Middle Eastern Journal of Disability Studies

fa نقش بازی‌درمانی در مداخلات حسی-حرکتی اختلال طیف اتیسم یک مرور نظام‌مند The Role of Play Therapy in Sensorimotor Interventions for Autism Spectrum Disorder: A Systematic Review روانشناسی Psychology مقاله مرور نظام‌مند Systematic Review Article چکیده زمینه و هدف: باوجود تنوع در تابلوهای بالینی اختلال طیف اتیسم، مشکلات حسی-حرکتی، ویژگی همه‌جا حاضر در این اختلال است. از روش‌های پرداختن به مشکلات حسی-حرکتی، استفاده از ظرفیت‌های بازی در برنامه‌های مداخلاتی است. پژوهش حاضر باهدف بررسی نقش بازی‌درمانی در مداخلات حسی-حرکتی اختلال طیف اتیسم انجام شد. روش‌بررسی: روش پژوهش حاضر، مروری نظام‌مند بود. مقاله‌های بین سال‌های ۲۰۰۰تا۲۰۲۳ با کلید‌واژه‌های symptoms، sensory playtherapy، autism و... در پایگاه‌های اطلاعاتی PubMed، ProQuest، PsycINFo، ScienceDirect، Google scholar و Springer و کلید‌واژه‌های فارسی بازی‌درمانی حسی، اتیسم، مداخله، اثربخشی، علائم اتیسم در پایگاه‌های SID و Magiran بااستفاده از دستورعمل پریزما بررسی شد. در پایان باتوجه به ملاک‌های ورود و خروج، انتخاب دوازده مقاله صورت گرفت. یافته‌ها: درمقایسه با تعداد مطالعات خارج از ایران، در مطالعات ایرانی بیشتر از عنوان و کارکرد بازی در پژوهش‌های مداخلات حسی-حرکتی استفاده شده است؛ به‌علاوه به‌لحاظ نوع بازی، سهم بیشتر از مطالعات بررسی‌شده اعم‌از داخلی و خارجی به‌ترتیب به استفاده از بازی‌های واقعیت مجازی، استفاده از بازی‌های حرکتی و بازی‌های اوقات‌فراغت، استفاده از شن‌بازی، اختصاص دارد؛ همچنین طول مدت‌زمان اجرای مداخله با اثربخشی بیشتر آن دارای رابطهٔ مستقیم است. نتیجه‌گیری: استفاده از بازی‌های حرکتی و بازی‌های اوقات‌فراغت که کل بدن کودک را درگیر فعالیت بازی می‌کند، در جذب همکاری کودک دارای اختلال طیف اتیسم و بهبود گسترهٔ وسیعی از علائم، مؤثرتر از سایر روش‌های بازی است. علاوه‌براین مدت‌زمان مداخلات بازی‌درمانی حسی-حرکتی می‌تواند عامل مؤثری در بهبود میزان و دامنهٔ اثربخشی این مداخلات باشد. Abstract Background & Objectives: Although autism is a heterogeneous disorder and people with autism present with varying clinical pictures, sensorimotor difficulties are often present in all of them. Sensory problems cause difficulties in different areas, including sensory, emotional, behavioral, and cognitional domains. Also, sensory problems prevent the normal play development during childhood and deprives the child from benefits of play. Problems in motor–planning, expressive and receptive communication, imitation, and fine and gross motor skills are obstacles which children with autism face during play. Psychological interventions for children use play as a substitute for language. One way of working on sensorimotor problems is to use play capabilities in psychological interventions. Regarding the importance of play in communicating with children and the significant role of sensory play in communication with autistic children, this systematic review aims to study the role of play in sensorimotor interventions of autistic children and investigate the quality of using play in them. Methods: A systematic review was used in this research. Articles published between 2000 and 2023 were searched with the keywords, “play,” “play therapy,” “sensory play,” “sensorimotor play therapy,” “sensorimotor problems,” “sensorimotor interventions,” “sensory games and therapy” in PubMed, ProQuest, PsycINFo, Sciencedirect, Google scholar, and Springer databases. Also, the same keywords in Persian were searched in Magiran and SID databases. The articles were reviewed using the PRISMA guidelines and 12 articles were selected according to the inclusion and exclusion criteria. According to PRISMA guidelines several descriptive components were classified: the title of the research, profile of the authors, year of implementation of the research, target variables, expertise of the researcher, number of samples, duration of intervention, and the measures used in each research. To increase the validity of the research, kappa coefficient was used to estimate interrater reliability. This indicator showed a moderate agreement (0.6) in terms of selecting the articles. Results: The study results show that sensorimotor–based play interventions reviewed in these studies are divided into two categories. First interventions include the whole body in sensorimotor activities and second interventions include just one sense which was the sense of touch. The present study shows that despite many problems of autistic children with other senses such as hearing, taste, smell, play–based research studies have not targeted such senses. The studies investigate on a wide range of autism symptoms and problems due to the fundamental role of sensorimotor problems in all symptoms of autism. Social behaviors, behavioral problems, negative behaviors, verbal skills and social skills, vestibular sense, balance, challenging behaviors, anxiety, clinical signs of autism, gross motor skills, hand–eye coordination, severity of autism symptoms, motor development, cognitive functions (number span and attention tracking), auditory processing profile, individual goal achievement, sensory behaviors, functional behaviors, adaptive behaviors, and expressive language skills were the target variables of these interventions. Only one study reported children's play skills after the intervention. The games of most of the studies reviewed were movement games. These movement games are divided into two categories: games that use the body as a toy (jumping, running, hopping, etc) and games that use a device and brings the whole body into play (for example, the use of virtual reality glasses, balls, sensory tunnels, swings). Other games used in research studies have provided sensory stimulation for the child by using a tool such as sand play or doll play. A group of articles have examined the nature of the game theoretically and stated their desired definition and philosophy of the game. Another group of studies have mentioned the function of the game and its benefits. Conclusion: The use of movement games and leisure games that engage the child's whole body in the game activity is more effective than other game methods in attracting the cooperation of a child with autism spectrum disorder and improving a wide range of symptoms. In addition, the duration of sensory–motor play therapy interventions can be an effective factor in improving the effectiveness of these interventions. بازی, بازی‌درمانی, بازی حسی, بازی‌درمانی حسی-حرکتی, مشکلات حسی‌-حرکتی, اتیسم, مداخلات حسی-حرکتی Play, Play therapy, Sensory play, Sensorimotor play therapy, Sensorimotor problems, Autism, Sensorimotor interventions 71 71 http://jdisabilstud.org/browse.php?a_code=A-12-3621-1&slc_lang=fa&sid=1 Nasrin Behnamnejad نسرین بهنام نژاد n_behnamnejad@atu.ac.ir 100319475328460064353 100319475328460064353 Yes PhD Student in Psychology and Education of Exceptional Children, Faculty of Psychology and Education, Allameh Tabataba’i University, Tehran, Iran دانشجوی دکترای تخصصی روان‌شناسی و آموزش کودکان استثنایی، دانشکدهٔ روان‌شناسی و علوم تربیتی، دانشگاه علامه طباطبائی، تهران، ایران Saeed Rezaei سعید رضایی saeed.rezayi@atu.ac.ir 100319475328460064354 100319475328460064354 No Associate Professor, Department of Psychology and Education of Exceptional Children, Allameh Tabataba’i University, Tehran, Iran دانشیار، گروه روان‌شناسی و آموزش کودکان استثنایی، دانشگاه علامه طباطبائی، تهران، ایران Noorali Farrokhi نورعلی فرخی farrokhinoorali@yahoo.com 100319475328460064355 100319475328460064355 No Professor, Department of Assessment and Measurement, Faculty of Psychology and Education, Allameh Tabataba’i University, Tehran, Iran استاد، گروه سنجش و اندازه‌گیری، دانشکدهٔ روان‌شناسی و علوم تربیتی، دانشگاه علامه طباطبائی، تهران، ایران Ahmad Salahshoori احمد سلحشوری ah.salahshoori@atu.ac.ir 100319475328460064356 100319475328460064356 No Assicoate Professor, Department of Philosophy of Education, Faculty of Education and Psychology, Allameh Tabataba’i University, Tehran, Iran دانشیار، گروه فلسفهٔ تعلیم و تربیت، دانشکدهٔ روان‌شناسی و علوم تربیتی دانشگاه علامه طباطبائی، تهران، ایران