ORIGINAL PAPER
The impact of sensory integration therapy on gross motor function in children after prenatal exposure to alcohol
Submission date: 2014-07-08
Final revision date: 2015-01-05
Acceptance date: 2015-01-28
Publication date: 2015-03-24
Medical Studies 2015;31(1):10-17
KEYWORDS
TOPICS
ABSTRACT
Introduction: In Poland there are 900 cases of full-blown foetal alcohol syndrome (FAS) in neonates per year, and in 9000 children there are some symptoms of it.
Aim of the research: To analyse the impact of sensory integration (SI) therapy on gross motor skills function in children after prenatal exposure to alcohol.
Material and methods: The study was conducted on a group of 20 children aged 4–5 years with information from an interview about prenatal exposure to alcohol. The diagnosis of sensory integration disorder consisted of two 60-minute diagnostics meetings. Twelve trials with clinical observations were performed by Ayres: finger to nose, cocontraction, prone extension posture, flexed position supine, asymmetrical tonic neck reflex (ATOS), symmetrical tonic neck reflex (STOS), muscle tension, Schilder test, dynamic balance, static balance, gravitational insecurity, and trunk stabilisation. The therapeutic program included: normalisation of the vestibular and proprioceptive system, normalisation of the touch system, strengthening muscle tension, development of motion planning, development of oculomotor performance, development of motor coordination, hand therapy, integration of ATOS, STOS, development of locomotion and balance functions, and improving efficiency of gross and small motor skills.
Results and conclusions: High efficiency of SI therapy has been shown in children after prenatal exposure to alcohol on the example of gross motor skills. Positive effects of SI therapy have been shown for tests: finger to nose, in the erect position on the stomach, the flexural position on the back, ATOS, STOS, Schilder test, dynamic balance, static balance, and the uncertainty of gravity and trunk stabilisation. Only cocontraction and muscle tension tests showed no efficacy of SI therapy. The a-Cronbach position analysis showed high reliability of the performed tests both before and after the therapy. It is advisable to continue the study on a larger sample and observation of the functional status of children after therapy.
Aim of the research: To analyse the impact of sensory integration (SI) therapy on gross motor skills function in children after prenatal exposure to alcohol.
Material and methods: The study was conducted on a group of 20 children aged 4–5 years with information from an interview about prenatal exposure to alcohol. The diagnosis of sensory integration disorder consisted of two 60-minute diagnostics meetings. Twelve trials with clinical observations were performed by Ayres: finger to nose, cocontraction, prone extension posture, flexed position supine, asymmetrical tonic neck reflex (ATOS), symmetrical tonic neck reflex (STOS), muscle tension, Schilder test, dynamic balance, static balance, gravitational insecurity, and trunk stabilisation. The therapeutic program included: normalisation of the vestibular and proprioceptive system, normalisation of the touch system, strengthening muscle tension, development of motion planning, development of oculomotor performance, development of motor coordination, hand therapy, integration of ATOS, STOS, development of locomotion and balance functions, and improving efficiency of gross and small motor skills.
Results and conclusions: High efficiency of SI therapy has been shown in children after prenatal exposure to alcohol on the example of gross motor skills. Positive effects of SI therapy have been shown for tests: finger to nose, in the erect position on the stomach, the flexural position on the back, ATOS, STOS, Schilder test, dynamic balance, static balance, and the uncertainty of gravity and trunk stabilisation. Only cocontraction and muscle tension tests showed no efficacy of SI therapy. The a-Cronbach position analysis showed high reliability of the performed tests both before and after the therapy. It is advisable to continue the study on a larger sample and observation of the functional status of children after therapy.
REFERENCES (35)
1.
Abel EL. Was the fetal alcohol syndrome recognized by the Greeks and Romans? Alcohol Alcohol 1999; 34: 868-72.
2.
Archibald SL, Fennema-Notestine C, Gamst A, et al. Brain dysmorphology in individuals with severe prenatal alcohol exposure. Dev Med Child Neurol 2001; 43: 148-54.
3.
Astley SJ, Clarren SK. Measuring the facial phenotype of individuals with prenatal alcohol exposure: correlations with brain dysfunction. Alcohol Alcohol 2001; 36: 147-59.
4.
Ayres AJ. Sensory integration and learning disorders. Western Psychological Services, Los Angeles 1991.
5.
Ayres AJ. Sensory integration and the child. Western Psychological Services, Los Angeles 2005.
6.
Ayres AJ. Types of sensory integrative dysfunction among disabled learners. Am J Occup Ther 1972; 26: 13-8.
7.
Banach M. Alkoholowy zespół płodu. Teoria, diagnostyka, praktyka. WAM, Kraków 2011.
8.
Bundy AC, Lane SJ, Murray EA. Sensory integration: theory and practice. 2nd ed. Davis Philadelphia PA 2002.
9.
Burden MJ, Jacobson SW, Sokolow R, et al. Effects of prenatal alcohol exposure on attention and working memory at 7.5 years of age. Alcohol Clin Exp Res 2005; 29: 443-52.
10.
Burd L, Peterson L, Kobrinsky N. Fetal alcohol spectrum disorders and childhood cancer: a concise review of case reports and future research considerations. Pediatr Blood Cancer 2013; 30: 24886.
11.
Fröschl B, Brunner-Ziegler S, Wirl C. Prevention of fetal alcohol syndrome. GMS Health Technol Assess 2013; 9: 10.
12.
Dinis-Oliveira RJ, Magalhães T, Moreira R, et al. Clinical and forensic signs related to ethanol abuse: a mechanistic approach. Toxicol Mech Methods 2014; 24: 81-110.
13.
Karunamuni G, Gu S, Doughman YQ, et al. Ethanol exposure alters early cardiac function in the looping heart: a mechanism for congenital heart defects? Am J Physiol Heart Circ Physiol 2014; 306: H414-21.
14.
Kaur S, Jain S, Sodhi HB, et al. Optic nerve hypoplasia. Oman J Ophthalmol 2013; 2: 77-82.
15.
Klecka M. Organiczne uszkodzenia mózgu u dzieci wywołane prenatalnym działaniem alkoholu. Objawy i wczesne rozpoznanie alkoholowego zespołu płodowego FAS. Bliżej Przedszkola 2004; 4: 31.
16.
Klecka M, Janas-Kozik M, Krupka-Matuszczyk I. Rozwój diagnostyki poalkoholowego spektrum zaburzeń rozwojowych – przegląd narzędzi diagnostycznych. Psychiatria i Psychologia Kliniczna 2010; 4: 298-302.
18.
Landgraf MN, Nothacker M, Kopp IB, Heinen F. The diagnosis of fetal alcohol syndrome. Dtsch Arztebl Int 2013; 110: 703-10.
19.
Lange S, Shield K, Rehm J, Popova S. Prevalence of fetal alcohol spectrum disorders in child care settings: a metaanalysis. Pediatrics 2013; 132: 980-95.
21.
Maas V. Uczenie się przez zmysły. Wprowadzenie do teorii integracji sensorycznej. Wydawnictwo Szkolne i Pedagogiczne, Warsaw 1998; 14-46.
22.
May PA, Gossage JP. Estimating the prevalence of fetal alcohol syndrome. A summary. Alcohol Res Health 2001; 25: 159-67.
23.
May PA, Gossage JP, Kalberg WO, et al. Prevalence and epidemiologic characteristics of FASD from various research methods with an emphasis on recent in school studies. Dev Disabil Res Rev 2009; 15: 176-92.
24.
Memo L, Gnoato E, Caminiti S, et al. Fetal alcohol spectrum disorders and fetal alcohol syndrome: the state of the art and new diagnostic tools. Early Hum Dev 2013; 89 Suppl 1: S40-3.
25.
Midro AT. Istnieć, żyć i być kochanym. Możliwości wspomagania rozwoju dzieci z zespołami uwarunkowanymi genetycznie. Impuls, Kraków 2011.
26.
Poitra BA, Marion S, Dionne M, et al. A school based screening program for fetal alcohol syndrome. Neurotoxicol Teratol 2003; 25: 725-9.
27.
Riley EP, McGee CL. Fetal alcohol spectrum disorders: an overview with emphasis on changes in brain and behavior. Department of Psychology and the Center for Behavioral Teratology, San Diego State University, California 2005.
28.
Ruparelia A, Pearn ML, Mobley WC. Aging and intellectual disability: insights from mouse models of down syndrome. Dev Disabil Res Rev 2013; 18: 43-50.
29.
Szumiło T. Neuropsychologiczny profil dziecka z FASD. Studium przypadku. Wydawnictwo Edukacyjne PARPAMEDIA, Warsaw 2008.
30.
Wozniak JR, Fuglestad AJ, Eckerle JK, et al. Choline supplementation in children with fetal alcohol spectrum disorders has high feasibility and tolerability. Nutr Res 2013; 33: 897-904.
31.
Vargas S, Camilli G. A meta-analysis of research on sensory integration treatment. Am J Occup Ther 1999; 53: 189-98.
32.
Yordanova J, Banaschewski T, Kolev V. Abnormal early stages of task stimulus processing in children with attention-deficit hyperactivity disorder-evidence from event-related gamma oscillations. Clin Neurophysiol 2001; 112: 1096-108.
33.
Chalik P. Wyniki badania logopedycznego. Biuletyn Pedagogiczny, Kielce 2013; 3: 38-54.
34.
Horecka-Lewitowicz A, Lewitowicz P, Adamczyk-Gruszka O, et al. Symptoms, medical course and procedures in foetal alcohol syndrome. Studia Medyczne 2013; 29: 195-8.
35.
Horecka-Lewitowicz A, Lewitowicz P, Adamczyk-Gruszka O, et al. Fetal alcohol syndrome – causes, diagnostic criteria and prevalence. Studia Medyczne 2014; 30: 48-50.
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