섭식 장애가 있는 뇌성마비 아동에게 적용된 구강감각운동치료방법에 대한 체계적 고찰
Systematic Review of Method for Application of Oral Sensorimotor Intervention for Feeding Disorders in Children with Cerebral Palsy
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
목적: 본 연구는 섭식 장애가 있는 뇌성마비 아동에게 시행한 구강감각운동치료에 대한 중재 방법, 중재기간, 중지 시간, 평가 방법 등에 대한 국내외 문헌을 종합적으로 분석하고자 하였다. 연구방법: 본 연구는 2009년 1월부터 2018년 12월까지 국내외 논문을 검색하여 176편의 논문이 검색되었다. 1차 초록 및 제목 중심으로 47편의 논문이 선정되었고, 2차 원문 검색을 통해 5편의 논문이 선정되었다. 결과: 선정된 논문의 PEDro scale은 평균 7점으로 높은 편이었으며, 치료의 중재 기간은 8주에서 24주사이로 나타났으며, 중재 시간은 일주일에 1회에서 5회, 하루에 최소 15분에서 1시간씩 제공되었다. 구강감각운동치료의 접근 방법은 손상 기반 치료적 접근과 적응 기반 치료적 접근이 사용되었으며, 평가 방법은 임상적 평가와 비 도구적 평가로 나누어 사용되었다. 결론: 본 연구는 섭식 장애를 가진 뇌성마비 아동에게 실시한 구강감각운동에 대해 분석하였고, 이러한자료를 통해 뇌성마비 아동들의 구강운동치료 프로그램 계획 시 적절한 치료적 중재 적용방법을 선택하는 데 도움이 될 수 있는 정보 제공 및 근거를 마련하였다.
Abstract
Objective: This study was conducted to comprehensively analyze domestic and international literature on the oral sensorimotor intervention approaches and evaluation/ non-instrumental assessment methods for children with cerebral palsy with feeding disorders. Methods: One hundred and seventy-six papers published from January 2009 to December 2018 were screened. Forty-seven papers were selected based on the abstract and title, and five papers were selected through a secondary search. Results: The PEDro scale of the selected papers was high with an average of 7 points, and the therapeutic intervention period was found to be between 2 and 6 months, providing therapeutic interventions once to 5 times a week, at least 15 minutes to 1 hour a day. The treatment approach was used with impairment-based intervention and adaptive-based intervention, and the assessment method was divided into clinical evaluation and non-instrumental assessments. Conclusion: Through this systematic review, we found that there are a variety of oral sensorimotor interventions for children with cerebral palsy with feeding disorders. This study provides support for planning oral sensorimotor intervention programs for occupational therapy in clinical practice for children with cerebral palsy.
참고문헌 (24)
- Baghbadorani, M. K., "The effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy", Acta Medica Iranica, 52(12), pp.899~904 (2014)
- Benfer, K. A., "Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy", Pediatrics, 131(5), pp.1553~1562 (2013)[DOI]
- Caruso, A. J., "Clinical management of motor speech disorders in children" (1999), Thieme
- Croft, R., "What consistency of food is best for children with cerebral palsy who cannot chew?", Archives of Disease in Childhood, 67(3), pp.269~271 (1992)[DOI]
- Finnie, N. R., "Handling the young cerebral palsied child at home", The American Journal of Maternal, 1976, pp.1(6), 389~
- Fucile, S., "Oral stimulation accelerates the transition from tube to oral feeding in preterm infants", The Journal of Pediatrics, 141(2), pp.230~236 (2002)[DOI]
- Fung, E. B., "Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy", Journal of the American Dietetic Association, 102(3), pp.361~373 (2002)[DOI]
- Ganz, S. F., "Decreasing tongue thrusting and tonic bite reflex through nueromotor and sensory facilitation techniques", Physical & Occupational Therapy in Pediatrics, 7(4), pp.57~76 (1988)[DOI]
- Gisel, E., "Interventions and outcomes for children with dysphagia", Developmental Disabilities Research Reviews, 14(2), pp.165~173 (2008)[DOI]
- Gisel, E. G., "Effect of oral sensorimotor treatment on measures of growth and efficiency of eating in the moderately eating-impaired child with cerebral palsy", Dysphagia, 11(1), pp.48~58 (1996)[DOI]
- Gisel, E. G., "Classification of eating impairments based on eating efficiency in children with cerebral palsy", Dysphagia, 10(4), pp.268~274 (1995)[DOI]
- Gisel, E. G., "Effect of oral sensorimotor treatment on measures of growth, eating efficiency and aspiration in the dysphagic child with cerebral palsy", Developmental Medicine & Child Neurology, 37(6), pp.528~543 (1995)
- Helfrich-Miller, K. R., "Dysphagia : Its treatment in the profoundly retarded patient with cerebral palsy", Archives of Physical Medicine and Rehabilitation, 67(8), pp.520~525 (1986)
- Inal, O., "Effect of functional chewing training on tongue thrust and drooling in children with cerebral palsy : A randomised controlled trial", Journal of Oral Rehabilitation, 44(11), pp.843~849 (2017)[DOI]
- Kim, J., "The effects of postural adjustment program for reflex inhibit on feeding & oral motor function of cerebral palsy", 석사, pp.2005
- Krick, J., "The relationship between oral-motor involvement and growth : A pilot study in a pediatric population with cerebral palsy", Journal of the American Dietetic Association, 84(5), pp.555~559 (1984)
- Redstone, F., "The importance of postural control for feeding", Pediatric Nursing, 30(2), pp.97~101 (2004)
- Rogers, B., "Characteristics of dysphagia in children with cerebral palsy", Dysphagia, 9(1), pp.69~73 (1994)[DOI]
- Santoro, A., "A proposed multidisciplinary approach for identifying feeding abnormalities in children with cerebral palsy", Journal of Child Neurology, 27(6), pp.708~712 (2012)
- Serel-Arslan, S., "Effect of a new treatment protocol called functional chewing training on chewing function in children with cerebral palsy : A double‐blind randomised controlled trial", Journal of Oral Rehabilitation, 44(1), pp.43~50 (2017)[DOI]
- Sigan, S. N., "Effects of oral motor therapy in children with cerebral palsy", Annals of Indian Academy of Neurology, 16(3), pp.342~346 (2013)[DOI]
- Snider, L., "Feeding interventions for children with cerebral palsy : A review of the evidence", Physical & Occupational Therapy in Pediatrics, 31(1), pp.58~77 (2011)[DOI]
- 송우진, "연하장애를 가진 뇌성마비아동의 구강감각치료의 효과", 대한작업치료학회지, 21(4), pp.47~58 (2013), 대한작업치료학회[DOI]
- Stallings, V. A., "Nutrition‐related growth failure of children with quadriplegic cerebral palsy", Developmental Medicine & Child Neurology, 35(2), pp.126~138 (1993)[DOI]