The Effectiveness of Telerehabilitation-Based Occupational Therapy Interventions on Sensory Processing and Functional Independence in the COVID-19 Pandemic: A Case Series

Year 2021, , 160 - 165, 20.12.2021

Güleser Güney Yılmaz , Gözde Önal

https://doi.org/10.33438/ijdshs.1008690

Abstract

Abstract

Our study aimed to determine the effectiveness of telerehabilitation-based occupational therapy interventions on the level of sensory processing and functional independence during the pandemic period. Five children between the ages of 5 and 7 with sensory integration disorders were included in our study. A total of 16 sessions of telerehabilitation, 8 weeks, 2 sessions per week, were carried out via online channels (Zoom/Skype). Dunn Sensory Profile and WeeFIM Functional Independence Measure were applied before and after treatment. Data before and after the session were compared with SPSS 23.00. As a result, positive effects of telerehabilitation interventions on visual, vestibular, tactile and multi-sensory processing and functional activity level were determined in children (p<0.05). In conditions that negatively affect face-to-face rehabilitation, such as a pandemic, telerehabilitation interventions can be safe and alternative approaches. More telerehabilitation researchs are needed in the field of occupational therapy.

Keywords

telerehabilitation, sensory integration, pandemic, occupational performance, occupational therapy

References

• Aybay C, Erkin G, Elhan AH, Sirzai H, Ozel S (2007). ADL assessment of nondisabled Turkish children with the WeeFIM instrument. Am J Phys Med Rehabil; 86:176–182.
• Bodison, S. C., & Parham, L. D. (2018). Specific sensory techniques and sensory environmental modifications for children and youth with sensory integration difficulties: A systematic review. American Journal of Occupational Therapy, 72(1), 7201190040p1-7201190040p11.
• Ceylan, A. The COVID-19 Process and Telerehabilitation Applications in Physiotherapy: Review. Adnan Menderes University Faculty of Health Sciences Journal, 5(3), 617-627.
• Cheung, P. P. P., & Lau, B. W. M. (2020). Neurobiology of sensory processing in autism spectrum disorder. Progress in Molecular Biology and Translational Science, 173, 161-181. Dunn, W. (1999). Sensory Profile. San Antonio. Texas: Psicological Corporation.
• Gibbs, V., & Toth-Cohen, S. (2011). Family-centered occupational therapy and telerehabilitation for children with autism spectrum disorders. Occupational Therapy in Health Care, 25(4), 298-314.
• ,Hung, K. N, & Fong, K. N. (2019). Effects of telerehabilitation in occupational therapy practice: A systematic review. Hong Kong Journal of Occupational Therapy, 32(1), 3-21.
• J Jana Cason, D. H. S., Kim Hartmann PhD, O. T. R., & Tammy Richmond, M. S. (2018). Telehealth in Occupational Therapy. The American Journal of Occupational Therapy, 72, 1-18.
• Johnston, R. (2019). Caregiver Perspectives on Telehealth: A Service Delivery for Occupational Therapy.
• Kashefimehr, B. (2014). Investigation of sensory perception integration therapy according to Moho model in children with autism spectrum disorder.
• 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.
• Marshall, S. G., Shaw, D. K., Honles, G. L., & Sparks, K. E. (2008). Interdisciplinary approach to the rehabilitation of an 18-year-old patient with bronchopulmonary dysplasia, using telerehabilitation technology. Respiratory Care, 53(3), 346-350.
• Mori, A. B. (2015). Addressing sensory integration and sensory processing disorders across the lifespan: The role of occupational therapy. American Occupational Therapy Association.
• Niutanen, U., Harra, T., Lano, A., & Metsäranta, M. (2020). Systematic review of sensory processing in preterm children reveals abnormal sensory modulation, somatosensory processing and sensory‐based motor processing. Acta Paediatrica, 109(1), 45-55.
• Novak, I., & Berry, J. (2014). Home program intervention effectiveness evidence. Physical & Occupational therapy in Pediatrics, 34(4), 384-389.
• Ottenbacher, K. J., Msall, M. E., Lyon, N., Duffy, L. C., Ziviani, J., Granger, C. V., ... & Feidler, R. C. (2000). The WeeFIM instrument: its utility in detecting change in children with developmental disabilities. Archives of Physical Medicine and Rehabilitation, 81(10), 1317-1326.
• Önal, G., Güney, G., Gün, F., & Huri, M. (2021). Telehealth in paediatric occupational therapy: a scoping review. International Journal of Therapy And Rehabilitation, 28(7), 1-16.
• Önal, G., Güney, G., & Huri, M. (2021). Quality of life and occupational performance of children with cancer in the era of the COVID-19 pandemic in terms of rehabilitation. Quality of Life Research, 1-12.
• Önal, G., & Güney Yılmaz, G. (2021). Optik Disk Hipoplazili Bir Çocukta Kanada Okupasyonel Perfomans Modeli’ne Göre Ergoterapi Müdahalesinin Etkinliğinin İncelenmesi: Olgu Çalışması. Journal of Social Research and Behavioral Sciences, 7(13).
• Piwinski, N., Hoss, J., Velasco, R., & Jess, V. (2021). Relationship Between Sensory Integration and Occupational Participation for School-Aged Children.
• Sarsak, H. I. (2020). Telerehabilitation services: a successful paradigm for occupational therapy clinical services. Int Phys Med Rehabil J, 5(2), 93-98.
• 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.
• Smith Roley, S., Mailloux, Z., Miller-Kuhaneck, H., & Glennon, T. (2007). Understanding Ayres' sensory integration.
• Torpil, B., & Kaya, Ö. (2021). The effectiveness of client-centered intervention with telerehabilitation method after total knee arthroplasty. OTJR: Occupation, Participation and Health, 15394492211038293.
• Wong, V., Au-Yeung, Y. C. T., & Law, P. K. (2005). Correlation of Functional Independence Measure for Children (WeeFIM) with developmental language tests in children with developmental delay. Journal of Child Neurology, 20(7), 613-616.
• Wong, V., Wong, S., Chan, K., & Wong, W. (2002). Functional independence measure (WeeFIM) for Chinese children: Hong Kong cohort. Pediatrics, 109(2), e36-e36.
• 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.