Sensomotorische Integratie

Links naar wetenschappelijk onderzoek

Links over Wetenschappelijke onderzoek

Er is de afgelopen tien jaar veel wetenschappelijk onderzoek verricht naar sensomotorische integratie problemen. Omdat sensomotorische integratie problemen zich onder zoveel verschillende omstandigheden voordoen, blijft het lastig om het bestaan van sensomotorische integratie stoornissen vast te stellen. Bij een aantal diagnosegroepen is nu wel bewezen dat de verwerking van sensorische informatie verwerking anders verloopt dan in de normale populatie. De uitkomst van de onderzoeken omtrent de behandeling zijn nog niet eensluidend. Vaak gaat het om kleine groepen kinderen of zelfs om de beschrijving van één kind. De sensomotorische integratie stoornissen moeten nog duidelijker worden beschreven en ook de criteria waaraan een therapie gericht op sensomotorische integratie moet voldoen. Wel kan duidelijk worden vastgesteld dat niet bewezen is, dat een therapie gebaseerd op sensomotorische integratie niet zinvol zou zijn. Hieronder een aantal website waar u informatie over wetenschappelijke publicaties kunt vinden. 
Spdfoundation
De Sensory Processing Disorder Foundation is de website van Lucy Miller, een ergotherapeute die zich al jaren bezig houdt met onderzoek naar Sensory Processing Disorders. Op deze website een indrukwekkende lijst met wetenschappelijke artikelen.  
Overgenomen uit hun nieuwsbrief van januari 2012:

A manuscript written by the Sensory Processing Disorder Foundation research team (Lucy Jane Miller, PhD, OTR; Darci M. Nielsen, PhD; Sarah A. Schoen, PhD, OTR), entitled “Attention Deficit Hyperactivity Disorder and Sensory Modulation Disorder: A Comparison of Behavior and Physiology” has recently been published online and will appear in print in the May-June edition of the peer-reviewed journal Research in Developmental Disabilities.

This article describes multiple years of work and many results across several parent reports and physiological measures, which support the concept that ADHD and Sensory Modulation Disorder (SMD) are distinct disorders.
 
The study included children with clinical diagnoses of ADHD, SMD, and those with a concurrent diagnosis of both ADHD and SMD, based on global clinical impression from a pediatrician, psychologist, psychiatrist, or occupational therapists, as well as a control sample of typically developing children.
 
Highlights of the study:
  • ALL clinical groups (ADHD, SMD, concurrent diagnoses) had significantly more sensory, attention, activity level, impulsivity, and emotional difficulties endorsed on parental report measures compared to typically developing children, but with distinct profiles.
    • Attentional difficulties were greater in children with ADHD compared to SMD
    • Children with SMD had more sensory-related behaviors, somatic complaints, anxiety/depression, and difficulty adapting than children with ADHD
    • Children with concurrent diagnoses had
      • more sensory-related behaviors than children with ADHD
      • more attentional difficulties than children with SMD
    • Children with SMD had greater physiological/electrodermal reactivity to sensory stimuli (particularly auditory, visual, movement) during the Sensory Challenge Protocol than children with ADHD and typically developing children
      • Children with ADHD did not significantly differ from typically developing children
  • Parent-report measures that are often used to identify sensory-related behaviors (Short Sensory Profile), attention difficulties, hyperactivity, and impulsivity (SNAP-IV, CBCL, Leiter-P) varied in their agreement with the global clinical impression diagnoses given to the children.
Although there are children with both ADHD and SMD, this study suggests that they are different and separable.
 
The study demonstrated that measures of emotional, attentional, and sensory-related behaviors, as well as physiological reactivity to sensory stimuli significantly differed between children with ADHD and children with SMD.
 
These are important results, because distinguishing children with ADHD from those with SMD has critical treatment implications. Both disorders impair social, academic, and/or occupational function. Thus, treatment should focus on helping all children participate more fully in activities at home, school, and the community. However, children with ADHD typically benefit from medication or therapies focusing on cognitive strategies to improve attention, hyperactivity and/or impulsivity. While, children with SMD benefit from sensory-based occupational therapy designed to enhance one’s ability to modulate behavior in response to the ever-changing sensory environment.
                                                                                                                 
Sensory-processing-disorder
Op deze website vol informatie voor sensomotorische integratie problemen wordt ook informatie gegeven over de laatste stand van zaken van het wetenschappelijk onderzoek. Er is via deze website toegang tot ongeveer duizend artikelen, onderzoeken of korte samenvattingen.  

Americain Journal of Occupational Therapy
Dit is de website van het Amerikaanse tijdschrift voor ergotherapie. Hierop worden regelmatig artikelen over sensomotorische integratie gepubliceerd. Vanaf 1980 zijn van alle gepubliceerde artikelen een korte samenvatting beschikbaar. Momenteel zijn ook alle artikelen gratis online beschikbaar. Je vindt er een schat aan informatie. Een niet te missen kans! gratis online.
        Belangrijke nummers zijn in dat opzicht:


Hieronder een keuze uit artikelen die de afgelopen tien jaar in dit tijdschrift zijn gepubliceerd. 
  • Effectiveness of Therapy Ball Chairs on Classroom Participation in Children With Autism Spectrum Disorders.
  • Sensory Overresponsivity and Anxiety in Children With ADHD
  • Prospective Study of the Effect of Sensory Integration, Neurodevelopmental Treatment, and Perceptual--Motor Therapy on the Sensorimotor Performance in Children With Mild Mental Retardation
  • Qigong Massage Treatment for Sensory and Self-Regulation Problems in Young Children With Autism: A Randomized Controlled Trial
  • Facilitating Family Occupations: Family Member Perceptions of a Specialized Environment for Children With Mental Retardation (Snoezelen)
  • Sensory Sensitivities of Gifted Children
  • Invited Commentary on "Sensory Sensitivities of Gifted Children"
  • Sensory Processing and Classroom Emotional, Behavioral, and Educational Outcomes in Children With Autism Spectrum Disorder
  • You Can Know Me If You Listen: Sensory, Motor, and Communication Issues in a Nonverbal Person With Autism
  • Effectiveness of Disc 'O' Sit Cushions on Attention to Task in Second-Grade Students With Attention Difficulties
  • Behavioral Indexes of the Efficacy of Sensory Integration Therapy
  • Immediate Effect of Ayres's Sensory Integration-Based Occupational Therapy Intervention With Autism Spectrum Disorders
  • Extreme Sensory Modulation Behaviors in Toddlers With Autism Spectrum Disorders
  • Concept Evolution in Sensory Integration: A Proposed Nosology for Diagnosis
  • An Examinatin of the Relationships Between Motor and Process Skills and Scores on the Sensory Profile
  • Lessons Learned: A Pilot Study on Occupational Therapy Effectiveness for Children With Sensory Modulation Disorder
  • Validating the Diagnosis of Sensory Processing Disorders Using EEG Technology
  • Sensory Processing in Children With and Without Autism: A Comparative Study Using the Short Sensory Profile
  • Fidelity in Sensory Integration Intervention Research
  • A Randomized Controlled Pilot Study of the Effectiveness of Occupational Therapy for Children With Sensory Modulation Disorder
  • Occupational Therapy Using a Sensory Integrative Approach: A Case Study of Effectiveness
  • Goal Attainment Scaling as a Measure of Meaningful Outcomes for Children With Sensory Integration Disorders
  • Sensory Processing Patterns in Persons With Angelman Syndrome
  • Effects of Sensory Integration Intervention on Self-Stimulating and Self-Injurious Behaviors
  • Sensory Modulation and Affective Disorders in Children and Adolescents With Asperger’s Disorder
  • Classroom Seating for Children With Attention Deficit Hyperactivity Disorder: Therapy Balls Versus Chairs
  • Children With Disturbances in Sensory Processing: A Pilot Study Examining the Role of the Parasympathetic Nervous System
  • Sensory Processing Correlates of Occupational Performance in Children With Fragile X Syndrome: Preliminary Findings
  • S e n s o ry Processing Issues Associated With Asperger Syndrome: A Preliminary Investigation
  • The Use of a Weighted Vest To Increase On-Task Behavior in Children With Attention Difficulties
  • Effects of a Weighted Vest on Attention to Task and Self-Stimulatory Behaviors in Preschoolers With Pervasive Developmental Disorders
  • Comparison of Sensory Profile Scores of Young Children With and Without Autism Spectrum Disorders
  • The Adult Sensory Profile: Measuring Patterns of Sensory Processing
  • Behavioral and Physiological Effects of Deep Pressure on Children With Autism: A Pilot Study Evaluating the Efficacy of Grandin's Hug Machine
  • A Meta-Analysis of Research on Sensory Integration Treatment

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