Güleser GÜNEY YILMAZ, Gözde ÖNAL

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

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,

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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.