Onur Burak DURSUN, Nurşah ÖZTEKİN, Hicran DOĞRU

Eşik Altı Dikkat Eksikliği Hiperaktivite Bozukluğunun Dikkatsizlik Baskın Görünümünde (DEHB-I) Olan Çocuklar Duyu Bütünleme Terapisi İle Tedavi Edilmeli Mi? Bir Vaka Kontrol Çalışması

Amaç: Duyu bütünleme terapisi, davranışsal ve gelişimsel bozukluklar için umut verici olan önleyici terapi seçeneklerinden biridir. Bu çalışma, Dikkat eksikliği hiperaktivite bozukluğunun dikkatsizlik baskın görünümünde (DEHB-D) olan okul çağındaki çocuklar için duyu bütünleme terapisinin etkinliğine dair bir fikir vermektedir. Gereç ve Yöntem: Tek kollu bir klinik çalışma olan bu çalışmaya, ağırlıklı olarak dikkatsizlik baskın görünümde olan 7-10 yaş arası 20 eşik altı DEHB-D tanısı olan çocuk dahil edildi. Duyu bütünleme terapisi, duyusal modülasyon ilkeleri ve müdahale stratejilerine uygun olarak hazırlanmış ve haftada iki seans olacak şekilde 12 hafta devam etmiştir. Etkinlik, Conners Öğretmen / Ebeveyn ölçekleri, Klinik Global İzlenim ölçeği, Kanada Duyusal Bütünleştirme Performans Ölçümü ve Duyusal Profil kullanılarak değerlendirildi. Bulgular: Duyu bütünleme terapisi sonrasında, duyusal profilin işitsel işlemleme alanında “tipik” veya “daha iyi” performansa sahip hastaların oranı, önemli ölçüde artmıştır; terapi öncesinde 9 hasta (% 45); terapi sonrasında 15 hasta (% 75) (p = 0,031). Duyusal Profilin dikkatsizlik-dikkat dağınıklığı faktör puanında “tipik” veya “daha iyi” performans gösteren katılımcıların oranları, duyu bütünleme terapisinden sonra anlamlı olarak artmıştır; öncesi 6 (% 30) ve sonrası 16 (% 80) (p = 0,006). Sonuç: Duyu bütünleme terapisi, özel gereksinime sahip olan kişilerin önemli ve amaçlı buldukları günlük yaşam aktivitelerine katılmalarını desteklemeye odaklanır. Bu çalışmada eşik altı dikkat eksikliği hiperaktivite bozukluğu olan bireylerin yaşadıkları zorluklar ele alınmış ve farklı duyusal modaliteler ile ilişkili olabilecek günlük yaşamın yönleri araştırılmıştır. Bu çocuklarda özellikle Duyu bütünleme terapisi yoluyla iyileştirilebilen bozulmuş işitsel işlemleme süreçleri gözlenmiştir.

Should Children With Sub-Threshold ADHD Predominantly Inattentive Subtype (ADHD-I) Symptoms Be Treated With Sensory Integration Therapy? A Case-Control Study

Objective: Sensory integration therapy is one of the promising preventive therapy options forbehavioral and developmental disorders. Hypothesizing a degree of parallelism, this study providesan insight into the effectiveness of the sensory integration therapy potencies for school-agedchildren with subthreshold ADHD predominantly inattentive subtype.Methods: The study was a single-arm clinical trial and 20 patients aged 7–10 years withsubthreshold ADHD predominantly inattentive subtype, were included. The sensory integrationintervention was prepared in accordance with sensory modulation principles and interventionstrategies and lasted 12 weeks with two sessions per week. The effectiveness was assessed using theConner’s teacher/parent scales, the Clinical Global Impression scale, the Canadian Sensoryintegration Performance Measure and the Sensory Profile.Results: The rate of patients with typical or better performance in auditory processing domain ofthe Sensory Profile were found significantly increased after sensory integration therapy; 9 patients(45%) before and 15 patients after (75%) (p=0.031). The rates of participants with typical or betterperformance in inattention–distractibility factor score of the Sensory Profile were foundsignificantly increased after sensory integration therapy; 6 before (30%) and 16 after (80%)(p=0.006).Conclusions: Sensory integration therapy focuses on supporting persons with varied disabilityterms to engage in daily life activities that they find significant and purposeful. Difficultiesexperienced by individuals with subthreshold attention-deficit hyperactivity disorder are addressedin this study and aspects of daily life are explored while swiping through different sensorymodalities. Impaired auditory processing improvable through sensory integration therapy wasobserved in these children

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez