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섭식 유형에 따른 경직형 뇌성마비 아동과 정상 아동 간의 조음기관 수행력 비교

Differences on Articulators’ Function according to Feeding Subtypes between Children with Spastic Cerebral Palsy and Normal Children

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주제분류학제간연구

초록

The purpose of this study was to investigate the differences of feeding ability and articulatory function in the children with spastic cerebral palsy and typically developing children according to feeding subtypes. The feeding subtypes were limited by chewing, cup drinking and spoon feeding. 14 children with spastic cerebral palsy and 14 typically developing children were participated in this study. The results were following as; First, there were significant differences in overall articulatory function between two groups Second, all scores of articulators’ function according to feeding subtypes in children with cerebral palsy was significantly higher than typically developing children Third, chewing mode in feeding subtypes was highly correlated with lip and tongue movement. compared to another Finally, the correlation between spoon feeding and mobility of lip and tongue was high in both groups. These results suggested that These results suggest that the effort to find out the differences feeding ability and appliances for articulatory function in CP children are meaningful in catching their speech ability indirectly. Moreover, the more organized feeding skills should be discussed in the relationship with verbal and nonverbal development.

Abstract

The purpose of this study was to investigate the differences of feeding ability and articulatory function in the children with spastic cerebral palsy and typically developing children according to feeding subtypes. The feeding subtypes were limited by chewing, cup drinking and spoon feeding. 14 children with spastic cerebral palsy and 14 typically developing children were participated in this study. The results were following as; First, there were significant differences in overall articulatory function between two groups Second, all scores of articulators’ function according to feeding subtypes in children with cerebral palsy was significantly higher than typically developing children Third, chewing mode in feeding subtypes was highly correlated with lip and tongue movement. compared to another Finally, the correlation between spoon feeding and mobility of lip and tongue was high in both groups. These results suggested that These results suggest that the effort to find out the differences feeding ability and appliances for articulatory function in CP children are meaningful in catching their speech ability indirectly. Moreover, the more organized feeding skills should be discussed in the relationship with verbal and nonverbal development.

참고문헌 (15)

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  2. Gisel, E. G., "Assessment of ingestive and oral praxis skills: children with cerebral palsy vs. controls", Dysphagia, 15(4), pp.236~244 (2000)
  3. Gisel, E. G., "Oral-motor skills following sensorimotor intervention in the moderately eating-impaired child with cerebral palsy", Dysphagia, 9(3), pp.180~192 (1994)
  4. Gisel, E. G., "Tongue movement in normal 2-to 8-year-old children: extended profile of an eating assessment", The American Journal of Occupational Therapy, 42(6), pp.384~389 (1988)
  5. Gisel, E. G., "Chewing cycles in 2-to 8-year-old normal children: A Developmental profile", The American Journal of Occupational Therapy, 42(1), pp.40~46 (1988)
  6. 홍정선, "뇌성마비아동의 의료이용 형태에 관한 연구", 석사, pp.2004
  7. 장수정, "경직형 뇌성마비아동의 씹기 운동능력과 무의미 일음절어 명료도의 상관관계", 석사, pp.2005
  8. 정한영, "비디오 투시조영 연하검사를 통한 뇌성마비 아동의 삼킴 장애의 특성", 대한재활의학회지, 24(4), pp.671~677 (2000)
  9. 김선희, "경직형 뇌성마비 아동들의 섭식 기능과조음정확도 간의 상관연구", 언어치료연구, 17(4), pp.1~17 (2008), 한국언어치료학회
  10. 김선희, "국내·외 음식 재질과 연령에 따른 정상 영유아의 저작 능력에 대한 연구", 대한작업치료학회지, 18(1), pp.1~12 (2010), 대한작업치료학회
  11. Morris, S. E., "Pre-feeding skills: A Comprehensive resource for mealtime development" (2000), Therapy Skill Builders
  12. Morris, S. E., "Pre-feeding skills: A Comprehensive resource for feeding development" (1987), Therapy Skill Builders
  13. Morris, S. E., "Pre-speech assessment scale: A rating scale for the measurement of pre-speech behaviors from birth through two years" (1982), J. A. Preston
  14. 우미남, "섭식 촉진 활동 프로그램이 뇌성마비 아동의 조음기관 운동 능력 개선에 미치는 영향", 석사, pp.2005
  15. 유천심, "마시기와 씹기를 이용한 섭식 활동이 뇌성마비아동의 호흡과 구강운동 및 침흘리기 개선에 미치는 영향", 석사, pp.2010

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