Özet:

Purpose: To increase performance participation in activities with sensory integration therapy on developing adaptive reactions in a mentally retarded person. Material and methods: Modulation and praxia problems of a 20-year-old female patient were evaluated using Dunn sensory profile and clinical observation of neuro-motor performance. Self care, productivity and leisure activities were evaluated with Canada Activity Performance Measurement (COPM). After the evaluation, physiotherapy program and sensory integration approach were applied for problem areas, for 6 months, 2 days a week for 45 minutes. Deep pressure, proprioception and vestibular input activities were used for modulation problems. For bilateral activities, praxia and ball activities including somato-sensory were used and activities containing sequential movements were used for movement sequencing. The patient and her family were given sensory diet home program. Results: Sensory modulation problems were identified in proprioceptive, tactile and vestibular systems. Tactile defensiveness, postural deformities, bilateral integration was identified in clinical observation of neuro-motor performance. Problems in somatodyspraxia were identified with sequencing evaluation. Somatodyspraxia evaluation showed that body could not make total flexion; had sequential finger touching and diadochokinesia problems. Modulation problems like frequent falling and distraction were present before the therapy; frequency of falls decreased and concentration time lengthened after the therapy. Somatodyspraxia problems were decreased. While at the beginning of the therapy COPM score was 5.3, at the end of the therapy it improved and scored 7.3. Conclusion: It was found that sensory integration therapy decreased modulation and praxis problems in mentally retarded people and contributed to forming adaptive reactions required in daily life. To promote social and emotional responses and social participation of these people, treatment program should include sensory integration therapy and further studies should be conducted on larger sampling.

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