Effect of Sensory Integration-Based Occupational Therapy Intervention on Sensory Functions and Neuromotor Performance of a Baby with Down Syndrome: Case Report

Yıl 2024, Cilt: 1 Sayı: 1, 59 - 64, 14.02.2024

Gülşah Zengin Yazıcı , Muhammed Rohat Yazıcı , Gözde Önal Meral Huri

Öz

The aim of this study was to investigate the effects of a sensory integration-based occupational therapy intervention program on the sensory functions and neuromotor performance of a 14-month-old baby with Down syndrome (DS). Sensory functions were evaluated using the Test of Sensory Functions in Infants (TSFI), and neuromotor performance was assessed using the Neuro Sensory Motor Development Assessment (NSMDA), with demographic information recorded beforehand. The infant participated in a 12-week occupational therapy intervention program, receiving 45-minute sessions once a week, and the family was provided with a home program. Evaluations were conducted before and after the intervention. The results showed positive improvements in the infant’s sensory functions and neuromotor performance. The baby’s NSMDA functional level score decreased from 17 to 11, while the TSFI total score increased from 29 to 42. The study found that sensory integration-based occupational therapy intervention could be effective in improving sensory functions and neuromotor performance in a baby with DS. These results suggest that clinical management of sensory and neuromotor function may be beneficial for a significant number of babies with DS.

Anahtar Kelimeler

Down syndrome, Neuromotor performance, Occupational therapy, Sensory function, Sensory integration

Down Sendromlu Bir Bebekte Duyu Bütünleme Temelli Ergoterapi Müdahalesinin Duyusal Fonksiyonlar ve Nöromotor Performansa Etkisi: Olgu Sunumu

Öz

The aim of this study was to investigate the effects of a sensory integration-based occupational therapy intervention program on the sensory functions and neuromotor performance of a 14-month-old baby with Down syndrome (DS). Sensory functions were evaluated using the Test of Sensory Functions in Infants (TSFI), and neuromotor performance was assessed using the Neuro Sensory Motor Development Assessment (NSMDA), with demographic information recorded beforehand. The infant participated in a 12-week occupational therapy intervention program, receiving 45-minute sessions once a week, and the family was provided with a home program. Evaluations were conducted before and after the intervention. The results showed positive improvements in the infant’s sensory functions and neuromotor performance. The baby’s NSMDA functional level score decreased from 17 to 11, while the TSFI total score increased from 29 to 42. The study found that sensory integration-based occupational therapy intervention could be effective in improving sensory functions and neuromotor performance in a baby with DS. These results suggest that clinical management of sensory and neuromotor function may be beneficial for a significant number of babies with DS.

Anahtar Kelimeler

Down syndrome, Neuromotor performance, Occupational therapy, Sensory function, Sensory integration

Kaynakça

• Brown, K. A., Parikh, S., & Patel, D. R. (2020). Understanding basic concepts of developmental diagnosis in children. Translational Pediatrics, 9(Suppl 1), S9.
• Burns, Y. R. (1992). NSMDA: Physiotherapy assessment for infants & young children. CopyRight Publishing.
• Charleton, P. M., Dennis, J., & Marder, E. (2010). Medical management of children with Down syndrome. Paediatrics and Child Health, 20(7), 331-337.
• Hardee, J., & Fetters, L. (2017). The effect of exercise intervention on daily life activities and social participation in individuals with Down syndrome: A systematic review. Research in Developmental Disabilities, 62, 81-103.
• Jirikowic, T. L., Engel, J. M., & Deitz, J. C. (1997). The Test of Sensory Functions in Infants: Test–retest reliability for infants with developmental delays. The American Journal of Occupational Therapy, 51(9), 733-738.
• Moriello, G., Terpstra, M. E., & Earl, J. (2020). Outcomes following physical therapy incorporating hippotherapy on neuromotor function and bladder control in children with Down syndrome: A case series. Physical & Occupational Therapy in Pediatrics, 40(3), 247-260.
• Ottenbacher, K. J. (1986). Evaluating clinical change: Strategies for occupational and physical therapists.
• Post, E. M., Kraemer, W. J., Kackley, M. L., Caldwell, L. K., Volek, J. S., Sanchez, B. N., Focht, B. C., Newton, R. U., Häkkinen, K., & Maresh, C. M. (2022). The effects of resistance training on physical fitness and neuromotor-cognitive functions in adults with Down syndrome. Frontiers in Rehabilitation Sciences, 3, 927629.
• Presson, A. P., Partyka, G., Jensen, K. M., Devine, O. J., Rasmussen, S. A., McCabe, L. L., & McCabe, E. R. (2013). Current estimate of Down syndrome population prevalence in the United States. The Journal of Pediatrics, 163(4), 1163-1168.
• Uyanik, M., Bumin, G., & Kayihan, H. (2003). Comparison of different therapy approaches in children with Down syndrome. Pediatrics International, 45(1), 68-73.
• Uyanik, M., & Kayihan, H. (2010). Down syndrome: Sensory integration, vestibular stimulation and neurodevelopmental therapy approaches for children. In Stone, J. H., & Blouin, M. (Eds.), International Encyclopedia of Rehabilitation, 9.
• Wuang, Y.-P., Ho, G.-S., & Su, C.-Y. (2013). Occupational therapy home program for children with intellectual disabilities: A randomized, controlled trial. Research in Developmental Disabilities, 34(1), 528-537.
• Zengin, G., & Akyürek, G. (2021). The effect of occupational therapy home intervention on oral sensory processing and nutrition problems in children with oral hypersensitive Down syndrome. Journal of the Neurological Sciences, 429.