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A Systematic Review of Sensory Integration Intervention for Children in Korea

아동을 대상으로 한 감각통합치료의 중재효과에 대한 체계적 고찰: 국내 연구를 중심으로

  • 홍은경 (신성대학교 작업치료과)
  • Received : 2020.07.31
  • Accepted : 2020.09.14
  • Published : 2020.09.30

Abstract

Objective : The purpose of this study is to summarize the best-available intervention evidence for children's sensory integration therapy, drawn from studies published domestically in Korea over the last 10 years. Methods : The articles evaluated in this study were collected from the RISS and DBpia databases using the search terms "sensory integration," "sensory processing," and "Ayres Sensory Integration (ASI)". A total of 19 papers were analyzed. The selected studies were then assessed using the Population, Intervention, Outcomes, and Comparison method, the International Classification of Functioning, Disability and Health (ICF) method, and the modified Evidence Alert Traffic Light Grading System. Results : Development delay was the most commonly applied diagnosis for children's sensory integration therapy and individual sensory integration therapy was the most frequently used intervention method. The intervention effect was 91 percent in the body structure and function of ICF. The areas concentrated on were sensory modulation, sensory processing, fine and gross motor, body scheme, body-self concept, balance, basic movement, postural control and hand function, attention, and self-esteem. Conclusion : This simple overview of the efficacy of children's sensory integration therapy provides a basis for easy understanding and use by therapists, researchers and families with children.

목적 : 본 연구에서는 최근 10년간 국내에서 발표된 아동 감각통합치료에 대한 중재효과를 체계적으로 분석하여 이해하기 쉽도록 제시하고자 한다. 연구방법 : 학술연구정보서비스(RISS)와 디비피아(DBpia)의 검색엔진을 사용하여 2011년에서 2020년 6월까지 출판된 국내 논문을 대상으로 하였다. 검색어는 "감각통합", "감각처리", "ASI(Ayres Sensory Integration)"이었다. 총 19개의 논문을 분석하였다. 연구결과는 PICO(Population, Interventions, Outcomes, Comparisons), 국제기능장애 건강분류(International Classification of Function, Disability and Health; ICF)방법과 수정한 The Evidence Alert Traffic Light Grading System을 사용하여 그림으로 제시하였다. 결과 : 아동 감각통합치료를 가장 많이 적용한 진단은 발달지연이었고, 중재법은 개별 감각통합치료가 가장 많았다. ICF의 신체구조 및 기능에 해당하는 중재는 91%에서 긍정적인 효과를 보였다, 세부 영역은 감각조절 및 감각처리, 소운동과 대운동, 신체도식, 신체-자기개념, 균형, 기본 움직임, 자세조절 및 손기능, 집중, 자존감이었다. 결론 : 아동 감각통합치료의 중재효과를 ICF의 분류와 그림으로 간단히 제시하여 치료사, 연구자, 아동의 가족들이 쉽게 이해하고 이용할 수 있는 근거를 마련하고자 하였다.

Keywords

References

  1. Arbesman, M., & Lieberman, D. (2010). Methodology for the systematic review of occupational therapy for children and adolescents with difficulty processing and integrating sensory information. American Journal of Occupational Therapy, 64(3), 368-374. https://doi.org/10.5014/ajot.2010.09068
  2. Arbesman, M., Scheer, J., & Lieberman, D. (2008). Using AOTA's critically appraised topic (CAT) and critically appraised paper (CAP) series to link evidence to practice. OT practice, 13(5), 18-22.
  3. Chae, S. G. (2013). A study on the effects of play-based sensory integration treatment program on the behavior and sensory functions in children with developmental disorder. Journal of Play Therapy, 17(2), 53-72.
  4. Choi, J. H., & Kim, H. (2018). Effect of sensory integration group therapy on fine motor, social interaction and playfulness of preschool children with intellectual disabilities. Journal of Korean Academy of Sensory Integration, 16(1), 25-34. http://dx.doi.org/10.18064/JKASI.2018.16.1.025
  5. Choi, J. H., Kim, H., Lee, J. S., & Yoo, D. H. (2018). Effect of sensory integration group therapy on sensory processing, peer interaction and task performance of children with intellectual disabilities. Journal of Korean Society of Occupational Therapy, 26(4), 111-125. https://doi.org/10.14519/jksot.2018.26.4.09
  6. Chung, H. S. (2015). The effects of home based sensory integration parent education program on sensory modulation and daily of living functions for Autism Spectrum Disorder. Journal of Developmental Disabilities, 19(3), 1-31.
  7. Chung, H. S., Yoo, E. Y., Jung, M. Y., Park, J. H., Lee, T. Y., & Lee, J. Y. (2015). The effects of sensory integration coping skills parent program for Autism Spectrum Disorder on the parenting stress and parenting efficacy. Journal of Korean Society of Occupational Therapy, 23(3), 111-126. https://doi.org/10.14519/jksot.2015.23.3.09
  8. Depoy, E., & Gitlow, L. (2001). A model of evidence-based practice for occupational therapy. In L. W. Pedretti, & M. B. Early (Eds.), Occupational therapy practice skills for physical dysfunction (5th ed., pp. 58-68). St. Louis: Mosby.
  9. Ginnya, P., Mark, R., & Roslyn, L. (2018). Interventions to improve sensory and motor outcomes for young children with central hypotonia: A systematic review. Journal of Pediatric Rehabilitation Medicine, 11(1), 57-70. https://doi.org/10.3233/PRM-170507
  10. Hong, E. K., & Kim, K. M. (2014). A meta-analysis on the effects of sensory integration intervention for children: Focus on studies of South Korea. Journal of Special Education & Rehabilitation Science, 53(3), 299-313.
  11. Hwang, J. H., Kim, H. J., & Jung, H. R. (2017). The effect of sensory integrative intervention focused on proprioceptive-vestibular stimuli on the handwriting and fine motor function in lower grade elementary school children. Journal of Korean Academy of Sensory Integration, 15(1), 10-20. http://dx.doi.org/10.18064/JKASI.2017.15.1.010
  12. Jang, C. H. (2012). The effect of sensory-motor integration program on motor control of children with cerebral palsy. Korean Journal of Adapted Physical Activity, 20(2), 107-117.
  13. Jeong, S. K., & Rhie, S. J. (2011). Effects of psychomotorik and sensory integration on sensory modulation and attention of children with ADHD tendency. Journal of Special Children Education, 13(4), 331-356. https://doi.org/10.21075/kacsn.2011.13.4.331
  14. Jung, H. S. (2013). The effects of sensory integration theraplay program on sensory modulation function and adaptive behavior for children with Autism Spectrum Disorder. Journal of Play Therapy, 17(1), 8-98.
  15. Jung, N. H., Chang, M. Y. (2015). An analytical study on research trends in journal of Korean Academy of Sensory Integration: From 2003 to 2014. Journal of Korean Academy of Sensory Integration, 13(1), 45-56. http://dx.doi.org/10.18064/JKASI.2015.13.1.045
  16. Kang, D. H., Lee, J. E., & Kim, J. K. (2007). Perception of Korean occupational therapists on evidence-based occupational therapy. Journal of Korean Society of Occupational Therapy, 15(1), 13-23.
  17. Kim, E. Y., Noh, S., Namgung, Y., & Kim, K. M. (2012). The effects of group sensory integrative intervention on the sensory integration dysfunction children's social interaction with peer and therapist. Journal of Korean Academy of Sensory Integration, 10(1), 1-10.
  18. Kim, H. H., Hwangbo, G., & Yoo, B. K. (2011). The effects of the hand-function training applied sensory integration group treatment program on the hand-function and ADL ability of children with developmental disability. Korean Journal and Physical and Multiple Disabilities, 54(1), 127-143. https://doi.org/10.20971/kcpmd.2011.54.1.127
  19. Kim, H. H., Hwangbo, G., Yoo, B. K., & Jang, C. H. (2011). The effect of sensory-integration motor program on motor control of children with cerebral palsy. Korean Journal of Exercise Rehabilitation, 7(3), 15-26.
  20. Kim, H. H., Hwangbo, G., Yoo, B. K., & Kim, M. K. (2011). Effects of vestibule-oriented sensory integration treatment on the nystagmus, visual perception and balancing ability of children with developmental disability. Journal of the Korean Contents Association, 11(4), 290-302. https://doi.org/10.5392/JKCA.2011.11.4.290
  21. Kim, J. R., Kim, S. H., & Yang, N. Y. (2012). Evidence-based practice (EBP) among Korean occupational therapist: Use of resoureces, perceptions, and barriers. Therapeutic Science for Neurorehabilitation, 1(2), 41-53. https://doi.org/10.22683/TSNR.2012.1.2.041
  22. Kwag, S. W., Sim, J. M., & Roh, H. L. (2014). Study on the characteristics and quality level of single subject researches in the sensory integration therapy field of Korean occupational therapy. Journal of Korean Academy of Sensory Integration, 12(2), 25-36.
  23. Kwon, H. S., & Rhie, S. J. (2018). Effects of sensory integration activities on body scheme and body self-concept of preschoolers with developmental delays. Journal of Special Education, 34(2), 251-270. https://doi.org/10.31863/JSE.2018.12.34.2.251
  24. Lee, N., Chang, M., Lee, J., Kang, J., Yeo, S., & Kim, K. M. (2018). The effects of group play activities based on Ayres Sensory Integration$^{(R)}$ on sensory processing ability, social skill ability and self-esteem of low-income children with ADHD. Journal of Korean Academy of Sensory Integration, 16(2), 1-14. http://dx.doi.org/10.18064/JKASI.2018.16.2.001
  25. Novak, I. (2012). Evidence to practice commentary: The evidence alert traffic light grading system. Physical & Occupational Therapy in Pediatrics, 32(3), 256-259. https://doi.org/10.3109/01942638.2012.698148
  26. Novak, I., & Honan, I. (2019). Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian Occupational Therapy Journal, 66, 258-273. https://doi.org/10.1111/1440-1630.12573
  27. Novak, I., & McIntyre, S. (2010). The effect of education with workplace supports on practitioners' evidence -based practice knowledge and implementation behaviours. Australian Occupational Therapy Journal, 57, 386-393. https://doi.org/10.1111/j.1440-1630.2010.00861.x
  28. Novak, I., Russell, D., & Ketelaar, M. (2012). Knowledge translation: Accessing and using the best evidence to improve child and family outcomes (Chapter 21). In G. Ronen & P. Rosenbaum (Eds.), Health outcomes in young people with neurological and developmental conditions: Theory, concepts, evidence and practice. London: MacKeith Press (In Press).
  29. Parham, L. D., Cohn, E. S., Spitzer, S., Koomar, J. A., Miller, L. J., Burke, J. P., et al. (2007). Fidelity in sensory integration intervention research. American Journal of Occupational Therapy, 61(2), 216-227. https://doi.org/10.5014/ajot.61.2.216
  30. Park, E. J., & Shin, J. I. (2016). The effectiveness of sensory integration: Systematic review. Journal of Korea Academia-industrial Cooperation Society, 17(7), 144-153. http://dx.doi.org/10.5762/KAIS.2016.7.144
  31. Park, H. N., & Kim, K. M. (2019). The effect of Ayres Sensory Integration$^{(R)}$ intervention on sensory processing ability and motor development if children with developmental delay. Journal of Korean Academy of Sensory Integration, 17(2), 18-30. http://dx.doi.org/10.18064/JKASI.2019.17.2.018
  32. Park, H. S., Kim, K. M., & Chang, M. Y. (2015). The effect of parent education program based on sensory integration approach on the parent's understanding of sensory processing ability of children with developmental delays. Journal of Korean Academy of Sensory Integration, 13(1), 44-43.
  33. Park, M. R., Park, Y. Y., & Lee, J. Y. (2019). Effect of sensory integration group therapy on occupational performance, social interaction of preschool children with developmental delay. Journal of Korean Society of Occupational Therapy for Child and School, 8(1), 43-51.
  34. Park, Y., & Kong, I. J. (2015). A systematic review of effects on sensory integration intervention based on vestibular-proprioceptive system for children in Korea. Journal of Korean Academy of Sensory Integration, 13(2), 53-61. http://dx.doi.org/10.18064/JKASI.2015.13.2.053
  35. Rho, G. M., Hong, E. K., & Kim, K. M. (2011). The effects of sensory integration intervention on postural control and hand function in child with pervasive developmental disorder. Journal of Special Education & Rehabilitation Science, 50(3), 377-392.
  36. Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000). Evidence-based medicine: How to practice and teach EBM. London: Churchill Livingstone.
  37. Schaaf, R. C., Dumont, R., Arbesman, M., & May-Benson, T. A. (2018). Efficacy of occupational therapy using Ayres Sensory Integration$^{(R)}$: A systematic review. American Journal of Occupational Therapy, 72, 7201193310. http://doi.org/10.5014/ajot.2018.028431
  38. Shin, Y. N., Hong, E. K., & Yoo, E. Y. (2017). The effectiveness of Ayres Sensory Integration$^{(R)}$ and sensory -based intervention for children with Autism Spectrum Disorder: A systematic review. Journal of Special Education & Rehabilitation Science, 56(1), 437-456. https://doi.org/10.23944/isers.2017.03.56.1.18
  39. World Health Organization. (2001). International classification of functioning, disability and health. Geneva: World Health Organization.