دانلود رایگان مقاله انگلیسی شناسایی پردازش های حسی و اختلاط علائم : یک مطالعه مقدماتی - هینداوی 2017

Rationale. This study explored subtypes of sensory processing disorder (SPD) by examining the clinical presentations of cluster groups that emerged from scores of children with SPD on the Sensory Processing 3-Dimension (SP-3D) Inventory. Method. A nonexperimental design was used involving data extraction from the records of 252 children with SPD. Exploratory cluster analyses were conducted with scores from the SP-3D Inventory which measures sensory overresponsivity (SOR), sensory underresponsivity (SUR), sensory craving (SC), postural disorder, dyspraxia, and sensory discrimination. Scores related to adaptive behavior, social-emotional functioning, and attention among children with different sensory modulation patterns were then examined and compared. Results. Three distinct cluster groups emerged from the data: High SOR only, High SUR with SOR, and High SC with SOR. All groups showed low performance within multiple domains of adaptive behavior. Atypical behaviors associated with socialemotional functioning and attention varied among the groups. Implications. The SP-3D Inventory shows promise as a tool for assisting in identifying patterns of sensory dysfunction and for guiding intervention. Better characterization can guide intervention precision and facilitate homogenous samples for research.

5. Conclusions and Implications for Occupational Therapy Practice

This study provides information to the categorization of patterns of children with sensory processing challenges who do not meet criteria for other clinical diagnoses.This work assists in enhancing the clarity of communication used to describe children with sensory processing challenges both within and outside the occupational therapy profession. The results supported three distinct groups all with symptoms of sensory overresponsivity (e.g., High SOR only, High SUR/SOR cluster, and High SC/SOR cluster), and within these patterns, differing symptoms related to motor challenges and sensory discrimination challenges were found. All three-cluster groups had some challenges in occupational performance with individuals in the High SUR/SOR and High SC/SOR clusters displaying more challenges than children in the High SOR only group. This study builds on previous work by further elucidating patterns of sensory processing dysfunction and associated functional and behavioral symptoms that characterize each group. A greater understanding of the strengths and challenges inherent within each pattern is useful for guiding the delivery of appropriate occupational therapy interventions and for selecting homogenous participants for research.