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Sensory processing in children with Paediatric Acute-onset Neuropsychiatric Syndrome
Michelle J Newby1,2, Shelly J Lane2,3, Kirsti Haracz2
1Stepping Stones Therapy for Children, Charlestown, New South Wales, Australia.
Australian Occupational Therapy Journal
|January 27, 2024
Summary
Children with Paediatric Acute-onset Neuropsychiatric Syndrome (PANS) show significant sensory reactivity differences, with performance declining during exacerbations. These sensory issues persist even in remission, impacting daily function.
Area of Science:
- Neuroscience
- Pediatrics
- Occupational Therapy
Background:
- Paediatric Acute-onset Neuropsychiatric Syndrome (PANS) is associated with sensory reactivity differences impacting occupational performance.
- Understanding these sensory differences during different disease phases is crucial for effective intervention.
Purpose of the Study:
- To compare sensory reactivity in children with PANS during exacerbation versus remission using the Sensory Processing Measure (SPM) Home-Form.
- To investigate sensory processing differences in children with PANS during remission compared to normative data.
Main Methods:
- A case-crossover design was employed with online assessments of sensory reactivity.
- 82 children (aged 4.6-13.1 years) diagnosed with PANS participated across multiple countries.
- The SPM Home-Form measured sensory reactivity during exacerbation (T-E) and remission (T-R) phases.
Main Results:
- A statistically significant decline in performance was observed during exacerbation across Hearing, Social Participation, Planning and Ideas, and Total Sensory Systems domains.
- Atypical sensory reactivity was noted during remission in Vision, Hearing, Touch, Balance and Motion, and Total Sensory Systems domains compared to norms.
Conclusions:
- Children with PANS exhibit significant sensory reactivity differences during both exacerbation and remission, with a notable performance decline during exacerbations.
- Occupational therapists should utilize sensory assessments to develop targeted interventions for children with PANS, addressing their unique sensory needs.
Keywords:
Neuropsychiatric Disorder Associated with Streptococcal infections (PANDAS)Paediatric Acute‐onset Neuropsychiatric Syndrome (PANS)Sensory Processing Measure (SPM)occupational performancepaediatric mental healthpaediatric occupational therapysensory modulationsensory processingsensory reactivityMore Related Videos
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