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| Effects of visual music intervention combined with sequential therapy on adaptive behavior and intelligence development in children with mental retardation |
| GONG Dai, YAN Lijuan |
| Department of Pediatrics, Zhuzhou Central Hospital, Zhuzhou 412000, Hunan Province, China |
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Abstract Objective To investigate the effects of visual music intervention combined with sequential therapy on the adaptive behavior and intelligence development of children with mental retardation (MR). Methods A total of 94 children with MR in Zhuzhou Central Hospital from February 2017 to April 2019 were enrolled. The patients were divided into control group and observation group according to the order of admission. They were given conventional rehabilitation intervention(n＝47) and visual music intervention combined with sequential therapy(n＝47) for 6 months, respectively. Comparisons were made among the rehabilitation effects of the two groups and the pre-intervention and 6 months post-intervention children sensory integration rating scale (CSIRS) scores, the developmental quotient (DQ) and developmental age (DA) of the five energy regions in the Gesell developmental schedule, and American Association on Mental Deficiency adaptive behavior scale (AAMD-ABS) scores. The satisfaction of family intervention was compared between the two groups by PZB service quality scale(SERVQUAL). Results The total effective rate of the observation group (78.72%) was significantly higher than that of the control group (55.32%, P＝0.009). The vestibular imbalance, tactile dysfunction, and proprioception dysfunction were significantly higher in the observation group than those in the control group after 6 months of intervention (P<0.05). After intervention for 6 months, the DQ and DA scores of the observation group were significantly higher than those of the control group (P<0.05). The scores of independent functional factors, cognitive function factors and social/self-made factors in the observation group were significantly higher than those of the control group (P<0.001) after intervention for 6 months. In SERVQUAL results, the scores of reliability, empathy, tangibility, reactivity and assurance of the observation group were significantly higher than those in the control group (all P<0.001). Conclusion The visual music intervention combined with the sequential therapy is effective to children with MR. It can effectively enhance the ability of sensory integration, promote intellectual development, improve the ability to adapt to behavior, and improve the satisfaction of family intervention.
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