Autonomic and Behavioral Responses of Children With Autism to Auditory Stimuli / Megan C. CHANG in American Journal of Occupational Therapy, Vol. 66/5 (septembre-octobre 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/5 (septembre-octobre 2012) . - p. 567-576 Titre : Autonomic and Behavioral Responses of Children With Autism to Auditory Stimuli Type de document : texte imprimé Auteurs : Megan C. CHANG ; L. Diane Parham ; Blanche ERNA IMPERATORE Année de publication : 2012 Article en page(s) : p. 567-576 Langues : Anglais (eng) Mots-clés : Acoustique  Stimulation  Autisme Résumé : OBJECTIVES. We examined whether children with and without autism spectrum disorder (ASD) differ in autonomic activity at rest and in response to auditory stimuli and whether behavioral problems related to sounds in everyday life are associated with autonomic responses to auditory stimuli. METHOD. We measured skin conductance (SC) at rest and in response to auditory stimuli as well as behavioral responses using the Sensory Processing Measure (SPM) Home Form. Participants were 25 children with ASD and 25 typically developing (TD) children, aged 5–12 yr. RESULTS. The ASD group had significantly higher resting SC and stronger SC reactivity to tones than the TD group. Correlations between SC and SPM indicated that more severe auditory behavioral difficulties were associated with higher sympathetic activation at rest and stronger sympathetic reactivity to sound. CONCLUSION. High sympathetic reactivity to sound may underlie the difficult behavioral responses to sound that children with ASD often demonstrate. Permalink : ./index.php?lvl=notice_display&id=14005 [article] Autonomic and Behavioral Responses of Children With Autism to Auditory Stimuli [texte imprimé] / Megan C. CHANG ; L. Diane Parham ; Blanche ERNA IMPERATORE . - 2012 . - p. 567-576. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/5 (septembre-octobre 2012) . - p. 567-576 Mots-clés : Acoustique  Stimulation  Autisme Résumé : OBJECTIVES. We examined whether children with and without autism spectrum disorder (ASD) differ in autonomic activity at rest and in response to auditory stimuli and whether behavioral problems related to sounds in everyday life are associated with autonomic responses to auditory stimuli. METHOD. We measured skin conductance (SC) at rest and in response to auditory stimuli as well as behavioral responses using the Sensory Processing Measure (SPM) Home Form. Participants were 25 children with ASD and 25 typically developing (TD) children, aged 5–12 yr. RESULTS. The ASD group had significantly higher resting SC and stronger SC reactivity to tones than the TD group. Correlations between SC and SPM indicated that more severe auditory behavioral difficulties were associated with higher sympathetic activation at rest and stronger sympathetic reactivity to sound. CONCLUSION. High sympathetic reactivity to sound may underlie the difficult behavioral responses to sound that children with ASD often demonstrate. Permalink : ./index.php?lvl=notice_display&id=14005

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Development of the Comprehensive Observations of Proprioception (COP) / Blanche ERNA IMPERATORE in American Journal of Occupational Therapy, Vol. 66/6 (novembre-décembre 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/6 (novembre-décembre 2012) . - p. 691-698 Titre : Development of the Comprehensive Observations of Proprioception (COP) : validity, Reliability, and Factor Analysis Type de document : texte imprimé Auteurs : Blanche ERNA IMPERATORE Année de publication : 2012 Article en page(s) : p. 691-698 Langues : Anglais (eng) Mots-clés : Trouble développement  Handicap mental  Proprioception Résumé : OBJECTIVE. We developed an observational tool, the Comprehensive Observations of Proprioception (COP), for identifying proprioceptive processing issues in children with developmental disabilities. METHOD. Development of the COP underwent three phases. First, we developed items representing proprioceptive functions on the basis of an extensive literature review and consultation with occupational therapists. We then established interrater reliability and content, construct, and criterion validity. Finally, we completed a factor analysis of COP ratings of 130 children with known developmental disabilities. RESULTS. Adequate validity and reliability were established. Factor analysis revealed a four-factor model that explained the underlying structure of the measure as it was hypothesized. CONCLUSION. The COP is a valid criterion-referenced short observational tool that structures the clinician’s observations by linking a child’s behaviors to areas identified in the literature as relevant to proprioceptive processing. It takes 15 min to administer and can be used in a variety of contexts, such as the home, clinic, and school. Permalink : ./index.php?lvl=notice_display&id=14042 [article] Development of the Comprehensive Observations of Proprioception (COP) : validity, Reliability, and Factor Analysis [texte imprimé] / Blanche ERNA IMPERATORE . - 2012 . - p. 691-698. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/6 (novembre-décembre 2012) . - p. 691-698 Mots-clés : Trouble développement  Handicap mental  Proprioception Résumé : OBJECTIVE. We developed an observational tool, the Comprehensive Observations of Proprioception (COP), for identifying proprioceptive processing issues in children with developmental disabilities. METHOD. Development of the COP underwent three phases. First, we developed items representing proprioceptive functions on the basis of an extensive literature review and consultation with occupational therapists. We then established interrater reliability and content, construct, and criterion validity. Finally, we completed a factor analysis of COP ratings of 130 children with known developmental disabilities. RESULTS. Adequate validity and reliability were established. Factor analysis revealed a four-factor model that explained the underlying structure of the measure as it was hypothesized. CONCLUSION. The COP is a valid criterion-referenced short observational tool that structures the clinician’s observations by linking a child’s behaviors to areas identified in the literature as relevant to proprioceptive processing. It takes 15 min to administer and can be used in a variety of contexts, such as the home, clinic, and school. Permalink : ./index.php?lvl=notice_display&id=14042

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Manualization of occupational therapy interventions / Blanche ERNA IMPERATORE in American Journal of Occupational Therapy, Vol. 65/6 (novembre-décembre 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/6 (novembre-décembre 2011) . - p. 711-719 Titre : Manualization of occupational therapy interventions : illustrations from the pressure ulcer prevention research program Type de document : texte imprimé Auteurs : Blanche ERNA IMPERATORE ; et al. ; Jesus DIAZ ; Donald FOGELBERG Année de publication : 2011 Article en page(s) : p. 711-719 Langues : Anglais (eng) Mots-clés : Ergothérapie  Protocole  Prévention  Escarre Résumé : The manualization of a complex occupational therapy intervention is a crucial step in ensuring treatment fidelity for both clinical application and research purposes. Toward the latter end, intervention manuals are essential for ensuring trustworthiness and replicability of randomized controlled trials that aim to provide evidence of the effectiveness of occupational therapy. In this article, we review the literature on the process of intervention manualization. We then illustrate the prescribed steps through our experience in implementing the University of Southern California/Rancho Los Amigos National Rehabilitation Center’s collaborative Pressure Ulcer Prevention Project. In this research program, qualitative research provided the initial foundation for manualization of a multifaceted occupational therapy intervention designed to reduce the incidence of medically serious pressure ulcers in adults with spinal cord injury. Permalink : ./index.php?lvl=notice_display&id=14139 [article] Manualization of occupational therapy interventions : illustrations from the pressure ulcer prevention research program [texte imprimé] / Blanche ERNA IMPERATORE ; et al. ; Jesus DIAZ ; Donald FOGELBERG . - 2011 . - p. 711-719. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/6 (novembre-décembre 2011) . - p. 711-719 Mots-clés : Ergothérapie  Protocole  Prévention  Escarre Résumé : The manualization of a complex occupational therapy intervention is a crucial step in ensuring treatment fidelity for both clinical application and research purposes. Toward the latter end, intervention manuals are essential for ensuring trustworthiness and replicability of randomized controlled trials that aim to provide evidence of the effectiveness of occupational therapy. In this article, we review the literature on the process of intervention manualization. We then illustrate the prescribed steps through our experience in implementing the University of Southern California/Rancho Los Amigos National Rehabilitation Center’s collaborative Pressure Ulcer Prevention Project. In this research program, qualitative research provided the initial foundation for manualization of a multifaceted occupational therapy intervention designed to reduce the incidence of medically serious pressure ulcers in adults with spinal cord injury. Permalink : ./index.php?lvl=notice_display&id=14139

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Proprioceptive processing difficulties among children with autism spectrum disorders and developmental disabilities / Blanche ERNA IMPERATORE in American Journal of Occupational Therapy, Vol. 66/5 (septembre-octobre 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/5 (septembre-octobre 2012) . - p. 621-624 Titre : Proprioceptive processing difficulties among children with autism spectrum disorders and developmental disabilities Type de document : texte imprimé Auteurs : Blanche ERNA IMPERATORE ; Gustavo REINOSO ; Stefanie BODISON ; Megan C. CHANG Année de publication : 2012 Article en page(s) : p. 621-624 Langues : Anglais (eng) Mots-clés : Proprioception  Autisme Résumé : OBJECTIVE. Sensory processing difficulties among children with autism spectrum disorders (ASD) have been extensively documented. However, less is known about this population's ability to process proprioceptive information. METHOD. We used the Comprehensive Observations of Proprioception (COP; Blanche, Bodison, Chang, & Reinoso, in press) to describe the proprioceptive difficulties experienced by children with ASD. A sample of 32 children with ASD, 26 children with developmental disabilities excluding ASD, and 28 typically developing control children were studied using the COP. RESULTS. Children with ASD present with proprioceptive processing difficulties that are different from those of children with developmental disabilities and their typically developing counterparts. Specific data, potential clinical applications, and directions for future research are described. CONCLUSION. Results suggest that the COP has useful clinical research applications. Further assessment of psychometric properties, clinical utility, and meaningful differences among diverse clinical populations are needed. Permalink : ./index.php?lvl=notice_display&id=14199 [article] Proprioceptive processing difficulties among children with autism spectrum disorders and developmental disabilities [texte imprimé] / Blanche ERNA IMPERATORE ; Gustavo REINOSO ; Stefanie BODISON ; Megan C. CHANG . - 2012 . - p. 621-624. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/5 (septembre-octobre 2012) . - p. 621-624 Mots-clés : Proprioception  Autisme Résumé : OBJECTIVE. Sensory processing difficulties among children with autism spectrum disorders (ASD) have been extensively documented. However, less is known about this population's ability to process proprioceptive information. METHOD. We used the Comprehensive Observations of Proprioception (COP; Blanche, Bodison, Chang, & Reinoso, in press) to describe the proprioceptive difficulties experienced by children with ASD. A sample of 32 children with ASD, 26 children with developmental disabilities excluding ASD, and 28 typically developing control children were studied using the COP. RESULTS. Children with ASD present with proprioceptive processing difficulties that are different from those of children with developmental disabilities and their typically developing counterparts. Specific data, potential clinical applications, and directions for future research are described. CONCLUSION. Results suggest that the COP has useful clinical research applications. Further assessment of psychometric properties, clinical utility, and meaningful differences among diverse clinical populations are needed. Permalink : ./index.php?lvl=notice_display&id=14199

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