender. writing ability has a significant relativity with the achievement ability of scissoring, handling chopsticks, achievement ability.

• The Journal of Korean Academy of Sensory Integration
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• v.15 no.1
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• pp.10-20
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• 2017

Objective : The purpose of this study was to investigate the effect of proprioceptive-vestibular based sensory integrative intervention on handwriting and fine motor function in elementary school students in grades 1 to 3. Methods : In this study, eight students in an elementary school in Busan were enrolled. The intervention was conducted twice a week from May to October, 2016, and a total of 14 intervention sessions were conducted. In order to evaluate the writing ability and the fine-motor exercise ability before and after the intervention, the fine-motor movement items of the Korean alphabet writing test and the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) evaluation were used. Results : There was a statistically significant difference between the total scores of consonant writing and the Korean alphabet writing assessment after the intervention. In BOTMP-Fine motor, the response speed items showed statistically significant difference. Visual-motor control scores increased during intervention, but the statistical significance was not found. Conclusion : Sensory integration interventions might have positive effects on elementary school students' writing skills and fine motor functions.

• Therapeutic Science for Rehabilitation
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• v.12 no.4
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• pp.135-151
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• 2023

Objective : This study was conducted to confirm the effect of the oral motor facilitation technique (OMFT) on oral motor function in stroke patients. Methods : This study was conducted on 72 stroke patients with dysphagia were included. Thirty-six patients were randomly assigned to the experimental and control groups were randomly classified into 36 patients each using a random table, and a two-group pre-post test was designed. The experimental group underwent OMFT, and the control group underwent traditional dysphagia therapy for 30 min, once a day, 5 times a week for 4 weeks, for a total of 20 sessions. The Comprehensive Orofacial Function Scale (COFFS) was used to evaluate oral motor function. Repeated-measures analysis of variance (ANOVA) was performed to confirm the effect of the period, and an independent t-test was performed to analyze the difference in change between the two groups. Results : Total COFFS scores improved in both groups. The experimental group showed significant changes in mandibular and lip movements, cheek blows, and tongue movements. In addition, there were significant differences depending on the intervention period in terms of masticatory distribution, food spillage, swallowing of solid and liquid foods, and voice changes. There were significant differences in the mandibular opening and closing categories between the two groups. Conclusion : OMFT is effective in improving oral motor function in stroke patients with dysphagia and can be used as basic evidence in clinical practice.

• Therapeutic Science for Rehabilitation
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• v.4 no.2
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• pp.17-32
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• 2015

Purose : This study was to find the factors of guideline and expressing outcome about powered wheelchair use for children with disabilities. Method : The chosen studies were 38 published in Korea or abroad from 2000 to 2014, and the key research is 2 review articles among them. And 19 studies were used by first search and 2 review articles to find outcome factors and categorize followed ICF terminology. Moreover, 2 studies were analysed to find the guidelines about powered wheelchair use for children with disabilities. Result : All reviewed researches were published abroad. These suggested that powered wheelchair use for children with disabilities didn't affect delayed development but many advantages. And they recommended checking information about the guideline, child, parents and environmental support befor applying the powered wheelchair to children with disabilities. Also, they usually used participation level to express outcome about powered mobility use. Conclusion : The power wheelchair was useful means of mobility for children who were delayed movement, and it was important strategy to apply the powered wheelchair early for promote children's development and participation normally. Finally, professionals needed to intervene contextual approaches concerning children's families and environment, also institutional and social effort.

• The Journal of Korean Academy of Sensory Integration
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• v.9 no.2
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• pp.29-39
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• 2011

Objective : The purpose of this study is to verify the effect of sensory integrative intervention focused on proprioceptive-vestibular stimuli on adaptive response of children with sensory defensiveness. Methods : Subject of this study was a 6 years and 5 month old boy. The subject underwent a sensory integration (SI) treatment which was part of the SI treatment course administered by the Korean Sensory Integration Society, in 2011. The treatment goal and treatment plan had established based on the evaluation results. Treatment was done with 4 sessions and the adaptive responses of the subject were measured as outcome of the SI treatment. Results : During the SI treatment, the subject could participate in activities involving tactile stimulation without over-arousal. He also showed improved social interaction skills and his play was qualitatively extended. Conclusion : According to the results of this study, it was verified that sensory integrative intervention focused on proprioceptive-vestibular stimuli has positive effective on adaptive response for children with sensory defensiveness. For the future study, it is suggested to use standardized assessments in evaluation and provide information in changes of daily occupation as outcome data.

• The Journal of Korean Academy of Sensory Integration
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• v.14 no.2
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• pp.1-10
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• 2016

Objective: This study aims investigating the effects of functional electrical stimulation (FES) on hand function of children with spastic cerebral palsy. Methods: The participants of this study are 20 children with spastic cerebral palsy aged between 11 to 16 years old. All the subjects underwent 24 sessions of FES during 8 weeks. Each FES was 20 minutes per session, and 3 sessions of FES were provided in a week. Measurements used to assess hand function are Jebsen Hand Function Test, Modified Ashworth Scale and 3D Motion Analysis. After establishment of the baseline for each client by all the measurements, reevaluations were performed every 2 weeks using Jebsen Hand Function Test and the Modified Ashworth Scale. The 3D Motion Analysis was performed only before- and after the 8 weeks of FES treatment. Results: After the FES, there was significant decrease in completed time for the all 6 subtasks of Jebsen Hand Function Test were (p<.05) and also significant decrease in spasticity score of Modified Ashworth Scale as well (p<.05). 3D Motion Analysis showed that the hand tapping and the finger tapping has been significantly improved (p<.05), and the pronation-supination movement of lower arm has been significantly improved as well. Conclusion: Based on the results of this study, it is evidenced that functional electrical stimulation is effective treatment for hand function of children with cerebral palsy. For future research, it is recommended to examine various protocols of FES including impact of long-term application.

• The Journal of Korean Academy of Sensory Integration
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• v.7 no.1
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• pp.47-57
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• 2009

Objective : Purpose of this study is to study how Sensory Integration (SI) Intervention Program affect body-scheme and praxis ability of children with Developmental Disability (DD). Method : The SI intervention was programmed based on the theory of SI by Jean Ayres. Thirty children with DD underwent the SI program for six weeks. The effect of the SI intervention was evaluated in terms of body-scheme and praxis ability. Assessments used in this study are One-Point Imitation Test (OPIT) and 6 Body Puzzle Test (6BPT) for body-scheme; Praxis Test Sheet (PTS) for linguistic order, oral motor control, sequential praxis and Sensory Integration and Praxis Tests (SIPT) for postural praxis. Data of this study was analyzed by the paired t-test to compare before- and after the SI intervention. Results : Results of this study are (1) in the OPIT, there is significant difference on body-scheme ability (p<0.01); (2) in the PTS, there is significant difference on all three items (p<0.01); and (3) in the SIPT, there is significant difference on sensory integration and praxis function. Conclusions : From the results, it is concluded that sensory integration intervention is effective on body-scheme and praxis functions for children with developmental disability.

• The Journal of Korean Academy of Sensory Integration
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• v.16 no.2
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• pp.64-74
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• 2018

Objective : The purpose of this study is to examine the effects of therapeutic interventions on upper extremity function of children with cerebral palsy using systematic review methods and to suggest intervention trends in Korea. Methods : The subjects of the study were the researches published in the Korean Journal since 2008. Total 12 studies were selected through Korean research database engine such as DBpia, Scholar, KSDC, KISS and RISS for the systematic review. Key words were 'cerebral palsy', 'upper extremity function' and 'hand function'. The results of this study were analyzed by qualitative level and methodological quality level of evidence, and the results of each study were analyzed according to the PICO approach, that is Patient, Intervention, Comparison and Outcome. Results : For the level of evidence, Grade IV and V were most frequent. In terms of methodological quality, majority of the studies showed 'Fair' level. The subjects were the children with hemiplegia, and Single-subjects designs and case studies were frequent experimental design. Constraint-induced movement therapy (CIMT) was most frequently conducted among the intervention studies, and Jebsen-Taylor Hand Function Test was most frequently used evaluation tool. Eleven studies showed that the upper limb functions were significantly improved or were positively effective. Conclusion : Various intervention methods have been implemented to improve the upper limb functions of children with cerebral palsy. In the future, studies on intervention methods based on the type of paralysis and studies with high quality of evidence should be conducted in Korea.

• Therapeutic Science for Rehabilitation
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• v.8 no.2
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• pp.67-78
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• 2019

Objective : The purpose of this study was to investigate the effect of hand tapping on the accuracy and the fluency of speech production in children with speech sound disorder(SSD) and their typically developing peers(TD). Methods : The study subjects were 15 SSD children and 15 TD children aged 4, 5, and 6 years of age. Subjects were asked to give a picture name without hand tapping in the first experimental condition, and with hand tapping in the second experiment condition. Results : The results showed that hand tapping significantly increased disfluency in TD, whereas in SSD. it did not affect the accuracy or fluency of speech production. In addition, TD demonstrated a significant positive correlation with the changes of accuracy and disfluency due to hand tapping, whereas SSD had no correlation. Conclusion : We discussed the possibility that hand tapping could serve as an obstacle distracting attention from SSD and TD, acting as a motor gesture to facilitate phonological processing when facing the difficulty in lexical retrieval for SSD.