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Feldman JI, Dunham K, DiCarlo GE, Cassidy M, Liu Y, Suzman E, Williams ZJ, Pulliam G, Kaiser S, Wallace MT, Woynaroski TG. A Randomized Controlled Trial for Audiovisual Multisensory Perception in Autistic Youth. J Autism Dev Disord 2023; 53:4318-4335. [PMID: 36028729 PMCID: PMC9417081 DOI: 10.1007/s10803-022-05709-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/01/2022] [Indexed: 11/24/2022]
Abstract
Differences in audiovisual integration are commonly observed in autism. Temporal binding windows (TBWs) of audiovisual speech can be trained (i.e., narrowed) in non-autistic adults; this study evaluated a computer-based perceptual training in autistic youth and assessed whether treatment outcomes varied according to individual characteristics. Thirty autistic youth aged 8-21 were randomly assigned to a brief perceptual training (n = 15) or a control condition (n = 15). At post-test, the perceptual training group did not differ, on average, on TBWs for trained and untrained stimuli and perception of the McGurk illusion compared to the control group. The training benefited youth with higher language and nonverbal IQ scores; the training caused widened TBWs in youth with co-occurring cognitive and language impairments.
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Affiliation(s)
- Jacob I Feldman
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, MCE 8310 South Tower, 1215 21st Avenue South, Nashville, TN, 37232, USA.
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA.
| | - Kacie Dunham
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
| | - Gabriella E DiCarlo
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Mass General Brigham Neurology Residency Program, Harvard Medical School, Boston, MA, USA
- Medical Scientist Training Program, Vanderbilt University, Nashville, TN, USA
| | - Margaret Cassidy
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- National Institutes of Health, Bethesda, MD, USA
| | - Yupeng Liu
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
- Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO, USA
| | - Evan Suzman
- Master's Program in Biomedical Science, Vanderbilt University, Nashville, TN, USA
- Southwestern School of Medicine, University of Texas, Dallas, TX, USA
| | - Zachary J Williams
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
- Medical Scientist Training Program, Vanderbilt University, Nashville, TN, USA
| | - Grace Pulliam
- Neuroscience Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Sophia Kaiser
- Cognitive Studies Undergraduate Program, Vanderbilt University, Nashville, TN, USA
| | - Mark T Wallace
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Psychology, Vanderbilt University, Nashville, TN, USA
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA
- Department of Pharmacology, Vanderbilt University, Nashville, TN, USA
| | - Tiffany G Woynaroski
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, MCE 8310 South Tower, 1215 21st Avenue South, Nashville, TN, 37232, USA
- Frist Center for Autism & Innovation, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, TN, USA
- Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN, USA
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Li Q, Kang X, Liu L, Xiao Y, Xu D, Zhuang H, Liu H, Zhao J, Zou H, Yang J, Zhan X, Li T, Wang X, Liu L. Adult mice with noise-induced hearing loss exhibited temporal ordering memory deficits accompanied by microglia-associated neuroplastic changes in the medial prefrontal cortex. Neurobiol Dis 2023:106181. [PMID: 37271287 DOI: 10.1016/j.nbd.2023.106181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 05/17/2023] [Accepted: 05/30/2023] [Indexed: 06/06/2023] Open
Abstract
Acquired peripheral hearing loss in midlife is considered the primary modifiable risk factor for dementia, while the underlying pathological mechanism remains poorly understood. Excessive noise exposure is the most common cause of acquired peripheral hearing loss in modern society. This study was designed to investigate the impact of noise-induced hearing loss (NIHL) on cognition, with a focus on the medial prefrontal cortex (mPFC), a brain region that is involved in both auditory and cognitive processes and is highly affected in patients with cognitive impairment. Adult C57BL/6 J mice were randomly assigned to a control group and seven noise groups: 0HPN, 12HPN, 1DPN, 3DPN, 7DPN, 14DPN, and 28DPN, which were exposed to broadband noise at a 123 dB sound pressure level (SPL) for 2 h and sacrificed immediately (0 h), 12 h, or 1, 3, 7, 14, or 28 days post-noise exposure (HPN, DPN), respectively. Hearing assessment, behavioral tests, and neuromorphological studies in the mPFC were performed in control and 28DPN mice. All experimental animals were included in the time-course analysis of serum corticosterone (CORT) levels and mPFC microglial morphology. The results illustrated that noise exposure induced early-onset transient serum CORT elevation and permanent moderate-to-severe hearing loss in mice. 28DPN mice, in which permanent NIHL has been verified, exhibited impaired performance in temporal order object recognition tasks concomitant with reduced structural complexity of mPFC pyramidal neurons. The time-course immunohistochemical analysis in the mPFC revealed significantly higher morphological microglial activation at 14 and 28 DPN, preceded by a remarkably higher amount of microglial engulfed postsynaptic marker PSD95 at 7 DPN. Additionally, lipid accumulation in microglia was observed in 7DPN, 14DPN and 28DPN mice, suggesting a driving role of lipid handling deficits following excessive phagocytosis of synaptic elements in delayed and sustained microglial abnormalities. These findings provide fundamentally novel information concerning mPFC-related cognitive impairment in mice with NIHL and empirical evidence suggesting the involvement of microglial malfunction in the mPFC neurodegenerative consequences of NIHL.
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Affiliation(s)
- Qian Li
- Medical College, Southeast University, Nanjing 210009, China
| | - Xiaomin Kang
- School of Life Science and Technology, Southeast University, Nanjing 210096, China
| | - Linchen Liu
- Department of Rheumatology, Zhongda Hospital, Medical School of Southeast University, Nanjing 210009, China
| | - Yu Xiao
- Medical College, Southeast University, Nanjing 210009, China
| | - Dan Xu
- School of Public Health, Southeast University, Nanjing 210009, China
| | - Hong Zhuang
- Medical College, Southeast University, Nanjing 210009, China
| | - Haiqing Liu
- School of Life Science and Technology, Southeast University, Nanjing 210096, China
| | - Jingyi Zhao
- School of Life Science and Technology, Southeast University, Nanjing 210096, China
| | - Han Zou
- Medical College, Southeast University, Nanjing 210009, China
| | - Jianing Yang
- Medical College, Southeast University, Nanjing 210009, China
| | - Xindi Zhan
- Medical College, Southeast University, Nanjing 210009, China
| | - Tianxiao Li
- Medical College, Southeast University, Nanjing 210009, China
| | - Xinchen Wang
- Medical College, Southeast University, Nanjing 210009, China
| | - Lijie Liu
- Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Physiology, School of Medicine, Southeast University, Nanjing 210009, China.
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Schoen SA, Schaaf RC, Mailloux Z, Bundy A, Lane S, May-Benson TA, Parham LD, Roley SS. Response: Commentary: Evaluating Sensory Integration/Sensory Processing Treatment: Issues and Analysis. Front Integr Neurosci 2022; 16:874320. [PMID: 35747497 PMCID: PMC9211064 DOI: 10.3389/fnint.2022.874320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Accepted: 05/13/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Sarah A. Schoen
- STAR Institute for Sensory Processing, Centennial, CO, United States
- Rocky Mountain University of Health Professions, Provo, UT, United States
| | - Roseann C. Schaaf
- Jefferson Autism Center of Excellence, Thomas Jefferson University School of Rehabilitation Sciences and Department of Occupational Therapy, Philadelphia, PA, United States
| | - Zoe Mailloux
- Jefferson Autism Center of Excellence, Thomas Jefferson University School of Rehabilitation Sciences and Department of Occupational Therapy, Philadelphia, PA, United States
| | - Anita Bundy
- Department of Occupational Therapy, Colorado State University College of Health and Human Sciences, Fort Collins, CO, United States
| | - Shelly Lane
- Department of Occupational Therapy, Colorado State University College of Health and Human Sciences, Fort Collins, CO, United States
| | - Teresa A. May-Benson
- TMB Education, LLC, Norristown, PA, United States
- Institute of Occupational Therapy Education, Widener University, Chester, PA, United States
| | | | - Susanne Smith Roley
- Collaborative for Leadership in Ayres Sensory Integration, Aliso Viejo, CA, United States
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Abstract
Background: Ayres Sensory Integration (ASI) is widely employed by occupational therapists working with clients who experience challenges in sensory integration, including those with autism spectrum disorder (ASD). However, there is a dearth of research examining the feasibility of ASI outside of Western nations. This study documented the barriers associated with ASI in Saudi Arabia and assessed whether the intervention could improve process and participation skills. Methods: Single-Subject experimental design was used. The participant was a 4-year-old girl with ASD from Saudi Arabia. Data were gathered on sensory processing, motor skills, and participation in activities of daily living. The study used semi-structured interviews and assessments (Sensory Integration and Praxis Tests, the Sensory Processing Measure-Preschool, and the Peabody Developmental Motor Scale-2) to develop goals, identify outcome measures, and plan an ASI intervention. Results: Despite the limited availability of resources (e.g., toys, treatment spaces) and Arabic measures, improvements were observed on motor and sensory tasks and in occupational performance. Conclusion: ASI that adheres to the ASI fidelity tool can be of value for Saudi Arabian children with ASD. Additionally, the study provides a stepping-stone to further research for occupational therapists in Saudi Arabia working with children with ASD.
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Affiliation(s)
- Shahad Alkhalifah
- King Faisal Hospital & Research Centre, Centre for Autism Research, Riyadh, 11211, Saudi Arabia
| | - Susan Allen
- Department of Psychology and Clinical Language Science, University of Reading, Reading, RG6 6UR, UK
| | - Hesham Aldhalaan
- King Faisal Hospital & Research Centre, Centre for Autism Research, Riyadh, 11211, Saudi Arabia
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Psychometric Properties of the Sensory Processing and Self-Regulation Checklist: English Version. Occup Ther Int 2021; 2021:6658786. [PMID: 33688309 PMCID: PMC7920736 DOI: 10.1155/2021/6658786] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Accepted: 02/09/2021] [Indexed: 11/23/2022] Open
Abstract
Background Sensory processing supports children's development and abilities to participate in activities across contexts. Self-regulation skills may influence how children process various sensory experiences in daily life activities. The Sensory Processing and Self-Regulation Checklist (SPSRC) is a 130-item caregiver-reported checklist, covering children's essential sensory processing and self-regulation performance in daily activities. Objectives This study examines the psychometric properties of the SPSRC (English version) in measuring the sensory processing and self-regulation abilities of children. Methods A preliminary field testing of the SPSRC-English was conducted in a sample of n = 194 children (164 without disability and 30 with a disability) to evaluate its reliability and validity properties. Results The SPSRC-English was shown to have high internal consistency and test-retest reliability; and good discriminant, structural, and criterion validity in the sensory processing and self-regulation abilities of children with and without disability ages 4-12 years. Conclusion The current study provides initial evidence on the reliability and validity of SPSRC-English in measuring the sensory processing and self-regulation abilities in children with and without a disability. The SPSRC-English may provide salient information supporting the understanding of sensory processing difficulties among children.
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Levit‐binnun N, Szepsenwol O, Stern‐ellran K, Engel‐yeger B. The relationship between sensory responsiveness profiles, attachment orientations, and anxiety symptoms. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2020. [DOI: 10.1111/ajpy.12064] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Nava Levit‐binnun
- Sagol Institute for Applied Neuroscience, Interdisciplinary Center (IDC), Herzliya, Israel,
- School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel,
| | - Ohad Szepsenwol
- School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel,
| | - Keren Stern‐ellran
- Faculty of Architecture and Town Planning, Technion‐Israel Institute of Technology, University of Haifa, Haifa, Israel,
| | - Batya Engel‐yeger
- Occupational Therapy Department, University of Haifa, Haifa, Israel,
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Norris J. Cognitive Function in Cardiac Patients: Exploring the Occupational Therapy Role in Lifestyle Medicine. Am J Lifestyle Med 2020; 14:61-70. [PMID: 31903085 PMCID: PMC6933569 DOI: 10.1177/1559827618757189] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 12/20/2017] [Accepted: 01/15/2018] [Indexed: 02/06/2023] Open
Abstract
Patients with cardiac dysfunction are at increased risk of mild cognitive impairment, which can affect their ability to successfully engage in daily activities important for home and community safety and in maintaining health and well-being. This risk increases in accordance with the number of cardiac conditions and cardiovascular risk factors or comorbidities. Occupational therapy has a role in chronic disease management in assessing and improving functional abilities affected by physical, emotional, and cognitive domains. With a holistic and client-centered approach, occupational therapy can complement lifestyle medicine principles through promotion and enablement of engagement in purposeful activity and self-management practices. It is suggested that the clinical management of patients with cardiac dysfunction expands beyond the traditional physical aspects of care to encompass cognitive considerations and incorporate occupational therapy in practice.
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Affiliation(s)
- Jennifer Norris
- Tamworth Rural Referral Hospital, New South Wales,
Australia
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Fil-Balkan A, Salci Y, Keklicek H, Armutlu K, Aksoy S, Kayihan H, Elibol B. Sensorimotor integration training in Parkinson`s disease. ACTA ACUST UNITED AC 2019; 23:208-215. [PMID: 30007996 PMCID: PMC8015575 DOI: 10.17712/nsj.2018.3.20180021] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
OBJECTIVE To determine the effects of sensorimotor integration training on postural control in Parkinson`s disease. METHODS This prospective, randomized controlled trial was conducted at Hacettepe University (Ankara, Turkey). The study was carried out from August 2012 until March 2015 and included 24 Parkinson`s patients with stage 2-3 according to the Modified Hoehn&Yahr Rating Scale. The patients were divided into 2 groups (control and study). The control group received conventional physiotherapy; the study group received sensorimotor integration training combined with conventional physiotherapy, 2 times per week for 6 weeks. We assessed the patients with clinical balance tests and computerized dynamic posturography. Assessments were performed at baseline, 7- and 12-weeks follow-up. RESULTS Computerized dynamic posturography posturography values (5th and 6th positions, composite balance, and vestibular system scores) were higher in the study group than in the control group. The improvements were maintained at the 12-week follow up except 6th positions scores (p<0.05). CONCLUSION Sensorimotor integration training combined with conventional physiotherapy approach ameliorated postural control by improving vestibular system in patients with Parkinson`s disease by improving sensory processes.
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Affiliation(s)
- Ayla Fil-Balkan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey. E-mail:
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Drobnyk W, Rocco K, Davidson S, Bruce S, Zhang F, Soumerai SB. Sensory Integration and Functional Reaching in Children With Rett Syndrome/Rett-Related Disorders. CLINICAL MEDICINE INSIGHTS-PEDIATRICS 2019; 13:1179556519871952. [PMID: 31488957 PMCID: PMC6710672 DOI: 10.1177/1179556519871952] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Accepted: 07/26/2019] [Indexed: 11/16/2022]
Abstract
Background The loss of functional hand skills is a primary characteristic of Rett syndrome. Stereotypies, dyspraxia, and other sensory processing issues severely limit the individual's ability to reach toward and sustain grasp on objects. This loss of functional reach and grasp severely limits their ability to participate in self-help, play, and school-related activities. We proposed that Ayres Sensory Integration (ASI) treatment would improve sensory processing and motor planning, which would lay the sensory-motor groundwork for improving grasp of objects, an important first step in developing functional hand use. Objective We examined effects of ASI treatment on rate of reaching and grasping for children with Rett syndrome/Rett-related disorders. Methods We used an interrupted time series design to measure changes in outcome variables occurring after intervention initiation and cessation. We analyzed daily video observations during baseline, intervention, and post-intervention periods, over a span of 7 months. Results During baseline, rate of grasping declined moderately. There was a 15% increase in grasping from the end of baseline to end of the post-intervention period. There was no significant change in rate of reaching. Conclusions This study provides preliminary data showing very small improvements in hand grasp of children with Rett syndrome following ASI treatment; larger studies in diverse settings are needed to establish the effectiveness of this approach. This study shows that an interrupted time series research design provides a valid template for evaluating interventions for children with rare disorders.
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Affiliation(s)
- Wendy Drobnyk
- Lynch School of Education, Boston College, Chestnut Hill, MA, USA
| | - Karen Rocco
- Lynch School of Education, Boston College, Chestnut Hill, MA, USA
| | - Sara Davidson
- Lynch School of Education, Boston College, Chestnut Hill, MA, USA
| | - Susan Bruce
- Lynch School of Education, Boston College, Chestnut Hill, MA, USA
| | - Fang Zhang
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA
| | - Stephen B Soumerai
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA
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Fletcher T, Anderson-Seidens J, Wagner H, Linyard M, Nicolette E. Caregivers' perceptions of barriers and supports for children with sensory processing disorders. Aust Occup Ther J 2019; 66:617-626. [PMID: 31304986 DOI: 10.1111/1440-1630.12601] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2019] [Indexed: 11/30/2022]
Abstract
INTRODUCTION This study explored caregivers' perceptions of how children with sensory processing disorders participate in community outings, strategies to support successful outings and if multi-sensory environments mitigate participation barriers. METHODS Seven mothers and two grandmothers of children with sensory challenges participated in focus groups. Following focus groups, participants took part in a workshop on sensory processing disorders and behaviour management strategies and experienced a multi-sensory environment. To ensure trustworthiness, researchers individually coded data, corroborated to develop categories, then recoded until reaching consensus. Three participants reviewed conclusions that the researchers derived from audit trails and focus groups to verify credibility. RESULTS When asked about their child's participation challenges, participants identified sensory processing difficulties, environmental triggers, specific locations visited and how caregivers managed participation challenges. Participants relied on preparation, planning and consistency. Participants had varying exposure to multi-sensory environments and some were uncertain how they supported participation. CONCLUSION Participants reported positive outcomes resulting from proactive planning to manage behaviour, anticipating environmental triggers and challenges posed by locations they visited, and that their child's challenges and their own abilities to meet them evolved over time. They speculated multi-sensory environments could support participation when they were well-designed.
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Affiliation(s)
| | | | - Hope Wagner
- Children's Health Specialty Center in Grapevine, Texas, USA
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Rybski D, Israel H. Social Skills and Sensory Processing in Preschool Children Who are Homeless or Poor Housed. JOURNAL OF OCCUPATIONAL THERAPY SCHOOLS AND EARLY INTERVENTION 2018. [DOI: 10.1080/19411243.2018.1523768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Debra Rybski
- Department Occupational Science and Occupational Therapy, Saint Louis University, Saint Louis, Missouri
| | - Heidi Israel
- Department of Orthopedics, Saint Louis University Medical Center, Saint Louis, Missouri
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Gomez IN, Lai CY, Chan CC, Tsang HW. The Role of Ethnicity and Environment in the Regulation of Response to Sensory Stimulus in Children: Protocol and Pilot Findings of a Neurophysiological Study. JMIR Res Protoc 2018; 7:e7. [PMID: 29348110 PMCID: PMC5795094 DOI: 10.2196/resprot.8157] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 09/26/2017] [Accepted: 10/29/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The ability to regulate the response to sensory stimuli has been associated with successful behavioral patterns necessary for daily activities. However, it is not known whether a child's ethnicity and environment can influence autonomic regulatory mechanisms. OBJECTIVE This study aims to explore the role of ethnicity and environment in the regulation of responses to sensory stimuli in children. METHODS In this study, we intend to recruit 128 children from different ethnic groups or environment contexts as follows: (1) 32 typically developing Chinese children living in Hong Kong; (2) 32 typically developing Filipino children living in Hong Kong; (3) 32 typically developing Filipino children who are living in urban areas; and (4) 32 typically developing Filipino children who are living in rural areas in Philippines. Autonomic activity (heart rate variability [HRV] and electrodermal activity [EDA]) will be measured and recorded using Polar H2 heart rate monitor and eSense GSR skin response sensor. Autonomic activity (HRV-low frequency, HRV-high frequency, and EDA) at different conditions between pairwise groupings will be tested using multivariate analysis of variance (MANOVA). All significant levels will be set at P ≤.05. RESULTS We present the research protocol of this study, as well as a short discussion of the preliminary findings from our pilot data, with consequent power and sample size analysis that informs the appropriate sample needed to test our hypothesis. CONCLUSIONS This study will increase the understanding on the role of individual differences related to a child's ethnicity and environment in the regulation of response to sensory stimuli. The findings of this research may further shed light on the evaluation and treatment planning for children across and within cultures.
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Affiliation(s)
- Ivan Neil Gomez
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, China (Hong Kong).,Center for Health Research and Movement Science, College of Rehabilitation Sciences, University of Santo Tomas, Manila, Philippines
| | - Cynthia Yy Lai
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, China (Hong Kong)
| | - Chetwyn Ch Chan
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, China (Hong Kong)
| | - Hector Wh Tsang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, China (Hong Kong)
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Behavioural and Autonomic Regulation of Response to Sensory Stimuli among Children: A Systematic Review of Relationship and Methodology. BIOMED RESEARCH INTERNATIONAL 2017; 2017:2629310. [PMID: 29333436 PMCID: PMC5733202 DOI: 10.1155/2017/2629310] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Revised: 08/28/2017] [Accepted: 10/09/2017] [Indexed: 02/05/2023]
Abstract
Background Previous studies have explored the correlates of behavioural and autonomic regulation of response to sensory stimuli in children; however, a comprehensive review of such relationship is lacking. This systematic review was performed to critically appraise the current evidence on such relationship and describe the methods used in these studies. Methods Online databases were systematically searched for peer-reviewed, full-text articles in the English language between 1999 and 2016, initially screened by title and abstract, and appraised and synthesized by two independent review authors. Results Fourteen Level III-3 cross-sectional studies were included for systematic review, among which six studies explored the relationship between behaviour and physiological regulation of responses to sensory stimuli. Three studies reported significant positive weak correlations among ASD children; however, no correlations were found in typically developing children. Methodological differences related to individual differences among participants, measures used, and varied laboratory experimental setting were noted. Conclusion This review suggests inconclusive evidence supporting the relationship between behavioural and physiological regulation of responses to sensory stimuli among children. Methodological differences may likely have confounded the results of the current evidence. We present methodological recommendations to address this matter for future researches. This trial is registered with PROSPERO registration number CRD42016043887.
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Allen S, Casey J. Developmental coordination disorders and sensory processing and integration: Incidence, associations and co-morbidities. Br J Occup Ther 2017; 80:549-557. [PMID: 28919664 PMCID: PMC5582640 DOI: 10.1177/0308022617709183] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Accepted: 04/10/2017] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Children with developmental coordination disorder or sensory processing and integration difficulties face challenges to participation in daily living. To date there has been no exploration of the co-occurrence of developmental coordination disorders and sensory processing and integration difficulties. METHOD Records of children meeting Diagnostic and Statistical Manual - V criteria for developmental coordination disorder (n = 93) age 5 to 12 years were examined. Data on motor skills (Movement Assessment Battery for Children - 2) and sensory processing and integration (Sensory Processing Measure) were interrogated. RESULTS Of the total sample, 88% exhibited some or definite differences in sensory processing and integration. No apparent relationship was observed between motor coordination and sensory processing and integration. The full sample showed high rates of some difficulties in social participation, hearing, body awareness, balance and motion, and planning and ideation. Further, children with co-morbid autistic spectrum disorder showed high rates of difficulties with touch and vision. CONCLUSION Most, but not all, children with developmental coordination disorder presented with some difficulties in sensory processing and integration that impacted on their participation in everyday activities. Sensory processing and integration difficulties differed significantly between those with and without co-morbid autistic spectrum disorder.
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Affiliation(s)
- Susan Allen
- Consultant Occupational Therapist, Kaleidoscope Therapy Center, Singapore
| | - Jackie Casey
- Lecturer, Occupational Therapy Department, Institute of Nursing and Health Research, Ulster University, UK
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Wink S, McKeown L, Casey J. Parents’ perspectives of using a therapeutic listening program with their children with sensory processing difficulties: A qualitative study. JOURNAL OF OCCUPATIONAL THERAPY, SCHOOLS, & EARLY INTERVENTION 2017. [DOI: 10.1080/19411243.2017.1304839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Cardona Reyes H, Muñoz Arteaga J. Multidisciplinary production of interactive environments to support occupational therapies. J Biomed Inform 2016; 63:90-99. [PMID: 27497781 DOI: 10.1016/j.jbi.2016.08.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2016] [Revised: 08/02/2016] [Accepted: 08/03/2016] [Indexed: 10/21/2022]
Abstract
This work focuses on proposing a multidisciplinary production of interactive environments as a technological support for rehabilitation of people with physical disabilities attending occupational therapy. Nowadays, some technologies and methods are used to develop software in order to assist the people who suffer some kind of physical disability but the physical therapies aren't limited to only one technique of rehabilitation. Current work promotes establish a multidisciplinary team such as therapists and technologists, they can collaborate for the production of interactive environments according the evolution of every patient's rehabilitation. The performance of current proposal is presented throughout a related work and a case study with several usability evaluations.
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Schupak BM, Parasher RK, Zipp GP. Reliability of Electrodermal Activity: Quantifying Sensory Processing in Children With Autism. Am J Occup Ther 2016; 70:7006220030p1-7006220030p6. [PMID: 27767942 DOI: 10.5014/ajot.2016.018291] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We established test-retest reliability of electrodermal markers used to quantify physiological response to sensation using the Sensory Challenge Protocol in children with and without autism spectrum disorder (ASD). METHOD Electrodermal activity (EDA) was measured during rest and in response to sensory inputs. Fourteen children with ASD and 18 typically developing children were tested and retested after 2-6 wk on skin conductance response, skin conductance level, nonspecific skin conductance response, and habituation. RESULTS Test-retest reliability was evaluated with intraclass correlation coefficients (ICCs). Rest-phase coefficients for both groups were moderate (.65-.73). ICCs during response to sensation ranged from moderate to good for amplitude (.60-.81) and magnitude (.50-.75). In addition, moderate to excellent reliability (.51-.93) was observed for nonspecific response measures. CONCLUSION EDA measures are reliable physiological markers that can quantify response to sensation in children with and without ASD.
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Affiliation(s)
- Barbara M Schupak
- Barbara M. Schupak, PhD, MPH, OTR, is President, Barpak Occupational Therapy, Bergenfield, NJ. At the time of the study, she was Doctoral Candidate, School of Health and Medical Sciences, Department of Graduate Programs in Health Sciences, Seton Hall University, South Orange, NJ;
| | - Raju K Parasher
- Raju K. Parasher, MSc, PT, EdD, is Director and Principal, Amar Jyoti Institute of Physiotherapy, University of Delhi, New Delhi, India
| | - Genevieve Pinto Zipp
- Genevieve Pinto Zipp, PT, EdD, is Professor, Department of Interprofessional Health Sciences and Health Administration, Seton Hall University, South Orange, NJ
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Re P, McConnell JW, Reidinger G, Schweit R, Hendron A. Effects of yoga on patients in an adolescent mental health hospital and the relationship between those effects and the patients' sensory-processing patterns. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2014; 27:175-82. [PMID: 25327305 DOI: 10.1111/jcap.12090] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
PROBLEM This study investigated the effects of yoga as a sensory regulation tool in reducing adolescent distress in an acute care psychiatric hospital. METHODS This was a descriptive, correlational pre-intervention/post-intervention design conducted in a mental health hospital over 5 months from mid-January to mid-June 2012. The population consisted of a convenience sample of 75 adolescent mental health unit inpatients and partial-hospitalization patients 12-18 years of age who participated in two or more yoga sessions. Patient charts provided Diagnostic and Statistical Manual of Mental Disorders-IV Axes I-V diagnosis, gender, and age. Dependent variables were pulse and Subjective Units of Disturbance Scale scores, which were recorded before and after each yoga class. The Adult/Adolescent Sensory Profile provided a measure of patient sensory-processing preference levels that were related to the pulse and Subjective Units of Disturbance Scale results. FINDINGS Yoga sessions significantly improved patient pulse and self-reported distress ratings regardless of gender or sensory profile levels. CONCLUSIONS This article contributes to research on the therapeutic effects of yoga as a sensory regulation intervention in the treatment of psychiatrically hospitalized adolescents. Yoga has the potential to help adolescents in an acute care psychiatric hospital learn to soothe themselves, to regulate their emotions, and to find relief from emotional distress while hospitalized.
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Affiliation(s)
- Pamela Re
- Northwest Community Hospital, Arlington Heights, IL, USA; New Hope Behavioral Health, Arlington Heights, IL, USA
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Kreider CM, Bendixen RM, Huang YY, Lim Y. Review of occupational therapy intervention research in the practice area of children and youth 2009-2013. Am J Occup Ther 2014; 68:e61-73. [PMID: 24581415 PMCID: PMC5362028 DOI: 10.5014/ajot.2014.011114] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PURPOSE. We conducted a systematic review examining the extent to which pediatric intervention research recently published in the American Journal of Occupational Therapy reflects occupational therapy's holistic occupation-based tenets. METHOD. We surveyed 10 systematic reviews and analyzed 38 single effectiveness studies for intervention approach, type, level of environmental targeting, level of occupational task and participation practice, and measures used. RESULTS. Of the 38 single effectiveness studies, 12 (32%) explicitly incorporated both environmental targets of intervention and practice of complex or in vivo occupational tasks, with steady increases during the 2009-2013 time frame. CONCLUSION. In the area of children and youth, occupational therapy is making steady gains in reflecting and demonstrating the effectiveness of the profession's holistic, occupation-based tenets. Occupational therapy researchers must be mindful to ensure that despite the reductionist nature of intervention research, interventions reflect the profession's holistic understanding of the interplay between the child, environment, and occupations.
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Affiliation(s)
- Consuelo M Kreider
- Consuelo M. Kreider, PhD, OTR/L, is Research Assistant Professor, Department of Occupational Therapy, University of Florida, PO Box 100164, Gainesville, FL 32610-0164;
| | - Roxanna M Bendixen
- Roxanna M. Bendixen, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA. At the time of the study, she was Research Assistant Professor, Department of Occupational Therapy, University of Florida, Gainesville
| | - Yu Yun Huang
- Yu Yun Huang, MS, OTR, is Doctoral Student, Department of Occupational Therapy, University of Florida, Gainesville
| | - Yoonjeong Lim
- Yoonjeong Lim, MS, OT, is Doctoral Student, Department of Occupational Therapy, University of Florida, Gainesville
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Abstracts. Br J Occup Ther 2013. [DOI: 10.1177/03080226130767s101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Lima M, Silva K, Amaral I, Magalhães A, de Sousa L. Beyond behavioural observations: a deeper view through the sensory reactions of children with profound intellectual and multiple disabilities. Child Care Health Dev 2013; 39:422-31. [PMID: 22017606 DOI: 10.1111/j.1365-2214.2011.01334.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND The present study was aimed at assessing the behavioural and physiological responsiveness of three children with profound intellectual and multiple disabilities to a set of sensory stimuli. METHODS Eighteen items, 'believed' by clinicians to be appropriate for routine interventions, were presented to the participants and responsiveness was assessed in terms of: (i) consistent behavioural and electrodermal reactions and (ii) biphasic changes in heart rate. RESULTS Results were twofold. First, all participants showed frequent consistent physiological reactions but rare consistent behavioural ones. Second, all participants showed biphasic changes in heart rate, pointing to the possibility of different appraisals (novelty and pleasantness) of most of the presented items. CONCLUSIONS Data here presented may have implications for the development and the emotional well-being of individuals with profound intellectual and multiple disabilities in that it suggests that reactions to, and potential appraisals of, sensory stimuli may occur despite the lack of consistent observable behaviours.
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Affiliation(s)
- M Lima
- Departamento de Ciências do Comportamento, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Portugal.
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Abstract
Sensory-based therapies are increasingly used by occupational therapists and sometimes by other types of therapists in treatment of children with developmental and behavioral disorders. Sensory-based therapies involve activities that are believed to organize the sensory system by providing vestibular, proprioceptive, auditory, and tactile inputs. Brushes, swings, balls, and other specially designed therapeutic or recreational equipment are used to provide these inputs. However, it is unclear whether children who present with sensory-based problems have an actual "disorder" of the sensory pathways of the brain or whether these deficits are characteristics associated with other developmental and behavioral disorders. Because there is no universally accepted framework for diagnosis, sensory processing disorder generally should not be diagnosed. Other developmental and behavioral disorders must always be considered, and a thorough evaluation should be completed. Difficulty tolerating or processing sensory information is a characteristic that may be seen in many developmental behavioral disorders, including autism spectrum disorders, attention-deficit/hyperactivity disorder, developmental coordination disorders, and childhood anxiety disorders. Occupational therapy with the use of sensory-based therapies may be acceptable as one of the components of a comprehensive treatment plan. However, parents should be informed that the amount of research regarding the effectiveness of sensory integration therapy is limited and inconclusive. Important roles for pediatricians and other clinicians may include discussing these limitations with parents, talking with families about a trial period of sensory integration therapy, and teaching families how to evaluate the effectiveness of a therapy.
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Bendixen RM, Kreider CM. Review of occupational therapy research in the practice area of children and youth. Am J Occup Ther 2011; 65:351-9. [PMID: 21675342 PMCID: PMC3117256 DOI: 10.5014/ajot.2011.000976] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
We conducted a systematic review focusing on articles in the occupational therapy practice category of Children and Youth published in the American Journal of Occupational Therapy over the 2-yr period of 2009-2010. We used the frameworks of the International Classification of Functioning, Disability and Health (ICF) and Positive Youth Development (PYD) to explore occupational therapy research progress toward the goals of the Centennial Vision. We organized 46 research articles by research type and classified them within these two frameworks. Most reviewed published research investigated variables representing constructs falling within the ICFdomains of Body Functioning and Activity. The effect of occupational therapy interventions on PYD resided primarily in building competence. To meet the tenets of the Centennial Vision, occupational therapists must document changes in children's engagement in everyday life situations and build the evidence of occupational therapist's efficacy in facilitating participation.
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Affiliation(s)
- Roxanna M Bendixen
- Department of Occupational Therapy, University of Florida, PO Box 100164, Gainesville, FL 32610-0164, USA.
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