軽度発達障害児に対する感覚統合療法の訓練形態による効果の差について—JMAPスコアによる個別指導と集団指導の効果の比較

Evaluating sensory integrative treatment efficacies of individual and group therapeutic interventions by using JMAP

要旨：日本版ミラー幼児発達スクリーニング検査(JMAP)を用い，感覚統合療法の個別指導と集団指導を受けたそれぞれ11名の発達障害児の指導前後のデータを比較し，両群の治療効果，および治療効果の差について検討した．その結果，個別指導群は指導前後の総合点，協応性，非言語，複合能力の領域にp＜0.01，基礎能力はp＜0.05で有意差が見られた．集団指導群では総合点，基礎能力の領域にのみp＜0.05で有意差が認められた．個別指導群と集団指導群の指導効果の差を検討した結果，総合点，複合能力にp＜0.01で，協応性，非言語能力にp＜0.05で有意差が見られ，いずれも個別指導群の方が指導効果が大きかった．

　Twenty-two children with mild developmental disorders received therapeutic intervention based upon the theory of sensory integration. Influence of different instructional settings—individual or group treatment—upon its treatment efficacy was studied. The children were randomly assigned to either of the individual or the group intervention, and the Japanese Version of the Miller Assessment for Preschoolers (JMAP) was administered to all children befor and after the intervention. The obtained JMAP scores showed significant developmental changes in the Foundation Index (p＜0.05) for both groups, and in Coordination, Non-Verbal, and Complex Indices (p＜0.01) for the individual treatment group. Furthermore, a larger degree of JMAP score-change was observed for the individual treatment group compared to the group treatment, with significant difference in Complex Index (p＜0.01) and in Coordination and Non-Verbal Indices (p＜0.05).