Peningkatan Keterampilan Makan pada Anak Down Syndrome melalui Terapi Okupasi Berbasis Sensory Integration: Studi Kasus

Authors

Reza Nur Arsyi, Universitas IndonesiaFollow
Tambunan Seselia Thresagloria, Universitas Indonesia
Muhammad Luthfi, Universitas Indonesia
Ayleen Alicia K, Universitas Indonesia
Hermito Gideon, Universitas Indonesia

Abstract

Children with Down Syndrome (DS) frequently experience feeding difficulties due to hypotonia, sensory processing disorder, and oromotor impairments. This case study aimed to describe the clinical reasoning and effectiveness of a sensory integration (SI)-based occupational therapy intervention in improving feeding skills in a 10-year-old child with DS. The intervention consisted of 12 structured sessions focusing on postural stability, proprioceptive awareness, fine motor control, and oromotor coordination. Evaluation tools included Sensory Profile 2 and the Functional Independence Measure (FIM). Post-intervention outcomes indicated significant improvement in spoon use, posture during mealtime, texture tolerance, and self-feeding independence. FIM scores improved from total assistance (score 1) to supervision (score 5). This case highlights the potential of SI-based occupational therapy in enhancing functional feeding independence in children with DS.

References

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Bahasa Abstract

Anak dengan Down Syndrome (DS) sering mengalami kesulitan makan yang berkaitan dengan hipotonia, gangguan pemrosesan sensorik, dan disfungsi oromotor. Studi kasus ini bertujuan untuk mendeskripsikan reasoning klinis dan efektivitas intervensi terapi okupasi berbasis sensory integration (SI) dalam meningkatkan keterampilan makan pada seorang anak laki-laki berusia 10 tahun dengan DS. Intervensi dilakukan sebanyak 12 sesi yang berfokus pada peningkatan stabilitas postural, kesadaran proprioseptif, kontrol motorik halus, dan koordinasi oromotor. Evaluasi dilakukan menggunakan Sensory Profile 2 dan Functional Independence Measure (FIM). Hasil menunjukkan peningkatan signifikan dalam kemampuan menggunakan sendok, postur duduk saat makan, toleransi terhadap tekstur makanan, dan kemandirian makan. Skor FIM meningkat dari 1 (bantuan penuh) menjadi 5 (perlu supervisi). Studi kasus ini menunjukkan potensi terapi okupasi berbasis SI dalam meningkatkan kemandirian fungsional makan pada anak dengan DS.

Recommended Citation

Nur Arsyi, Reza; Thresagloria, Tambunan Seselia; Luthfi, Muhammad; K, Ayleen Alicia; and Gideon, Hermito (2025) "Peningkatan Keterampilan Makan pada Anak Down Syndrome melalui Terapi Okupasi Berbasis Sensory Integration: Studi Kasus," Jurnal Fisioterapi Terapan Indonesia: Vol. 4: Iss. 1, Article 6.
DOI: 10.7454/jfti.v4i1.1113
Available at: https://scholarhub.ui.ac.id/jfti/vol4/iss1/6