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The effect of Snoezelen intervention on problem behaviors in children with cerebral palsy: A randomized controlled

Mina Kim1, Sook-Hee Yi2, Jee-Sun Lee2

  • 1Department of Pediatric Rehabilitation Psychology, Seoul Rehabilitation Hospital, South Korea.

Complementary Therapies in Medicine
|February 3, 2025
PubMed

Insights

Snoezelen intervention significantly reduced emotional reactivity in children with cerebral palsy (CP). This positive effect was stronger in children with better motor function, as measured by the Gross Motor Function Classification System (GMFCS).

Area of Science:

  • Pediatric Rehabilitation
  • Developmental Pediatrics
  • Behavioral Therapy

Background:

  • Children with cerebral palsy (CP) often exhibit problem behaviors.
  • Emotional reactivity is a common concern in this population.
  • The Gross Motor Function Classification System (GMFCS) is a standard measure of motor impairment in CP.

Purpose of the Study:

  • To assess the impact of Snoezelen therapy on problem behaviors in children with CP.
  • To investigate the relationship between motor function (GMFCS) and behavioral changes following Snoezelen intervention.

Main Methods:

  • A randomized controlled trial involving 28 children (aged 2-5 years) with CP.
  • The experimental group received Snoezelen intervention for 4 weeks (3 sessions/week).
  • Behavioral outcomes were measured using the CBCL 1.5-5 and K-PSI; motor function was assessed via GMFCS.

Main Results:

  • A significant decrease in emotionally reactive behaviors was observed in the Snoezelen group (p=0.044).
  • A strong negative correlation was found between GMFCS scores and changes in emotional reactivity (Spearman's ρ = -0.744, p=0.002).

Conclusions:

  • Snoezelen intervention shows potential in reducing emotional reactivity and improving emotional stability in children with CP.
  • The effectiveness of Snoezelen may be influenced by the child's level of motor impairment (GMFCS).
  • Further research is warranted to validate these findings and explore clinical applications.
Abstract

Keywords:
Cerebral palsyGMFCSPediatric rehabilitationProblem behaviorsRandomized controlled trialSnoezelen

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