구강운동촉진기술(OMFT)을 적용한 조기 연하재활치료가 프래더 윌리 아동의 섭식 발달에 미치는 영향 – 발달에 근거하여 : 사례 보고
The effect of Early Feeding Therapy by Oral Motor Facilitation Technique(OMFT) on Feeding development of Prader-Willi Syndrome baby – Based on the Development : Case study
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초록
본 연구는 섭식장애가 있는 프래더 윌리(PWS) 아동을 대상으로 구강운동촉진기술(OMFT) 적용 후 섭식발달의 변화를 확인하고 전반적인 발달과 비교・분석하여 OMFT가 섭식발달에 미치는 효과를 알아보고자 하였다. 대상 아동은 경관 식이로 섭식 중인 교정 연령 8개월 PWS 여자 1명으로 2020년 7월부터 2021년 6월까지 OMFT를 주 1회, 1년 동안 제공하였다. OMFT 적용 후 구강 섭식 전환 및 연령에 맞는 음식 섭취, 씹기 기능 증진, 빨대 사용, SSB 조절 향상 등의 섭식발달 단계 변화가 관찰되었다. 본 연구를 통해 OMFT가 PWS 아동의 섭식 발달 및 구강 섭취 전환에 효과적인 것으로 확인되었다. PWS 아동의 섭식 및 연하장애에 대한 조기 평가 및 치료 접근이 중요하며 근긴장도 및 근력 저하의 구강운동기능 문제 해결을 위한 OMFT 적용을 통한 섭식 발달 향상을 위한 접근이 필요할 것이다.
Abstract
Goal of this study is to identify effect of Oral Motor Facilitation Technique(OMFT) on feeding development, tube weaning of PWS baby. Subject was 8months old PWS girl. 2 times of OT, 1 times of OMFT per weeks were provided from July, 2020 to June, 2021. Feeding development and skills was increased and could eat food by mouth after OMFT treatment. Especially, she could eat food by her mouth after 3mts of OMFT and age-appropriated food intake, chewing function, drinking by straw was increased. Through this case study, early detecting and treatment for feeding development of PWS is very important. OMFT is good treatment protocol for increasing feeding development and oral motor skills of PWS.
참고문헌 (24)
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