Evaluating Sensory Integration/Sensory Processing Treatment: Issues and Analysis.
Evaluating Sensory Integration/Sensory Processing Treatment: Issues and Analysis.
复制标题
DOI：
10.3389/fnint.2020.556660
复制
发表时间：
2020
影响因子：
3.5
通讯作者：
Wallace MT
中科院分区：
文献类型：
--
作者：
Camarata S;Miller LJ;Wallace MT
50多年来，“感觉统合”一直是诊断和治疗儿童残疾的理论框架，属于“感觉统合功能障碍”（SID）。最近，该方法已被重新定义为“感觉处理的维度”或SPD代替SID，因此本文的综述将这种集体框架描述为ASD的感觉整合/感觉处理治疗（SI/SP-T）。本综述不关注SI/SPD的诊断。广泛地说，SI/SPD干预方法将过多的残疾，如ADHD、ASD和破坏性行为，视为由于难以调节和整合感觉输入而加剧，主要关注触觉、本体感受和前庭系统的贡献，这些系统被假设为促成病症的核心症状（例如，ASD）。SI/SP干预程序包括旨在增强触觉、本体感受和前庭体验的感觉协议。SI/SP-T过程利用设备（例如，莱卡秋千、平衡木、攀岩墙和蹦床），特定装置（例如，加重背心，感觉刷）和活动（例如，将手放在凌乱的物质中，如剃须膏，有序的运动），假设可以增强感觉整合和感觉处理。本文综述了该方法，以提供一个框架，用于测试SI/SP-T使用广泛接受的临床试验和事件编码方法中使用的应用行为分析（阿坝）和其他行为干预。此外，一个相关的，但不同的神经科学范式，多感觉整合，作为一个独立的测试SI/SP-T是否差异影响感觉整合和/或多感觉整合。最后，由于SI/SP-T活动包括许多被称为发展促进者的偶然行为事件（例如，偶然的言语模型/言语互动期间的重铸），迫切需要控制混淆以研究基于感觉的干预的独特影响。请注意，SI/SP-T包括非常具体和可识别的程序和材料，因此在测试该方法时，期望高治疗保真度是合理的。一个病人的情况下，说明这混淆与一个已知的主持人（重铸干预）和控制潜在的混淆，以进行公正的研究SI/SP-T的方法，准确地代表SI/SP-T理论的变化的影响的方法。
For more than 50 years, “Sensory Integration” has been a theoretical framework for diagnosing and treating disabilities in children under the umbrella of “sensory integration dysfunction” (SID). More recently, the approach has been reframed as “the dimensions of sensory processing” or SPD in place of SID, so the review herein describes this collective framework as sensory integration/sensory processing treatment (SI/SP-T) for ASD. This review is not focused on diagnosis of SI/SPD. Broadly, the SI/SPD intervention approach views a plethora of disabilities such as ADHD, ASD, and disruptive behavior as being exacerbated by difficulties in modulating and integrating sensory input with a primary focus on contributions from tactile, proprioceptive, and vestibular systems which are hypothesized to contribute to core symptoms of the conditions (e.g., ASD). SI/SP intervention procedures include sensory protocols designed to enhance tactile, proprioceptive, and vestibular experiences. SI/SP-T procedures utilize equipment (e.g., lycra swings, balance beams, climbing walls, and trampolines), specific devices (e.g., weighted vests, sensory brushes) and activities (e.g., placing hands in messy substances such as shaving cream, sequenced movements) hypothesized to enhance sensory integration and sensory processing. The approach is reviewed herein to provide a framework for testing SI/SP-T using widely accepted clinical trials and event coding methods used in applied behavior analysis (ABA) and other behavioral interventions. Also, a related but distinct neuroscientific paradigm, multisensory integration, is presented as an independent test of whether SI/SP-T differentially impacts sensory integration and/or multisensory integration. Finally, because SI/SP-T activities include many incidental behavioral events that are known as developmental facilitators (e.g., contingent verbal models/recasts during verbal interactions), there is a compelling need to control for confounds to study the unique impact of sensory-based interventions. Note that SI/SP-T includes very specific and identifiable procedures and materials, so it is reasonable to expect high treatment fidelity when testing the approach. A patient case is presented that illustrates this confound with a known facilitator (recast intervention) and a method for controlling potential confounds in order to conduct unbiased studies of the effects of SI/SP-T approaches that accurately represent SI/SP-T theories of change.
登录
查看更多内容
影响因子：
3.9
作者：
Ben-Sasson, Ayelet;Gal, Eynat;Cermak, Sharon A.
通讯作者：
Cermak, Sharon A.
DOI：
10.1179/2047387715y.0000000010
发表时间：
2016-01-01
影响因子：
2.1
作者：
Davis, Tonia N.;Lancaster, Hope S.;Camarata, Stephen
通讯作者：
Camarata, Stephen
影响因子：
2.9
作者：
Case-Smith, J;Miller, H
通讯作者：
Miller, H
影响因子：
2.6
作者：
Cleave, Patricia L.;Becker, Stephanie D.;Fey, Marc E.
通讯作者：
Fey, Marc E.
影响因子：
3.9
作者：
Devlin, Sarah;Healy, Olive;Hughes, Brian M.
通讯作者：
Hughes, Brian M.