Dikkat Eksikliği Ve Hiperaktivite Bozukluğu Tanılı Bir Vakada Ayres Duyu Bütünleme Temelli Ergoterapi Müdahalesinin Etkileri

Year 2021, Volume: 1 Issue: 2, 152 - 167, 22.08.2021

Aymen Balıkçı Fatoş Kırteke Gamze Çağla Dirgen Duygu Saitoğulları Gümüş

Abstract

Amaç: Çalışmamızda dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) tanılı 8 yaşındaki bir çocukta Ayres Duyu Bütünleme® (ADB) temelli ergoterapi müdahalesinin etkinliğinin araştırılması amaçlanmıştır.
Materyal-Metot: Çalışma veriye dayalı karar verme sistemine göre desenlenmiştir. Aile ile yapılan kapsamlı görüşme ve gözlem sonrasında birey standart ölçek ve testlerin yapılması için yönlendirilmiştir. Müdahale öncesinde Duyu Profili (DP) ölçeği ve Duyusal İşlemleme Ölçeği-Ev Formu (DİÖ) ile Duyu Bütünleme ve Praksi Testi (DBPT) kullanılarak duyusal işlem ve praksi becerileri değerlendirilmiştir. Kapsamlı değerlendirme sonucunda elde edilen veriler ile oluşturulan hipotez sonrasında, bireyin günlük yaşamındaki beş farklı alana yönelik hedefi içeren Amaca Ulaşım Skalası (AUS) oluşturulmuştur. ADB temelli ergoterapi müdahalesi, haftada iki kere 45 dakikalık bireysel seanslar şeklinde 6 ay boyunca ADB konusunda eğitimli bir ergoterapist tarafından uygulanmıştır. Müdahalenin ADB’ye uygunluğu Ayres Duyu Bütünleme Uygunluk Ölçütü (ADBUÖ) kullanılarak değerlendirilmiştir.
Bulgular: Müdahale ADBUÖ süreç elementlerinde ortalama 85.16 puan alarak ADB kriterlerini karşılamıştır. Altı aylık ADB müdahalesi sonrasında aile ve okuldaki sınıf öğretmeni şikayetlerin büyük ölçüde azaldığını belirtmiştir. Ayrıca AUS ile belirlenen beş hedefin tamamnında beklenilenin çok üstünde bir seviyeye (+2) ulaşılmıştır. DİÖ ve DP aile ölçeklerinde bütün alt test puanları tipik aralığa kaymıştır.
Sonuç: Çalışmamız DEHB tanılı bir bireyde ADB temelli ergoterapi müdahalesinin duyusal işlem ve katılımı etkileyen faktörler üzerine olumlu etkilerini ortaya koymuştur.
Anahtar Kelimeler: Dikkat Eksikliği, Duyu Bütünleme, Ergoterapi

Keywords

Dikkat eksikliği, Duyu bütünleme, Ergoterapi

References

• Ayres, A. J., & Robbins, J. (2005). Sensory integration and the child: Understanding hidden sensory challenges. Western Psychological Services.
• Baker, B., Wu, H., Laue, H., Boivin, A., … V. G.-E., & 2020, undefined. (n.d.). Methylparaben in meconium and risk of maternal thyroid dysfunction, adverse birth outcomes, and Attention-Deficit Hyperactivity Disorder (ADHD). Elsevier. Retrieved July 29, 2021, from https://www.sciencedirect.com/science/article/pii/S0160412020303159
• Baranek, G. T., David, F. J., Poe, M. D., Stone, W. L., & Watson, L. R. (2006). Sensory Experiences Questionnaire: discriminating sensory features in young children with autism, developmental delays, and typical development. Journal of Child Psychology and Psychiatry, 47(6), 591–601. https://doi.org/https://doi.org/10.1111/j.1469-7610.2005.01546.x
• Bayat, M., Sharifi, M., Haghani, M., bulletin, M. S.-B. research, & 2015, undefined. (n.d.). Enriched environment improves synaptic plasticity and cognitive deficiency in chronic cerebral hypoperfused rats. Brain research bulletin, 119, 34-40.
• Botanas, C., Lee, H., Peña, J. de la, … I. dela P.-P. &, & 2016, undefined. (n.d.). Rearing in an enriched environment attenuated hyperactivity and inattention in the spontaneously hypertensive rats, an animal model of attention-deficit. Elsevier. Retrieved July 29, 2021, from https://www.sciencedirect.com/science/article/pii/S0031938415301943?casa_token=AlyvLmkwSN0AAAAA:ReT7JD1Kb6sTf4BBZvvSYYeQxZq2Ae1G5caYSTI99H7K7pSeQZHHEXFww2FLGZZa2RxMTBK_MYc
• Bundy, A. (2002). Sensory Integration Theory Revisited:A philosophy of practice. In Understanding the nature of sensory integration with diverse populations (2nd ed.). F.A. Davis. http://www.proedinc.com/Downloads/12565Ch01.pdf
• Bundy, A. C., & Lane, S. (2020). Sensory integration : theory and practice.
• Bundy, A. C., Shia, S., Qi, L., & Miller, L. J. (2007). How Does Sensory Processing Dysfunction Affect Play? American Journal of Occupational Therapy, 61(2), 201–208. https://doi.org/10.5014/AJOT.61.2.201
• Case-Smith, J., Therapy, T. B.-A. J. of O., & 1999, undefined. (n.d.). The effects of occupational therapy with sensory integration emphasis on preschool-age children with autism. Ajot.Aota.Org. Retrieved July 30, 2021, from https://ajot.aota.org/article.aspx?articleid=1873464
• Cheung, P., disabilities, A. S.-R. in developmental, & 2009. A comparison of patterns of sensory processing in children with and without developmental disabilities. Research in developmental disabilities, 30(6), 1468-1480.
• Chien, C., Rodger, S., pediatrics, J. C.-… therapy in, & 2016, undefined. (2016). Sensory processing and its relationship with children’s daily life participation. Taylor & Francis, 36(1), 73–87. https://doi.org/10.3109/01942638.2015.1040573
• Childress, A. C., & Berry, S. A. (2012). Pharmacotherapy of attention-deficit hyperactivity disorder in adolescents. Drugs, 72(3), 309–325. https://doi.org/10.2165/11599580-000000000-00000
• Coşkun, F., Tamam, L., Dergisi, M. D.-D. T., (2020). Erişkin Tip Dikkat Eksikliği ve Hiperaktivite Bozukluğu’nda Kronotip ve Klinik Özellikler. Dergipark.Org.Tr, 47(2), 312–323. https://doi.org/10.5798/dicletip.755717
• Dove, S., & Dunn, W. (2008). Sensory processing in students with specific learning disabilities: Findings and implications for assessment and intervention planning. Journal of Occupational Therapy, Schools, and Early Intervention, 1(2), 116–127. https://doi.org/10.1080/19411240802312798
• Dunn, W., & Bennett, D. (2002). Patterns of sensory processing in children with Attention Deficit Hyperactivity Disorder. Occupational Therapy Journal of Research, 22(1), 4–15. https://doi.org/10.1177/153944920202200102
• Dunn, W., & Bennett, D. (2016). Patterns of Sensory Processing in Children with Attention Deficit Hyperactivity Disorder: Http://Dx.Doi.Org/10.1177/153944920202200102, 22(1), 4–15. https://doi.org/10.1177/153944920202200102
• Engel-Yeger, B, disabilities, D. Z.-O.-R. in developmental, (2011). The relationship between sensory processing difficulties and leisure activity preference of children with different types of ADHD. Research in developmental disabilities, 32(3), 1154-1162.
• Engel-Yeger, Batya, & Rosenblum, S. (2017). The relationship between sensory-processing patterns and occupational engagement among older persons. Canadian Journal of Occupational Therapy, 84(1), 10–21. https://doi.org/10.1177/0008417417690415
• Kashefimehr, B., Kayihan, H., & Huri, M. (2018). The effect of sensory integration therapy on occupational performance in children with autism. OTJR Occupation, Participation and Health, 38(2), 75–83. https://doi.org/10.1177/1539449217743456
• Kayihan, H., Akel, B. S., Salar, S., Huri, M., Karahan, S., Turker, D., & Korkem, D. (2015). Development of a turkish version of the sensory profile: Translation, cross-cultural adaptation, and psychometric validation. Perceptual and Motor Skills, 120(3), 971–986. https://doi.org/10.2466/08.27.PMS.120V17X8
• Kiresuk, T. J., Smith, A., & Cardillo, J. E. (1994). Goal Attainment Scaling : applications, theory, and measurement. 308.
• Leekam, S. R., Nieto, C., Libby, S. J., Wing, L., & Gould, J. (2007). Describing the sensory abnormalities of children and adults with autism. Journal of Autism and Developmental Disorders, 37(5), 894–910. https://doi.org/10.1007/S10803-006-0218-7
• Mangeot, S. D., Miller, L. J., McIntosh, D. N., McGrath-Clarke, J., Simon, J., Hagerman, R. J., & Goldson, E. (2001). Sensory modulation dysfunction in children with attention-deficit-hyperactivity disorder. Developmental Medicine and Child Neurology, 43(6), 399–406. https://doi.org/10.1111/J.1469-8749.2001.TB00228.X
• Marmara Üniversitesi Eğitim Bilimleri Enstitüsü Zihin Engelliler Öğretmenliği Yüksek Lisans Programı, T., & Lisans Tezi, Y. (2010). DUYUSAL İŞLEMLEME ÖLÇEĞİ-EV FORMU’NUN TÜRKİYE KOŞULLARINA UYARLANMASI.
• Miller, L. J., Anzalone, M. E., Lane, S. J., Cermak, S. A., & Osten, E. T. (2007). Concept Evolution in Sensory Integration: A Proposed Nosology for Diagnosis. American Journal of Occupational Therapy, 61(2), 135–140. https://doi.org/10.5014/AJOT.61.2.135
• Morgan, C., Novak, I., Pediatrics, N. B.-, (2013). Enriched environments and motor outcomes in cerebral palsy: systematic review and meta-analysis. Am Acad Pediatrics.
• Nithianantharajah, J., & Hannan, A. J. (2006). Enriched environments, experience-dependent plasticity and disorders of the nervous system. Nature Reviews Neuroscience, 7(9), 697-709.
• Nozari, M., Shabani, M., Hadadi, M., & Atapour, N. (2014). Enriched environment prevents cognitive and motor deficits associated with postnatal MK-801 treatment. Psychopharmacology, 231(22), 4361–4370. https://doi.org/10.1007/S00213-014-3580-8
• Pamplona, F. A., Pandolfo, P., Savoldi, R., Prediger, R. D. S., & Takahashi, R. N. (2009). Environmental enrichment improves cognitive deficits in Spontaneously Hypertensive Rats (SHR): Relevance for Attention Deficit/Hyperactivity Disorder (ADHD). Progress in Neuro-Psychopharmacology and Biological Psychiatry, 33(7), 1153–1160. https://doi.org/10.1016/J.PNPBP.2009.06.012
• Parham, L., Roley, S., … T. M.-B.-A. J. of, & 2011, (2011). Development of a fidelity measure for research on the effectiveness of the Ayres Sensory Integration® intervention. Ajot.Aota.Org. https://doi.org/10.5014/ajot.2011.000745
• Parush, S., Sohmer, H., Steinberg, A., & Kaitz, M. (1997). Somatosensory functioning in children with attention deficit hyperactivity disorder. Developmental Medicine and Child Neurology, 39(7), 464–468. https://doi.org/10.1111/J.1469-8749.1997.TB07466.X
• Parush, S., Sohmer, H., Steinberg, A., & Kaitz, M. (2007). Somatosensory function in boys with ADHD and tactile defensiveness. Physiology & Behavior, 90, 553–558. https://doi.org/10.1016/j.physbeh.2006.11.004
• Pekçetin, S., Akı, E., … Z. Ü.-P. and motor, (2016). The efficiency of sensory integration interventions in preterm infants. Journals.Sagepub.Com. Retrieved July 30, 2021, from https://journals.sagepub.com/doi/abs/10.1177/0031512516662895
• Reinoso, G., Plata, R., Carrasco, R., Wall, R., & Damitz, K. (2020). Specific correlations between domains of the fourth edition of the Wechsler Intelligence Scale (WISC-IV) and the Sensory Integration and Praxis Tests (SIPT) in. Revista.Terapia-Ocupacional.Org.Ar. Retrieved July 30, 2021, from https://revista.terapia-ocupacional.org.ar/RATO/2020ene-art1.pdf
• Mulligan S., (1996). An analysis of score patterns of children with attention disorders on the Sensory Integration and Praxis Tests. The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association, 50(8), 647–654. https://doi.org/10.5014/AJOT.50.8.647
• Schaaf, R. C., Dumont, R. L., Arbesman, M., & May-Benson, T. A. (2018). Efficacy of occupational therapy using Ayres Sensory Integration®: A systematic review. American Journal of Occupational Therapy, 72(1), 7201190010p1-7201190010p10.
• Schaaf, R. C. (2015). Clinician's guide for implementing Ayres sensory integration: Promoting participation for children with autism.
• Schaaf, R., developmental, L. M.-M. retardation and, (2005). Occupational therapy using a sensory integrative approach for children with developmental disabilities. Wiley Online Library, 11(2), 143–148. https://doi.org/10.1002/mrdd.20067
• Schaaf, R., & Roley, S. (2006). SI: Applying clinical reasoning to practice with diverse populations. https://www.proedinc.com/Products/12565/si-applying-clinical-reasoning-to-practice-with-diverse-populations.aspx
• Schoen, S. A., Lane, S. J., Mailloux, Z., May-Benson, T., Parham, L. D., Roley, S. S., & Schaaf, R. C. (2019). A systematic review of ayres sensory integration intervention for children with autism. Autism Research, 12(1), 6–19. https://doi.org/10.1002/AUR.2046
• Shimizu, V. T., Bueno, O. F., & Miranda, M. C. (2014). Sensory processing abilities of children with ADHD. Brazilian journal of physical therapy, 18, 343-352.l
• Tomchek, S., & Dunn, W. (2007). Sensory Processing in Children With and Without Autism: A Comparative Study Using the Short Sensory Profile. The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association, 61, 190–200. https://doi.org/10.5014/ajot.61.2.190
• Jaarsveld, A., Mailloux, Z., & Herzberg, D. (2012). The use of the Sensory Integration and Praxis Tests with South African children. South African Journal of Occupational Therapy, 42, 12–18.
• Watling, R., Therapy, J. D.-A. J. of O., & 2007, undefined. (n.d.). Immediate effect of Ayres’s sensory integration–based occupational therapy intervention on children with autism spectrum disorders. Ajot.Aota.Org. Retrieved July 30, 2021, from https://ajot.aota.org/article.aspx?articleid=1866992
• Williams, C. M., Tinley, P., & Curtin, M. (2010). Idiopathic toe walking and sensory processing dysfunction. Journal of Foot and Ankle Research, 3(1). https://doi.org/10.1186/1757-1146-3-16
• Williamson, G., & Anzalone, M. (2001). Sensory integration and self-regulation in infants and toddlers: Helping very young children interact with their environment. https://eric.ed.gov/?id=ED466317
• Woo, C., neuroscience, M. L.-B., & 2013, undefined. (2013). Environmental enrichment as an effective treatment for autism: a randomized controlled trial. Psycnet.Apa.Org, 127(4), 487–497. https://doi.org/10.1037/a0033010
• Yochman, Aviva, Parush, S., & Ornoy, A. (2004). Responses of Preschool Children With and Without ADHD to Sensory Events in Daily Life. The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association, 58, 294–302. https://doi.org/10.5014/ajot.58.3.294
• Zhu, H., Zhang, J., Sun, H., Zhang, L., Liu, H., Zeng, X., . . . Yao, Z. (2011). An enriched environment reverses the synaptic plasticity deficit induced by chronic cerebral hypoperfusion. Neuroscience letters, 502(2), 71-75.