Perspective of Thai paediatric physiotherapist on using sensory integration therapy in children with cerebral palsy

Abstract

Introduction: Sensory deficit is a problem in children with cerebral palsy (CP) which can be managed by using sensory integration (SI) therapy. The use of this intervention is gaining popularity in paediatric physiotherapy in Thailand although; the evidence to demonstrate its effectiveness is still unclear. Therefore, this study explored experience of physiotherapist who used SI therapy in children with CP regarding it has been postulated that experience of therapist influence on the effectiveness on using of this intervention.  Methods: This qualitative study used a phenomenological approach to gather experience from 8 Thai paediatric physiotherapists who used SI therapy in children with CP within the past year using semi-structured interview via telephone Skype. Results: Information from every participant in each theme is almost the same. Mainly, an initiate learning of SI concept came from formal study. For clinical practice, the use of SI approach with other physiotherapy interventions made confusion on their SI practice. The role overlap was not a problem from using this intervention. The actual problem is communication between occupational therapists and physiotherapists. Conclusion: Further understanding on SI theory and practice, the use of outcome measure and collaboration between occupational therapist and physiotherapist were recommended to improve the use of SI approach in physiotherapy practice.