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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Sensory integration therapies for children with developmental and behavioral disorders
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Sensory integration therapies for children with developmental and behavioral disorders

机译:发育和行为障碍儿童的感觉统合疗法

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Sensory-based therapies are increasingly used by occupational therapists and sometimes by other types of therapists in treatment of children with developmental and behavioral disorders. Sensory-based therapies involve activities that are believed to organize the sensory system by providing vestibular, proprioceptive, auditory, and tactile inputs. Brushes, swings, balls, and other specially designed therapeutic or recreational equipment are used to provide these inputs. However, it is unclear whether children who present with sensory-based problems have an actual "disorder" of the sensory pathways of the brain or whether these deficits are characteristics associated with other developmental and behavioral disorders. Because there is no universally accepted framework for diagnosis, sensory processing disorder generally should not be diagnosed. Other developmental and behavioral disorders must always be considered, and a thorough evaluation should be completed. Difficulty tolerating or processing sensory information is a characteristic that may be seen in many developmental behavioral disorders, including autism spectrum disorders, attention-deficit/hyperactivity disorder, developmental coordination disorders, and childhood anxiety disorders. Occupational therapy with the use of sensory-based therapies may be acceptable as one of the components of a comprehensive treatment plan. However, parents should be informed that the amount of research regarding the effectiveness of sensory integration therapy is limited and inconclusive. Important roles for pediatricians and other clinicians may include discussing these limitations with parents, talking with families about a trial period of sensory integration therapy, and teaching families how to evaluate the effectiveness of a therapy.
机译:职业治疗师以及其他类型的治疗师越来越多地使用基于感官的疗法来治疗患有发育和行为障碍的儿童。基于感觉的疗法涉及被认为通过提供前庭,本体感受,听觉和触觉输入来组织感觉系统的活动。刷子,秋千,球和其他专门设计的治疗或娱乐设备用于提供这些输入。但是,尚不清楚出现基于感官问题的儿童是否对大脑的感官途径有实际的“失调”,或者这些缺陷是否与其他发育和行为障碍有关。因为没有普遍接受的诊断框架,所以一般不应该诊断感觉加工障碍。必须始终考虑其他发育和行为障碍,并应进行全面评估。难以忍受或处理感觉信息是许多发育行为障碍(包括自闭症谱系障碍,注意力不足/多动障碍,发育协调障碍和儿童焦虑症)中可能表现出的特征。使用基于感觉的疗法的职业疗法可以作为综合治疗计划的组成部分之一。但是,应告知父母,关于感觉统合疗法的有效性的研究数量有限且尚无定论。对于儿科医生和其他临床医生而言,重要的角色可能包括与父母讨论这些局限性,与家人讨论感觉统合疗法的试用期以及教会家人如何评估疗法的有效性。

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