시각장애우와 청각장애우에서 두점식별력과 격자해상능을 이용한 촉각인지능 평가
Assessment of tactile acuity by two-point discrimination and grating resolution in blind and deaf humans
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시각장애우와 청각장애우에서 상실된 감각기능을 대체할 목적으로 촉각제시장치를 이용할 경우 효과적으로 촉각을 제시하기 위하여 대조군, 시각장애군, 청각장애군, 합병증성 시각장애군에서 신체 부위에 따른 촉각인지능을 컴퍼스와 JVP dome을 이용하여 각각 두점식별력과 격자해상능을 측정하였다. 컴퍼스를 이용한 두점식별력은 대조군에서 손가락이 가장 높은 민감도를 보였으나 남녀의 차이는 보이지 않았다. 시각장애군과 청각장애군은 대조군과 비교하여 손가락에서는 차이를 보이지 않았으나 팔과 다리 부위에서는 낮은 민감도를 보였다. JVP dome을 이용한 격자해상능은 대조군에서 다섯 손가락 모두에서 상호간의 차이를 보이지 않았으며, 또한 남녀의 차이도 보이지 않았다. 시각장애군은 대조군과 비교하여 다섯 손가락 모두에서 높은 민감도를 보였으며, 청각장애군은 대조군과 차이를 보이지 않았다. 그러나 합병증성 시각장애군은 대조군 및 시각장애군과 비교하여 두점식별력 및 격자해상능에서 모두 낮은 민감도를 보였다. 이상의 연구결과는 촉각제시장치를 이용할 경우 자극 부위와 방법을 고려해야 하며, 감각상실의 원인 질환에 따라 촉각인지능에 차이가 있음을 시사한다.
Abstract
investigate the effective tactile stimuli on tactile sensory substitution studies when tactile display is applied to persons with sensory loss of vision or hearing. Two-point discrimination and grating resolution were assessed by compass and JVP dome, respectively, in the hand, arm, neck, lumbar, and knee. In two-point discrimination by compass, control group showed the highest sensitivity in fingers among assessed body areas but did not show any significant difference between male and female. Blind group and deaf group compared to control group did not show any significant difference in fingers but showed lower sensitivity in arm and knee. In grating resolution by JVP dome, control group did not show any significant difference among five fingers as well as between male and female. Blind group showed higher sensitivity in five fingers compared to control group, but deaf group did not show any significant difference from control group. Blind caused by complication group showed lower sensitivity in two-point discrimination and grating resolution compared to control group and blind group. These results suggest that the body area and method of tactile stimulation, and difference in tactile acuity depending on underlying disease of sensory loss should be considered when tactile display is applied for sensory substitution.
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