scholarly journals ASSESSMENT OF SENSORY PROCESSING CHARACTERISTICS IN CEREBRAL PALSY CHILDREN

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Mehreen Zahid

ABSTRACT AIMS & OBJECTIVES Children with cerebral palsy present with the complain of motor and sensory deficits. The movement and posture difficulties are well addressed by the rehabilitation team; however, sensory deficits remain unaddressed. Therefore, this study aims to assess the sensory processing characteristics in Spastic Diplegic children using Short Sensory Profile. METHODOLOGY This cross-sectional study was conducted at special education institutes/schools of Karachi. The Cerebral Palsy children with Spastic Diplegia aged 4-15 years were enrolled through Non-Probability Convenience Sampling Technique. Data was collected from parents/guardians of the participants using Short Sensory Profile questionnaire. RESULTS A sample of 70 participants was obtained out of 133 with a highest reported mean score of 17.38 in Tactile Sensitivity, while lowest in Taste/Smell and Movement Sensitivity i.e. 8.77 and 6.12 respectively. Moreover, a significant weak correlation was determined between Tactile and Movement Sensitivity (p<0.05). CONCLUSION It was found that all CP children enrolled in the study were showing Atypical sensory performance on Short Sensory Profile. Further investigation is required to establish psychometric properties of Short Sensory Profile on CP population and understand the correlation of sensory modulation impairments with functional performance for better intervention outcome for CP children.

2020 ◽  
Vol 8 (2) ◽  
pp. 38-43
Author(s):  
Sundas Khan

BACKGROUND AND AIMS Autism is characterized by the complex paradigm of intellectual disabilities that leads to impairment in sensory integration, communication barriers and social interaction. Therefore, the purpose of this study is to analyze the sensory processing abilities among autism children. Further the study will be helpful in identifying difficulties faced by autistic children in multidimensional aspects. METHODOLOGY A cross-sectional study was conducted at special education institute/schools of Karachi among the Autism Spectrum Children to evaluate the patterns of sensory integration by using Short Sensory Profile. RESULTS A total of 50 children, 23 males and 27 females with mean age of 9.5±1.84 years included in the study. On SSP, the mean scores of participants were 17.89±7.61 in tactile sensitivity, 16.66±6.90 in Under-responsive/Seeks Sensation, 14.45±5.75 in Visual/Auditory Sensitivity, 17.77±7.04 in Auditory Filtering, 19.57±7.91 in Low Energy/Weak while lowest scores were reported in Taste/Smell Sensitivity and Movement Sensitivity. CONCLUSION It was concluded that definite difference is more prevalent among children with autism whereas varying percentages are found on different items on Short sensory profile. Further studies are required to assess the sensory processing issues for more useful outcomes.


Author(s):  
Ana Gentil-Gutiérrez ◽  
José Luis Cuesta-Gómez ◽  
Paula Rodríguez-Fernández ◽  
Jerónimo Javier González-Bernal

(1) Background: Children with Autism Spectrum Disorder (ASD) frequently have difficulties in processing sensory information, which is a limitation when participating in different contexts, such as school. The objective of the present study was to compare the sensory processing characteristics of children with ASD in the natural context of school through the perception of professionals in the field of education, in comparison with neurodevelopmental children (2) Methods: A cross-sectional descriptive study as conducted with study population consisting of children between three and ten years old, 36 of whom were diagnosed with ASD and attended the Autismo Burgos association; the remaining 24 had neurotypical development. The degree of response of the children to sensory stimuli at school was evaluated using the Sensory Profile-2 (SP-2) questionnaire in its school version, answered by the teachers. (3) Results: Statistically significant differences were found in sensory processing patterns (p = 0.001), in sensory systems (p = 0.001) and in school factors (p = 0.001). Children with ASD who obtained worse results. (4) Conclusions: Children with ASD are prone to present sensory alterations in different contexts, giving nonadapted behavioral and learning responses.


2021 ◽  
Author(s):  
Aline Lefebvre ◽  
Julian Tillmann ◽  
Freddy Cliquet ◽  
Frederique Amsellem ◽  
Anna Maruani ◽  
...  

Abstract Background. Sensory processing atypicalities are part of the core symptoms of autism spectrum disorder (ASD) and could result from an excitation/inhibition imbalance. Yet, the convergence level of phenotypic sensory processing atypicalities with genetic alterations in GABA-ergic and glutamatergic pathways remains poorly understood. This study aimed to characterize the distribution of hypo/hyper-sensory profile among individuals with ASD and investigate the role of deleterious mutations in GABAergic and glutamatergic pathways related genes in sensory processing atypicalities. Method. From the Short Sensory Profile (SSP) questionnaire, we defined and explored a score – the differential Short Sensory Profile (dSSP) - as a normalized and centralized hypo/hypersensitivity ratio for 1136 participants (533 with ASD, 210 first-degree relatives, and 267 controls) from two independent study samples (PARIS and LEAP). We also performed an unsupervised item-based clustering analysis on SSP items scores to validate this new categorization in terms of hypo and hyper sensitivity. We then explored the link between the dSSP score and the burden of deleterious mutations in a subset of individuals for which whole-genome sequencing data were available. Results. We observed a mean dSSP score difference between ASD and controls, driven mostly by a high dSSP score variability among groups (PARIS: p<0.0001, η2 = 0.0001, LEAP: p<0.0001, Cohen’s d=3.67). First-degree relatives were with an intermediate distribution variability profile (p<0.0001). We also reported a positive developmental trajectory of the dSSP score (PARIS: p=0.0006, η2 = 0.02; LEAP: p=0.01, η2 = 0.01). Clusters were similarly characterized by hypo- and hyper-sensitivity items in both study samples (Cramer's V from 0.64 to 0.69, p<0.05). Our genetic analysis showed a trend only for an association with mutations of the GABAergic pathway.Limitations. The major limitation was the dSSP score difficulty to discriminate subjects with a similar quantum of hypo- and hyper- sensory symptoms to those with no such symptoms, resulting both in a similar ratio score of 0.Conclusion. The dSSP score could be a relevant clinical score of the hypo/hyper-sensory individual profile in subjects with ASD. Combined with additional sensory domain characteristics, genetics and endophenotypic substrates, the dSSP score will offer new avenues to explore the underlying neurobiological mechanisms of sensory processing atypicalities in ASD.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Asmaa Ahmed Abd El-samad ◽  
Gehan Hassan El-Meniawy ◽  
Sahar Mohamed Nour El-Din ◽  
Nanees Essam Mohamed

Abstract Background In children with spastic diplegia, efficient use of the upper extremity especially the hands play an important role in participation in daily living. Hands can perform heavy activities and also enable to perform extremely gentle, skillful, and precise activities. Inadequate hand strength and fine motor skills may lead to functional limitations. This study was planned to investigate the pinch grip strength and fine manual control in children with spastic diplegic cerebral palsy and to determine if there is a relation between them. Thirty children with diplegic cerebral palsy and 30 normal developed children from both sexes between 5 and 10 years old were included in this study as diplegic and control groups. For all children, pinch grip strength measured by Baseline Mechanical Pinch Gauge and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition used to evaluate fine manual control. Results Children with diplegic cerebral palsy have significant impairment in the pinch grip strength (tip, tripod, and key) and the fine manual control (fine motor precision and integration) compared to their healthy peers of the same age. There was large positive significant correlation (r > 0.5, p < 0.05) between tip and tripod pinch strength, and fine motor precision and medium positive significant correlation (r = 0.47, p < 0.05) between key pinch and fine motor precision in children with spastic diplegia. Also, there was large positive significant correlation between tip pinch and fine motor integration (r = 0.54, p < 0.05). The correlations are small and medium positive between tripod and key pinch strength, and fine motor integration respectively but they are not statistically significant. Conclusions Pinch grip strength and fine manual skills are affected in children with spastic diplegia. Also, there is a significant correlation between the pinch strength and activities require precise control of the hand.


Author(s):  
Paula Fernández-Pires ◽  
Desirée Valera-Gran ◽  
Alicia Sánchez-Pérez ◽  
Miriam Hurtado-Pomares ◽  
Paula Peral-Gómez ◽  
...  

Sensory processing difficulties may have potential detrimental consequences on the physical, social and intellectual development of children. It includes serious disturbances affecting emotional regulation, motor performance, social behavior and daily life functioning, among others factors. Since these symptoms are more frequent among children with disabilities, most research has been carried out in clinical populations. However, recent studies have suggested that sensory problems may be prevalent in around 20% of children without clinical conditions. To date, epidemiological research on sensory dysfunctions in normally developing children is lacking; therefore, it is unknown whether or not sensory processing difficulties are significant factors that affect child’s development. Hence, this study has a double general purpose: (1) to determine the sensory profile of school-aged children; (2) to examine the associations between atypical sensory processing patterns and socio-demographic, health and lifestyle features of these children and their parents. The Infancia y Procesamiento Sensorial (InProS, Childhood and Sensory Processing in English) project is a population-based cross-sectional study of Spanish children aged 3–7 years. Data were gathered from different ad hoc questionnaires and several standardized tests. We propose an objective and reliable methodology using statistical and research procedures to describe and determine associations with sensory processing outcomes. We believe that this project will contribute to filling the gap in epidemiological research on sensory issues by providing more convincing evidence. Nevertheless, the potential results should be corroborated in other larger samples.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Lis Sarwi Hastuti ◽  
Rina Kurnia

Abstract: Sensory Profile, Independence Of Functional Activity, Academic Achievement. This study aims to determine whether there is a relationship between the level of sensory profile with the independence of functional activity and academic achievement of Primary School-aged children in Sawahan Village, Ngemplak, Boyolali. This study uses an analytical study design with cross-sectional correlation. Sampling collection was done by quota sampling technique against first grade in four primary schools in Sawahan village, Ngemplak, Boyolali.The result of Pearson product moment correlation was obtained p-value = 0.000 and (r) = 0.880 for the variable sensory profile - independence , while variable sensory profile - academic achievement obtained p-value = 0.029 and (r) = 0.345. Conclusions results of this research is there a relationship between the sensory profile of the independence and academic achievement of first grade Primary School-aged children in the Sawahan village, Ngemplak District, Boyolali. It shows the higher score obtained by children in SSP (child closer to typical performance or is at a normal level) either higher the score of independence of the child (the child more independent) and academic achievement is getting better and otherwise.


2018 ◽  
Vol 14 (15) ◽  
pp. 364 ◽  
Author(s):  
Mariam Essa. Al-Shirawi ◽  
Rehab Hassan Al-zayer

Cross-sectional quasi- experimental research design was carried out to examine whether the delivering series of therapeutic horseback riding intervention resulted in an enhancement of sensory characteristics required for effective sensory possessing in children with autism for the experimental group compared to the control group. The participants of this study were 16 children with autism recruited from Al-Wafaa Center for Autism Related Disabilities in Bhrain. It was hypothesized that children with autism provided with Therapeutic Horseback riding in a natural setting (n= 8) would exhibit improvement in sensory processing compared to children who did not get the treatment (n= 8) following an 8- consecutive weeks of therapeutic horseback riding activity. The result of this study indicated that therapeutic horseback riding has a positive impact on sensory profile of children with autism across all sensory dimensions; visual, auditory, smell, tolerance, dehlez, and movement. Further research is needed to allow the use of larger experimental and control samples, and to allow longitudinal studies in order to evaluate the duration of intervention benefits.


Author(s):  
Deyvianne Thayanara de Lima Reis ◽  
Renata Moura Da Costa ◽  
Lilian Voughan Lima De Oliveira

A Paralisia Cerebral (PC) é definida como uma disfunção neurológica ou como lesão não progressiva do sistema nervoso central. É uma patologia com distúrbio de movimento e postura que pode coexistir com déficits de processamento sensorial. Poucos estudos mostram a associação entre esse déficit e as alterações do desempenho motor. Assim, o principal objetivo deste estudo é conhecer o Perfil Sensorial de crianças com Paralisia Cerebral e suas repercussões para o desempenho funcional nas atividades de vida diária. Em relação à metodologia a amostra foi composta por 29 crianças com paralisia cerebral na faixa etária entre 3 e 7 anos e meio. A coleta dos dados realizou-se através dos instrumentos “Perfil Sensorial” e “Inventário Pediátrico de Avaliação das Incapacidades (PEDI)”, o GMFCS ( Sistema de Classificação da Função Motora Grossa) foi usado como critério de exclusão. Os resultados mostraram que há relações entre essas dimensões. Houve correspondência entre o Pedi Funcional com o item respostas emocionais/sociais do Perfil Sensorial, assim identificou-se possíveis transtornos de processamento sensorial nas habilidades funcionais de crianças com Paralisia Cerebral. Cerebral palsy (CP) is defined as a neurological dysfunction or as a non-progressive central nervous system injury. It is a pathology with movement and posture disturbance that can coexist with sensory processing deficits. Few studies show the association between this deficit and changes in motor performance. Thus, the main objective of this study is to know the Sensory Profile of children with Cerebral Palsy and its repercussions for functional performance in daily life activities. The study sample consisted of 29 children with cerebral palsy in the age bracket between 3 and 7 and a half years. The data were collected through the instruments "Sensorial Profile" and "Pediatric Inventory of Disability Assessment (PEDI)." The Gross Motor Function Classifiction System (GMFCS) was used as the exclusion criterion. Showed that there are relationships between these dimensions. There was a correspondence between the Functional Pedi with the item emotional / social responses of the Sensory Profile, thus identified possible sensory processing disorders in the functional abilities of children with cerebral palsy. Keywords: Child; Independence; Sensory Threshold; Cerebral Palsy; Occupational therapy. La parálisis cerebral (CP) se define como una disfunción neurológica o como una lesión no progresiva en el sistema nervioso central. Es un trastorno del movimiento y la postura con la patología que puede coexistir con déficit de procesamiento sensorial. Pocos estudios muestran la asociación entre este déficit y los cambios en el rendimiento motor. Así, el objetivo de este estudio es conocer el perfil sensorial de los niños con parálisis cerebral y su impacto en el rendimiento funcional en relación con actividades de la vida diária. La metodología consistió en 29 niños con parálisis cerebral con edades comprendidas entre los 3 y 7 años y medio. La recopilación de datos se llevó a cabo a través de los instrumentos "del perfil sensorial" y "Inventario de evaluación Pediátrica de la Discapacidad (PEDI)". El Sistema de Classificación de la Función Bruto del motor (GMFCS) se utilizó como un criterio de exclusión. Ellos demostraron que existen relaciones entre éstos. Hubo corespondencia entre el elemento funcional PEDI con las respuestas emocionales / sociales del perfil sensorial, así que identifican posibles trastornos del procesamiento sensorial en las capacidades funcionales de los niños con parálisis cerebral.Palabras clave: Niño; la independencia; Los umbrales sensoriales; Parálisis Cerebral; Terapia ocupacional.


2009 ◽  
Vol 49 (3) ◽  
pp. 186
Author(s):  
Ratna Dewi Kusumaningrum ◽  
Elizabeth Siti Herini ◽  
Djauhar Ismail

Background Cerebral palsy is the main cause of physical disabilityduring childhood. Assessment is necessary to acknowledge thelevel of intelligence of the patients and to prevent impairmentsin order to plan the prompt intervention.Objectives To evaluate the cognitive levels of cerebral palsy andassociation between cognitive levels and its types.Methods We conducted a cross-sectional study on subjectsfrom Sekolah Luar Biasa Negeri 3 Yogyakarta. Intelligence wasmeasured using the Stanford-Binet intelligence scales, whereasdiagnosis of cerebral palsy was based on criteria of the AmericanAcademy for Cerebral Palsy (AACP). Data were analyzed usingchi-square test.Results There were 35 subjects, comprising of 21 boys and 14girls aged 5-18 years. The results show that in general, childrenwith cerebral palsy had mental retardation in several cognitivelevels. Children with hemiplegia type (1 subject) had IQ level that equals to mental retardation. Children with spastic diplegia type (6 subjects) showed borderline IQ (1) and mental retardation (5). Children with quadriplegia type ( 15 subjects) had superior IQ (1), borderline (7) and mental retardation (7). Out of 13 subjects with athetoid type 2, had borderline IQ (2), and mental retardation (11). The statistical analysis with chi-square test resulted in P = 0.114 (P < 0.05).Conclusion Our data showed that most patients with cerebral palsy had mental retardation of several cognitive level but there was no significant association between each type of cerebral palsy with cognitive levels.


Author(s):  
Luo Rong

Objective: To describe the subtypes, motor function, and comorbidities of cerebral palsy (CP) in children in Chengdu, China.Methods: A cross-sectional survey of children with CP was performed in 2013 and participants were enrolled from the branches of China Disabled Persons’ Federation in Chengdu. Diagnosis, clinical subtypes, gross and fine motor function outcomes, and comorbidities of CP were determined through caregiver interviews, evaluation of medical records, and thorough physical examinations.Results: Four-hundred and twenty-two children were diagnosed with CP (mean age, 7.7 ± 3.8 years). Spastic diplegia was the predominating subtype (35%). Mild impairments in gross and fine motor function were present in 45% and 52% of the patients, respectively. Cognitive impairment (60%) was the most common comorbidity, and was followed by language disorder (41%) and microcephaly (35%). About 79% of children with cerebral palsy had at least one comorbidity, and the number of cumulative comorbidities was positively correlated with Gross Motor Function Classification System and Manual Ability Classification System scores. Preterm birth (52%) was the most common risk factor, and was followed by low birth weight (42%) and birth asphyxia (27%).Conclusion: Distributions of CP subtypes, motor functions, and comorbidities in a Chinese population were similar to those in developed countries, but different from those in other developing countries. The trend for decreased numbers of children with preterm CP since 2009 indicates an improvement in neonatal care. However, perinatal healthcare should still be improved to reduce the occurrence of birth asphyxia.


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