Occupational Therapy Program Student Theses, Dissertations and Capstones

Document Type

Dissertation

Correlational study between structured clinical observations and the Sensory Integration and Praxis Test

Degree Name

Doctor of Philosophy (PhD) in Occupational Therapy

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.

Department

College of Health Care Sciences – Occupational Therapy Department

First Advisor

Ferol Menks Ludwig

Publication Date / Copyright Date

12-2005

Publisher

Nova Southeastern University

Abstract

"December 2005" A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Occupational Therapy. Typescript (.pdf) Project Advisor : Ferol Menks Ludwig The purpose of this study was to determine if structured observations were associated with the Sensory Integration and Praxis Tests (SIPT). Structured observations have been utilized in sensory integration for many years to assist therapists in assessing children with sensory integration dysfunction. The sample for this study consisted of 21 children ages 5-8 treated with a sensory integration frame of reference in a treatment and training center in west Los Angeles. Sensory integration dysfunction was tested using the SIPT and a set of 10 different structured observations including the supine flexion postural test, prone extension, slow motions, postrotary nystagmus, diadochokinesis, finger-to-thumb opposition, finger-to-nose, the modified Schilder's arm extension test, and the heel-to-toe measure of balance. Results show a small degree of association and highlight the complementary role of both measures. Data reduction indicated that a few structured observations better described two profiles of the SIPT; the low average bilateral integration and sequencing and visuo-somatodyspraxia. Three factors best described the most common structured observations in the group of children with low average bilateral integration and sequencing disorder and included aspects of motor planning and bilateral sequencing; vestibulo-proprioceptive and cerebellar aspects of speed, acceleration, and trajectory. The forward linear regression analysis indicated that structured observations could only predict a small portion of the variability of the different measures of the SIPT.

Disciplines

Occupational Therapy

Keywords

Health and environmental sciences, Clinical observations, Pediatrics, Sensory Integration and Praxis Test

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