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A Systematic Review and Meta-analysis of Sensory Integration Intervention Studies in Children with Cerebral Palsy

뇌성마비 아동의 감각통합 중재 연구에 대한 체계적 고찰과 메타분석

  • Kim, Eun-Joo (Dept. of Occupational Therapy, College of Alternative Medicine, Jeonju University) ;
  • Choi, Yoo-Im (Dept. of Occupational Therapy, College of Health & Welfare, Howon University)
  • 김은주 (전주대학교 대체의학대학 작업치료학과) ;
  • 최유임 (호원대학교 보건복지대학 작업치료학과)
  • Received : 2013.04.01
  • Accepted : 2013.04.20
  • Published : 2013.04.28

Abstract

The purpose of this study was to investigate evidence-based practice (EBP) for sensory integration (SI) intervention in children with cerebral palsy (CP) through a systematic review and meta analysis. The screening strategy was performed to select studies for analysis after that, a meta-analysis was implemented for calculating the effect size (ES) in group studies. Twenty-four studies were included for a systematic review and included seven case reports, three single-subject designs, and fourteen group experimental design studies(three randomized controlled trials, three two groups nonrandomized studies, and six one group nonrandomized studies). The ES of the experimental group studies was moderate size of 0.272. The results of the ES according to the dependent variables, the ES was the largest in the fine motor development. The effect size of the published papers was greater than the unpublished paper's and two groups nonrandomized studies' size effect was the largest in the design. The ES of the infants was larger than the children. The ES for a period of 8 weeks, the number of five times a week, and time in 90 minutes showed the biggest in SI program. Although the ES of SI intervention in children with CP showed moderate effect, accumulation of research well be needed.

Keywords

Cerebral palsy;Meta-analysis;Sensory integration intervention;Systematic review