음악을 통한 청각자극이 만성 뇌졸중 환자의 편측무시에미치는 영향: 단일대상연구
The Effects of Auditory Stimulus Using Music on Unilateral Neglect in Patients With Stroke: Single Subject Design
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목적 : 본 연구의 목적은 음악을 통한 청각자극이 뇌졸중 환자의 편측무시에 미치는 효과를 알아보는 것이다. 연구방법 : 본 연구는 편측무시를 보이는 뇌졸중 환자 1명을 대상으로 하였다. 본 연구는 ABA 설계를 사용하였으며, 연구기간 동안 기초선A 5회, 중재기B 10회, 기초선A’5회로 총 20회기 실시하였다. 각 중재기 동안에는 대상자가좋아하는 음악 5곡을 선택하게 하여 회기 당 60분씩 음악을 감상하도록 하였다. 기초선과 중재기간에는 편측무시평가를 위해 별 지우기 검사(Star cancellation test), 선 나누기 검사(Line bisection test)를 시행하였다. 또한중재 전, 후로 일상생활에서의 편측무시를 평가하기 위해 Catherine Bergego Scale(CBS)와 정서 상태를 평가하기 위해 Positive Affect and Negative Affect Schedule(PANAS)를 시행하였다. 결과 : 중재기 동안 별 지우기 검사, 선 나누기 검사를 통해 편측무시가 감소되는 추세를 확인하였으며, 중재 후에도중재효과가 유지되었다. 또한 중재 후, CBS를 통해 일상생활에서도 편측무시가 감소되었음을 알 수 있었으며PANAS를 통해 긍정적 감정이 증가하였음을 알 수 있었다. 결론 : 본 연구 결과, 음악을 통한 청각자극 뇌졸중 환자의 편측무시 감소에 긍정적인 영향을 준 것으로 확인되었다.
Abstract
Objective : The purpose of this study was to verify the effects of auditory stimulus using music on unilateral neglect in patients with stroke. Methods : This study used a single subject (ABA) design. The subject who showed unilateral neglect caused by stroke received auditory stimulus using music for 60 minutes per sessions. A total of 20 sessions were conducted. The unilateral neglect was measured by the Star cancellation test and Line bisection test during each session, and Catherine Bergego Scale was used to evaluate the degree of unilateral neglect in daily life pre-and post-test. Also, Positive Affect and Negative Affect Schedule was used to test subject’s emotional status. Results : During the intervention period, the results of the Star cancellation test and Line bisection test showed the trend of reduction of unilateral neglect symptom and the effects of intervention were maintained after intervention. After intervention, the results of CBS indicated decreased unilateral neglect symptom in activities of daily living and the results of PANAS indicated increased positive affect. Conclusions : The result of this study indicate that auditory stimulus has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.
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